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ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION.


ABSTRACT:

Background

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

SUBMITTER: Dias AR 

PROVIDER: S-EPMC7812686 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION.

Dias Andre Roncon AR   Ramos Marcus Fernando Kodama Pertille MFKP   Szor Daniel Jose DJ   Abdalla Ricardo R   Barchi Leandro L   Yagi Osmar Kenji OK   Ribeiro-Junior Ulysses U   Zilberstein Bruno B   Cecconello Ivan I  

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery 20210115 3


<h4>Background</h4>Trocars position for the Si model (position is similar for the Xi, although trocars stay more in line). 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.<h4>Aim</h4>To describe our standard technique with reduced use of robotic instruments.<h4>Methods</h4>We detail the steps involved in the procedure, including trocar placement, necessary robotic in  ...[more]

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