Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period
ObjectiveTo evaluate the short-term outcomes of laparoscopic distal gastrectomy and robotic distal gastrectomy performed during the same period.MethodsThis study enrolled 46 cases of laparoscopic distal gastrectomy and 67 cases of robotic distal gastrectomy that were performed by a single surgeon be...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1174396/full |
| _version_ | 1797785855887147008 |
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| author | Jiliang Shen Xu Feng Zheyong Li Yong Wang |
| author_facet | Jiliang Shen Xu Feng Zheyong Li Yong Wang |
| author_sort | Jiliang Shen |
| collection | DOAJ |
| description | ObjectiveTo evaluate the short-term outcomes of laparoscopic distal gastrectomy and robotic distal gastrectomy performed during the same period.MethodsThis study enrolled 46 cases of laparoscopic distal gastrectomy and 67 cases of robotic distal gastrectomy that were performed by a single surgeon between April 2020 to October 2021. Baseline characteristics and short-term outcomes of these two groups were then compared. Moreover, the robotic distal gastrectomy group was further divided into two subgroups according to the learning curve. Finally, the baseline characteristics and short-term outcomes of both subgroups were compared with the laparoscopic group, respectively.ResultsThe baseline characteristics and short-term outcomes of the LDG group and RDG group were comparable. In contrast, the operation time in the laparoscopic group was significantly shorter than that in the early experience robotic group (191.3 ± 37.6 VS 225.1 ± 49, P=0.001). However, the operation time (191.3 ± 37.6 VS 185.3 ± 25.3, P=0.434) was comparable between the laparoscopic group and the late experience robotic group. Likewise, the bleeding volume was comparable between the laparoscopic and early experience robotic groups. However, bleeding volume was significantly lower in the late experience robotic group compared to that in the laparoscopic group (37.5 ± 18.8 VS 49.2 ± 29.0, P=0.049).ConclusionsWith surgeons stepping into the stable stage of the robotic learning curve, RDG showed a comparable operation time and lower volume of blood loss compared with LDG. Collectively, our study supports the application of robotic distal gastrectomy in patients diagnosed with gastric cancer. |
| first_indexed | 2024-03-13T00:59:56Z |
| format | Article |
| id | doaj.art-53e1224cd3974e52b75c4c3ac8319032 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-13T00:59:56Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-53e1224cd3974e52b75c4c3ac83190322023-07-06T12:46:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-07-011310.3389/fonc.2023.11743961174396Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same periodJiliang ShenXu FengZheyong LiYong WangObjectiveTo evaluate the short-term outcomes of laparoscopic distal gastrectomy and robotic distal gastrectomy performed during the same period.MethodsThis study enrolled 46 cases of laparoscopic distal gastrectomy and 67 cases of robotic distal gastrectomy that were performed by a single surgeon between April 2020 to October 2021. Baseline characteristics and short-term outcomes of these two groups were then compared. Moreover, the robotic distal gastrectomy group was further divided into two subgroups according to the learning curve. Finally, the baseline characteristics and short-term outcomes of both subgroups were compared with the laparoscopic group, respectively.ResultsThe baseline characteristics and short-term outcomes of the LDG group and RDG group were comparable. In contrast, the operation time in the laparoscopic group was significantly shorter than that in the early experience robotic group (191.3 ± 37.6 VS 225.1 ± 49, P=0.001). However, the operation time (191.3 ± 37.6 VS 185.3 ± 25.3, P=0.434) was comparable between the laparoscopic group and the late experience robotic group. Likewise, the bleeding volume was comparable between the laparoscopic and early experience robotic groups. However, bleeding volume was significantly lower in the late experience robotic group compared to that in the laparoscopic group (37.5 ± 18.8 VS 49.2 ± 29.0, P=0.049).ConclusionsWith surgeons stepping into the stable stage of the robotic learning curve, RDG showed a comparable operation time and lower volume of blood loss compared with LDG. Collectively, our study supports the application of robotic distal gastrectomy in patients diagnosed with gastric cancer.https://www.frontiersin.org/articles/10.3389/fonc.2023.1174396/fullgastrectomygastric cancerlaparoscopicroboticshort-term |
| spellingShingle | Jiliang Shen Xu Feng Zheyong Li Yong Wang Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period Frontiers in Oncology gastrectomy gastric cancer laparoscopic robotic short-term |
| title | Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period |
| title_full | Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period |
| title_fullStr | Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period |
| title_full_unstemmed | Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period |
| title_short | Comparison of short-term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period |
| title_sort | comparison of short term outcomes between robotic and laparoscopic distal gastrectomy performed by the same surgical team during the same period |
| topic | gastrectomy gastric cancer laparoscopic robotic short-term |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1174396/full |
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