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Delta-shaped gastroduodenostomy using a robotic stapler in reduced-port totally robotic gastrectomy: its safety and efficiency compared with conventional anastomosis techniques

 Ji Su Kim  ;  Hemant Batajoo  ;  Taeil Son  ;  Seohee Choi  ;  Won Jun Seo  ;  Minah Cho  ;  Yoo Min Kim  ;  Joong Ho Lee  ;  Hyoung-Il Kim  ;  Woo Jin Hyung 
 SCIENTIFIC REPORTS, Vol.10(1) : 14729, 2020-09 
Journal Title
Issue Date
Adenocarcinoma / surgery ; Adult ; Aged ; Anastomosis, Surgical / methods* ; Female ; Gastrectomy / methods* ; Gastroenterostomy / methods* ; Humans ; Laparoscopy / methods ; Male ; Middle Aged ; Operative Time ; Retrospective Studies ; Robotic Surgical Procedures / methods* ; Stomach Neoplasms / surgery
To investigate the safety and efficiency of using robotic staplers for intracorporeal gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P < 0.0001]). Intracorporeal gastroduodenostomy using the robotic stapler during robotic gastrectomy could be safely and feasibly performed on the console without the assistance of assistant, bedside surgeons.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yoo Min(김유민)
Kim, Ji Su(김지수) ORCID logo https://orcid.org/0000-0002-9501-9665
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Seo, Won Jun(서원준)
Son, Tae Il(손태일) ORCID logo https://orcid.org/0000-0002-0327-5224
Lee, Joong Ho(이중호)
Cho, Minah(조민아) ORCID logo https://orcid.org/0000-0003-3011-5813
Choi, Seo Hee(최서희)
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
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