Minimally invasive gastrectomy for cancer: current utilization in US academic medical centers

Surgical Endoscopy
Jason A GlennFabian M Johnston

Abstract

Internationally, the utilization of minimally invasive techniques for gastric cancer resection has been increasing since first introduced in 1994. In the USA, the feasibility and safety of these techniques for cancer have not yet been demonstrated. The University HealthSystem Consortium database was queried for gastrectomies performed between 2008 and 2013. Any adult patient with an abdominal visceral malignancy that necessitated gastric resection was included in the cohort. Clinicopathological and in-hospital outcome metrics were collected for open, laparoscopic, and robotic procedures. Open gastrectomies comprised 89.5% of the total study group, while 8.2% of procedures were performed laparoscopically, and 2.3% were performed with robotic assistance. When accounting for disparities in patient severity of illness and risk of mortality subclass designations, there were no significant differences in mean length of stay, 30-day readmission, and in-hospital mortality between the three groups; however, mean total cost was highest in the robotic-assisted group (P = 0.017). Overall, complication rates were also similar; however, there was a higher incidence of superficial infection in the laparoscopic group (P = 0.013) and a higher i...Continue Reading

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Citations

Oct 22, 2015·Journal of Surgical Oncology·Lawrence E HarrisonRobert Korst
Sep 28, 2016·Current Problems in Surgery·Syed A AhmadAlexander A Parikh
Jan 4, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Michael J Minarich, Roderich E Schwarz
Sep 29, 2019·World Journal of Gastrointestinal Oncology·Jennifer L Leiting, Travis E Grotz
May 18, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniela TreitlKfir Ben-David
Jun 1, 2021·Gastrointestinal Endoscopy Clinics of North America·Ian Solsky, Haejin In

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