Safe implementation of robotic gastrectomy for gastric cancer under the requirements for universal health insurance coverage: a retrospective cohort study using a nationwide registry database in Japan.

Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
Koichi SudaIchiro Uyama

Abstract

Robotic gastrectomy (RG) has increased since being covered by universal health insurance in 2018. However, to ensure patient safety the operating surgeon and facility must meet specific requirements. We aimed to determine whether RG has been safely implemented under the requirements for universal health insurance in Japan. Data of consecutive patients with primary gastric cancer who underwent minimally invasive total or distal gastrectomy-performed by a surgeon certified by the Japan Society for Endoscopic Surgery (JSES) endoscopic surgical skill qualification system (ESSQS) between October 2018 and December 2019-were extracted from the gastrointestinal surgery section of the National Clinical Database (NCD). The primary outcome was morbidity over Clavien-Dindo classification grade IIIa. Patient demographics and hospital volume were matched between RG and laparoscopic gastrectomy (LG) using propensity score-matched analysis (PSM), and the short-term outcomes of RG and LG were compared. After PSM, 2671 patients who underwent RG and 2671 who underwent LG were retrieved (from a total of 9881), and the standardized difference of all the confounding factors reduced to 0.07 or less. Morbidity rates did not differ between the RG and L...Continue Reading

References

Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Jan 26, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Toshiyuki MoriMasaki Kitajima
Dec 4, 2010·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hitoshi KataiUNKNOWN JCOG Gastric Cancer Surgical Study Group
Sep 3, 2011·Lancet·Naoki IkegamiYasuki Kobayashi
Oct 2, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·H-I KimW J Hyung
Jan 13, 2015·Journal of Surgical Oncology·Junfeng ZhouPeiwu Yu
Sep 30, 2016·The British Journal of Surgery·T NishigoriY Sakai
Sep 10, 2017·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Naoki HikiSeigo Kitano
Feb 11, 2018·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Yasuhiro KoderaHiroyuki Konno
Aug 14, 2018·The Journal of Surgical Research·Ramon Diez-BarrosoHop S Tran Cao
Dec 7, 2018·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Ichiro UyamaMasanori Terashima
Feb 23, 2019·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hitoshi KataiUNKNOWN Stomach Cancer Study Group of Japan Clinical Oncology Group
Jun 4, 2020·Annals of Gastroenterological Surgery·Yoshihiro KakejiUNKNOWN National Clinical Database
Aug 18, 2020·International Journal of Surgery·Gian Piero GuerriniFabrizio Di Benedetto
Oct 11, 2020·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Masaaki IwatsukiHideo Baba

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