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Published in: Surgical Endoscopy 10/2014

01-10-2014

A meta-analysis of robotic versus laparoscopic gastrectomy for gastric cancer

Authors: Wei-Song Shen, Hong-Qing Xi, Lin Chen, Bo Wei

Published in: Surgical Endoscopy | Issue 10/2014

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Abstract

Background

Robot-assisted gastrectomy (RAG) for gastric cancer is still a controversial surgical technique for adequate tumor resection, lymphadenectomy, and postoperative outcome.

Methods

A meta-analysis analyzed updated clinical trials that have compared RAG with laparoscopy-assisted gastrectomy (LAG) to evaluate whether RAG is equivalent to LAG.

Results

Eight studies were included in the analysis, comprising 1,875 patients. RAG was associated with a longer operative time (p < 0.05), lower estimated blood loss (p < 0.05), and a longer distal margin (p < 0.05). RAG can be performed safely with lower estimated blood loss and a longer distal margin than with LAG. Complications, hospital stay, proximal margin, and harvested lymph nodes for RAG and LAG were similar.

Conclusions

RAG is as acceptable as LAG for obtaining safe complications and for performing radical gastrectomy.
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Metadata
Title
A meta-analysis of robotic versus laparoscopic gastrectomy for gastric cancer
Authors
Wei-Song Shen
Hong-Qing Xi
Lin Chen
Bo Wei
Publication date
01-10-2014
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 10/2014
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-014-3547-1

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