Robotic gastrectomy for gastric cancer: Current evidence

被引：30

作者：

Alhossaini, Rana M. ^{[1
,2
,3
]}

Altamran, Abdulaziz A. ^{[1
,2
,3
]}

Seo, Won Jun ^{[1
,2
,3
]}

Hyung, Woo Jin ^{[1
,2
,3
]}

机构：

[1] Yonsei Univ, Coll Med, Dept Surg, Seoul, South Korea

[2] Yonsei Univ Hlth Syst, Yonsei Canc Ctr, Gastr Canc Ctr, Seoul, South Korea

[3] Yonsei Univ Hlth Syst, Severance Hosp, Robot & MIS Ctr, Seoul, South Korea

来源：

ANNALS OF GASTROENTEROLOGICAL SURGERY | 2017年 / 1卷 / 02期

关键词：

gastrectomy; gastric cancer; laparoscopic surgery; minimally invasive surgery; robotic surgery; ASSISTED DISTAL GASTRECTOMY; MINIMALLY INVASIVE SURGERY; LAPAROSCOPIC GASTRECTOMY; SUBTOTAL GASTRECTOMY; TUMOR-LOCALIZATION; D2; LYMPHADENECTOMY; CLINICAL-OUTCOMES; LEARNING-CURVE; FUTURE; COMPLICATIONS;

D O I：

10.1002/ags3.12020

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The robotic system has gained wide acceptance in specialties such as urological and gynecological surgery. It has also been applied in the field of upper gastrointestinal surgery. Since the first implementation of the robotic system for the treatment of gastric adenocarcinoma, the procedure has been found to be safe and feasible. Although robotic gastrectomy does not meet our expectations and yield better results than laparoscopic gastrectomy, this procedure seems to provide several advantages over laparoscopy such as reduced blood loss, shorter learning curves and increased number of retrieved lymph nodes. However, as many case series, including a recent multicenter study, have revealed, higher cost and longer operation time are the major limitations of robotic gastrectomy. Furthermore, there are no results from well-designed randomized clinical trials comparing the two procedures. New procedures in much more technically demanding cases will test the genuine benefits of robotic gastrectomy.

引用

页码：82 / 89

页数：8

共 53 条

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