Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery

Abstract When compared with the second/third generation da Vinci S/Si, the fourth generation Xi surgical system may allow for greater efficiency and result in shorter operation times during robotic gastrectomy (RG) for gastric cancer (GC). We directly compare surgical outcomes between the convention...

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Autores principales:	Toshiyasu Ojima, Masaki Nakamura, Keiji Hayata, Junya Kitadani, Akihiro Takeuchi, Hiroki Yamaue
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/36fec73fb7244379a288037236145768
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spelling	oai:doaj.org-article:36fec73fb7244379a2880372361457682021-12-02T15:00:20ZComparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery10.1038/s41598-021-90741-22045-2322https://doaj.org/article/36fec73fb7244379a2880372361457682021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90741-2https://doaj.org/toc/2045-2322Abstract When compared with the second/third generation da Vinci S/Si, the fourth generation Xi surgical system may allow for greater efficiency and result in shorter operation times during robotic gastrectomy (RG) for gastric cancer (GC). We directly compare surgical outcomes between the conventional S/Si and the newer Xi robotic platform for the treatment of GC. This is a single-center retrospective study of 148 consecutive patients with GC who underwent RG. Of these patients, 20 patients were treated with the S, 30 patients with the Si, and 98 patients with the Xi. The overall operation time was significantly longer in the S group (386.5 min) than in the other groups (Si group: 292 min; Xi group: 297 min) (S vs. Si: P = 0.010; S vs. Xi: P = 0.001). We observed no difference, however, between the newer Xi and Si systems in operation time. Intraoperative blood loss was similar across the three groups. The overall postoperative complication rate in the Xi group (8.2%) was lower than that of the S group (10%) and the Si group (13.3%), but the difference was not significant. The newer Xi system did not provide significant intraoperative or early postoperative advantages over the Si system.Toshiyasu OjimaMasaki NakamuraKeiji HayataJunya KitadaniAkihiro TakeuchiHiroki YamaueNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Toshiyasu Ojima Masaki Nakamura Keiji Hayata Junya Kitadani Akihiro Takeuchi Hiroki Yamaue Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery
description	Abstract When compared with the second/third generation da Vinci S/Si, the fourth generation Xi surgical system may allow for greater efficiency and result in shorter operation times during robotic gastrectomy (RG) for gastric cancer (GC). We directly compare surgical outcomes between the conventional S/Si and the newer Xi robotic platform for the treatment of GC. This is a single-center retrospective study of 148 consecutive patients with GC who underwent RG. Of these patients, 20 patients were treated with the S, 30 patients with the Si, and 98 patients with the Xi. The overall operation time was significantly longer in the S group (386.5 min) than in the other groups (Si group: 292 min; Xi group: 297 min) (S vs. Si: P = 0.010; S vs. Xi: P = 0.001). We observed no difference, however, between the newer Xi and Si systems in operation time. Intraoperative blood loss was similar across the three groups. The overall postoperative complication rate in the Xi group (8.2%) was lower than that of the S group (10%) and the Si group (13.3%), but the difference was not significant. The newer Xi system did not provide significant intraoperative or early postoperative advantages over the Si system.
format	article
author	Toshiyasu Ojima Masaki Nakamura Keiji Hayata Junya Kitadani Akihiro Takeuchi Hiroki Yamaue
author_facet	Toshiyasu Ojima Masaki Nakamura Keiji Hayata Junya Kitadani Akihiro Takeuchi Hiroki Yamaue
author_sort	Toshiyasu Ojima
title	Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery
title_short	Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery
title_full	Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery
title_fullStr	Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery
title_full_unstemmed	Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery
title_sort	comparison of short-term surgical outcomes using da vinci s, si and xi surgical system for robotic gastric cancer surgery
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/36fec73fb7244379a288037236145768
work_keys_str_mv	AT toshiyasuojima comparisonofshorttermsurgicaloutcomesusingdavincissiandxisurgicalsystemforroboticgastriccancersurgery AT masakinakamura comparisonofshorttermsurgicaloutcomesusingdavincissiandxisurgicalsystemforroboticgastriccancersurgery AT keijihayata comparisonofshorttermsurgicaloutcomesusingdavincissiandxisurgicalsystemforroboticgastriccancersurgery AT junyakitadani comparisonofshorttermsurgicaloutcomesusingdavincissiandxisurgicalsystemforroboticgastriccancersurgery AT akihirotakeuchi comparisonofshorttermsurgicaloutcomesusingdavincissiandxisurgicalsystemforroboticgastriccancersurgery AT hirokiyamaue comparisonofshorttermsurgicaloutcomesusingdavincissiandxisurgicalsystemforroboticgastriccancersurgery
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Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery

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