Revista ABCd (São Paulo). 15 jan, 2021

ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION

Andre Roncon DIAS
Marcus Fernando Kodama Pertille RAMOS
Daniel Jose SZOR
Ricardo ABDALLA
Leandro BARCHI
Osmar Kenji YAGI
Ulysses RIBEIRO-JUNIOR
Bruno ZILBERSTEIN
Ivan CECCONELLO
DOI: 10.1590/0102-672020200003e1542

Background:

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.


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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD. Technical manager: Dr. Francisco Tustumi | CRM: 157311 | RQE: 77151 - Cirurgia do Aparelho Digestivo

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