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Review
. 2017 Jul 28;1(2):82-89.
doi: 10.1002/ags3.12020. eCollection 2017 Jun.

Robotic gastrectomy for gastric cancer: Current evidence

Rana M Alhossaini  1   2   3 , Abdulaziz A Altamran  1   2   3 , Won Jun Seo  1   2   3 , Woo Jin Hyung  1   2   3
Affiliations
Review

Robotic gastrectomy for gastric cancer: Current evidence

Rana M Alhossaini et al. Ann Gastroenterol Surg. .

Abstract

The robotic system has gained wide acceptance in specialties such as urological and gynecological surgery. It has also been applied in the field of upper gastrointestinal surgery. Since the first implementation of the robotic system for the treatment of gastric adenocarcinoma, the procedure has been found to be safe and feasible. Although robotic gastrectomy does not meet our expectations and yield better results than laparoscopic gastrectomy, this procedure seems to provide several advantages over laparoscopy such as reduced blood loss, shorter learning curves and increased number of retrieved lymph nodes. However, as many case series, including a recent multicenter study, have revealed, higher cost and longer operation time are the major limitations of robotic gastrectomy. Furthermore, there are no results from well-designed randomized clinical trials comparing the two procedures. New procedures in much more technically demanding cases will test the genuine benefits of robotic gastrectomy.

Keywords: gastrectomy; gastric cancer; laparoscopic surgery; minimally invasive surgery; robotic surgery.

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Figures

Figure 1
Figure 1
Annual number of robotic gastrectomies carried out for gastric cancer. CTG, completion total gastrectomy; PG, proximal gastrectomy; STG, subtotal gastrectomy; TG, total gastrectomy
Figure 2
Figure 2
Endowrist stapler (Intuitive Surgical Inc., Sunnyvale, CA, USA) used during gastrectomy
Figure 3
Figure 3
Near infrared imaging after indocyanine green injection identifying tumor location as well as lymphatic drainage
See this image and copyright information in PMC

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