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12-09-2021 | Gastrectomy | Original Article

Short-term outcomes of robotic distal gastrectomy with the “preemptive retropancreatic approach”: a propensity score matching analysis

Authors: Yuma Ebihara, Yo Kurashima, Soichi Murakami, Toshiaki Shichinohe, Satoshi Hirano

Published in: Journal of Robotic Surgery | Issue 4/2022

Abstract

We report the usefulness of the preemptive retropancreatic approach (PRA) in robotic distal gastrectomy (RDG) using multi-jointed forceps. Therefore, this study aimed to compare the short-term outcomes of RDG with PRA and conventional laparoscopic distal gastrectomy using the propensity score matching method. A total of 126 patients [RDG = 55; laparoscopic distal gastrectomy (LDG) = 71] were retrospectively enrolled. Patients were matched using the following propensity score covariates: age, sex, body mass index, American Society of Anesthesiologists physical status, the extent of lymph node dissection, and Japanese Classification of Gastric Carcinoma stage. Surgical results and postoperative outcomes were compared. We identified 28 propensity score-matched pairs. The median operative time and blood loss were comparable (P = 0.272 and P = 0.933, respectively). Regarding postoperative outcomes, the incidence of postoperative complications [Clavien–Dindo classification II (CD ≥ II)] was lower in the RDG group than in the LDG group (P = 0.020). No significant differences in the peak C-reactive protein value and length of hospital stay were observed between the two groups (P = 0.391 and P = 0.057, respectively). In addition, no patients had postoperative pancreas-related complications (≥ CD II) in the RDG group. RDG using PRA seems to be a safe and feasible procedure for gastric cancer because of short-term outcomes and reduction of postoperative complications (especially postoperative pancreas-related complications) as compared to conventional LDG.

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Title: Short-term outcomes of robotic distal gastrectomy with the “preemptive retropancreatic approach”: a propensity score matching analysis
Authors: Yuma Ebihara
Yo Kurashima
Soichi Murakami
Toshiaki Shichinohe
Satoshi Hirano
Publication date: 12-09-2021
Publisher: Springer London
Keywords: Gastrectomy
Gastric Cancer
Gastric Cancer
Gastrectomy
Published in: Journal of Robotic Surgery / Issue 4/2022
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-021-01306-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Short-term outcomes of robotic distal gastrectomy with the “preemptive retropancreatic approach”: a propensity score matching analysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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