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ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION.

Authors :
Dias AR
Ramos MFKP
Szor DJ
Abdalla R
Barchi L
Yagi OK
Ribeiro-Junior U
Zilberstein B
Cecconello I
Source :
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2021 Jan 15; Vol. 33 (3), pp. e1542. Date of Electronic Publication: 2021 Jan 15 (Print Publication: 2021).
Publication Year :
2021

Abstract

Background: Trocars position for the Si model (position is similar for the Xi, although trocars stay more in line). Robotic gastrectomy is gaining popularity worldwide. It allows reduced blood loss and lesser pain. However, it widespread use is limited by the extensive learning curve and costs.<br />Aim: To describe our standard technique with reduced use of robotic instruments.<br />Methods: We detail the steps involved in the procedure, including trocar placement, necessary robotic instruments, and meticulous surgical description.<br />Results: After standardizing the procedure, 28 patients were operated with this budget technique. For each procedure material used was: 1 (Xi model) or 2 disposable trocars (Si) and 4 robotic instruments. Stapling and clipping were performed by the assistant through an auxiliary port, limiting the use of robotic instruments and reducing the cost.<br />Conclusion: This standardization helps implementing a robotic program for gastrectomy in the daily practice or in one`s institution.

Details

Language :
English; Portuguese
ISSN :
2317-6326
Volume :
33
Issue :
3
Database :
MEDLINE
Journal :
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
Publication Type :
Academic Journal
Accession number :
33470372
Full Text :
https://doi.org/10.1590/0102-672020200003e1542