The use of robotic technology is increasing in abdominal surgery. The present analysis aims to investigate the role of robotic gastrectomy in the treatment of gastric cancer in western countries. The Imigastric database was used to extract data on gastrectomies from western centers and a tailored analysis was made using Review Manager 5.3. Perioperative and postoperative outcomes were evaluated. Operative time was longer in the robotic group (95%CI=99.04-129.79, P<0.001), while EBL resulted in favour of the robotic approach (WMD=70.33mL, 95%CI=82.08-58.58, P<0.001). A mean difference of 1.71 nodes retrieved was not significant between groups (95%CI=4.59-8.02, P=0.59). No differences resulted in mean hospital stay (P=0.43), post-operative complications (P=0.43), 3 years (P=0.74) and 5 years (P=0.3) follow-up. Robotic technology shows some advantages in EBL and perioperative outcomes and similar results in rate of complications and oncological outcomes.
Robotic gastrectomy compared with open surgery in western centers: a weighted analysis based on sites effect from the Imigastric database / Desiderio, J; Trastulli, S.; Di Nardo, D.; Ricci, F.; Parisi, A.. - (2019). (Intervento presentato al convegno INTERNATIONAL GASTRIC CANCER CONGRESS PRAGUE 2019 tenutosi a PRAGA).
Robotic gastrectomy compared with open surgery in western centers: a weighted analysis based on sites effect from the Imigastric database
J Desiderio;D. Di Nardo;
2019
Abstract
The use of robotic technology is increasing in abdominal surgery. The present analysis aims to investigate the role of robotic gastrectomy in the treatment of gastric cancer in western countries. The Imigastric database was used to extract data on gastrectomies from western centers and a tailored analysis was made using Review Manager 5.3. Perioperative and postoperative outcomes were evaluated. Operative time was longer in the robotic group (95%CI=99.04-129.79, P<0.001), while EBL resulted in favour of the robotic approach (WMD=70.33mL, 95%CI=82.08-58.58, P<0.001). A mean difference of 1.71 nodes retrieved was not significant between groups (95%CI=4.59-8.02, P=0.59). No differences resulted in mean hospital stay (P=0.43), post-operative complications (P=0.43), 3 years (P=0.74) and 5 years (P=0.3) follow-up. Robotic technology shows some advantages in EBL and perioperative outcomes and similar results in rate of complications and oncological outcomes.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
