Robot Versus Laparoscopic Gastrectomy for Cancer by an Experienced Surgeon: Comparisons of Surgery, Complications, and Surgical Stress
DC Field | Value | Language |
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dc.contributor.author | Hyun, Myung-Han | - |
dc.contributor.author | Lee, Chung-Ho | - |
dc.contributor.author | Kwon, Ye-Ji | - |
dc.contributor.author | Cho, Sung-Il | - |
dc.contributor.author | Jang, You-Jin | - |
dc.contributor.author | Kim, Dong-Hoon | - |
dc.contributor.author | Kim, Jong-Han | - |
dc.contributor.author | Park, Seong-Heum | - |
dc.contributor.author | Mok, Young-Jae | - |
dc.contributor.author | Park, Sung-Soo | - |
dc.date.accessioned | 2021-09-06T03:03:52Z | - |
dc.date.available | 2021-09-06T03:03:52Z | - |
dc.date.created | 2021-06-14 | - |
dc.date.issued | 2013-04 | - |
dc.identifier.issn | 1068-9265 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/103623 | - |
dc.description.abstract | No previous robotic studies present an equivalent surgical quality comparison in an experienced setting for gastric cancer. In addition, a reliable postoperative complication assessment is needed to accurately evaluate surgical outcomes. After 20 cases of robotic-assisted gastrectomy (RAG), a total of 121 consecutive gastric cancer patients underwent gastrectomy (38 RAG vs 83 laparoscopic-assisted gastrectomy [LAG]) from February 2009 to November 2010 at the Department of Surgery, Korea University Anam Hospital, Seoul, Korea. The Clavien-Dindo (C-D) classification was used to classify surgical complications. The granulocyte-to-lymphocyte (G:L) ratio was analyzed to evaluate surgical stress. The baseline characteristics, with the exception of age, were similar. The mean total operation time for RAG (234.4 +/- A 48.0 min) was not significantly different than that for LAG (220.0 +/- A 60.6 min; P = 0.198). However, in obese patients, fewer lymph nodes were harvested by RAG (23.4 +/- A 7.0) than by LAG (32.2 +/- A 12.5, P = 0.006). Overall C-D complications were more common for RAG (47.3 vs 38.5 %), but the difference was not significant (P = 0.361). The mean hospital stay was similar for the 2 groups. Surgical stress as estimated by the G:L ratio was comparable between the 2 groups. RAG performed by an experienced surgeon resulted in similar postoperative outcomes and complications to those of LAG. Assessment of operation time, C-D complication grade, and G:L ratio revealed that RAG is a practical and feasible alternative to LAG, with the possible exception of obese patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.subject | ASSISTED DISTAL GASTRECTOMY | - |
dc.subject | EARLY GASTRIC-CANCER | - |
dc.subject | LOW ANTERIOR RESECTION | - |
dc.subject | LYMPH-NODE DISSECTION | - |
dc.subject | RECTAL-CANCER | - |
dc.subject | LEARNING-CURVE | - |
dc.subject | RANDOMIZED-TRIAL | - |
dc.subject | OUTCOMES | - |
dc.subject | CLASSIFICATION | - |
dc.title | Robot Versus Laparoscopic Gastrectomy for Cancer by an Experienced Surgeon: Comparisons of Surgery, Complications, and Surgical Stress | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Jang, You-Jin | - |
dc.contributor.affiliatedAuthor | Kim, Dong-Hoon | - |
dc.contributor.affiliatedAuthor | Kim, Jong-Han | - |
dc.contributor.affiliatedAuthor | Park, Seong-Heum | - |
dc.contributor.affiliatedAuthor | Mok, Young-Jae | - |
dc.contributor.affiliatedAuthor | Park, Sung-Soo | - |
dc.identifier.doi | 10.1245/s10434-012-2679-6 | - |
dc.identifier.wosid | 000316392600029 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGICAL ONCOLOGY, v.20, no.4, pp.1258 - 1265 | - |
dc.relation.isPartOf | ANNALS OF SURGICAL ONCOLOGY | - |
dc.citation.title | ANNALS OF SURGICAL ONCOLOGY | - |
dc.citation.volume | 20 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 1258 | - |
dc.citation.endPage | 1265 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Oncology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Oncology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | ASSISTED DISTAL GASTRECTOMY | - |
dc.subject.keywordPlus | EARLY GASTRIC-CANCER | - |
dc.subject.keywordPlus | LOW ANTERIOR RESECTION | - |
dc.subject.keywordPlus | LYMPH-NODE DISSECTION | - |
dc.subject.keywordPlus | RECTAL-CANCER | - |
dc.subject.keywordPlus | LEARNING-CURVE | - |
dc.subject.keywordPlus | RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | CLASSIFICATION | - |
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