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Safety and feasibility of reduced-port robotic distal gastrectomy for gastric cancer: a phase I/II clinical trial using the da Vinci Single Port(SP) robotic system

Authors
 Sung Hyun Park  ;  Youn Nam Kim  ;  Jawon Hwang  ;  Ki-Yoon Kim  ;  Minah Cho  ;  Yoo Min Kim  ;  Woo Jin Hyung  ;  Hyoung-Il Kim 
Citation
 SCIENTIFIC REPORTS, Vol.13(1) : 18578, 2023-10 
Journal Title
SCIENTIFIC REPORTS
Issue Date
2023-10
MeSH
Feasibility Studies ; Gastrectomy* / adverse effects ; Gastrectomy* / methods ; Humans ; Laparoscopy ; Prospective Studies ; Robotic Surgical Procedures* / adverse effects ; Robotic Surgical Procedures* / methods ; Stomach Neoplasms* / surgery
Abstract
Minimally invasive surgery reduces surgical trauma and the size and number of incisions. The da Vinci SP robotic surgical system was designed to overcome the technical demands of single-incision laparoscopic surgery. This study aimed to demonstrate the safety and feasibility of single-port (SP) robotic distal gastrectomy (SPRDG) for patients with gastric cancer using the da Vinci SP system (Intuitive Surgical Inc., Sunnyvale, CA, USA). This study was designed as a single-arm prospective phase I/II clinical trial of SPRDG (first posted date: 21/09/2021, NCT05051670; clinicaltrials.gov). SPRDG using the da Vinci SP system was performed on 19 patients with gastric cancer between December 2021 and October 2022. The primary outcome was the safety of SPRDG as measured by major postoperative complications. The secondary outcomes were operation time, bleeding amount, bowel motility recovery, and length of hospital stay. SPRDG was performed in all 19 patients without unexpected events, such as use of additional trocars or conversion to laparoscopic or open surgery. No major complications occurred postoperatively (0/19, 0.0%). The mean operation time was 218 min (range 164-286 min). The mean hospital stay duration was 3.2 days (range 2-4 days). This phase I/II clinical trial, performed by a single expert surgeon, demonstrated the safety and feasibility of SPRDG with the da Vinci SP system in selected patients with gastric cancer. SPRDG could be a reasonable alternative to conventional or reduced-port minimally invasive gastrectomy, as it has cosmetic advantages, early recovery, and safe discharge.
Files in This Item:
T202306823.pdf Download
DOI
10.1038/s41598-023-45655-6
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki-Yoon(김기윤)
Kim, Yoo Min(김유민)
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Park, Sung Hyun(박성현)
Cho, Minah(조민아) ORCID logo https://orcid.org/0000-0003-3011-5813
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
Hwang, Jawon(황자원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197621
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