1. Lower rate of conversion using robotic-assisted surgery compared to laparoscopy in completion total gastrectomy for remnant gastric cancer
- Author
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Abdulaziz A. Altamran, Hyoung Il Kim, Seo Hee Choi, Rana M. Alhossaini, Woo Jin Hyung, Chul Kyu Roh, Won Jun Seo, Taeil Son, and Minah Cho
- Subjects
Male ,Laparoscopic surgery ,medicine.medical_specialty ,medicine.medical_treatment ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Robotic Surgical Procedures ,Gastrectomy ,Stomach Neoplasms ,Internal medicine ,Gastric Stump ,Republic of Korea ,medicine ,Humans ,Laparoscopy ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Cancer ,Middle Aged ,Hepatology ,Robotic assisted surgery ,medicine.disease ,Conversion to Open Surgery ,Surgery ,030220 oncology & carcinogenesis ,Female ,030211 gastroenterology & hepatology ,Lymphadenectomy ,Neoplasm Recurrence, Local ,business ,Abdominal surgery - Abstract
Completion total gastrectomy with radical lymphadenectomy for remnant gastric cancer is a technically demanding procedure. No previous studies have compared laparoscopic to robotic-assisted completion gastrectomy, whereas a few small case series have reported benefits of minimally invasive surgery over open surgery. The aim of this study is to assess the effectiveness and feasibility of robotic-assisted compared with laparoscopic completion gastrectomy for the treatment of remnant gastric cancer. We retrospectively reviewed data from 55 patients who underwent minimally invasive completion gastrectomy for remnant gastric cancer at the Severance Hospital of Yonsei University Health System from April 2005 to July 2017. Of the 55 patients, 30 patients underwent laparoscopic and 25 underwent robotic-assisted completion total gastrectomy. We compared the patients’ demographics, operative outcomes, and postoperative outcomes. Operation time was longer in the robotic-assisted surgery group (225 vs 292 min, P
- Published
- 2019
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