应用手术机器人系统可能是微创外科进行食道空肠吻合.doc

Name of journal: World Journal of Gastroenterology ESPS Manuscript NO: 4653 Columns: ORIGINAL ARTICIEL Full robot-assisted gastrectomy with intracorporeal robot-sewn anastomosis produce satisfying outcomes Liu XX et al. Robotic gastrectomy with robot-sewn anastomosis Xin-Xin Liu, Zhi-Wei Jiang, Ping Chen, Yan Zhao, Pan-Hua Feng, Jie-Shou Li Xin-Xin Liu, Ping Chen, Yan Zhao, Department of Gastrointestinal Surgery, Subei Peoples Hospital of Jiangsu Province, Yangzhou 225001, Jiangsu Province, China Pan-Hua Feng, Zhi-Wei Jiang, Jie-Shou Li, Department of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing 210002, Jiangsu Province, China Author contributions: All the authors contributed to the manuscript. Supported by Partially funded by a sponsorship from the social development fund of Jiangsu Correspondence to: Zhi-Wei Jiang, MD, Department of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing 210002, Jiangsu Province, China. surgery34@163.com Telephone: + 86-25 Fax: + 86-514Received: July 13, 2013 Revised: August 7, 2013 Accepted: August 20, 2013 Published online: Abstract AIM: To evaluate the feasibility and safety of full robot-assisted gastrectomy with intracorporeal robot’s hand sewn anastomosis in the treatment of gastric cancer. METHODS: From September 2011 to March 2013, 110 consecutive patients with gastric cancer at the authors’ institution were enrolled for robotic gastroectomies. According to tumor location, total gastrectomy, distal or proximal subtotal gastrectomy with D2 lymphadenectomy was fully performed by da Vinci Robotic Surgical System. All construction, including Roux-en-Y jejunal limb, esophagojejunal, gastroduodenal and gastrojejunal anastomosis were fully made by intracorporeal robot-sewn method. By the end of operation, the specimen was removed through 3-4 cm incision at the umbilicus trocar point. The details of surgical technique w