胃癌に対する da Vinci 手術の経験

書誌事項

タイトル別名
  • ショウレイ ホウコク イガン ニ タイスル da Vinci シュジュツ ノ ケイケン
  • Robot-assisted distal gastrectomy using the da Vinci Surgical System
  • イガン ニ タイスル da Vinci シュジュツ ノ ケイケン

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The da Vinci Surgical System is a telerobotic system consisting of4components, including the Insite vision system with a true3‐dimensional endoscope providing a high-resolution binocular view of the surgical field, and the Endo Wrist instrument system, which is capable of7degrees of freedom and2degrees of axial rotation to replicate human wrist-like movements. Distal gastrectomy and D1+lymphnode dissection was performed in a73-year-old man with cT1bN0N0StageIA gastric cancer. Preoperative abdominal CT findings were showed that celiac artery branching patterns was Adachi VI type26groups. The operating time was433minutes, and the blood loss was284g. The da Vinci Surgical System has useful advantages over conventional Laproscopic Assisted gastrectomy(LAG)surgery concerning the precise lymphnodes dissection. With further innovations in the future, the da Vinci Surgical System has the potential to facilitate technically difficult surgery employing conventional LAG techniques.

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