Short-term outcomes of using robotic double-flap technique following proximal gastrectomy in patients with carcinoma of esophagogastric junction
10.3760/cma.j.cn113855-20240609-00411-1
- VernacularTitle:机器人近端胃切除双肌瓣吻合的短期临床疗效分析
- Author:
Shaorong PAN
1
;
Shuai ZUO
1
;
Yalun LI
1
;
Shanwen CHEN
1
;
Zeyang CHEN
1
;
Pengyuan WANG
1
Author Information
1. 北京大学第一医院胃肠外科，北京 100034
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Robot;
Anastomosis, surgical;
Gastrectomy
- From:
Chinese Journal of General Surgery
2025;40(8):619-623
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the short-term outcomes of robotic double-flap technique following proximal gastrectomy in patients with carcinoma of esophagogastric junction(AEG).Methods:Clinical data of 5 AEG cases undergoing robotic double-flap technique following proximal gastrectomy were analyzed at the Department of Gastrointestinal Surgery, Peking University First Hospital from Dec 2023 to Aug 2024 .Results:All the 5 patients were of Siewert Ⅱ type AEG. Robot-assisted radical proximal gastrectomy and esophagogastric double-flap anastomosis were successfully completed. The operation time was (361±63) min, the installation time was (21±11) min, the anastomosis time was (90±21) min, and the median intraoperative blood loss was 100 (50,200) ml. The median number of intraoperative lymph nodes resected was 23 (14,32), the first postoperative exhaust time was (4.8±1.1) d, and postoperative hospital stay was (14.6±8.8) d. Postoperative abdominal distension occurred in 1 patient, and no significant anastomotic stenosis or anastomotic leakage was observed by upper gastroenterography. After conservative treatment, the patient recovered. None of them had Clavien-Dindo grade ≥Ⅲ complications. There were no anastomotic complications such as anastomotic leakage, anastomotic hemorrhage and anastomotic stenosis.Conclusion:Robotic double-flap technique following proximal gastrectomy is a safe and effective treatment for AEG.
