Scholarlink

Purpose <p>The robotic approach improves the safety and effectiveness of gastric cancer surgery; however, it increases operative time. This study evaluated the effect of individualized adjustment of camera port positioning on short-term outcomes of robotic gastrectomy (RG).</p> Methods <p>This study included consecutive patients who underwent RG for gastric cancer at our department between August 2019 and April 2025. Short-term outcomes were compared between RG with adjustment for camera port positioning at the height of the angle of Treitz using computed tomography images (A group, <i>n</i> = 30) and those without adjustment (NA group, <i>n</i> = 89).</p> Results <p>No significant differences were observed in patient characteristics between the groups; however, both operative and console times were significantly shorter in group A (both <i>P</i> &lt; 0.001). The estimated blood loss and duration of postoperative stay were also lower in Group A, whereas the incidence of postoperative morbidity was similar. In a multivariate analysis, adjustment of the camera port was identified as an independent predictor of shortened operative time (odds ratio 0.039, <i>P</i> &lt; 0.001).</p> Conclusions <p>Individualized adjustment of camera port positioning could be useful for improving the short-term outcomes of RG, including reduction in operative time.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Impact of an individualized camera port position adjustment on short-term outcomes in robotic gastrectomy

  • 期刊论文

  • 发表日期：

    2025年12月1日

查看全文
  • Makoto Hikage,
  • Kentaro Sawada,
  • Atsushi Mitamura,
  • Yuuri Hatsuzawa,
  • Tomoya Miura,
  • Yoh Kitamura,
  • Shingo Tsujinaka,
  • Chikashi Shibata,
  • Toru Nakano

摘要

Purpose

The robotic approach improves the safety and effectiveness of gastric cancer surgery; however, it increases operative time. This study evaluated the effect of individualized adjustment of camera port positioning on short-term outcomes of robotic gastrectomy (RG).

Methods

This study included consecutive patients who underwent RG for gastric cancer at our department between August 2019 and April 2025. Short-term outcomes were compared between RG with adjustment for camera port positioning at the height of the angle of Treitz using computed tomography images (A group, n = 30) and those without adjustment (NA group, n = 89).

Results

No significant differences were observed in patient characteristics between the groups; however, both operative and console times were significantly shorter in group A (both P < 0.001). The estimated blood loss and duration of postoperative stay were also lower in Group A, whereas the incidence of postoperative morbidity was similar. In a multivariate analysis, adjustment of the camera port was identified as an independent predictor of shortened operative time (odds ratio 0.039, P < 0.001).

Conclusions

Individualized adjustment of camera port positioning could be useful for improving the short-term outcomes of RG, including reduction in operative time.