Application of the “3+2” model and the “seven-step method” in a case of 5G remote robotic distal gastrectomy for gastric cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GUO Xi , MA Diaolong , YANG Guoyuan , MA Yuqi , HU Ming , YANG Jing , CAI Hui ,  MA Yuntao

Robot Surgery Center of the Department of General Surgery, Gansu Provincial People’s Hospital, Lanzhou 730000, P. R. China;

Corresponding?author：

MA Yuntao, Email: 3575515665@qq.com

Keywords：

“3+2” model “seven-step method”; distal gastrectomy; 5G remote robotic surgery

DOI：

10.7507/1007-9424.202407002

Video：

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Objective To explore the application of 5G remote robotic surgery in distal gastrectomy for gastric cancer and evaluate the feasibility and advantages of the “3+2” model “seven-step method”. Methods The situations at preoperative, intraoperative and postoperative follow-up of a patient who underwent 5G remote robotic distal gastrectomy for gastric cancer with “3+2” model “seven-step method” in Gansu Provincial People’s Hospital were summarized, and based on our experience of robotic surgery, the application advantages of “3+2” model “seven-step method” in 5G remote robotic distal gastrectomy for gastric cancer was explored. Results The operative time of this case was 190 min, the intraoperative blood loss was 50 mL, the network delay was 43.554 ms, and no intraoperative adverse events occurred. After a one-year follow-up, the patient recovered well, with no complications, good diet and good quality of life. Conclusions The “3+2” model “seven-step method” is feasible for 5G remote robotic distal gastrectomy. Further research requires an increased sample size and extended follow-up period.

Citation： GUO Xi, MA Diaolong, YANG Guoyuan, MA Yuqi, HU Ming, YANG Jing, CAI Hui, MA Yuntao. Application of the “3+2” model and the “seven-step method” in a case of 5G remote robotic distal gastrectomy for gastric cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(12): 1462-1465. doi: 10.7507/1007-9424.202407002 Copy

1.	李曉敏. 外科手術中手術機器人和遠程手術研究與應用進展. 產業科技創新, 2023, 5(5): 66-68.
2.	王野, 閆石, 常易凡, 等. 遠程手術創新的現狀和進展. 海軍軍醫大學學報, 2023, 44(5): 627-630.
3.	黃顯斌, 狐鳴, 蔡輝, 等. 程序化達芬奇機器人 “3+2” 模式 “七步法” 遠端胃癌根治術. 中國腫瘤臨床, 2022, 49(3): 124-128.
4.	郭進, 詹渭鵬, 狐鳴, 等. 達芬奇機器人 “3+1” 模式在進展期遠端胃癌根治術中的臨床應用. 機器人外科學雜志(中英文), 2022, 3(5): 406-413.
5.	狐鳴, 韓彩文, 郭天康, 等. 達芬奇機器人 “3+2” 模式在胃癌根治術中的安全性和有效性研究. 中華普通外科雜志, 2019, 34(10): 855-858.
6.	狐鳴, 馬雕龍, 張文濤, 等. 機器人“3+2” 模式胃腸手術Trocar布置方法的總結與實踐. 中華普通外科雜志, 2023, 38(8): 589-594.
7.	狐鳴, 馬世勛, 楊婧, 等. 吸引器在達芬奇機器人“3+2” 輔助胃癌根治術中的應用體會. 中華腔鏡外科雜志(電子版), 2021, 14(5): 260-264.
8.	許永成, 何興龍, 郭進, 等. 達芬奇機器人“3+2” 模式在胰十二指腸切除術胰腸吻合中的應用. 機器人外科學雜志(中英文), 2023, 4(2): 92-98.
9.	楊婧, 李祖曦, 狐鳴, 等. 國產圖邁? 內窺鏡手術系統輔助下胃癌根治術9例的臨床分析. 中華普通外科雜志, 2022(11): 850-851.
10.	詹渭鵬, 狐鳴, 田宏偉, 等. 達芬奇機器人“3+2” 模式在胰體尾切除術中的應用. 中國普通外科雜志, 2019, 28(9): 1061-1067.
11.	Hu M, Han C, Guo T, et al. Application of da Vinci robot with the “3+2” mode in radical gastrectomy for gastric cancer. Medicine (Baltimore), 2020, 99(46): e22988. doi: 10.1097/MD.0000000000022988.
12.	Zhan W, Hu M, Han C, et al. Safety and effectiveness of the da Vinci robot with the “3+2” mode for distal pancreatectomy. Cancer Med, 2019, 8(9): 4226-4234.
13.	Yang GY, Peng YY, Hu M, et al. Letter to the editor on “Programmed ‘seven-step method’ mode in the clinical application of laparoscopic radical resection of distal gastric cancer”. Asian J Surg, 2024, 47(1): 742-744.
14.	蔡輝, 馬云濤, 盧婷婷, 等. 中國機器人胃癌手術指南. 中華普通外科雜志, 2021, 36(8): 635-640.
15.	Hu R, Liu C, Li D. The three-stage and seven-step method for laparoscopic radical gastrectomy: A new surgical procedure for gastric cancer. Asian J Surg, 2024, 47(3): 1562-1564.
16.	郭進, 蘇河, 馬云濤. 國產圖邁手術機器人5G信號+遠程動物手術時主刀醫師心理壓力的調查與分析. 中國普外基礎與臨床雜志, 2023, 30(10): 1205-1209.
17.	Yim GW, Eoh KJ, Chung YS, et al. Perioperative outcomes of 3-arm versus 4-arm robotic radical hysterectomy in patients with cervical cancer. J Minim Invasive Gynecol, 2018, 25(5): 823-831.
18.	Zheng J, Wang Y, Zhang J, et al. 5G ultra-remote robot-assisted laparoscopic surgery in China. Surg Endosc, 2020, 34(11): 5172-5180.

1. 李曉敏. 外科手術中手術機器人和遠程手術研究與應用進展. 產業科技創新, 2023, 5(5): 66-68.
2. 王野, 閆石, 常易凡, 等. 遠程手術創新的現狀和進展. 海軍軍醫大學學報, 2023, 44(5): 627-630.
3. 黃顯斌, 狐鳴, 蔡輝, 等. 程序化達芬奇機器人 “3+2” 模式 “七步法” 遠端胃癌根治術. 中國腫瘤臨床, 2022, 49(3): 124-128.
4. 郭進, 詹渭鵬, 狐鳴, 等. 達芬奇機器人 “3+1” 模式在進展期遠端胃癌根治術中的臨床應用. 機器人外科學雜志(中英文), 2022, 3(5): 406-413.
5. 狐鳴, 韓彩文, 郭天康, 等. 達芬奇機器人 “3+2” 模式在胃癌根治術中的安全性和有效性研究. 中華普通外科雜志, 2019, 34(10): 855-858.
6. 狐鳴, 馬雕龍, 張文濤, 等. 機器人“3+2” 模式胃腸手術Trocar布置方法的總結與實踐. 中華普通外科雜志, 2023, 38(8): 589-594.
7. 狐鳴, 馬世勛, 楊婧, 等. 吸引器在達芬奇機器人“3+2” 輔助胃癌根治術中的應用體會. 中華腔鏡外科雜志(電子版), 2021, 14(5): 260-264.
8. 許永成, 何興龍, 郭進, 等. 達芬奇機器人“3+2” 模式在胰十二指腸切除術胰腸吻合中的應用. 機器人外科學雜志(中英文), 2023, 4(2): 92-98.
9. 楊婧, 李祖曦, 狐鳴, 等. 國產圖邁? 內窺鏡手術系統輔助下胃癌根治術9例的臨床分析. 中華普通外科雜志, 2022(11): 850-851.
10. 詹渭鵬, 狐鳴, 田宏偉, 等. 達芬奇機器人“3+2” 模式在胰體尾切除術中的應用. 中國普通外科雜志, 2019, 28(9): 1061-1067.
11. Hu M, Han C, Guo T, et al. Application of da Vinci robot with the “3+2” mode in radical gastrectomy for gastric cancer. Medicine (Baltimore), 2020, 99(46): e22988. doi: 10.1097/MD.0000000000022988.
12. Zhan W, Hu M, Han C, et al. Safety and effectiveness of the da Vinci robot with the “3+2” mode for distal pancreatectomy. Cancer Med, 2019, 8(9): 4226-4234.
13. Yang GY, Peng YY, Hu M, et al. Letter to the editor on “Programmed ‘seven-step method’ mode in the clinical application of laparoscopic radical resection of distal gastric cancer”. Asian J Surg, 2024, 47(1): 742-744.
14. 蔡輝, 馬云濤, 盧婷婷, 等. 中國機器人胃癌手術指南. 中華普通外科雜志, 2021, 36(8): 635-640.
15. Hu R, Liu C, Li D. The three-stage and seven-step method for laparoscopic radical gastrectomy: A new surgical procedure for gastric cancer. Asian J Surg, 2024, 47(3): 1562-1564.
16. 郭進, 蘇河, 馬云濤. 國產圖邁手術機器人5G信號+遠程動物手術時主刀醫師心理壓力的調查與分析. 中國普外基礎與臨床雜志, 2023, 30(10): 1205-1209.
17. Yim GW, Eoh KJ, Chung YS, et al. Perioperative outcomes of 3-arm versus 4-arm robotic radical hysterectomy in patients with cervical cancer. J Minim Invasive Gynecol, 2018, 25(5): 823-831.
18. Zheng J, Wang Y, Zhang J, et al. 5G ultra-remote robot-assisted laparoscopic surgery in China. Surg Endosc, 2020, 34(11): 5172-5180.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of the “3+2” model and the “seven-step method” in a case of 5G remote robotic distal gastrectomy for gastric cancer

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