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Updated: Mar 28, 2026
Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
Robotic gastrectomy with transvaginal specimen extraction for female gastric cancer patients
Shu Zhang1, Zhi-Wei Jiang1, Gang Wang1
1Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
Aim:
To describe the application of complete robotic gastrectomy with transvaginal specimen extraction (TVSE) for gastric cancer patients.
Methods:
Between July and November 2014, eight female patients who were diagnosed with gastric adenocarcinoma underwent a TVSE following a full robot-sewn gastrectomy. According to the tumor location, the patients were allocated to two different groups; two patients received robotic total gastrectomy with TVSE and the other six received robotic distal gastrectomy with TVSE.
Results:
Surgical procedures were successfully performed in all eight cases without conversion. The mean age was 55.3 (range, 42-69) years, and the mean body mass index was 23.2 (range, 21.6-26.0) kg/m(2). The mean total operative time and blood loss were 224 (range, 200-298) min and 62.5 (range, 50-150) mL, respectively. The mean postoperative hospital stay was 3.6 (range, 3-5) d. The mean number of lymph nodes resected was 23.6 (range, 17-27). None was readmitted within 30 d of postoperation. During the follow-up, no stricture developed nor was any anastomotic leakage detected.
Conclusion:
It is possible to perform a TVSE following a full robot-sewn gastrectomy with standard D2 lymph node resection for female gastric cancer patients.
