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Robotic versus laparoscopic distal gastrectomy in patients with gastric cancer: a propensity score-matched analysis
- Source :
- BMC Surgery, Vol 21, Iss 1, Pp 1-7 (2021), BMC Surgery
- Publication Year :
- 2021
- Publisher :
- BMC, 2021.
-
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 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.
- Subjects :
- medicine.medical_specialty
RD1-811
Postoperative Complications
Robotic gastrectomy
Robotic Surgical Procedures
Gastrectomy
Stomach Neoplasms
medicine
Humans
In patient
Propensity Score
Retrospective Studies
GC
business.industry
Research
Incidence (epidemiology)
Confounding
Cancer
Retrospective cohort study
Robotics
General Medicine
medicine.disease
Surgery
Treatment Outcome
Propensity score matching
Cohort
Short‐term outcomes
Laparoscopic gastrectomy
Laparoscopy
business
Laparoscopic distal gastrectomy
Subjects
Details
- Language :
- English
- ISSN :
- 14712482
- Volume :
- 21
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Surgery
- Accession number :
- edsair.doi.dedup.....527cdb928837069799c753ac2dbb793a