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A New Robot-assisted Billroth-I Reconstruction: Details of the Technique and Early Results.
Ceccarelli, Graziano; Marano, Luigi; Codacci-Pisanelli, Massimo; Andolfi, Enrico; Biancafarina, Alessia; Fabozzi, Massimiliano; Caruso, Stefano; Patriti, Alberto.
Afiliação
  • Ceccarelli G; Division of General and Robotic Surgery, "San Donato" Hospital, Arezzo.
  • Marano L; Division of Multidisciplinary Robotic Surgery, "San Matteo degli Infermi Hospital"-ASL Umbria 2, Spoleto (PG).
  • Codacci-Pisanelli M; Department of Surgery "Pietro Valdoni", Policlinico Umberto I, 'Sapienza' University of Rome, Rome.
  • Andolfi E; Division of General and Robotic Surgery, "San Donato" Hospital, Arezzo.
  • Biancafarina A; Division of General and Robotic Surgery, "San Donato" Hospital, Arezzo.
  • Fabozzi M; Division of General and Robotic Surgery, "San Donato" Hospital, Arezzo.
  • Caruso S; Department of General Surgery and Surgical Specialties, Unit of General Surgery, "Santa Maria Annunziata" Hospital, ASL Firenze, Italy.
  • Patriti A; Division of Multidisciplinary Robotic Surgery, "San Matteo degli Infermi Hospital"-ASL Umbria 2, Spoleto (PG).
Surg Laparosc Endosc Percutan Tech ; 28(1): e33-e39, 2018 Feb.
Article em En | MEDLINE | ID: mdl-29346168
BACKGROUND: Laparoscopic surgery for gastric tumor is considered a demanding procedure because of lymph node dissection and reconstruction. Billroth-I (B-I) reconstruction after laparoscopic distal gastrectomy is commonly performed extracorporeally because of the complexity of an intracorporeal procedure. Robotic surgery overcomes some limitations of laparoscopy, allowing to reproduce the basic maneuvers of open surgery. We describe a new technique to perform robotic B-I anastomosis. METHODS: Between January 2012 and February 2015, 5 patients underwent distal gastrectomy with intracorporeal B-I-stapled anastomosis. Patient demographics, tumor characteristics, histopathologic features, and perioperative data were analyzed. RESULTS: Median operative time was 170 minutes (145 to 180 min). There were no conversions. Contrast swallow was routinely performed on the third postoperative day. Median postoperative hospitalization was 7 days (range: 6 to 8). No major complications or mortality were observed. CONCLUSIONS: Robotic distal gastrectomy with intracorporeal B-I anastomosis is a safe and promising technique in selected cases of gastric tumors.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Gástricas / Gastroenterostomia / Procedimentos Cirúrgicos Robóticos / Gastrectomia Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Gástricas / Gastroenterostomia / Procedimentos Cirúrgicos Robóticos / Gastrectomia Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Assunto da revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Ano de publicação: 2018 Tipo de documento: Article