Problems and strategies in the Da Vinci robotic surgery for gastric cancer

Da Vinci robotic surgery for gastric cancer has been performed and accepted gradually in domestic and abroad, due to the advantages of defibrillation, three dimensional (3D) view and flexible, precise, stable operation. However, its indication is controversy, surgical process, lymphadenectomy, digestive reconstruction need to be further regulated. There is lack of prospective case-control study of large sample on short and long term efficacy. Therefore, problems and strategies in the Da Vinci robotic surgery for gastric cancer should be analyzed and evidence-based researches should be strengthened to provide tangible and credible evidence for the Da Vinci robotic surgery for gastric cancer. Key words: Gastric neoplasms; Gastric cancer; Laparoscopy; Da Vinci robotic surgical system; Radical gastrectomy