Robot-Assisted Gastrectomy With Lymph Node Dissection for Gastric Cancer

Song, Ji‐Won; Oh, Sung Jin; Kang, Wook Ho; Hyung, Woo Jin; Choi, Seung Ho; Noh, Sung Hoon

doi:10.1097/01.sla.0000351688.64999.73

Cited by 267 publications

(201 citation statements)

References 36 publications

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“…Robotic surgery is generally reported to take longer than conventional open or endoscopic surgery. The prolonged operation time has been attributed to the need for docking and setup of the robotic arms [20,21,35]. In the present patient series, the mean total operation time for total thyroidectomy was 132 min.…”

Section: Discussionmentioning

confidence: 75%

“…Initial clinical trials have shown that robotics can enhance the precision and accuracy of dissection and can improve handling [19]. Another major benefit of robotic surgery is the stable camera platform held by the robotic arm [20,21]. Such stability assists lymph node dissection by enabling more precise movement of instruments around the vessels and nerves.…”

Section: Discussionmentioning

confidence: 99%

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Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

et al. 2010

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Objectives Robotic thyroidectomy and lymph node dissection is rapidly emerging as an alternative to conventional endoscopic thyroidectomy for thyroid carcinoma. Robot techniques incorporate the advantages of endoscopic procedures while overcoming some of the problems. We present the largest multi-institution clinical study of robotic thyroidectomy for thyroid carcinomas. The robotic thyroidectomy involved gasless transaxillary approach using the da Vinci surgical robot system. Methods We reviewed a database of 1,043 consecutive patients with low-risk differentiated thyroid carcinoma who underwent robotic thyroidectomy between October 2007 and August 2009. Operations were performed by five surgeons at four academic centers. We analyzed perioperative, clinical, and pathological data. Results The study involved 71 men and 972 women, with a mean age of 39 (range, 15-70) years. All operations were performed successfully without any need for conventional open or endoscopic conversion. There were 366 total thyroidectomies and 677 subtotal thyroidectomies with cervical lymph node dissection. The mean overall operation time and console time were 132.4 and 63.9 min, respectively. There were ten (1%) major postoperative morbidities. The mean tumor size was 0.8 (range, 0.1-6.0) cm, and the mean number of retrieved central lymph nodes was 5.1 ± 3.8 (range, 0-26). The mean postoperative hospital stay was 2.9 (range, 1-8) days. Conclusions Robotic thyroidectomy using gasless transaxillary method was feasible, safe, and provided good outcomes for patients with differentiated thyroid carcinoma. Robotic technology overcame some technical limitations associated with conventional endoscopy.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

et al. 2010

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“…Robotic gastrectomy (RG) is able to dissect lymph node precisely and offers some benefits over conventional laparoscopic surgery. Studies on robotic gastrectomy have been widely reported (Song et al, 2009;Hur et al, 2010;Lee et al, 2011;Park et al, 2012;Uyama et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Liao

Xie²,

Li³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…Many studies have reported that RAG for gastric cancer has comparable short-term outcomes and oncological feasibility to laparoscopic gastrectomy, but there is no available long-term oncological or RCT data [86][87][88] . Recently, the Korean Robot Gastrectomy Study Group began a multicenter prospective, case-matched clinical trial to compare robotic vs laparoscopic gastrectomy for EGC.…”

Section: Robotic Surgery In Gastric Cancermentioning

confidence: 99%

“…They provide the surgeon with technical features such as three-dimensional vision and the elimination of physiologic tremor using a computerized mechanical interface. Moreover, the articulated arms provide natural movement similar to that of the human hand, thus facilitating straightforward manipulation [85] .Many studies have reported that RAG for gastric cancer has comparable short-term outcomes and oncological feasibility to laparoscopic gastrectomy, but there is no available long-term oncological or RCT data [86][87][88] . Recently, the Korean Robot Gastrectomy Study Group began a multicenter prospective, case-matched clinical trial to compare robotic vs laparoscopic gastrectomy for EGC.…”

mentioning

confidence: 99%

Minimally Invasive Surgery of Gastric Cancer

Güner

Hyung

2017

Minimally Invasive Surgery for Upper Abdominal Cancer

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Minimally invasive surgery for gastric cancer has rapidly gained popularity due to the early detection of early gastric cancer. As advances in instruments and the accumulation of laparoscopic experience increase, laparoscopic techniques are being used for less invasive but highly technical procedures. Recent evidence suggests that the short-and long-term outcomes of minimally invasive surgery for early gastric cancer and advanced gastric cancer are comparable to those of conventional open surgery. However, these results should be confirmed by large-scale multicenter prospective randomized controlled clinical trials.© 2014 Baishideng Publishing Group Inc. All rights reserved. Key words: Gastric cancer; Minimally invasive surgery; Laparoscopic gastrectomyCore tip: Minimally invasive surgery has become an alternative modality for the treatment of gastric cancer.Son SY, Kim HH. Minimally invasive surgery in gastric cancer. World J Gastroenterol 2014; 20(39): 14132-14141 Available from: URL: http://www.wjgnet.com/1007-9327/full/ v20/i39/14132.htm DOI: http://dx.doi.org/10.3748/wjg.v20. tano et al [9] and Nagai et al [10] reported the success of laparoscopy-assisted distal gastrectomy (LADG) for EGC in 1994 and 1995. In the early 2000s, robot-assisted surgery emerged as one of the treatment modalities for EGC, and the first robot-assisted gastrectomy (RAG) for EGC was reported by Hashizume et al [11] in 2003. In 2011, singleincision laparoscopic surgery was described for EGC [12] . MIS has revolutionized the surgical approach to gastric cancer for the past two decades, leading to improvements in patients' quality of life by producing less pain, less blood loss, earlier postoperative recovery, and a shorter hospital stay [13][14][15][16][17][18][19] .Currently, MIS is evolving in two major directions [20] . First, MIS techniques are being used in more radical but less invasive procedures, such as totally laparoscopic distal gastrectomy or laparoscopic total gastrectomy with D1+ or D2 lymphadenectomy. These procedures are comparable to conventional open surgery and can be performed even in patients with advanced gastric cancer (AGC) [21][22][23] . Second, MIS is being employed for function-preserving surgery, including pylorus-preserving gastrectomy (PPG), proximal gastrectomy, and limited gastrectomy with sentinel node navigation surgery. These procedures can assist in improving patients' late postoperative function and quality of life [20,[24][25][26] . RECENT ADVANCES IN LAPAROSCOPIC GASTRECTOMYAs advances in instruments and the accumulation of laparoscopic experience increase, laparoscopic techniques are being used for less invasive but highly technical procedures. Totally laparoscopic gastrectomy (TLG) is one example. TLG has gained popularity since Kanaya et al [27] reported the first delta-shaped anastomosis. A recent meta-analysis (five studies, 652 patients) showed that totally laparoscopic distal gastrectomy has less bleeding, shorter time to first flatus, and lower rates of postoperative complicat...

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Robot-Assisted Gastrectomy With Lymph Node Dissection for Gastric Cancer

Abstract: This study demonstrated that RAG with lymphadenectomy can be applied safely and effectively for patients with gastric cancer.

Cited by 267 publications

References 36 publications

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Minimally Invasive Surgery of Gastric Cancer

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