Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study
Abstract Purpose By comparing short- and long-term outcomes following totally robotic radical distal gastrectomy (TRDG) and robotic-assisted radical distal gastrectomy (RADG), we aimed to assess in which modus operandi patients will benefit more. Methods From January 2015 to May 2019, we included 33...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | World Journal of Surgical Oncology |
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| Online Access: | http://link.springer.com/article/10.1186/s12957-019-1722-5 |
| _version_ | 1831680673198374912 |
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| author | Rui Luo Dongning Liu Shanping Ye Hechun Tang Weiquan Zhu Penghui He Cheng Tang Taiyuan Li |
| author_facet | Rui Luo Dongning Liu Shanping Ye Hechun Tang Weiquan Zhu Penghui He Cheng Tang Taiyuan Li |
| author_sort | Rui Luo |
| collection | DOAJ |
| description | Abstract Purpose By comparing short- and long-term outcomes following totally robotic radical distal gastrectomy (TRDG) and robotic-assisted radical distal gastrectomy (RADG), we aimed to assess in which modus operandi patients will benefit more. Methods From January 2015 to May 2019, we included 332 patients undergone RADG (237) and TRDG (95). Based on the propensity score matching (PSM), inclusion and exclusion criteria, 246 patients were finally included in the propensity score-matched cohort including RADG group (164) and TRDG group (82). We then compared the short- and long-term outcomes following both groups. Results Propensity score-matched cohort revealed no significant differences in both groups. Intra-abdominal bleeding, time to pass flatus, postoperative activity time, length of incision hospital stays, and stress response were significantly less in TRDG group than in RADG group. We observed 30 complications in RADG group while 13 complications in TRDG group. There were no significant differences in TRDG group and RADG group in terms of operation time, time for anastomosis, proximal resection, distal resection margin, number of lymph node resection, and total hospitalization cost. Both 3-year overall survival and 3-year disease-free survival were comparable in both groups. Conclusions TRDG is a safe and feasible modus operandi profiting from short- and long-term outcomes compared with RADG. As surgeons improving their professional skills, TRDG could serve as the standard procedure for distal locally advanced gastric cancer with D2 lymphadenectomy. |
| first_indexed | 2024-12-20T05:42:51Z |
| format | Article |
| id | doaj.art-ea831fcc6ef74d6c999ad36d05d099d5 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-20T05:42:51Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-ea831fcc6ef74d6c999ad36d05d099d52022-12-21T19:51:25ZengBMCWorld Journal of Surgical Oncology1477-78192019-11-011711910.1186/s12957-019-1722-5Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective studyRui Luo0Dongning Liu1Shanping Ye2Hechun Tang3Weiquan Zhu4Penghui He5Cheng Tang6Taiyuan Li7Medical College of Nanchang UniversityDepartment of General Surgery, The First Affiliated Hospital of Nanchang UniversityDepartment of General Surgery, The First Affiliated Hospital of Nanchang UniversityDepartment of General Surgery, The First Affiliated Hospital of Nanchang UniversityDepartment of General Surgery, The First Affiliated Hospital of Nanchang UniversityDepartment of General Surgery, The First Affiliated Hospital of Nanchang UniversityDepartment of General Surgery, The First Affiliated Hospital of Nanchang UniversityDepartment of General Surgery, The First Affiliated Hospital of Nanchang UniversityAbstract Purpose By comparing short- and long-term outcomes following totally robotic radical distal gastrectomy (TRDG) and robotic-assisted radical distal gastrectomy (RADG), we aimed to assess in which modus operandi patients will benefit more. Methods From January 2015 to May 2019, we included 332 patients undergone RADG (237) and TRDG (95). Based on the propensity score matching (PSM), inclusion and exclusion criteria, 246 patients were finally included in the propensity score-matched cohort including RADG group (164) and TRDG group (82). We then compared the short- and long-term outcomes following both groups. Results Propensity score-matched cohort revealed no significant differences in both groups. Intra-abdominal bleeding, time to pass flatus, postoperative activity time, length of incision hospital stays, and stress response were significantly less in TRDG group than in RADG group. We observed 30 complications in RADG group while 13 complications in TRDG group. There were no significant differences in TRDG group and RADG group in terms of operation time, time for anastomosis, proximal resection, distal resection margin, number of lymph node resection, and total hospitalization cost. Both 3-year overall survival and 3-year disease-free survival were comparable in both groups. Conclusions TRDG is a safe and feasible modus operandi profiting from short- and long-term outcomes compared with RADG. As surgeons improving their professional skills, TRDG could serve as the standard procedure for distal locally advanced gastric cancer with D2 lymphadenectomy.http://link.springer.com/article/10.1186/s12957-019-1722-5Distal gastric cancerRobotic surgeryAdvanced gastric cancerPropensity score matching |
| spellingShingle | Rui Luo Dongning Liu Shanping Ye Hechun Tang Weiquan Zhu Penghui He Cheng Tang Taiyuan Li Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study World Journal of Surgical Oncology Distal gastric cancer Robotic surgery Advanced gastric cancer Propensity score matching |
| title | Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study |
| title_full | Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study |
| title_fullStr | Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study |
| title_full_unstemmed | Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study |
| title_short | Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study |
| title_sort | short and long term outcomes of totally robotic versus robotic assisted radical distal gastrectomy for advanced gastric cancer a mono institution retrospective study |
| topic | Distal gastric cancer Robotic surgery Advanced gastric cancer Propensity score matching |
| url | http://link.springer.com/article/10.1186/s12957-019-1722-5 |
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