Skip to main content
SpringerLink
Log in

Radical Distal Subtotal Gastrectomy and D2 Lymphadenectomy for Gastric Cancer

  • Chapter
  • First Online:
The SAGES Atlas of Robotic Surgery

  • 2029 Accesses

Abstract

Robotic radical subtotal distal gastrectomy with D2 lymphadenectomy is a safe, feasible, and oncologically sound minimally invasive option for curative resection of gastric cancer located in the antrum or distal half of the stomach [1]. Minimally invasive surgery (MIS) performed with curative intent for gastric cancer demonstrates improved patient outcome measures when compared to the traditional open radical gastrectomy including less pain and overall earlier recovery [2–7].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Woo Y, Hyung WJ, Pak KH, Inaba K, Obama K, Choi SH, et al. Robotic gastrectomy as an oncologically sound alternative to laparoscopic resections for the treatment of early-stage gastric cancers. Arch Surg. 2011;146:1086–92.

    Article  PubMed  Google Scholar 

  2. Huscher CG, Mingoli A, Sgarzini G, Sansonetti A, Di Paola M, Recher A, et al. Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five-year results of a randomized prospective trial. Ann Surg. 2005;241:232–7.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Kim HH, Hyung WJ, Cho GS, Kim MC, Han SU, Kim W, et al. Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report–a phase III multicenter, prospective, randomized trial (KLASS trial). Ann Surg. 2010;51:417–20.

    Article  Google Scholar 

  4. Kitano S, Shiraishi N, Uyama I, Sugihara K, Tanigawa N, Japanese Laparoscopic Surgery Study Group. A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan. Ann Surg. 2007;245:68–72.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Huang KH, Lan YT, Fang WL, Chen JH, Lo SS, Hsieh MC, et al. Initial experience of robotic gastrectomy and comparison with open and laparoscopic gastrectomy for gastric cancer. J Gastrointest Surg. 2012;16:1303–10.

    Article  PubMed  Google Scholar 

  6. Caruso S, Patriti A, Marrelli D, Ceccarelli G, Ceribelli C, Roviello F, et al. Open vs. robot-assisted laparoscopic gastric resection with D2 lymph node dissection for adenocarcinoma: a case-control study. Int J Med Robot. 2011;7:452–8.

    Article  PubMed  Google Scholar 

  7. Pernazza G, Gentile E, Felicioni L, Tumbiolo S, Giulianotti PC. Improved early survival after robotic gastrectomy in advanced gastric cancer. Surg Laparosc Endosc Percutan Tech. 2006;16:286.

    Article  Google Scholar 

  8. Giulianotti PC, Coratti A, Angelini M, Sbrana F, Cecconi S, Balestracci T, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 2003;138(8):777–84.

    Article  PubMed  Google Scholar 

  9. Hashizume M, Sugimachi K. Robot-assisted gastric surgery. Surg Clin North Am. 2003;83:1429–44.

    Article  PubMed  Google Scholar 

  10. Buchs NC, Bucher P, Pugin F, Morel P. Robot-assisted gastrectomy for cancer. Minerva Gastroenterol Dietol. 2011;57:33–42.

    CAS  PubMed  Google Scholar 

  11. Song J, Oh SJ, Kang WH, Hyung WJ, Choi SH, Noh SH. Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg. 2009;249:927–32.

    Article  PubMed  Google Scholar 

  12. Hyung WJ, Woo Y, Noh SH. Robotic surgery for gastric cancer: a technical review. J Robot Surg. 2011;5:241–9.

    Article  PubMed  Google Scholar 

  13. D’Annibale A, Pende V, Pernazza G, Monsellato I, Mazzocchi P, Lucandri G, et al. Full robotic gastrectomy with extended (D2) lymphadenectomy for gastric cancer: surgical technique and preliminary results. J Surg Res. 2011;166:e113–20.

    Article  PubMed  Google Scholar 

  14. Song J, Kang WH, Oh SJ, Hyung WJ, Choi SH, Noh SH. Role of robotic gastrectomy using da Vinci system compared with laparoscopic gastrectomy: initial experience of 20 consecutive cases. Surg Endosc. 2009;23:1204–11.

    Article  PubMed  Google Scholar 

  15. Patriti A, Ceccarelli G, Bellochi R, Bartoli A, Spaziani A, Di Zitti L, et al. Robot-assisted laparoscopic total and partial gastric resection with D2 lymph node dissection for adenocarcinoma. Surg Endosc. 2008;22:2753–60.

    Article  PubMed  Google Scholar 

  16. Anderson C, Ellenhorn J, Hellan M, Pigazzi A. Pilot series of robot-assisted laparoscopic subtotal gastrectomy with extended lymphadenectomy for gastric cancer. Surg Endosc. 2007;21:1662–6.

    Article  PubMed  Google Scholar 

  17. Kim YM, Son T, Kim HI, Noh SH, Hyung WJ. Robotic D2 lymph node dissection during distal subtotal gastrectomy for gastric cancer: toward procedural standardization. Ann Surg Oncol. 2016;23(8):2409–10.

    Article  PubMed  Google Scholar 

  18. Park SS, Kim MC, Park MS, Hyung WJ. Rapid adaptation of robotic gastrectomy for gastric cancer by experienced laparoscopic surgeons. Surg Endosc. 2012;26(1):60–7.

    Article  PubMed  Google Scholar 

  19. Marano A, Choi YY, Hyung WJ, Kim YM, Kim J, Noh SH. Robotic versus laparoscopic versus open gastrectomy: a meta-analysis. J Gastric Cancer. 2013;13(3):136–48.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Woo Y, Hyung WJ, Kim HI, Obama K, Son T, Noh SH. Minimizing hepatic trauma with a novel liver retraction method: a simple liver suspension using gauze suture. Surg Endosc. 2011;25:3939–45.

    Article  PubMed  Google Scholar 

  21. Shabbir A, Lee JH, Lee MS, Park do J, Kim HH. Combined suture retraction of the falciform ligament and the left lobe of the liver during laparoscopic total gastrectomy. Surg Endosc. 2010;24:3237–40.

    Article  PubMed  Google Scholar 

  22. Yoshikawa K, Shimada M, Higashijima J, Nakao T, Nishi M, Takasu C, et al. Combined liver mobilization and retraction: a novel technique to obtain the optimal surgical field during laparoscopic total gastrectomy. Asian J Endosc Surg. 2016;9(2):111–5.

    Article  PubMed  Google Scholar 

  23. Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer. 2011;14:101–12.

    Article  Google Scholar 

  24. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer. 2011;14:113–23.

    Article  Google Scholar 

  25. Kim MC, Heo GU, Jung GJ. Robotic gastrectomy for gastric cancer: surgical techniques and clinical merits. Surg Endosc. 2010;24:610–5.

    Article  PubMed  Google Scholar 

  26. Lee HH, Hur H, Jung H, Jeon HM, Park CH, Song KY. Robot-assisted distal gastrectomy for gastric cancer: initial experience. Am J Surg. 2011;201:841–5.

    Article  PubMed  Google Scholar 

  27. Hur H, Kim JY, Cho YK, Han SU. Technical feasibility of robot-sewn anastomosis in robotic surgery for gastric cancer. J Laparoendosc Adv Surg Tech A. 2010;20:693–7.

    Article  PubMed  Google Scholar 

  28. Eom BW, Yoon HM, Ryu KW, Lee JH, Cho SJ, Lee JY, et al. Comparison of surgical performance and short-term clinical outcomes between laparoscopic and robotic surgery in distal gastric cancer. Eur J Surg Oncol. 2012;38:57–63.

    Article  CAS  PubMed  Google Scholar 

  29. Kim HI, Han SU, Yang HK, Kim YW, Lee HJ, Ryu KW, et al. Multicenter prospective comparative study of robotic versus laparoscopic gastrectomy for gastric adenocarcinoma. Ann Surg. 2016;263(1):103–9.

    Article  PubMed  Google Scholar 

  30. Yang SY, Roh KH, Kim YN, Cho M, Lim SH, Son T, et al. Surgical outcomes after open, laparoscopic, and robotic gastrectomy for gastric cancer. Ann Surg Oncol. 2017;24(7):1770–7.

    Article  PubMed  Google Scholar 

  31. Okumura N, Son T, Kim YM, Kim HI, An JY, Noh SH, et al. Robotic gastrectomy for elderly gastric cancer patients: comparisons with robotic gastrectomy in younger patients and laparoscopic gastrectomy in the elderly. Gastric Cancer. 2016;19(4):1125–34.

    Article  PubMed  Google Scholar 

  32. Kwon IG, Cho I, Guner A, Kim HI, Noh SH, Hyung WJ. Minimally invasive surgery as a treatment option for gastric cancer in the elderly: comparison with open surgery for patients 80 years and older. Surg Endosc. 2015;29(8):2321–30.

    Article  PubMed  Google Scholar 

  33. Lee J, Kim YM, Woo Y, Obama K, Noh SH, Hyung WJ. Robotic distal subtotal gastrectomy with D2 lymphadenectomy for gastric cancer patients with high body mass index: comparison with conventional laparoscopic distal subtotal gastrectomy with D2 lymphadenectomy. Surg Endosc. 2015;29(11):3251–60.

    Article  PubMed  Google Scholar 

  34. Woo Y, Choi GH, Min BS, Hyung WJ. Novel application of simultaneous multi-image display during complex robotic abdominal procedures. BMC Surg. 2014;14:13.

    Article  PubMed Central  PubMed  Google Scholar 

  35. Kim YM, Baek SE, Lim JS, Hyung WJ. Clinical application of image-enhanced minimally invasive robotic surgery for gastric cancer: a prospective observational study. J Gastrointest Surg. 2013;17(2):304–12.

    Article  PubMed  Google Scholar 

  36. Kim H, Lee SK, Kim YM, Lee EH, Lim SJ, Kim SH, et al. Fluorescent iodized emulsion for pre- and intraoperative sentinel lymph node imaging: validation in a preclinical model. Radiology. 2015;275(1):196–204.

    Article  PubMed  Google Scholar 

  37. Son T, Kwon IG, Hyung WJ. Minimally invasive surgery for gastric cancer treatment: current status and future perspectives. Gut Liver. 2014;8(3):229–36.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yanghee Woo MD

  2. Robotic Surgery, Yonsei University Health System, Seoul, South Korea

    Woo Jin Hyung

Authors
  1. Yanghee Woo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Woo Jin Hyung
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yanghee Woo MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yuman Fong

  2. Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA

    Yanghee Woo

  3. Robotic Surgery, Yonsei University Health System, Seoul, Korea (Republic of)

    Woo Jin Hyung

  4. Department of Surgery, Division of Urology and Urologic Oncology, City of Hope National Medical Center, Duarte, CA, USA

    Clayton Lau

  5. Department of Surgery, Gastric and Mixed Tumor Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Vivian E. Strong

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Woo, Y., Hyung, W.J. (2018). Radical Distal Subtotal Gastrectomy and D2 Lymphadenectomy for Gastric Cancer. In: Fong, Y., Woo, Y., Hyung, W., Lau, C., Strong, V. (eds) The SAGES Atlas of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91045-1_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-91045-1_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91043-7

  • Online ISBN: 978-3-319-91045-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation