Abstract:

Robotic subtotal distal gastrectomy was performed as following: Firstly, to dissect the right gastric vessels, the anterior wall of the lesser curvature of the stomach, the right gastroepiploic vessels, the left gastroepiploic vessels and the left gastric vessels in turn. After that, the perigastric vessels were dissected and lymph node D2 dissection was completed. The duodenum was cut off with a Linear cut stapler, then the proximal stomach was retained and the gastric wall was cut off with a Linear cut stapler in the upper part of the stomach; the Billroth Ⅱ gastrojejunostomy and the Braun’s Jejunojejunostomy were performed with a Linear cut stapler. Through the winslow hole, a drainage tube was placed around the anastomotic stoma, and the specimen was taken out by prolonging the trocar hole incision under the umbilicus.

Key words: Stomach neoplasms, Robotics, Gastrectomy, Distal subtotal gastrectomy