Robot-Assisted versus Laparoscopic-Assisted Gastrectomy among Gastric Cancer Patients: A Retrospective Short-Term Analysis from a Single Institution in China
Joint Authors
Chen, Xiao-Long
Zhang, Wei-Han
Hu, Jian-Kun
Yang, Kun
Chen, Xin-Zu
Zhou, Zong-Guang
Sun, Li-Fei
Liu, Kai
Su, Xue-Shang
Wei, Xuan
Source
Gastroenterology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-23
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
The da Vinci robotic system was considered an effectively alternative treatment option for early gastric cancer patients in recent years.
The aim of our study was to evaluate the safety and feasibility of robot-assisted gastrectomy in our center.
Methods.
This study included 33 patients who underwent robot-assisted gastrectomy (RAG) and 88 patients who underwent laparoscopic-assisted gastrectomy (LAG) between January 2016 and April 2018.
Clinicopathological characteristics, surgical parameters, postoperative recovery, and the learning curves of RAG were evaluated.
Results.
Baseline characteristics between two groups were well balanced.
The operation time of RAG was longer than that of LAG (333.1±61.4 min vs.
290.6±39.0 min, p=0.001), and the estimated blood loss was 62.4±41.2 ml in the RAG group and 77.7±32.3 ml in the LAG group (p=0.005), respectively.
The mean number of examined lymph nodes in RAG was less than that in LAG (30.3±10.2 vs.
37.4±13.7, p=0.008).
However, RAG had an advantage in the dissection of No.
9 lymph nodes (3.4±2.1 vs.
2.5±1.6, p=0.039).
The incidence of postoperative complications was similar in both groups (p=0.735).
There were no significant differences in terms of postoperative recovery between the two groups.
The learning curve of RAG showed that the CUSUM value decreased from the 8th case, which suggested a rapid learning curve among experienced surgeons on LAG operations.
Conclusions.
RAG was safe and feasible for gastric cancer patients, with superiority in the dissection of No.
9 lymph nodes.
American Psychological Association (APA)
Sun, Li-Fei& Liu, Kai& Su, Xue-Shang& Wei, Xuan& Chen, Xiao-Long& Zhang, Wei-Han…[et al.]. 2019. Robot-Assisted versus Laparoscopic-Assisted Gastrectomy among Gastric Cancer Patients: A Retrospective Short-Term Analysis from a Single Institution in China. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1155546
Modern Language Association (MLA)
Sun, Li-Fei…[et al.]. Robot-Assisted versus Laparoscopic-Assisted Gastrectomy among Gastric Cancer Patients: A Retrospective Short-Term Analysis from a Single Institution in China. Gastroenterology Research and Practice No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1155546
American Medical Association (AMA)
Sun, Li-Fei& Liu, Kai& Su, Xue-Shang& Wei, Xuan& Chen, Xiao-Long& Zhang, Wei-Han…[et al.]. Robot-Assisted versus Laparoscopic-Assisted Gastrectomy among Gastric Cancer Patients: A Retrospective Short-Term Analysis from a Single Institution in China. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1155546
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155546