DaVinci Xi Fully Robotic Assisted Total Gastrectomy for Gastric Cancer: An Evolution in Minimally Invasive Surgery

Robotic surgery with the DaVinci Xi system has revolutionised the surgical treatment of gastric cancer, offering significant advantages in terms of precision and rapid recovery. Our team led by Dr. Adrian Bartoș successfully performed a fully robotic assisted total gastrectomy for a patient with gastric adenocarcinoma. Here’s how advanced technology and the skills of the surgical team converge to provide an effective and safe solution.

Advantages of Robotic Surgery in Gastric Tumor Treatment

  1. Optical Augmentation that Facilitates Lymphadenectomy Time: The DaVinci Xi system provides a detailed and augmented view, facilitating the lymphadenectomy time that is essential in lymph node removal.
  2. Freedom of movement of the robotic instruments: articulated instruments allow a fast and safe digestive reconstruction, ensuring an optimal result in digestive tract reconstruction.
  3. Patient Comfort: Postoperatively, patients enjoy faster recovery, active mobilization and rapid resumption of bowel movement, contributing to an easier postoperative experience.

Case Study: Total Gastrectomy with Lymphadenectomy and Esojejunal Anastomosis

As an example, the case of a patient with corporeal gastric adenocarcinoma, who received preoperative neoadjuvant treatment, in whom we performed total gastrectomy with lymphadenectomy and eso-jejunal anastomosis (manual, with continuous thread), on a Roux-en-Y loop.

Postoperative evolution was uneventful, with active mobilization and feeding from day 0 and rapid resumption of bowel movement (on postoperative day 3). Discharge criteria were met on postoperative day 5.

Surgical Team

– Dr. Adrian Bartoș (Surgeon at the console)

– Ioana Iancu (First Assistant)

– Sandu Brînzilă (Second assistant)

Photo Gallery

  • the operator device with the daVinci Xi robot arms mounted;
  • Celiac trunk and left gastric artery dissection/lymphadenectomy with preparation for gastric artery clipping;
  • Esophageal sectioning with linear stapler, white cartridge;
  • Performing an esoph-jejunal anastomosis;
  • Immediate postoperative appearance, with the suprapubic transverse incision used to extract the surgical specimen;
DaVinci Xi robot
gastric cancer
DaVinci Xi gastric cancer robot
robotic assisted total gastrectomy
DaVinci Xi robot