New access to intraluminal gastric pathologies: the SP da Vinci transgastric approach - Summary - MDSpire

New access to intraluminal gastric pathologies: the SP da Vinci transgastric approach

  • By

  • Franziska Renger

  • Alessandro Francesco Armienti

  • Yulia Brecht

  • Vladimir J. Lozanovski

  • Edin Hadzijusufovic

  • Hauke Lang

  • Peter Philipp Grimminger

  • May 7, 2026

  • 0 min

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Objective:

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.

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