A limited number of robotic-assisted gastric surgeries were reported in the United States. These include pyloroplasties, gastric mass resections, and gastrojejunostomies [6, 18]. In Japan, a country with high incidence of gastric cancer, the laparoscopic treatment for early gastric cancer has been used with good results . Hashizume et al. reported the use of the robotic system to perform surgery for gastric cancer. The benefits of the EndoWrist, the scaling and the tremor filtering, was found to be extremely useful when performing wedge resections, intragastric resections, and distal gastrectomies . Even though the initial results can be encouraging, more experience is required to establish the role of the robotic system in the gastric surgery.
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