Totally minimally invasive radical gastrectomy with the da Vinci Xi® robotic system versus straight laparoscopy for gastric adenocarcinoma

Background Data regarding the outcomes of pure minimally invasive techniques of radical gastrectomy are scarce. We aimed to compare short‐term post‐operative outcomes in patients undergoing totally minimally invasive radical gastrectomy with the da Vinci Xi® robotic system versus straight laparoscop...

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Published in:The international journal of medical robotics + computer assisted surgery 2020-12, Vol.16 (6), p.1-9
Main Authors: Aktas, Aydin, Aytac, Erman, Bas, Mustafa, Gunes, Orgun, Tarcan, Serim Hande, Esen, Eren, Gokler, Cihan, Aghayeva, Afag, Uylas, Ufuk, Ozben, Volkan, Zengin, Akile, Sumer, Fatih, Baca, Bilgi, Hamzaoglu, Ismail, Kayaalp, Cuneyt, Karahasanoglu, Tayfun
Format: Article
Language:English
Subjects:
Anticoagulants
Gastric cancer
Gastrointestinal surgery
Laparoscopy
minimally invasive surgery
robotic
Robotic surgery
surgery
Surgical outcomes
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Summary:Background Data regarding the outcomes of pure minimally invasive techniques of radical gastrectomy are scarce. We aimed to compare short‐term post‐operative outcomes in patients undergoing totally minimally invasive radical gastrectomy with the da Vinci Xi® robotic system versus straight laparoscopy for gastric adenocarcinoma. Methods Between December 2013 and March 2018, robotic and laparoscopic radical gastrectomy performed in two centres were included. Both groups were compared with respect to perioperative short‐term outcomes. Results Ninety‐four patients were included in the study. Anticoagulant and neoadjuvant chemotherapy use were higher in the robotic group (p = 0.02, p = 0.02). There were conversions in the laparoscopy group whereas no conversions occurred in the robotic group (p = 0.052). Operating time in the robotic group was longer (p = 0.001). The number of harvested lymph nodes in the laparoscopic group was higher (p = 0.047). Conclusion Totally robotic technique with the da Vinci Xi® robotic system provides similar short‐term results compared to laparoscopic surgery in radical gastrectomy.
ISSN:1478-5951
1478-596X
DOI:10.1002/rcs.2146