Application of Maryland Bipolar Forceps in Robot-Assisted Distal Gastrectomy for Gastric Cancer
In robotic distal gastrectomy, maryland bipolar forceps play a crucial role as a multifunctional surgical instrument. Its bipolar design makes tissue cutting and coagulation more efficient during surgery, especially in complex operations, effectively controlling bleeding and shortening surgery time. This article will explore the application and advantages of maryland bipolar forceps in such high-precision surgeries.
Advantages of Maryland Bipolar Forceps
Maryland bipolar forceps are indispensable tools in robotic surgery due to their design features. The bipolar design includes two electrodes that allow for simultaneous tissue cutting and coagulation, effectively reducing bleeding issues during surgery. This function is particularly significant in robotic distal gastrectomy, which requires precise operations and high reliability.
In gastrectomy, maryland bipolar forceps provide precise energy control, making lymph node dissection and tissue handling more efficient. By precisely cutting and coagulating the stomach and surrounding tissues, maryland bipolar forceps not only enhance the safety of the surgery but also reduce the operation time, which is crucial for improving surgical efficiency and patient recovery.
Application of Maryland Bipolar Forceps in Surgery
In robotic distal gastrectomy, maryland bipolar forceps are widely used at various stages of the operation. Firstly, the surgeon uses maryland bipolar forceps to open the lesser sac and then dissect the 1st and 3a groups of lymph nodes. By suspending the liver and dissecting the lymph nodes in the suprapyloric area, the surgeon can effectively remove the diseased tissue and lymph nodes.
While dissecting the right edge of the 8a group of lymph nodes along the right gastric vessels, maryland bipolar forceps ensures the smooth ligation and division of the right gastric vessels. The surgeon then dissects the 11p group of lymph nodes along the upper edge of the pancreas and gradually dissects the 7th group of lymph nodes while dividing the coronary vein and left gastric artery. This process demonstrates the flexibility and efficiency of maryland bipolar forceps in complex operations.
Effect of Maryland Bipolar Forceps Usage
In the further stages of the surgery, maryland bipolar forceps continue to play an important role. By preserving the greater omentum and freeing the right side of the omental sac to the inferior edge of the duodenum, the surgeon dissects the 6th group of lymph nodes and divides the right gastroepiploic vessels. This allows for precise completion of complex dissection tasks. Additionally, dividing the duodenum, freeing the gastrocolic ligament, dissecting the 4sb group of lymph nodes, and dividing the left gastroepiploic vessels all rely on maryland bipolar forceps' high-efficiency cutting and coagulation capabilities.
After freeing the greater curvature of the stomach, maryland bipolar forceps assist the surgeon in the distal division of the stomach and the placement of the specimen into the specimen bag. Postoperatively, a side-to-side gastrojejunostomy is performed about 30cm from the ligament of Treitz along the greater curvature, followed by another side-to-side anastomosis about 25cm from the first anastomosis to complete digestive tract reconstruction. Throughout the process, the use of maryland bipolar forceps significantly enhances the precision and safety of the surgery, ensuring optimal surgical outcomes.
Maryland bipolar forceps have demonstrated their unique advantages in high-precision surgeries like robotic distal gastrectomy. Their bipolar design and efficient energy control not only enhance surgical safety but also reduce operation time. By providing precise cutting and coagulation, maryland bipolar forceps assist surgeons in efficiently completing complex surgical tasks, ensuring the surgical outcomes and recovery quality for patients. In future surgeries, maryland bipolar forceps will undoubtedly continue to play a critical role, providing more reliable and efficient support for robotic surgeries.
