Robot-assisted Distal Gastrectomy with D2 lymph node dissection for adenocarcinoma

A. Parisi

Robotic surgery begins to play an important role in digestive surgery and several studies on the use of robots for gastric diseases have underlined the effectiveness and feasibility of this minimally invasive approach. In a distal gastrectomy with lymph nodes dissection, the robotic system adds precision in the movements and greatly increases the comfort of the surgeon dealing with a delicate minimally invasive reconstructive phase. The Da Vinci Surgical System instrumentation allows for the use of a large and three-dimensional viewing field, a steady traction, tremor suppression and flexibility of the instruments, and, thus, safe suturing. The use of the robotic system may support the action of the surgeon in minimally invasive interventions that require more advanced sutures and a precise dissection of tissue and enables to greatly exceed the lack of a tactile feedback.