Assessing the feasibility of full robotic interaortocaval nodal dissection for locally advanced gastric cancer.

摘要: Background The clinical value of super-extended lymph node dissection (D2+) is still debated. This procedure has not been reported using the laparoscopic or robotic approach. Although this technique, in low-volume centres, could lead to an increased risk morbidity, high-volume centres morbidity and mortality are similar those standard D2 lymphadenectomy. Robotic surgery overcome limitations surgery, especially removal posterior nodal stations. In report we describe feasibility fully interaortocaval lymphadenectomy, following steps traditional open approach. Methods The was a total gastrectomy with oesophago–jejunal Roux-en-Y reconstruction 73 year-old male patient clinically advanced (cT3) gastric adenocarcinoma, located lesser curvature (middle-upper third). The da Vinci® Si HD double-docking robot set-up employed. Results The histological specimen examination showed pT4aN3bM0, Borrmann type III, intestinal histotype, G3 adenocarcinoma. No involvement resection margins found (R0 resection). numbers harvested positive nodes were 57 41, respectively; number 14, all them negative for tumour involvement. Operative time lymphadenectomy comparable that postoperative period uneventful hospital stay 11 days. Conclusions Robotic-assisted feasible technique cancer should be considered curative selected cases, high-risk group metastases area. Copyright © 2014 John Wiley & Sons, Ltd.