Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis
Abstract Background Robotic distal gastrectomy (RDG) has been increasingly used for the treatment of gastric cancer (GC). However, whether RDG has a clinical advantage over laparoscopic distal gastrectomy (LDG) is yet to be determined. Thus, this study aimed to assess the feasibility and safety of R...
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-021-01212-4 |
| _version_ | 1818827633928962048 |
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| author | Taro Isobe Naotaka Murakami Taizan Minami Yuya Tanaka Hideaki Kaku Yuki Umetani Junya Kizaki Keishiro Aoyagi Fumihiko Fujita Yoshito Akagi |
| author_facet | Taro Isobe Naotaka Murakami Taizan Minami Yuya Tanaka Hideaki Kaku Yuki Umetani Junya Kizaki Keishiro Aoyagi Fumihiko Fujita Yoshito Akagi |
| author_sort | Taro Isobe |
| collection | DOAJ |
| description | Abstract Background Robotic distal gastrectomy (RDG) has been increasingly used for the treatment of gastric cancer (GC). However, whether RDG has a clinical advantage over laparoscopic distal gastrectomy (LDG) is yet to be determined. Thus, this study aimed to assess the feasibility and safety of RDG for the treatment of GC as compared with LDG. Methods In total, 157 patients were enrolled between February 2018 and August 2020 in this retrospective study. We then compared the surgical outcomes between RDG and LDG using propensity score-matching (PSM) analysis to reduce the confounding differences. Results After PSM, a clinicopathologically well-balanced cohort of 100 patients (50 in each group) was analyzed. The operation time for the RDG group (350.1 ± 58.1 min) was determined to be significantly longer than that for the LDG group (257.5 ± 63.7 min; P < 0.0001). Of interest, there was a decreased incidence of pancreatic fistulas and severe complications after RDG as compared with LDG (P = 0.092 and P = 0.061, respectively). In addition, postoperative hospital stay was statistically slightly shorter in the RDG group as compared with the LDG group (12.0 ± 5.6 vs. 13.0 ± 12.3 days; P = 0.038). Conclusions Our study confirmed that RDG is a feasible and safe procedure for GC in terms of short-term surgical outcomes. A surgical robot might reduce postoperative severe complications and length of hospital stay. |
| first_indexed | 2024-12-19T00:46:40Z |
| format | Article |
| id | doaj.art-c8b49051189547e4bddeadba1ad5cbbb |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-19T00:46:40Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-c8b49051189547e4bddeadba1ad5cbbb2022-12-21T20:44:14ZengBMCBMC Surgery1471-24822021-04-012111710.1186/s12893-021-01212-4Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysisTaro Isobe0Naotaka Murakami1Taizan Minami2Yuya Tanaka3Hideaki Kaku4Yuki Umetani5Junya Kizaki6Keishiro Aoyagi7Fumihiko Fujita8Yoshito Akagi9Department of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineDepartment of Surgery, Kurume University School of MedicineAbstract Background Robotic distal gastrectomy (RDG) has been increasingly used for the treatment of gastric cancer (GC). However, whether RDG has a clinical advantage over laparoscopic distal gastrectomy (LDG) is yet to be determined. Thus, this study aimed to assess the feasibility and safety of RDG for the treatment of GC as compared with LDG. Methods In total, 157 patients were enrolled between February 2018 and August 2020 in this retrospective study. We then compared the surgical outcomes between RDG and LDG using propensity score-matching (PSM) analysis to reduce the confounding differences. Results After PSM, a clinicopathologically well-balanced cohort of 100 patients (50 in each group) was analyzed. The operation time for the RDG group (350.1 ± 58.1 min) was determined to be significantly longer than that for the LDG group (257.5 ± 63.7 min; P < 0.0001). Of interest, there was a decreased incidence of pancreatic fistulas and severe complications after RDG as compared with LDG (P = 0.092 and P = 0.061, respectively). In addition, postoperative hospital stay was statistically slightly shorter in the RDG group as compared with the LDG group (12.0 ± 5.6 vs. 13.0 ± 12.3 days; P = 0.038). Conclusions Our study confirmed that RDG is a feasible and safe procedure for GC in terms of short-term surgical outcomes. A surgical robot might reduce postoperative severe complications and length of hospital stay.https://doi.org/10.1186/s12893-021-01212-4Robotic gastrectomyLaparoscopic gastrectomyGCShort‐term outcomes |
| spellingShingle | Taro Isobe Naotaka Murakami Taizan Minami Yuya Tanaka Hideaki Kaku Yuki Umetani Junya Kizaki Keishiro Aoyagi Fumihiko Fujita Yoshito Akagi Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis BMC Surgery Robotic gastrectomy Laparoscopic gastrectomy GC Short‐term outcomes |
| title | Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis |
| title_full | Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis |
| title_fullStr | Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis |
| title_full_unstemmed | Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis |
| title_short | Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis |
| title_sort | robotic versus laparoscopic distal gastrectomy in patients with gastric cancer a propensity score matched analysis |
| topic | Robotic gastrectomy Laparoscopic gastrectomy GC Short‐term outcomes |
| url | https://doi.org/10.1186/s12893-021-01212-4 |
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