The safety and effectiveness of the Da Vinci robot "3 +2" mode in radical gastrectomy / 中华普通外科杂志

ABSTRACT

Objective To explore the safety,feasibility and advantages of Da Vinci robot "3 + 2" mode in radical gastrectomy.Methods Clinical data of 30 patients received radical gastrectomy at our department under the "3 + 2" mode of Da Vinci robot from Jan.2018 to Oct.2018 were retrospectively analyzed.30 patients who received classical robot mode in the same period were randomly selected as control group.Results Compared with the control group,the observation group had a shorter operative time (174 ± 16) min vs.(197 ± 19) min,t =-3.275,P ＜ 0.01),a lower operation costs [(22 794 ± 3 660)yuan vs.(29 307 ±3 220)yuan,t =-3.316,P ＜0.01;and inhospital costs (70 910 ±6 399) yuan vs.(78 180 ±6 636)yuan),t =-7.316,P ＜0.01].Conclusion The "3 +2" mode of Da Vinci robot in radical gastrectomy is beneficial to enhance the exposure of the surgical field,improve the cooperation of assistants,reduce the costs of surgery,shorten the operative time and the learning curves.In addition,it has similar clinical efficacy to radical gastrectomy under the classical robot mode.