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Robotic surgery for gastric cancer: a technical review

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Abstract

Minimally invasive gastric cancer surgery is gaining acceptance, especially in the treatment of patients with early gastric cancer. While offering patients the benefits of minimally invasive surgery, laparoscopic surgery is limited by several disadvantages such as altered operating view and lack of versatility in surgical instrumentation. Robotic surgery offers the surgeon the benefit of superior 3D visualization, the freedom of the EndoWrist function, and the tremble-filtered control of the four robotic arms. Due to the technical advantages of the robotic surgical system, robotic surgery may facilitate the expansion of minimally invasive surgery over laparoscopy. The application of robotic surgery for gastric cancer is increasing in experienced centers. Most reports of the robotic operating methods are only slightly modified from the laparoscopic technique. Robotic gastric cancer surgery including radical subtotal gastrectomy with D2 lymph node dissection is technically feasible and safe and results in similar short-term postoperative outcomes when compared to laparoscopic surgery. The role of robotic surgery in gastric cancer is promising but awaits further comparative studies of long-term results and cost-effectiveness.

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Acknowledgments

This study was supported by a grant from the National R&D Program for Cancer Control, Ministry of Health & Welfare, Republic of Korea (1020410). We thank Dong-Su Jang, our medical illustrator, for Fig. 1a.

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None disclosed.

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Authors and Affiliations

  1. Department of Surgery, Yonsei University College of Medicine, 134 Shinchon-dong Seodaemun-gu, Seoul, 120-752, Korea

    Woo Jin Hyung, Yanghee Woo & Sung Hoon Noh

  2. Robot and MIS Center, Yonsei University College of Medicine, Seoul, Korea

    Woo Jin Hyung & Yanghee Woo

  3. Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea

    Woo Jin Hyung & Sung Hoon Noh

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  1. Woo Jin Hyung
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  2. Yanghee Woo
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Correspondence to Woo Jin Hyung.

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Hyung, W.J., Woo, Y. & Noh, S.H. Robotic surgery for gastric cancer: a technical review. J Robotic Surg 5, 241–249 (2011). https://doi.org/10.1007/s11701-011-0263-x

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  • DOI: https://doi.org/10.1007/s11701-011-0263-x

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