Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study

Luo, Rui; Liu, Dongning; Ye, Shanping; Tang, Hechun; Zhu, Weiquan; He, Peng; Tang, Cheng; Li, Taiyuan

doi:10.1186/s12957-019-1722-5

Cited by 11 publications

(10 citation statements)

References 24 publications

(23 reference statements)

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“…It suggested that early food-taking after C-section could promote the recovery of gastrointestinal function. This result is accorded with the guidelines and several studies about the Enhanced Recovery after Surgery (ERAS) of C-section [17][18][19] [ [17][18][19]. From 2017 to 2019, a research group summarized series of studies, and composed standardized ERAS guidelines (part1-3) for preoperative care in C-section [20][21][22] .…”

Section: Early Oral Feeding (Eof) After C-section Can Promote the Rec...mentioning

confidence: 87%

Factors affecting gastrointestinal function after cesarean section among Chinese mothers: A cross-sectional study

Liu

Xiang

Ren

et al. 2022

Preprint

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Aim This study was conducted to learn about the influencing factors of gastrointestinal function after cesarean section (C-section), which could provide a reference for the Enhanced Recovery after Surgery (ERAS) in Obstetrics. Methods This is a cross-sectional survey on Chinese mothers receiving C-section. The participants’s socio-demographic characteristics, perioperative diet, medical condition and gastrointestinal function after surgery were collected by a self-designed questionnaire. Binary logistic regression analysis was employed to explore the influencing factors of gastrointestinal function after C-section. Results A total of 1501 (94.76%) valid questionnaires were collected. The first borborygmus was 2.21 ± 0.63 hours, and the first anal exhaust was 35.73 ± 14.85 hours after the C-section. The incidence of abdominal distension and intestinal obstruction were 15.1% and 0.7%, respectively. The two-hours bleeding after surgery, time of first meal after surgery, whether performing sacrococcygeal physical therapy and taking peppermint water after surgery were the independent protective factors for gastrointestinal function recovery after C-section. Conclusion The new mothers with C-section should be encouraged to eat early, perform sacrococcygeal physical therapy and take peppermint water to promote intestinal peristalsis actively.

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Section: Early Oral Feeding (Eof) After C-section Can Promote the Rec...mentioning

confidence: 87%

Factors affecting gastrointestinal function after cesarean section among Chinese mothers: A cross-sectional study

Liu

Xiang

Ren

et al. 2022

Preprint

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“…This finding could be attributed to the advanced robotic surgery systems, including an internal EndoWrist with seven degrees of freedom, three-dimensional vision, tremor filter, and short learning curve, which prevented injuries from the blood vessels and allowed precise dissection and high flexibility for surgeons [ 32 ]. Previous studies proved that one critical barrier to the wide RG application in clinical practice was high costs [ 12 , 13 , 16 , 17 , 33 , 34 ]. Our study also found that RADG group had higher medical cost than the LADG group.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, a robotic surgical system has been introduced to address the limitations of laparoscopy and is welcomed in GC treatment owing to its satisfying early postoperative outcomes [13,[15][16][17]. Robotic gastrectomy (RG) has been confirmed to be a safe and feasible technique with better anatomical and operative conditions and comparable long-term results compared to LG [12,15,[18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Surgical and oncological outcomes of robotic- versus laparoscopic-assisted distal gastrectomy with D2 lymphadenectomy for advanced gastric cancer: a propensity score‑matched analysis of 1164 patients

et al. 2022

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Background Studies on surgical outcomes after robotic surgery are increasing; however, long-term oncological results of studies comparing robotic-assisted distal gastrectomy (RADG) versus laparoscopic-assisted distal gastrectomy (LADG) for advanced gastric cancer (AGC) are still limited. This study aimed to assess the surgical and oncological outcomes of RADG and LADG for the treatment of AGC. Methods A total of 1164 consecutive AGC patients undergoing RADG or LADG were enrolled between January 2015 and October 2021. Propensity score-matched (PSM) analysis was performed to minimize selection bias. The perioperative and oncological outcomes between the two groups were compared. Results Patient’s characteristics were comparable between the two groups after PSM. RADG group represented a longer operative time (205.2 ± 43.1 vs 185.3 ± 42.8 min, P < 0.001), less operative blood loss (139.3 ± 97.8 vs 167.3 ± 134.2 ml, P < 0.001), greater retrieved lymph nodes (LNs) number (31.4 ± 12.1 vs 29.4 ± 12.3, P = 0.015), more retrieved LNs in the supra-pancreatic areas (13.4 ± 5.0 vs 11.4 ± 5.1, P < 0.001), and higher medical costs (13,608 ± 4326 vs 10,925 ± US $3925, P < 0.001) than LADG group. The overall complication rate was 13.7% in the RADG group and 16.6% in the LADG group, respectively; the difference was not significantly different (P = 0.242). In the subgroup analysis, the benefits of RADG were more evident in high BMI patients. Moreover, the 3-year overall survival (75.5% vs 73.1%, P = 0.471) and 3-year disease-free survival (72.9% vs 71.4%, P = 0.763) were similar between the two groups. Conclusion RADG appears to be a safe and feasible procedure and could serve as an alternative treatment for AGC in experienced centers.

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“…The reason was that the ranges of gastrectomy in the two researches were different. Relevant studies have shown no statistically significant difference in the actual time of gastrectomy between robotic surgery system and traditional laparoscopic surgery [ 21 ]. For this reason, the time of surgery was further studied, and no significant difference was found in the dissociation time in vivo of patients between the two groups ( P > 0.05).…”

Section: Discussionmentioning

confidence: 99%

Da Vinci Robot-Assisted Video Image Processing under Artificial Intelligence Vision Processing Technology

Cheng

Ya-jun

2022

Computational and Mathematical Methods in Medicine

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This research was aimed to explore the application value of intelligent algorithm-based digital images in Da Vinci robot-assisted treatment of patients with gastric cancer surgery. 154 patients were included as the research objects, with 89 cases in the control group underwent laparoscopic surgery, and 65 cases in the experimental group underwent robotic surgery. According to the propensity score, the patients in two groups were pair matched (1: 1), of which 104 cases (52 cases in each group) were successfully matched. The general data of patients, the changes in the images before and after the algorithm processing, the intraoperative and postoperative conditions, the pathological examination results, and the follow-up information were observed after matching. Compared with the original images, the images processed by the thread image edge detection algorithm had the significantly improved clarity, as well as highly reduced artifacts and noises. The sensitivity, specificity, and accuracy of image-assisted diagnosis were improved remarkably, showing the differences of statistical significance ( P < 0.05 ). The total time of surgery, intraoperative bleeding, CRP (1d and 3d after surgery), and postoperative total abdominal drainage showed the significant differences as well ( P < 0.05 ). The surgeries of patients in both groups met R0 resection (no tumor infiltration within 1 mm of the surgical margin), but there was a significant difference in the number of lymph node dissections ( P < 0.05 ). The overall survival rates of patients in the experimental group and the control group were 83.0% and 76.1%, respectively, 2 years after surgery, with no significant difference ( P > 0.05 ). The thread image edge detection algorithm produced a better processing effect on the images, which greatly improved the diagnostic sensitivity, specificity, and accuracy. Compared with endoscopic surgery, robotic surgery has better postoperative recovery, safety and reliability, and obvious advantages of minimally invasive surgery.

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Short- and long-term outcomes of totally robotic versus robotic-assisted radical distal gastrectomy for advanced gastric cancer: a mono-institution retrospective study

Cited by 11 publications

References 24 publications

Factors affecting gastrointestinal function after cesarean section among Chinese mothers: A cross-sectional study

Factors affecting gastrointestinal function after cesarean section among Chinese mothers: A cross-sectional study

Surgical and oncological outcomes of robotic- versus laparoscopic-assisted distal gastrectomy with D2 lymphadenectomy for advanced gastric cancer: a propensity score‑matched analysis of 1164 patients

Da Vinci Robot-Assisted Video Image Processing under Artificial Intelligence Vision Processing Technology

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