Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Plastic Surgery
  •  Transplant Surgery
  •  Minimally Invasive Surgery
  •  Emergency Surgery
  •  Surgical Oncology
  •  Breast Surgery
  •  Ophthalmic Surgery
  •  Vascular Surgery

Abstract

Citation: Clin Surg. 2020;5(1):2764.Research Article | Open Access

Robot-Assisted versus Totally Laparoscopic Distal Gastrectomy for Gastric Cancer: A Retrospective Propensity Score-Matched Analysis

Soo Yeon Baek, Chang Seok Ko, Amy Kim, Byung Sik Kim and In Seob Lee*

Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea

*Correspondance to: In Seob Lee 

 PDF  Full Text DOI: 10.25107/2474-1647.2764

Abstract

Background: Robot-assisted gastrectomy is increasingly performed, but rarely reported for deltashaped anastomosis. This study compared surgical outcomes of Robot-Assisted Laparoscopic Distal Gastrectomy with Delta-Shaped Anastomosis (RALG-d) with totally Laparoscopic Distal Gastrectomy with the Same Anastomosis (LAG-d) by a Propensity Score Matching (PSM). Methods: From March 2012 to April 2019, 31 patients underwent RALG-d, and 468 patients underwent LAG-d for gastric cancer by a single surgeon. Surgical outcomes were compared by PSM. Results: After PSM, 30 patients were included into the RALG-d group, and 118 patients into the LAG-d group. All of the covariates were balanced, except TNM stage. Mean operation times were longer in the RALG-d group than the LAG-d group (P<0.001). The number of retrieved lymph nodes and length of hospital stay were not significantly different (P=0.110 and P=0.939, respectively). The flatus passage was faster in the RALG-d group (P=0.002). The Numeric Rating Scale for pain (NRS) on postoperative day 3 in the RALG-d group was higher than that of the LAG-d group (P=0.051), while those on postoperative days 1 and 5 were similar between the two groups. Overall, postoperative complications were experienced by 1 patient (3.2%) in the RALG-d group and 28 (6.0%) in the LAG-d group (P=0.811). There was no operation-related mortality and no open conversion in both groups. Conclusion: Our study shows comparable surgical outcomes of RALG-d, especially rapid recovery of intestinal function. RALG-d can be a safe and feasible treatment option for gastric cancer.

Keywords

Gastric cancer; Robot-assisted gastrectomy; Delta-shaped anastomosis; Propensity score matching

Cite the article

Baek SY, Ko CS, Kim A, Kim BS, Lee IS. Robot-Assisted versus Totally Laparoscopic Distal Gastrectomy for Gastric Cancer: A Retrospective Propensity Score-Matched Analysis. Clin Surg. 2020; 5: 2764..

Search Our Journal

Journal Indexed In

Articles in PubMed

RAF Kinase Inhibitory Protein Expression and Phosphorylation Profiles in Oral Cancers
 PubMed  PMC  PDF  Full Text
Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Radiotherapy Enhances Kupffer Cell Function and Modifies the Spleen Macrophage Clearance
 Abstract  PDF  Full Text
Ischemia Effect on Lean and Steatotic Liver in Rats: Evaluating Levels of Lactic Acid and Transaminases
 Abstract  PDF  Full Text
View More...