胃癌に対する da Vinci 手術の経験

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  • 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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Abstract

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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