Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database

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dc.contributor.authorTrastulli, Stefano
dc.contributor.authorDesiderio, Jacopo
dc.contributor.authorLin, Jian-Xian
dc.contributor.authorReim, Daniel
dc.contributor.authorZheng, Chao-Hui
dc.contributor.authorBorghi, Felice
dc.contributor.authorCianchi, Fabio
dc.contributor.authorNorero, Enrique
dc.contributor.authorNguyen, Ninh T. T.
dc.contributor.authorQi, Feng
dc.contributor.authorCoratti, Andrea
dc.contributor.authorCesari, Maurizio
dc.contributor.authorBazzocchi, Francesca
dc.contributor.authorAlimoglu, Orhan
dc.contributor.authorBrower, Steven T. T.
dc.contributor.authorPernazza, Graziano
dc.contributor.authorD'Imporzano, Simone
dc.contributor.authorAzagra, Juan-Santiago
dc.contributor.authorZhou, Yan-Bing
dc.contributor.authorCao, Shou-Gen
dc.contributor.authorGuerra, Francesco
dc.contributor.authorLiu, Tong
dc.contributor.authorArcuri, Giacomo
dc.contributor.authorGonzalez, Paulina
dc.contributor.authorStaderini, Fabio
dc.contributor.authorMarano, Alessandra
dc.contributor.authorDi Nardo, Domenico
dc.contributor.authorParisi, Amilcare
dc.contributor.authorHuang, Chang-Ming
dc.contributor.authorTebala, Giovanni Domenico
dc.date.accessioned2025-01-20T20:07:40Z
dc.date.available2025-01-20T20:07:40Z
dc.date.issued2023
dc.description.abstractBackgroundComparative 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.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00423-023-03032-x
dc.identifier.eissn1435-2451
dc.identifier.issn1435-2443
dc.identifier.urihttps://doi.org/10.1007/s00423-023-03032-x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/91832
dc.identifier.wosidWOS:001044904200001
dc.issue.numero1
dc.language.isoen
dc.revistaLangenbecks archives of surgery
dc.rightsacceso restringido
dc.subjectGastric cancer
dc.subjectRobotic gastrectomy
dc.subjectOpen gastrectomy
dc.subjectD2-lymphadenectomy
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleOpen vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database
dc.typeartículo
dc.volumen408
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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