To present the SP da Vinci transgastric approach for treating intraluminal gastric pathologies and evaluate its safety and feasibility based on specific clinical outcomes.
Key Findings:
All patients achieved R0 resection with adherence to oncological principles, with a 100% success rate in achieving the surgical aim.
Intraoperative conversion to full-thickness resection was performed when deeper wall involvement was suspected, indicating careful intraoperative assessment.
The SP platform provided stable endoluminal exposure and enhanced surgical precision, reducing the need for additional endoscopic assistance.
Interpretation:
The SP da Vinci transgastric technique demonstrates a promising approach for managing intraluminal gastric lesions with reduced surgical trauma and improved precision.
Limitations:
Small sample size of only five patients, which may limit generalizability.
Retrospective nature of the study limits the strength of conclusions and introduces potential biases.
Lack of long-term follow-up data to assess the durability of outcomes.
Conclusion:
The SP da Vinci transgastric technique is a feasible and effective method for treating intraluminal gastric pathologies, warranting further investigation in larger cohorts to validate findings and explore long-term outcomes.