Robotic Stomach Surgery
Robotic Total Gastrectomy
Total gastrectomy is the complete removal of the stomach and establishment of a Roux-en-Y esophagojejunostomy (a Y-shaped reconstruction with an anastomosis between the esophagus and the jejunum and an enteroenterostomy 40 to 50 centimeters or 16 to 20 inches below). Total gastrectomy is done with curative intent (sometimes as a palliative procedure) to remove big tumors or malignant lesions that are localized in the upper third of the stomach.
The traditional open procedure is performed through a long midline incision in the abdomen. Many prospective trials demonstrated that completely minimally invasive total and partial gastric resections for benign and malignant pathology had good results and were proven to be feasible and safe procedures.
In general, the main advantages of the minimal approach in these procedures are low invasiveness and improved quality of life: less intra-operative bleeding, better immunological response, less postoperative pain, a more rapid recovery, early return of bowel function and oral food intake and shorter hospital stay. Certainly minimally invasive gastrectomy can only be accepted as an effective alternative to open surgery if it achieves the same degree of oncologic effectiveness with a similar or improved rate of postoperative complications.
The application of robotic technology to gastric surgery allows achieving the oncological standard of open surgery, performing in every case the required lymphadenectomy with adequately safe margins, joined with the well known clinical advantages of minimally invasive surgery.