Advertisement

Robotic Partial and Total Gastrectomy

  • Julietta Chang
  • Matthew KrohEmail author
Chapter

Abstract

Robotic gastrectomy was first described in 2003 for gastric cancer. Since then, robotic-assisted resection has demonstrated advantages for early gastric cancer with respect to decreased blood loss and potentially greater number of retrieved lymph nodes. Technical benefits of robotics include enhanced visualization and greater range of instrument movement; due to this, the robotic technology has been used for gastric resection for benign disease such as peptic ulcer disease as well. This chapter will aim to discuss the indications for the application of robotic-assisted gastrectomy in both malignant and benign disease; the technical aspects in the use of robotics in these surgeries; the potential advantages of the use of the robot in these cases; and future directions.

Keywords

Robotic surgery Minimally invasive surgery Hybrid laparoscopic/robotic surgery Hybrid endoscopic/robotic surgery Gastric adenocarcinoma Gastrointestinal stromal tumor Peptic ulcer disease Menetrier’s disease 

Supplementary material

Video 9.1

Hybrid robotic endoscopic resection of submucosal GIST tumor (MP4 3 kb)

References

  1. 1.
    Kitano S, Iso Y, Moriyama M, Sugimachi K. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 1994;4:146–8.PubMedGoogle Scholar
  2. 2.
    Kitano S, Shiraishi N, Uyama I, Sugihara K, Tanigawa N. A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan. Ann Surg. 2007;245:68–72. doi: 10.1097/01.sla.0000225364.03133.f8.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Hashizume M, Sugimachi K. Robot-assisted gastric surgery. Surg Clin North Am. 2003;83:1429–44. doi: 10.1016/S0039-6109(03)00158-0.CrossRefPubMedGoogle Scholar
  4. 4.
    Noguchi Y, Yoshikawa T, Tsuburaya A, Motohashi H, Karpeh MS, Brennan MF. Is gastric carcinoma different between Japan and the United States? Cancer. 2000;89:2237–46.CrossRefPubMedGoogle Scholar
  5. 5.
    Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer. 2011;14:113–23. doi: 10.1007/s10120-011-0042-4.CrossRefGoogle Scholar
  6. 6.
    Douglass HO, Hundahl SA, Macdonald JS, Khatri VP. Gastric cancer: D2 dissection or low Maruyama Index-based surgery—a debate. Surg Oncol Clin N Am. 2007;16:133–55. doi: 10.1016/j.soc.2006.10.005.CrossRefPubMedGoogle Scholar
  7. 7.
    Hartgrink HH, van de Velde CJH, Putter H, Bonenkamp JJ, Klein Kranenbarg E, Songun I, et al. Extended lymph node dissection for gastric cancer: who may benefit? Final results of the randomized Dutch gastric cancer group trial. J Clin Oncol. 2004;22:2069–77. doi: 10.1200/JCO.2004.08.026.CrossRefPubMedGoogle Scholar
  8. 8.
    Xiong B, Ma L, Zhang C. Robotic versus laparoscopic gastrectomy for gastric cancer: a meta-analysis of short outcomes. Surg Oncol. 2012;21:274–80. doi: 10.1016/j.suronc.2012.05.004.CrossRefPubMedGoogle Scholar
  9. 9.
    Marano A, Choi YY, Hyung WJ, Kim YM, Kim J, Noh SH. Robotic versus laparoscopic versus open gastrectomy: a meta-analysis. J Gastric Cancer. 2013;13:136–48. doi: 10.5230/jgc.2013.13.3.136.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Shen W-S, Xi H-Q, Chen L, Wei B. A meta-analysis of robotic versus laparoscopic gastrectomy for gastric cancer. Surg Endosc. 2014;28:2795–802. doi: 10.1007/s00464-014-3547-1.CrossRefPubMedGoogle Scholar
  11. 11.
    Kim H-I, Han S-U, Yang H-K, Kim Y-W, Lee H-J, Ryu KW, et al. Multicenter prospective comparative study of robotic versus laparoscopic gastrectomy for gastric adenocarcinoma. Ann Surg. 2016;263:103–9. doi: 10.1097/SLA.0000000000001249.CrossRefPubMedGoogle Scholar
  12. 12.
    Son T, Lee JH, Kim YM, Kim H-I, Noh SH, Hyung WJ. Robotic spleen-preserving total gastrectomy for gastric cancer: comparison with conventional laparoscopic procedure. Surg Endosc. 2014;28:2606–15. doi: 10.1007/s00464-014-3511-0.CrossRefPubMedGoogle Scholar
  13. 13.
    Lee J-H, Yom C-K, Han H-S. Comparison of long-term outcomes of laparoscopy-assisted and open distal gastrectomy for early gastric cancer. Surg Endosc. 2009;23:1759–63. doi: 10.1007/s00464-008-0198-0.CrossRefPubMedGoogle Scholar
  14. 14.
    Best LM, Mughal M, Gurusamy KS. Laparoscopic versus open gastrectomy for gastric cancer. Cochrane Database Syst Rev. 2016;3:CD011389. doi: 10.1002/14651858.CD011389.pub2.PubMedGoogle Scholar
  15. 15.
    Kim W, Kim H-H, Han S-U, Kim M-C, Hyung WJ, Ryu SW, et al. Decreased morbidity of laparoscopic distal gastrectomy compared with open distal gastrectomy for stage I gastric cancer: short-term outcomes from a multicenter randomized controlled trial (KLASS-01). Ann Surg. 2016;263:28–35. doi: 10.1097/SLA.0000000000001346.CrossRefPubMedGoogle Scholar
  16. 16.
    Hyun M-H, Lee C-H, Kwon Y-J, Cho S-I, Jang Y-J, Kim D-H, et al. Robot versus laparoscopic gastrectomy for cancer by an experienced surgeon: comparisons of surgery, complications, and surgical stress. Ann Surg Oncol. 2013;20:1258–65. doi: 10.1245/s10434-012-2679-6.CrossRefPubMedGoogle Scholar
  17. 17.
    Xiong J, Nunes QM, Tan C, Ke N, Chen Y, Hu W, et al. Comparison of short-term clinical outcomes between robotic and laparoscopic gastrectomy for gastric cancer: a meta-analysis of 2495 patients. J Laparoendosc Adv Surg Tech A. 2013;23:965–76. doi: 10.1089/lap.2013.0279.CrossRefPubMedGoogle Scholar
  18. 18.
    Hyun MH, Lee CH, Kim HJ, Tong Y, Park SS. Systematic review and meta-analysis of robotic surgery compared with conventional laparoscopic and open resections for gastric carcinoma. Br J Surg. 2013;100:1566–78. doi: 10.1002/bjs.9242.CrossRefPubMedGoogle Scholar
  19. 19.
    Zong L, Seto Y, Aikou S, Takahashi T. Efficacy evaluation of subtotal and total gastrectomies in robotic surgery for gastric cancer compared with that in open and laparoscopic resections: a meta-analysis. PLoS One. 2014;9:e103312. doi: 10.1371/journal.pone.0103312.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Junfeng Z, Yan S, Bo T, Yingxue H, Dongzhu Z, Yongliang Z, et al. Robotic gastrectomy versus laparoscopic gastrectomy for gastric cancer: comparison of surgical performance and short-term outcomes. Surg Endosc. 2014;28:1779–87. doi: 10.1007/s00464-013-3385-6.CrossRefPubMedGoogle Scholar
  21. 21.
    Shen W, Xi H, Wei B, Cui J, Bian S, Zhang K, et al. Robotic versus laparoscopic gastrectomy for gastric cancer: comparison of short-term surgical outcomes. Surg Endosc. 2016;30:574–80. doi: 10.1007/s00464-015-4241-7.CrossRefPubMedGoogle Scholar
  22. 22.
    Zittel TT, Jehle EC, Becker HD. Surgical management of peptic ulcer disease today—indication, technique and outcome. Langenbeck’s Arch Surg. 2000;385:84–96.CrossRefGoogle Scholar
  23. 23.
    Siu WT, Leong HT, Law BKB, Chau CH, Li ACN, Fung KH, et al. Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg. 2002;235:313–9.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Braumann C, Jacobi CA, Menenakos C, Ismail M, Rueckert JC, Mueller JM. Robotic-assisted laparoscopic and thoracoscopic surgery with the da Vinci system: a 4-year experience in a single institution. Surg Laparosc Endosc Percutan Tech. 2008;18:260–6. doi: 10.1097/SLE.0b013e31816f85e5.CrossRefPubMedGoogle Scholar
  25. 25.
    Dholakia C, Gould J. Minimally invasive resection of gastrointestinal stromal tumors. Surg Clin North Am. 2008;88:1009–18, vi. doi: 10.1016/j.suc.2008.05.006.CrossRefPubMedGoogle Scholar
  26. 26.
    Huh WJ, Coffey RJ, Washington MK. Ménétrier’s disease: its mimickers and pathogenesis. J Pathol Transl Med. 2016;50:10–6. doi: 10.4132/jptm.2015.09.15.CrossRefPubMedGoogle Scholar
  27. 27.
    Al-Thani H, El-Menyar A, Mekkodathil A, Elgohary H, Tabeb AH. Robotic management of gastric stromal tumors (GIST): a single Middle Eastern center experience. Int J Med Robot. 2016; doi: 10.1002/rcs.1729.PubMedGoogle Scholar
  28. 28.
    Moriyama H, Ishikawa N, Kawaguchi M, Hirose K, Watanabe G. Robot-assisted laparoscopic resection for gastric gastrointestinal stromal tumor. Surg Laparosc Endosc Percutan Tech. 2012;22:e155–6. doi: 10.1097/SLE.0b013e3182491ff6.CrossRefPubMedGoogle Scholar
  29. 29.
    Desiderio J, Trastulli S, Cirocchi R, Boselli C, Noya G, Parisi A, et al. Robotic gastric resection of large gastrointestinal stromal tumors. Int J Surg. 2013;11:191–6. doi: 10.1016/j.ijsu.2013.01.002.CrossRefPubMedGoogle Scholar
  30. 30.
    Walsh RM, Ponsky J, Brody F, Matthews BD, Heniford BT. Combined endoscopic/laparoscopic intragastric resection of gastric stromal tumors. J Gastrointest Surg. n.d.;7:386–92.Google Scholar
  31. 31.
    Mino JS, Guerron AD, Monteiro R, El-Hayek K, Ponsky JL, Patil DT, et al. Long-term outcomes of combined endoscopic/laparoscopic intragastric enucleation of presumed gastric stromal tumors. Surg Endosc. 2016;30:1747–53. doi: 10.1007/s00464-015-4416-2.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Section of Surgical Endoscopy, Department of General SurgeryDigestive Disease Institute, Cleveland ClinicClevelandUSA
  2. 2.Digestive Disease Institute, Cleveland ClinicAbu DhabiUAE

Personalised recommendations