Browsing by Author "Nguyen, Ninh T. T."

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    Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database
    (2023) Trastulli, Stefano; Desiderio, Jacopo; Lin, Jian-Xian; Reim, Daniel; Zheng, Chao-Hui; Borghi, Felice; Cianchi, Fabio; Norero, Enrique; Nguyen, Ninh T. T.; Qi, Feng; Coratti, Andrea; Cesari, Maurizio; Bazzocchi, Francesca; Alimoglu, Orhan; Brower, Steven T. T.; Pernazza, Graziano; D'Imporzano, Simone; Azagra, Juan-Santiago; Zhou, Yan-Bing; Cao, Shou-Gen; Guerra, Francesco; Liu, Tong; Arcuri, Giacomo; Gonzalez, Paulina; Staderini, Fabio; Marano, Alessandra; Di Nardo, Domenico; Parisi, Amilcare; Huang, Chang-Ming; Tebala, Giovanni Domenico
    BackgroundComparative 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 designData of patients undergoing D2-OG or RG for gastric cancer were retrieved from the international IMIGASTRIC prospective database and compared.ResultsA 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).ConclusionRG significantly expedites recovery and reduces the risk of complications compared to OG. However, long-term survival is similar.