Robotic gastric cancer surgery: current status and prospects
10.3760/cma.j.cn113855-20250703-00346
- VernacularTitle:机器人胃癌手术的现状与展望
- Author:
Yanbing ZHOU
1
Author Information
1. 青岛大学附属医院胃肠外科 青岛大学胃肠肿瘤基础与临床转化研究院，青岛 266003
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Robot;
Gastrectomy;
Treatment outcome
- From:
Chinese Journal of General Surgery
2025;40(8):590-596
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, laparoscopic gastrectomy has seen widespread application in the treatment of gastric cancer. However, due to its inherent drawbacks, it faces limitations in aspects such as lymph node dissection, tumor safety, and surgeries at specific sites. As a result, the robotic surgical system has emerged, featuring enhanced precision, stability, and minimal invasiveness.This paper thoroughly sums up the learning curve, intraoperative performance, clinical outcomes, and the current status of clinical research on robotic gastric cancer surgery. It innovatively proposes the concept of precise surgery based on preoperative classification of perigastric blood vessels, carefully analyzes intraoperative errors in robotic surgery, defines a new classification method for intraoperative bleeding in minimally invasive surgery, and explores its advantages in patients with high body mass index, those with gastric stump cancer, and patients receiving neoadjuvant therapy. At the same time, it should be noted that robotic gastric cancer surgery is faced with problems such as high costs, insufficient clinical evidence, and significant difficulty in operating at special locations. Future development directions include the research and development of domestic robotic devices, single-port robotic surgery, remote robotic surgery, and self-developed robotic devices. The aim is to reduce costs, improve accessibility, and enhance surgical quality, thus providing better treatment options for gastric cancer patients.
