Comparison of robotic- and laparoscopic-assisted gastrectomy in advanced gastric cancer: updated short- and long-term results

Surgical Endoscopy
Yunhe GaoL Chen

Abstract

Emerging evidence has demonstrated that either laparoscopic-assisted gastrectomy (LAG) or robotic-assisted gastrectomy (RAG) could be adopted as standard treatment for early gastric cancer. However, the long-term survival and recurrence rate after LAG or RAG for locally advanced gastric cancer (AGC) has seldom been reported. We retrospectively analyzed the data from 339 patients who underwent LAG and 163 patients who underwent RAG from a prospectively established database in the Chinese People's Liberation Army General Hospital. We compared the short- and long-term oncological outcomes of the RAG group versus the LAG group in the entire cohort, and in a propensity score-matched cohort. Before propensity score matching (PSM), the two groups revealed comparable 3-year overall survival rates (OS, RAG vs. LAG: 76.1 vs. 81.7%, p = 0.118), and recurrence-free survival rates (RFS, RAG vs. LAG: 73.0 vs. 67.6%, p = 0.297). Similar results were obtained in the propensity score-matched cohort; the respective overall survival rates in the propensity score-matched RAG and LAG groups were 76.1 and 79.8% (p = 0.552), and the respective RFS rates were 73.0 and 68.7% (p = 0.386). After PSM, RAG was still associated with a significantly longer m...Continue Reading

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Citations

Jun 21, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Leandro Cardoso BarchiBruno Zilberstein
Aug 4, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Madoka HiguchiNobuo Shinohara
Aug 28, 2020·Expert Review of Gastroenterology & Hepatology·Sung Hyun Park, Woo Jin Hyung
Jul 6, 2019·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Gijsbert I van BoxelRichard van Hillegersberg
Nov 26, 2020·World Journal of Surgical Oncology·Jianglei MaDejun Yang
Nov 28, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Kaja LudwigUwe Scharlau
Aug 19, 2021·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Seohee ChoiWoo Jin Hyung

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