The experience on trocar layout method for robotic "3+2" mode gastrointestinal surgery
10.3760/cma.j.cn113855-20221124-00734
- VernacularTitle:机器人“3+2”模式胃肠手术Trocar布置方法的总结与实践
- Author:
Ming HU
1
;
Diaolong MA
;
Wentao ZHANG
;
Shixun MA
;
Jing YANG
;
Jin GUO
;
Weipeng ZHAN
;
Yuntao MA
;
Hui CAI
Author Information
1. 甘肃省人民医院普外临床医学中心，兰州 730000
- Keywords:
Robot;
Digestive system surgical procedures;
Stomach neoplasms;
Colorectal neoplasms
- From:
Chinese Journal of General Surgery
2023;38(8):589-594
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on experience of robotic gastrointestinal surgery at the Department of General Surgery, Clinical Medicine Center of Gansu Provincial Hospital, this study explored the principles and methods of trocar layout for robotic "3+2" mode gastrointestinal surgery, suitable for beginners.Methods:From Apr 2017 to Oct 2022, the robotic gastrointestinal surgery team of Gansu Provincial Hospital completed 998 cases of robotic "3+2" mode gastrointestinal surgery, including 600 cases of gastric cancer, 100 cases of rectal cancer, 98 cases of descending colon and sigmoid colon cancer, 20 cases of transverse colon cancer, and 180 cases of right colon cancer. Through the continuous optimization and improvement of the problems encountered during the operation, combined with the operator's experience, and taking into account various aspects, we developed the robotic "3+2" mode trocar layout for gastrointestinal surgery.Results:Four principles of trocar layout were developed, namely, the principle of lens placement around the navel, the principle of symmetry in the main operation, the principle of 8-10cm distance between trocar holes, and the principle of symmetry in the auxiliary hole lens. Three trocar layout methods and principles applicable to robotic gastric surgery, and four applicable to robotic colorectal surgery were developed.Conclusion:The trocar layout method of robotic "3+2" mode gastrointestinal surgery is established based on a large number of robotic gastrointestinal surgery experiences. This method is simple and easy to learn, with strong repeatability and operability.
