NDLI: Ultrasonic shears assistance can shorten the console time in robotic gastrectomy for early gastric cancer

Content Provider	Springer Nature : BioMed Central
Author	Kakeji, Yoshihiro Kuroda, Daisuke Nakamura, Tetsu Suzuki, Satoshi Yamamoto, Masashi Kanaji, Shingo Imanishi, Tatsuya Tanaka, Kenichi
Abstract	Background Robotic gastric surgery has been introduced and is being performed in many Japanese facilities. There are some limitations of devices capable to be used in the robotic arms in the da Vinci Surgical System. We have reviewed our first ten cases with early gastric cancer who underwent robot-assisted gastrectomy and have compared the operative time between cases who underwent the operation only with an electric cautery device and those in whom laparoscopic coagulating shears (LCS) through an assistant port were used. Findings We used an electric cautery device only in cases 1–3, and LCS in cases 4–10 except case 9. The mean operative time was 454 min in cases where only robotic devices were used and 414 min in those with LCS assist. The mean console time of 251 min in those with LCS assist was significantly shorter than that of 306 min in cases where only robotic devices were used. The number of dissected lymph nodes was satisfactory, and the estimated blood loss was small. Postoperative complications in two cases were slight and transient with short hospital stay. Conclusion Assistant use of ultrasonic shears is useful to shorten the console time in robotic gastrectomy.
Related Links	https://bmcresnotes.biomedcentral.com/counter/pdf/10.1186/s13104-015-1432-1.pdf
Ending Page	4
Page Count	4
Starting Page	1
File Format	HTM / HTML
ISSN	17560500
DOI	10.1186/s13104-015-1432-1
Journal	BMC Research Notes
Issue Number	1
Volume Number	8
Language	English
Publisher	BioMed Central
Publisher Date	2015-09-15
Access Restriction	Open
Subject Keyword	Biomedicine Medicine Public Health Life Sciences Robotic surgery Gastric cancer Ultrasonic shears Medicine/Public Health
Content Type	Text
Subject	Biochemistry, Genetics and Molecular Biology Medicine
Journal Impact Factor	1.6/2023

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