Details

Autor(en) / Beteiligte

• Trastulli, Stefano
• Desiderio, Jacopo
• Lin, Jian-Xian
• Reim, Daniel
• Zheng, Chao-Hui
• Borghi, Felice
• Cianchi, Fabio
• Norero, Enrique
• Nguyen, Ninh T.
• Qi, Feng
• Coratti, Andrea
• Cesari, Maurizio
• Bazzocchi, Francesca
• Alimoglu, Orhan
• Brower, Steven T.
• Pernazza, Graziano
• D’Imporzano, Simone
• Azagra, Juan-Santiago
• Zhou, Yan-Bing
• Cao, Shou-Gen
• Guerra, Francesco
• Liu, Tong
• Arcuri, Giacomo
• González, Paulina
• Staderini, Fabio
• Marano, Alessandra
• Di Nardo, Domenico
• Parisi, Amilcare
• Huang, Chang-Ming
• Tebala, Giovanni Domenico

Titel

Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database

Ist Teil von

• Langenbeck's archives of surgery, 2023-08, Vol.408 (1), p.302-302, Article 302

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2023

Quelle

MEDLINE

Beschreibungen/Notizen

• Background Comparative data on D2-robotic gastrectomy (RG) vs D2-open gastrectomy (OG) are lacking in the Literature. Aim of this paper is to compare RG to OG with a focus on D2-lymphadenectomy. Study design Data of patients undergoing D2-OG or RG for gastric cancer were retrieved from the international IMIGASTRIC prospective database and compared. Results A total of 1469 patients were selected for inclusion in the study. After 1:1 propensity score matching, a total of 580 patients were matched and included in the final analysis, 290 in each group, RG vs OG. RG had longer operation time (210 vs 330 min, p  < 0.0001), reduced intraoperative blood loss (155 vs 119.7 ml, p  < 0.0001), time to liquid diet (4.4 vs 3 days, p  < 0.0001) and to peristalsis (2.4 vs 2 days, p  < 0.0001), and length of postoperative stay (11 vs 8 days, p  < 0.0001). Morbidity rate was higher in OG (24.1% vs 16.2%, p  = 0.017). Conclusion RG significantly expedites recovery and reduces the risk of complications compared to OG. However, long-term survival is similar.