(Reporter Li Chang) Recently, with the successful discharge of a male patient on the sixth day after fully robotic radical gastric cancer surgery, the Department of Surgery of the Fourth Hospital of Hebei Medical University has successfully completed the 200th case of da Vinci robotic gastric oncology surgery with the strong cooperation of the Department of Anesthesiology and the operating room. This marks the fact that since November 2019, when the hospital introduced the first surgical robot in the province, gastric tumor surgery in the Department of Surgery has officially entered the era of “3D, 4K laparoscopic and robotic surgery in parallel”. As the most common malignant tumor of the digestive tract, the radical surgery of gastric cancer mainly includes lymph node dissection and reconstruction of the digestive tract. Compared with the traditional open surgery and laparoscopic surgery, the gastric cancer surgery using the latest da Vinci Xi robotic surgical system in China has many unique mechanical advantages. With its enlarged naked-eye high-definition 3D vision and stable and flexible operating arm, the surgeon can distinguish blood vessels, nerves and tiny lymph nodes more clearly, which is conducive to the fine separation and protection of anatomical levels and the thorough removal of regional lymph nodes, and effectively reduces intraoperative bleeding. At the same time, the use of simulated wrist that can stably and accurately complete 540° flexible rotation in a narrow anatomical area for reconstruction of digestive tract in robotic gastric cancer surgery also has incomparable advantages, especially for patients who are highly obese and have limited operating space. Prof. Zhao Qun introduced that after nearly two years of clinical practice, his team has accumulated a large number of valuable clinical experience in robotic gastric tumor surgery, reviewing the 200 cases of robotic gastric tumor surgery, the age of the patients ranged from 23 to 85 years old, both the staging from Stage I to Stage III of the primary patients, but also after the neoadjuvant treatment of gastric cancer patients, which are not lacking in obese patients with a BMI of >35. With the successful transition from robotic-assisted surgery to fully robotic surgery, clinical data show that compared with laparoscopy, the robotic group of fully robotic radical gastric cancer surgery has less intraoperative bleeding, a higher detection rate of regional lymph nodes (the average number of lymphatic dissection in robotic radical gastric cancer surgery can be up to 45, with the most number of lymph nodes detected in the most number of patients), and shorter reconstruction time of the digestive tract. On the basis of ensuring safety, the patient’s surgical incision was also moved down from between the subxiphoid process and the umbilicus to below the umbilicus, which not only has a good cosmetic effect, but also significantly reduces the subjective pain after the operation, is more conducive to the early getting out of bed activities, and the postoperative recovery is fast and the hospitalization time is short. In addition, there is no lack of patients with gastric cancer combined with sigmoid colon cancer, ascending colon cancer, ovarian cysts and gastric mesenchymal tumor combined with rectal cancer and other double primary tumors. If traditional open surgery is performed for one-stage resection, the surgical incision may need more than 30 centimeters, which is traumatic and slow for recovery, and the da Vinci robot solves the two problems with one surgery, and the surgical incision is only 4 or 5 centimeters, which maximally reduces the trauma and pain of patients. The incision is only four or five centimeters, which minimizes the trauma of patients and reduces their pain. In addition to gastric cancer surgery, for gastric mesenchymal tumors located in special areas such as cardia, pylorus, and side of gastric lesser curvature, robotic surgery also has great advantages, especially when the tumor volume is relatively large, and with the assistance of the robot, it can maximize the purpose of preserving the function, reducing trauma and improving the quality of life. Prof. Zhao Qun said that Department of Surgery III will take the introduction of da Vinci Robotic Surgical System as an opportunity to continue to follow the advanced technology at home and abroad, based on the diagnosis and treatment of common and difficult diseases in general surgery, with the diagnosis and treatment of gastric tumors as the characteristics, in the spirit of the concept and purpose of innovation, development, and patient-oriented, to give full play to the superiority of minimally invasive surgery, and to actively carry out high-quality robotic gastrointestinal tumor surgery and high level clinical research, and to continuously We will give full play to the superiority of minimally invasive surgery, actively carry out high-quality robotic gastrointestinal tumor surgery and high-level clinical research, continuously improve the comprehensive diagnosis and treatment level of gastric tumors, and provide patients with highly efficient, precise and high-quality medical services.