Evidence map›Paper›PMID 41651956›Full record

ArticleSurgical endoscopy2026

Single-incision robot-assisted distal gastrectomy for gastric cancer (FUTURE-05): short-term outcomes of a nonrandomized descriptive exploratory feasibility study using the SHURUI (SR-ENS-600) robotic system.

Yuan Tian, Honghai Guo, Jinchen He, Peigang Yang, Yang Liu, Ze Zhang, Tao Zheng, Yong Li, Liqiao Fan, Zhidong Zhang and 5 more

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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

15 authors.

Yuan TianThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Honghai GuoThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Jinchen HeThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Peigang YangThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Yang LiuThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Ze ZhangThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Tao ZhengThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Yong LiThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Liqiao FanThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Zhidong ZhangThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Dong WangThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Xuefeng ZhaoThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Bibo TanThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Yu LiuThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China.
Qun ZhaoThird Surgery Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, China. zhaoqun@hebmu.edu.cn.ORCID http://orcid.org/0000-0003-1603-3002

Funding

Hebei Natural Science Foundation 22JCZXJC00140Hebei Provincial Government-funded Clinical Talent Project ZF2023047Hebei Provincial Government-funded Clinical Talent Project ZF2025200Medical Science Research Project of Hebei Province 20230121S&T Program of Hebei 23297701Z
6 · The paper itself

Abstract

backgroundGastrectomy has evolved significantly with advancements in minimally invasive surgery, particularly with the advent of single-incision laparoscopic surgery (SILS). Despite its benefits, SILS faces challenges related to instrument crowding and loss of triangulation. Robotic assistance in SILS, known as single-incision robotic-assisted surgery (SIRAS), may overcome these issues, offering greater precision and maneuverability. This study aimed to explore the technical feasibility and safety of SIRAS for distal gastrectomy using the SHURUI System (SR-ENS-600). MATERIALS AND

methodsA cohort of 13 gastric cancer patients who underwent SIRAS between February and June 2024 were compared with a retrospective group of 25 patients who underwent multi-port robotic-assisted surgery (RAS) between September 2019 and May 2020. The primary endpoints were to evaluate surgical outcomes, including operation time, blood loss, lymph node retrieval, complications, postoperative recovery, and surgical task load.

resultsThe mean (SD) surgical time for SIRAS was 287.00 (39.83) minutes, significantly longer than the RAS group (258.84[38.23]) (P = 0.041). The SIRAS group exhibited higher times for docking (P < 0.001) and lymph node dissection (P = 0.003). There were no significant differences in blood loss and lymph node retrieval between the two groups (P > 0.05). There was no short-term postoperative complication reported in the SIRAS group. One patient in the RAS group experienced intra-abdominal infection, and another patient in the RAS group had postoperative bleeding. The SIRAS group had lower postoperative pain scores (P = 0.011) and higher quality-of-life scores (P = 0.05) than the RAS group, while the first assistant had higher physical fatigue (P = 0.04).

conclusionSIRAS using the SR-ENS-600 system for distal gastrectomy is technically feasible and safe. Despite some challenges, it offers advantages in terms of reduced postoperative pain and improved quality of life. The small sample size of this initial experience limits the generalizability of the findings, and larger-scale studies are warranted.

Indexed as

GastrectomyLaparoscopyRobotic Surgical ProceduresStomach NeoplasmsAgedBlood Loss, SurgicalFeasibility StudiesFemaleHumansLymph Node ExcisionMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeDistal gastrectomyGastric cancerMinimally invasive surgeryRobotic-assisted surgerySingle-incision robotic-assisted surgery

Identifiers

PMID41651956

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.