Robot Versus Laparoscopic Gastrectomy for Cancer by an Experienced Surgeon: Comparisons of Surgery, Complications, and Surgical Stress

Hyun, Myung Han; Lee, Chung Ho; Kwon, Yong; Cho, Sung-Il; Jang, Young-Joo; Kim, Dong Hoon; Kim, Jong Han; Park, Seong Heum; Mok, Young Jae; Park, Sung Soo

doi:10.1245/s10434-012-2679-6

Cited by 129 publications

(104 citation statements)

References 32 publications

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“…By carefully screening titles, abstracts and even full texts, seven retrospective studies (Pugliese et al, 2010;Huang et al, 2012;Kim et al, 2012;Yoon et al, 2012;Kang et al, 2012;Zhang et al, 2012;Hyun et al, 2013) met all inclusion criteria entered in this meta-analysis. In all, our meta-analysis included 2235 patients with gastric cancer, in which 1473 patients had undergone LG, and 762 had undergone RG.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Six of the included studies were published in English, and one published in Chinese . Four studies were from Korea Kang et al, 2012;Yoon et al, 2012;Hyun et al, 2013) and one from Turkey (Pugliese et al, 2010), and two from China Huang et al, 2012). The baseline characteristics and quality assessment of all included studies were listed in Table 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Liao

Xie²,

Li³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Liao

Xie²,

Li³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…For the improvement of long‐term survival, it is essential to minimize mortality by optimizing surgical techniques and perioperative care 17, 18, 19. In addition, severe infections, pulmonary complications, and liver dysfunction require extended intensive care and long hospital stays for some patients 9, 20.…”

Section: Introductionmentioning

confidence: 99%

Does postoperative morbidity worsen the oncological outcome after radical surgery for gastrointestinal cancers? A systematic review of the literature

Shimada

Fukagawa

Haga

et al. 2017

Annals of Gastroent Surgery

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PurposeThe impact of postoperative complications on survival after radical surgery for esophageal, gastric, and colorectal cancers remains controversial. We conducted a systematic review of recent publications to examine the effect of postoperative complications on oncological outcome.MethodsA literature search of PubMed/MEDLINE was performed using the keywords “esophageal cancer,” “gastric cancer,” and “colorectal cancer,” obtaining 27 reports published online up until the end of April 2016. Articles focusing on (i) postoperative morbidity and oncological outcome; and (ii) body mass index (BMI), postoperative morbidity, and oncological outcome, were selected. Univariate and multivariate analyses (Cox proportional hazards model) were performed.ResultsPatients with postoperative complications had significantly poorer long‐term survival than those without complications. Complications were associated with impaired oncological outcomes. The hazard ratios for overall survival were 1.67 (95% confidence interval [CI], 1.31‐2.12), 1.59 (95% CI, 1.13‐2.24), and 1.55 (95% CI, 1.28‐1.87) in esophageal, gastric, and colorectal cancers, respectively. High BMI was associated with postoperative morbidity rate but not with poor oncological outcome. Low BMI was significantly associated with inferior oncological outcome.ConclusionsComplications after radical surgery for esophageal, gastric, and colorectal cancers are associated with patient prognosis. Avoiding such complications might improve the outcomes.

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“…Although current surgical procedures for LTG have not yet been widely established and standardized, reports have appeared concerning the application of more advanced techniques, such as robotic total gastrectomy [64,65] and reduced-port LTG [66,67]. Robotic gastrectomy has been reported to provide manipulations as reliable as those provided by LTG.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of laparoscopic total gastrectomy for gastric cancer

et al. 2015

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Background Laparoscopic total gastrectomy (LTG) has been performed since 1999. Although surgical outcomes have been reported from Japan, Korea, China, and many Western countries, the effectiveness of this technique has not been conclusively established. This study therefore aimed to review the literature systematically. Methods Our search of the research literature identified 150 studies, which were mostly retrospective and from single institutions. Results There has recently been a remarkable increase in the number of studies from Korea, and the number of patients included in studies has increased since 2009. In most studies, the surgical procedures were longer, blood loss was reduced, and the number of retrieved lymph nodes was the same in the LTG group as in the open total gastrectomy group. The incidence of postoperative complications and that of inflammation during postoperative recovery were the same in these two groups. Conclusions During LTG, the method used for esophagojejunostomy is important for surgical reliability and to reduce postoperative complications. There has been rapid development of new techniques from the level of esophagojejunostomy through a small skin incision to the high level of intracorporeal esophagojejunostomy using various techniques. A nationwide prospective phase II study is urgently needed to establish the value of LTG.

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Robot Versus Laparoscopic Gastrectomy for Cancer by an Experienced Surgeon: Comparisons of Surgery, Complications, and Surgical Stress

Cited by 129 publications

References 32 publications

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Does postoperative morbidity worsen the oncological outcome after radical surgery for gastrointestinal cancers? A systematic review of the literature

A systematic review of laparoscopic total gastrectomy for gastric cancer

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