ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION

Trocars position for the Si model (position is similar for the Xi, although trocars stay more in line)

ABSTRACT

Background:

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.

Aim:

To describe our standard technique with reduced use of robotic instruments.

Methods:

We detail the steps involved in the procedure, including trocar placement, necessary robotic instruments, and meticulous surgical description.

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.

Conclusion:

This standardization helps implementing a robotic program for gastrectomy in the daily practice or in one`s institution.

HEADINGS:
Stomach neoplasms; Telesurgery; Robotic Surgical Procedures; Gastrectomy