Many Ways to Skin Gastric Cancer" - Robotic versus Laparoscopic versus Open Gastrectomy
EAES Academy. kakiashvili e. 07/05/22; 363168; P213
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Abstract
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Aim:
robotic techniques relevance in gastric cancer surgery is being examined.
The study presents comparison of perioperative outcome between different surgical approaches for gastric adenocarcinoma (AC).
Methods:
retrospective cohort of 85 patients that underwent gastrectomy for (AC) at Rambam Hospital during 2012-2016. Patients data was collected based on demographic characteristics, BMI, operating room time (ORT), number of lymph nodes (LN), length of hospitalization (LOH), and perioperative complications.
Results:
study population included 55 patients after total gastrectomies, 10 of them robotic and 30 partial gastrectomies, 12 of them robotic. Age, gender and BMI were similar between patients who underwent any type of procedures.
Median length of hospitalization (LOH) for robotic total gastrectomy was 4.5 days and it was significantly shorter than both laparoscopic total gastrectomy (LTG) 7.0 days (p=0.003) and open total gastrectomy (OTG) 9.0 days (p<0.001). Similar significant differences in (LOH) between the groups were observed among patients who underwent partial gastrectomy, but the comparison between robotic and laparoscopic procedures was limited due to small numbers of (LPG).
Median(ORT) was significantly longer among robotic gastrectomies compared to open, the difference was 64 min in total gastrectomy group and 145 min in partial gastrectomy group (p<0.001 for both differences), but the difference in(ORT) between laparoscopic and robotic procedures were smaller and non-significant.
The number of dissected (LN) was similar between the 3 procedures in total gasrectomies. In partial gastrectomies, the number of dissected (LN) was even higher among both laparoscopic and robotic gastrectomies compared to open (p<0.001).)
Conclusions:
robotic total and partial gastrectomies for gastric (AC) are associated with oncologically adequate lymphadenectomy and faster patient recovery, but longer ORT.
robotic techniques relevance in gastric cancer surgery is being examined.
The study presents comparison of perioperative outcome between different surgical approaches for gastric adenocarcinoma (AC).
Methods:
retrospective cohort of 85 patients that underwent gastrectomy for (AC) at Rambam Hospital during 2012-2016. Patients data was collected based on demographic characteristics, BMI, operating room time (ORT), number of lymph nodes (LN), length of hospitalization (LOH), and perioperative complications.
Results:
study population included 55 patients after total gastrectomies, 10 of them robotic and 30 partial gastrectomies, 12 of them robotic. Age, gender and BMI were similar between patients who underwent any type of procedures.
Median length of hospitalization (LOH) for robotic total gastrectomy was 4.5 days and it was significantly shorter than both laparoscopic total gastrectomy (LTG) 7.0 days (p=0.003) and open total gastrectomy (OTG) 9.0 days (p<0.001). Similar significant differences in (LOH) between the groups were observed among patients who underwent partial gastrectomy, but the comparison between robotic and laparoscopic procedures was limited due to small numbers of (LPG).
Median(ORT) was significantly longer among robotic gastrectomies compared to open, the difference was 64 min in total gastrectomy group and 145 min in partial gastrectomy group (p<0.001 for both differences), but the difference in(ORT) between laparoscopic and robotic procedures were smaller and non-significant.
The number of dissected (LN) was similar between the 3 procedures in total gasrectomies. In partial gastrectomies, the number of dissected (LN) was even higher among both laparoscopic and robotic gastrectomies compared to open (p<0.001).)
Conclusions:
robotic total and partial gastrectomies for gastric (AC) are associated with oncologically adequate lymphadenectomy and faster patient recovery, but longer ORT.
Aim:
robotic techniques relevance in gastric cancer surgery is being examined.
The study presents comparison of perioperative outcome between different surgical approaches for gastric adenocarcinoma (AC).
Methods:
retrospective cohort of 85 patients that underwent gastrectomy for (AC) at Rambam Hospital during 2012-2016. Patients data was collected based on demographic characteristics, BMI, operating room time (ORT), number of lymph nodes (LN), length of hospitalization (LOH), and perioperative complications.
Results:
study population included 55 patients after total gastrectomies, 10 of them robotic and 30 partial gastrectomies, 12 of them robotic. Age, gender and BMI were similar between patients who underwent any type of procedures.
Median length of hospitalization (LOH) for robotic total gastrectomy was 4.5 days and it was significantly shorter than both laparoscopic total gastrectomy (LTG) 7.0 days (p=0.003) and open total gastrectomy (OTG) 9.0 days (p<0.001). Similar significant differences in (LOH) between the groups were observed among patients who underwent partial gastrectomy, but the comparison between robotic and laparoscopic procedures was limited due to small numbers of (LPG).
Median(ORT) was significantly longer among robotic gastrectomies compared to open, the difference was 64 min in total gastrectomy group and 145 min in partial gastrectomy group (p<0.001 for both differences), but the difference in(ORT) between laparoscopic and robotic procedures were smaller and non-significant.
The number of dissected (LN) was similar between the 3 procedures in total gasrectomies. In partial gastrectomies, the number of dissected (LN) was even higher among both laparoscopic and robotic gastrectomies compared to open (p<0.001).)
Conclusions:
robotic total and partial gastrectomies for gastric (AC) are associated with oncologically adequate lymphadenectomy and faster patient recovery, but longer ORT.
robotic techniques relevance in gastric cancer surgery is being examined.
The study presents comparison of perioperative outcome between different surgical approaches for gastric adenocarcinoma (AC).
Methods:
retrospective cohort of 85 patients that underwent gastrectomy for (AC) at Rambam Hospital during 2012-2016. Patients data was collected based on demographic characteristics, BMI, operating room time (ORT), number of lymph nodes (LN), length of hospitalization (LOH), and perioperative complications.
Results:
study population included 55 patients after total gastrectomies, 10 of them robotic and 30 partial gastrectomies, 12 of them robotic. Age, gender and BMI were similar between patients who underwent any type of procedures.
Median length of hospitalization (LOH) for robotic total gastrectomy was 4.5 days and it was significantly shorter than both laparoscopic total gastrectomy (LTG) 7.0 days (p=0.003) and open total gastrectomy (OTG) 9.0 days (p<0.001). Similar significant differences in (LOH) between the groups were observed among patients who underwent partial gastrectomy, but the comparison between robotic and laparoscopic procedures was limited due to small numbers of (LPG).
Median(ORT) was significantly longer among robotic gastrectomies compared to open, the difference was 64 min in total gastrectomy group and 145 min in partial gastrectomy group (p<0.001 for both differences), but the difference in(ORT) between laparoscopic and robotic procedures were smaller and non-significant.
The number of dissected (LN) was similar between the 3 procedures in total gasrectomies. In partial gastrectomies, the number of dissected (LN) was even higher among both laparoscopic and robotic gastrectomies compared to open (p<0.001).)
Conclusions:
robotic total and partial gastrectomies for gastric (AC) are associated with oncologically adequate lymphadenectomy and faster patient recovery, but longer ORT.
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