ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION

• Autor(a) principal: DIAS,Andre Roncon
• Data de Publicação: 2020
• Outros Autores: RAMOS,Marcus Fernando Kodama Pertille, SZOR,Daniel Jose, ABDALLA,Ricardo, BARCHI,Leandro, YAGI,Osmar Kenji, RIBEIRO-JUNIOR,Ulysses, ZILBERSTEIN,Bruno, CECCONELLO,Ivan
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202020000300400
• topic: Stomach neoplasms; Telesurgery; Robotic Surgical Procedures; Gastrectomy

ABSTRACT 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.