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Robotic assisted gastrectomy compared with open resection: a case-matched study

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Abstract

In recent years, increasingly sophisticated tools have allowed for more complex robotic surgery. Robotic gastrectomy, however, is adopted in only a few selected centers. The goals of this study were to examine the adoption of robotic gastrectomy and to compare outcomes between open and robotic gastric resections. This is a case-matched analysis of patients who underwent robotic and open gastric resection performed at Sanchinarro University Hospital, Madrid from November 2011 to February 2017. Patient data were obtained retrospectively. Clinicopathologic characteristics and perioperative and postoperative outcomes were recorded and analyzed. Two groups of demographically similar patients were analyzed: the robotic group (n = 20) and the open surgery group (n = 19). The patient characteristics of the two groups have been compared. Robotic resection resulted in less blood loss, shorter postoperative hospital stay, and a longer operating time. The two groups had similar complication rates. Pathological data were similar for both procedures. Robotic gastrectomy for locally advanced gastric carcinoma is safe, and long-term outcomes are comparable to those patients who underwent open resection. Robotic gastrectomy resulted in a shorter hospital stay, less blood loss and morbidity comparable with the outcomes of open gastrectomy.

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Acknowledgements

The authors thank Pablo Ruiz.

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Authors and Affiliations

  1. General Surgery Department, Sanchinarro University Hospital, San Pablo University, CEU, C/Oña nº 10, 28050, Madrid, Spain

    Riccardo Caruso, Emilio Vicente, Yolanda Quijano, Benedetto Ielpo, Hipolito Duran, Eduardo Diaz, Isabel Fabra & Valentina Ferri

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  1. Riccardo Caruso
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  2. Emilio Vicente
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  3. Yolanda Quijano
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  4. Benedetto Ielpo
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  5. Hipolito Duran
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  6. Eduardo Diaz
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  7. Isabel Fabra
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  8. Valentina Ferri
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Contributions

EV and YQ proposed the study. RC performed the research and wrote the first draft. RC collected and analyzed the data. All authors contributed to the design and interpretation of the study and to further drafts. EV is the guarantor.

Corresponding author

Correspondence to Riccardo Caruso.

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Conflict of interest

We wish to confirm that there are no known conflicts of interest associated with this publication for each authors. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

Research involving human participants and/or animals

The study was approved by the institutional ethical committee of Sanchinarro University Hospital.

Informed consent

All patients included were informed about the treatment and provided written informed consent.

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Caruso, R., Vicente, E., Quijano, Y. et al. Robotic assisted gastrectomy compared with open resection: a case-matched study. Updates Surg 71, 367–373 (2019). https://doi.org/10.1007/s13304-018-0533-5

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  • DOI: https://doi.org/10.1007/s13304-018-0533-5

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