Hand-assisted robotic surgery in the abdominal phase of robot-assisted oesophagectomy

Hand-assisted robotic surgery in the abdominal phase of robot-assisted oesophagectomy

Blog Article

Robot-assisted minimally invasive oesophagectomy (RAMIE) has been developed to overcome the technical limitations of conventional thoracoscopic oesophagectomy.Hand-assisted laparoscopic surgery (HALS) is used as a practical mre93ll/a apple watch and useful technique during the abdominal phase of thoracoscopic oesophagectomy.During RAMIE, a robotic vessel sealer cannot be used with HALS; another vessel sealer or ultrasonic coagulating device for laparoscopic surgery is required.We report an initial experiment using hand-assisted robotic surgery (HARS) for abdominal manipulation during RAMIE as a novel method.

Under the pneumoperitoneum induced by insufflating the abdomen to 10 mmHg with carbon dioxide, the assistant surgeon lifted the stomach and greater omentum using the left hand through a 7 cm upper abdominal midline incision at approximately 2 cm below the xiphoid.Subsequently, gastric mobilisation was performed by robot-assisted mcdsp apb 8 surgery.Between January 2019 and February 2020, eight patients with thoracic oesophageal cancer underwent RAMIE with HARS at our hospital.The median operative time for extracorporeal manipulation and preparation for the roll-in of the robot was 39.

5 min.The median console time was 47.5 min.There were no intraoperative or postoperative complications related to the use of the robot and no in-hospital mortality.

In conclusion, HARS seems to be feasible and safe for abdominal manipulation during oesophageal cancer surgery.