Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database.

Trastulli, Stefano; Desiderio, Jacopo; Lin, Jian-Xian; Reim, Daniel; Zheng, Chao-Hui; Borghi, Felice; Cianchi, Fabio; Norero, Enrique; Nguyen, Ninh T; Qi, Feng; Coratti, Andrea; Cesari, Maurizio; Bazzocchi, Francesca; Alimoglu, Orhan; Brower, Steven T; Pernazza, Graziano; D'Imporzano, Simone; Azagra, Juan-Santiago; Zhou, Yan-Bing; Cao, Shou-Gen; Guerra, Francesco; Liu, Tong; Arcuri, Giacomo; González, Paulina; Staderini, Fabio; Marano, Alessandra; Di Nardo, Domenico; Parisi, Amilcare; Huang, Chang-Ming; Tebala, Giovanni Domenico

doi:10.1007/s00423-023-03032-x

2023

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Document type:: Journal Article
Author(s):: Trastulli, Stefano; Desiderio, Jacopo; Lin, Jian-Xian; Reim, Daniel; Zheng, Chao-Hui; Borghi, Felice; Cianchi, Fabio; Norero, Enrique; Nguyen, Ninh T; Qi, Feng; Coratti, Andrea; Cesari, Maurizio; Bazzocchi, Francesca; Alimoglu, Orhan; Brower, Steven T; Pernazza, Graziano; D'Imporzano, Simone; Azagra, Juan-Santiago; Zhou, Yan-Bing; Cao, Shou-Gen; Guerra, Francesco; Liu, Tong; Arcuri, Giacomo; González, Paulina; Staderini, Fabio; Marano, Alessandra; Di Nardo, Domenico; Parisi, Amilcare; Huang, Chang-Ming; Tebala, Giovanni Domenico «
Trastulli, Stefano; Desiderio, Jacopo; Lin, Jian-Xian; Reim, Daniel; Zheng, Chao-Hui; Borghi, Felice; Cianchi, Fabio; Norero, Enrique; Nguyen, Ninh T; Qi, Feng; Coratti, Andrea; Cesari, Maurizio; Bazzocchi, Francesca; Alimoglu, Orhan; Brower, Steven T; Pernazza, Graziano; D'Imporzano, Simone; Azagra, Juan-Santiago; Zhou, Yan-Bing; Cao, Shou-Gen; Guerra, Francesco; Liu, Tong; Arcuri, Giacomo; González, Paulina; Staderini, Fabio; Marano, Alessandra; Di Nardo, Domenico; Parisi, Amilcare; Huang, Cha... »
Title:: Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database.
Abstract:: BACKGROUND: Comparative data on D2-robotic gastrectomy (RG) vs D2-open gastrectomy (OG) are lacking in the Literature. Aim of this paper is to compare RG to OG with a focus on D2-lymphadenectomy. STUDY DESIGN: Data of patients undergoing D2-OG or RG for gastric cancer were retrieved from the international IMIGASTRIC prospective database and compared. RESULTS: A total of 1469 patients were selected for inclusion in the study. After 1:1 propensity score matching, a total of 580 patients were matched and included in the final analysis, 290 in each group, RG vs OG. RG had longer operation time (210 vs 330 min, p < 0.0001), reduced intraoperative blood loss (155 vs 119.7 ml, p < 0.0001), time to liquid diet (4.4 vs 3 days, p < 0.0001) and to peristalsis (2.4 vs 2 days, p < 0.0001), and length of postoperative stay (11 vs 8 days, p < 0.0001). Morbidity rate was higher in OG (24.1% vs 16.2%, p = 0.017). CONCLUSION: RG significantly expedites recovery and reduces the risk of complications compared to OG. However, long-term survival is similar.
Journal title abbreviation:: Langenbecks Arch Surg
Year:: 2023
Journal volume:: 408
Journal issue:: 1
Fulltext / DOI:: doi:10.1007/s00423-023-03032-x
Pubmed ID:: http://view.ncbi.nlm.nih.gov/pubmed/37555850
Print-ISSN:: 1435-2443
TUM Institution:: Klinik und Poliklinik für Chirurgie (Prof. Friess)
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Chirurgie (Prof. Friess)2023