Application of attractor in da Vinci robot "3 + 2" assisted radical gastrectomy for gastric cancer

doi:10.3877/cma.j.issn.1674-6899.2021.05.002

Abstract

Abstract:

Objective

To summarize the application experience of aspirator in robot "3+ 2" assisted radical gastrectomy.

Methods

Retrospective analysis of clinical and surgical data of 21 patients with robotic radical gastrectomy in our department from Jan. to Aug. 2018.

Results

The average age of this group of patients was 57.5 years old, and the body mass index was 22.4 kg/m². During the operation, the second assisted hand-held forceps were used to expose the surgical field, and the first assited hand-held suction device was used for local visual field cleaning to assist the operation process. The preoperative time was 30-50 minutes, with an average of 38.7 minutes; the operation time was 120-260 minutes, with an average of 186.7 minutes; the intraoperative blood loss was 30-120 ml, with an average of 62.2 ml; the number of lymph node dissection was 562, with an average of 26.7; One case of spleen injury was caused by tearing of the spleen capsule, compression and hemostasis, and no spleen was removed. No serious complications occurred during the operation.

Conclusions

The da Vinci robot radical gastrectomy, especially for obese and advanced gastric cancer patients, the "3+ 2" model is safe and practical. It is conducive to the new surgeons who develop robotic gastric cancer, which can reduce the resistance. The assistants can use the aspirator to provide good surgical field, reduce the difficulty of surgery, reduce the operation time, and better clinical teaching.

Key words: Da Vinci robot, Laparoscopic, Gastric cancer, Aspirator

Ming Hu, Shixun Ma, Jing Yang, Hongwei Tian, Weipeng Zhan, Changfeng Miao, Wei Fang, Dongdong Chen, Wutang Jing, Jin Guo, Yuan Deng, Xianbin Huang, Yuntao Ma, Hui Cai. Application of attractor in da Vinci robot "3 + 2" assisted radical gastrectomy for gastric cancer[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(05): 260-264.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.05.002

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I05/260

Figures/Tables 3

References 19

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患者	年龄(岁)	体质量指数(kg/m²)	临床分期	手术方式	淋巴结阳性/总淋巴结数(枚)	手术时间(min)	术前准备时间(min)	术中出血量(ml)	中转开腹	术中并发症	术后并发症	术后住院时间(d)
1	50	20.5	CⅡ	远端胃切除术	1/25	120	33	30	无	无	无	10
2	57	21.3	CⅠ	全胃切除术	0/22	170	31	50	无	无	无	9
3	59	21.9	CⅡ	远端胃切除术	0/26	185	32	75	无	无	无	7
4	62	19.4	CⅡ	远端胃切除术	0/17	195	31	80	无	无	无	11
5	65	27.5	CⅡ	全胃切除术	0/20	200	35	52	无	无	无	12
6	67	19.8	CⅢ	远端胃切除术	19/19	260	42	120	中转	无	无	14
7	45	22.3	CⅡ	远端胃切除术	3/30	235	38	49	无	无	肺部感染	22
8	49	23.4	CⅡ	全胃切除术	2/33	215	37	48	无	无	无	9
9	48	23.5	CⅡ	远端胃切除术	0/25	205	30	55	无	无	无	8
10	62	26.1	CⅡ	远端胃切除术	0/27	185	43	65	无	无	无	8
11	65	24.2	CⅠ	远端胃切除术	0/28	180	40	45	无	无	无	7
12	53	22.3	CⅡ	全胃切除术	2/30	195	41	45	无	脾脏损伤	无	15
13	54	22.5	CⅡ	远端胃切除术	0/25	165	45	40	无	无	胃瘫	30
14	50	20.8	CⅡ	远端胃切除术	0/26	170	42	35	无	无	无	11
15	51	20.5	CⅢ	全胃切除术	9/33	200	50	100	无	无	淋巴漏	28
16	52	18.5	CⅡ	远端胃切除术	2/28	185	44	62	无	无	无	10
17	76	23.9	CⅡ	远端胃切除术	0/34	188	50	75	无	无	无	9
18	49	24.1	CⅢ	全胃切除术	21/40	179	43	110	无	无	无	8
19	48	21.8	CⅡ	远端胃切除术	0/28	165	40	55	无	无	胃瘫	25
20	73	22.3	CⅡ	远端胃切除术	0/17	155	30	50	无	无	无	8
21	72	24.2	CⅡ	全胃切除术	0/29	170	35	65	无	无	无	9

患者	年龄(岁)	体质量指数(kg/m²)	临床分期	手术方式	淋巴结阳性/总淋巴结数(枚)	手术时间(min)	术前准备时间(min)	术中出血量(ml)	中转开腹	术中并发症	术后并发症	术后住院时间(d)
1	50	20.5	CⅡ	远端胃切除术	1/25	120	33	30	无	无	无	10
2	57	21.3	CⅠ	全胃切除术	0/22	170	31	50	无	无	无	9
3	59	21.9	CⅡ	远端胃切除术	0/26	185	32	75	无	无	无	7
4	62	19.4	CⅡ	远端胃切除术	0/17	195	31	80	无	无	无	11
5	65	27.5	CⅡ	全胃切除术	0/20	200	35	52	无	无	无	12
6	67	19.8	CⅢ	远端胃切除术	19/19	260	42	120	中转	无	无	14
7	45	22.3	CⅡ	远端胃切除术	3/30	235	38	49	无	无	肺部感染	22
8	49	23.4	CⅡ	全胃切除术	2/33	215	37	48	无	无	无	9
9	48	23.5	CⅡ	远端胃切除术	0/25	205	30	55	无	无	无	8
10	62	26.1	CⅡ	远端胃切除术	0/27	185	43	65	无	无	无	8
11	65	24.2	CⅠ	远端胃切除术	0/28	180	40	45	无	无	无	7
12	53	22.3	CⅡ	全胃切除术	2/30	195	41	45	无	脾脏损伤	无	15
13	54	22.5	CⅡ	远端胃切除术	0/25	165	45	40	无	无	胃瘫	30
14	50	20.8	CⅡ	远端胃切除术	0/26	170	42	35	无	无	无	11
15	51	20.5	CⅢ	全胃切除术	9/33	200	50	100	无	无	淋巴漏	28
16	52	18.5	CⅡ	远端胃切除术	2/28	185	44	62	无	无	无	10
17	76	23.9	CⅡ	远端胃切除术	0/34	188	50	75	无	无	无	9
18	49	24.1	CⅢ	全胃切除术	21/40	179	43	110	无	无	无	8
19	48	21.8	CⅡ	远端胃切除术	0/28	165	40	55	无	无	胃瘫	25
20	73	22.3	CⅡ	远端胃切除术	0/17	155	30	50	无	无	无	8
21	72	24.2	CⅡ	全胃切除术	0/29	170	35	65	无	无	无	9

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