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01-12-2023 | Gastrectomy | Research

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

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

Published in: Langenbeck's Archives of Surgery | Issue 1/2023

Abstract

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.

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Title: Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database
Authors: Stefano Trastulli
Jacopo Desiderio
Jian-Xian Lin
Daniel Reim
Chao-Hui Zheng
Felice Borghi
Fabio Cianchi
Enrique Norero
Ninh T. Nguyen
Feng Qi
Andrea Coratti
Maurizio Cesari
Francesca Bazzocchi
Orhan Alimoglu
Steven T. Brower
Graziano Pernazza
Simone D’Imporzano
Juan-Santiago Azagra
Yan-Bing Zhou
Shou-Gen Cao
Francesco Guerra
Tong Liu
Giacomo Arcuri
Paulina González
Fabio Staderini
Alessandra Marano
Domenico Di Nardo
Amilcare Parisi
Chang-Ming Huang
Giovanni Domenico Tebala
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Gastrectomy
Gastrectomy
Lymphadenectomy
Gastric Cancer
Gastric Cancer
Published in: Langenbeck's Archives of Surgery / Issue 1/2023
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-023-03032-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Study design

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Study design

Results

Conclusion

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