title: Robotic surgery for gastric cancer.
abstract: Laparoscopic gastrectomy is a widely used minimally invasive surgery for gastric cancer. However, skillful techniques are required to perform lymph node dissection using straight shaped forceps, particularly for D2 dissection. Robotic surgery using the da Vinci surgical system is anticipated to be a powerful tool for performing difficult techniques using high-resolution three-dimensional (3D) images and the EndoWrist equipped with seven degrees of freedom. Attempts are being made to apply robotic surgery in gastrectomy procedures mainly in Japan, South Korea, and Europe. Although definite superiority to laparoscopic gastrectomy is yet to be proven, robotic surgery has been reported to have a shorter learning curve and offer more precise dissection for total gastrectomy. Hence, its oncological efficacy needs to be verified in a clinical trial.
authors.affiliation: Division of Gastric Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-Cho, Shizuoka, Japan, m.terashima@scchr.jp.
authors.forename: Masanori
authors.initials: M
authors.lastname: Terashima
authors.forename: Masanori
authors.initials: M
authors.lastname: Tokunaga
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Tanizawa
authors.forename: Etsuro
authors.initials: E
authors.lastname: Bando
authors.forename: Taaichi
authors.initials: T
authors.lastname: Kawamura
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Miki
authors.forename: Rie
authors.initials: R
authors.lastname: Makuuchi
authors.forename: Shinsaku
authors.initials: S
authors.lastname: Honda
authors.forename: Taichi
authors.initials: T
authors.lastname: Tatsubayashi
authors.forename: Wataru
authors.initials: W
authors.lastname: Takagi
authors.forename: Hayato
authors.initials: H
authors.lastname: Omori
authors.forename: Fumiko
authors.initials: F
authors.lastname: Hirata
mesh_terms: D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D065287:Robotic Surgical Procedures / Q000193:education / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery*