Robot-assisted distal gastrectomy and D2 lymphadenectomy for early gastric cancer
Epublication WebSurg.com, Nov 2014;14(11). URL: http://websurg.com/doi/vd01en4120
We present the case of an early gastric cancer, which was located in the lower third of the stomach. The patient underwent a robot-assisted distal gastrectomy with D2 lymph node dissection. The da Vinci™ robotic system may provide some benefit to the operator in D2 dissection thanks to the articulating function of the arms, but the advantage for the patient has not been validated. The procedure was similar to a laparoscopic distal gastrectomy, starting from the omentectomy in the left side first and then the right side, followed by a lymphadenectomy around the infrapyloric and suprapyloric area. The lymphadenectomy is continued towards the suprapyloric area along the common hepatic artery and splenic artery, and the left gastric vein and artery are ligated. With a dissection of the lesser curvature aspect of the upper stomach, D2 dissection is completed “en bloc”.