Robotic and endoscopic cooperative surgery in the third space for the resection of gastric submucosal tumors
10.3670.cma.j.issn.1007-631X.2019.11.011
- VernacularTitle: 经第三空间达芬奇机器人内镜联合手术治疗胃黏膜下肿瘤
- Author:
Chengxin SHI
1
;
Yingchao LI
2
;
Qi SUN
1
;
Feiyu SHI
1
;
Yaguang LI
1
;
Tianyu YU
1
;
Qian QIN
1
;
Hong WU
1
;
Guanghui WANG
1
;
Junjun SHE
1
Author Information
1. Department of General Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
2. Department of Gastroenterology, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Robotics;
Laparoscopy
- From:
Chinese Journal of General Surgery
2019;34(11):952-955
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate combined robotic and endoscopic surgery in the third space for gastric submucosal tumors(SMTs).
Methods:Combined surgery in 4 patients were compared with 19 patients who underwent laparoscopic wedge resection between Aug 2017 and Feb 2018.
Results:R0 resection was achieved in all combined surgery patients. The operation time was longer (112±29 )min vs. (93±11 ) min (t=2.338, P<0.05), but less blood loss, (11±6)ml vs.(59±6)ml (t=15.102, P<0.01). In combined surgery group, there was a larger tumor over resected tissue percentage, 65.4%±28.2% vs.22.8%±19.6% ( t=3.680, P<0.05). Combined surgery group patients were with earlier first breaking wind (3±1.4) d vs.(4.1±0.9) d (t=2.026, P>0.05), and shorter hospital stay (6.5±1.3) d vs.( 8.5±0.6) d (t=4.902, P<0.01), but a little higher hospitalization costs(57 651±10 097)rmb vs.(42 620±5 086)rmb (t=4.508, P<0.01). There were no major postoperative complications occurred in neither groups, nor tumor recurrences after 3-month follow-up.
Conclusion:Combined robotic and endoscopic surgery in the third space for submucosal gastric tumors is a novel operation with short operation time, less blood loss and good result.
