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