Tele-robotic distal gastrectomy with lymph node dissection on a cadaver.
Asian J Endosc Surg
; 17(1): e13246, 2024 Jan.
Article
in En
| MEDLINE
| ID: mdl-37727067
ABSTRACT
The purpose of this study is to evaluate the performance of tele-robotic distal gastrectomy (tele-RDG) with lymph node dissection (LND) using a novel Japanese-made surgical robot hinotori™ (Medicaroid, Kobe, Japan) in a cadaver with a presumptive gastric cancer. The Cadaveric Anatomy and Surgical Training Laboratory (CAST-Lab.) at Hokkaido University and Kushiro City General Hospital (KCGH) are connected by a guaranteed type line (1 Gbps), and the distance between the two facilities is 250 km. A patient cart was installed at CAST-Lab, and a surgeon cockpit was installed at KCGH. Tele-RDG with D2 LND was performed on an adult human cadaver. In all surgical processes, the communication environment was stable without image degradation, and the mean round trip time was 40 milliseconds (36.5-55 milliseconds). For tele-RDG with D2 LND, the operation time was 199 minutes without any technical problems. Tele-RDG using hinotori™ was feasible and similar to local robotic RDG.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stomach Neoplasms
/
Robotics
/
Laparoscopy
/
Robotic Surgical Procedures
Limits:
Adult
/
Humans
Language:
En
Journal:
Asian J Endosc Surg
Year:
2024
Document type:
Article
Affiliation country:
Japan