腹腔镜机器人辅助胃癌切除术后完全体内空肠袋重建:来自德国的单中心分析

Laparoscopic Robotic Completely Intracorporeal Jejunal Pouch Reconstruction After Gastrectomy: A Single-Center Analysis from Germany.

作者信息

Stoyanova Ani K, Speichinger Fiona, Pozios Ioannis, Beyer Katharina, Berg Ann-Kathrin

机构信息

The Department of General and Visceral Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health (BIH), Hindenburgdamm 30, 12203 Berlin, Germany.

The Department of General, Visceral and Transplantation Surgery, Faculty of Medicine, University of Augsburg, 86159 Augsburg, Germany.

出版信息

Cancers (Basel). 2025 Aug 19;17(16):2690. doi: 10.3390/cancers17162690.

Abstract

: Gastric cancer is increasingly being diagnosed at early stages, enabling the application of curative oncological and surgical approaches. With the growing adoption of minimally invasive techniques, robotic surgery is gaining increasing prominence in the operating rooms. As described by Stoyanova et al., the robotic completely intracorporeal jejunal pouch reconstruction after gastrectomy offers potential benefits, including technical feasibility without significant intraoperative challenges or prolonged operative times, as well as long-term advantages such as a reduced incidence of midline incision hernias. : This retrospective, single-center study is the first to compare the clinical and oncological outcomes after laparoscopic robotic completely intracorporeal jejunal pouch reconstruction following gastrectomy. : A total of 27 patients who underwent gastrectomy between 2018 and 2025 were included in the study, and were divided into two groups: 12 patients in the robotic and 15 patients in the laparoscopic group. The study evaluated mean operative time, intraoperative and postoperative complications, length of hospital and ICU stay, and certain oncological outcomes. : A main purpose of the robotic method is the avoidance of an unfavourable midline incision due to the completely intracorporeal pouch reconstruction without substantial technical or clinical disadvantages. : Further research involving larger patient cohorts and extended follow-up periods is necessary to draw more definitive conclusions about the relative advantages of this surgical technique.

摘要

胃癌在早期被诊断出来的情况越来越多,这使得根治性肿瘤学和手术方法得以应用。随着微创技术的日益普及,机器人手术在手术室中越来越受到关注。正如斯托亚诺娃等人所描述的,胃切除术后机器人完全体内空肠袋重建具有潜在的优势,包括技术上的可行性,术中无重大挑战或手术时间延长,以及长期优势,如中线切口疝的发生率降低。:这项回顾性单中心研究首次比较了胃切除术后腹腔镜机器人完全体内空肠袋重建后的临床和肿瘤学结果。:共有27例在2018年至2025年间接受胃切除术的患者被纳入研究,并分为两组:机器人组12例,腹腔镜组15例。该研究评估了平均手术时间、术中及术后并发症、住院和重症监护病房停留时间以及某些肿瘤学结果。:机器人方法的一个主要目的是避免因完全体内袋重建而导致的不利中线切口,且没有实质性的技术或临床缺点。:有必要进行涉及更大患者队列和更长随访期的进一步研究,以得出关于这种手术技术相对优势的更明确结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/961c/12384637/28b55887af20/cancers-17-02690-g001.jpg

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