Similar Operative Outcomes between the da Vinci Xi® and da Vinci Si® Systems in Robotic Gastrectomy for Gastric Cancer

Rana M. Alhossaini; Abdulaziz A. Altamran; Seo Hee Choi; Chul-Kyu Roh; Won Jun Seo; Minah Cho; Taeil Son; Hyung-Il Kim; Woo Jin Hyung

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자료유형: 학술저널

저자정보: Rana M. Alhossaini Abdulaziz A. Altamran Seo Hee Choi Chul-Kyu Roh Won Jun Seo Minah Cho Taeil Son Hyung-Il Kim Woo Jin Hyung

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제19권 제2호

발행연도: 2019.1

수록면: 165 - 172 (8page)

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Purpose: The robotic system for surgery was introduced to gastric cancer surgery in the early 2000s to overcome the shortcomings of laparoscopic surgery. The more recently introduced da Vinci Xi® system offers benefits allowing four-quadrant access, greater range of motion, and easier docking through an overhead boom rotation with laser targeting. We aimed to identify whether the Xi® system provides actual advantages over the Si® system in gastrectomy for gastric cancer by comparing the operative outcomes. Materials and Methods: We retrospectively reviewed all patients who underwent robotic gastrectomy as treatment for gastric cancer from March 2016 to March 2017. Patients' demographic data, perioperative information, and operative and pathological outcomes were collected and analyzed. Results: A total of 109 patients were included in the Xi® group and 179 in the Si® group. Demographic characteristics were similar in both groups. The mean operative time was 229.9 minutes in the Xi® group and 223.7 minutes in the Si® group. The mean estimated blood loss was 72.7 mL in the Xi® group and 62.1 mL in the Si® group. No patient in the Xi® group was converted to open or laparoscopy, while 3 patients in the Si® group were converted, 2 to open surgery and 1 to laparoscopy, this difference was not statistically significant. Bowel function was resumed 3 days after surgery, while soft diet was initiated 4 days after surgery. Conclusions: We found no difference in surgical outcomes after robotic gastrectomy for gastric cancer between the da Vinci Xi® and da Vinci Si® procedures.

참고문헌 (21)

참고문헌 신청

Ozben V / 2016 / Is da Vinci Xi better than da Vinci Si in robotic rectal cancer surgery? Comparison of the 2 generations of da Vinci systems / Surg Laparosc Endosc Percutan Tech 26:417~423

Lim SH / 2016 / Robotic surgery for gastric tumor: current status and new approaches / Transl Gastroenterol Hepatol 1:28

Kim HI / 2016 / Multicenter prospective comparative study of robotic versus laparoscopic gastrectomy for gastric adenocarcinoma / Ann Surg 263:103~109

Shen W / 2016 / Robotic versus laparoscopic gastrectomy for gastric cancer: comparison of short-term surgical outcomes / Surg Endosc 30:574~580

Song J / 2009 / Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures / Ann Surg 249:927~932

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