Background: Gastric cancer is increasingly being diagnosed at early stages, enabling the application of curative oncological and surgical approaches. With the growing adoption of minimally invasive techniques, robotic surgery is gaining increasing prominence in the operating rooms. As described by Stoyanova et al., the robotic completely intracorporeal jejunal pouch reconstruction after gastrectomy offers potential benefits, including technical feasibility without significant intraoperative challenges or prolonged operative times, as well as long-term advantages such as a reduced incidence of midline incision hernias.Objectives: This retrospective, single-center study is the first to compare the clinical and oncological outcomes after laparoscopicversusrobotic completely intracorporeal jejunal pouch reconstruction following gastrectomy.Methods: A total of 27 patients who underwent gastrectomy between 2018 and 2025 were included in the study, and were divided into two groups: 12 patients in the robotic and 15 patients in the laparoscopic group. The study evaluated mean operative time, intraoperative and postoperative complications, length of hospital and ICU stay, and certain oncological outcomes.Results: A main purpose of the robotic method is the avoidance of an unfavourable midline incision due to the completely intracorporeal pouch reconstruction without substantial technical or clinical disadvantages.Conclusions: Further research involving larger patient cohorts and extended follow-up periods is necessary to draw more definitive conclusions about the relative advantages of this surgical technique.
背景：胃癌在早期阶段的诊断日益增多，使得根治性肿瘤学及外科治疗手段得以应用。随着微创技术的广泛采用，机器人手术在手术室中的地位日益凸显。正如Stoyanova等人所述，胃切除术后机器人辅助完全体内空肠袋重建术具有潜在优势，包括技术可行性高、术中无明显挑战或手术时间延长，以及长期优势如中线切口疝发生率降低。 目的：这项回顾性单中心研究首次比较了胃切除术后腹腔镜与机器人辅助完全体内空肠袋重建术的临床及肿瘤学结果。 方法：研究共纳入2018年至2025年间接受胃切除术的27例患者，分为两组：机器人手术组12例，腹腔镜手术组15例。研究评估了平均手术时间、术中及术后并发症、住院及ICU停留时间，以及部分肿瘤学结果。 结果：机器人手术方法的主要目的是通过完全体内袋重建避免不利的中线切口，且无显著技术或临床劣势。 结论：需要进一步开展更大患者队列和更长随访期的研究，以就该手术技术的相对优势得出更明确的结论。
肿瘤(癌症)患者之家