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Short-term outcomes of robotic distal gastrectomy with the "preemptive retropancreatic approach" : a propensity score matching analysis
| Title: | Short-term outcomes of robotic distal gastrectomy with the "preemptive retropancreatic approach" : a propensity score matching analysis |
| Authors: | Ebihara, Yuma Browse this author →KAKEN DB | | Kurashima, Yo Browse this author | | Murakami, Soichi Browse this author | | Shichinohe, Toshiaki Browse this author →KAKEN DB | | Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Laparoscopic distal gastrectomy | | Gastric cancer | | Postoperative complications | | Preemptive retropancreatic approach |
| Issue Date: | 1-Aug-2022 |
| Publisher: | Springer Nature |
| Journal Title: | Journal of Robotic Surgery |
| Volume: | 16 |
| Issue: | 4 |
| Start Page: | 825 |
| End Page: | 831 |
| Publisher DOI: | 10.1007/s11701-021-01306-4 |
| Abstract: | We report the usefulness of the preemptive retropancreatic approach (PRA) in robotic distal gastrectomy (RDG) using multi-jointed forceps. Therefore, this study aimed to compare the short-term outcomes of RDG with PRA and conventional laparoscopic distal gastrectomy using the propensity score matching method. A total of 126 patients [RDG = 55; laparoscopic distal gastrectomy (LDG) = 71] were retrospectively enrolled. Patients were matched using the following propensity score covariates: age, sex, body mass index, American Society of Anesthesiologists physical status, the extent of lymph node dissection, and Japanese Classification of Gastric Carcinoma stage. Surgical results and postoperative outcomes were compared. We identified 28 propensity score-matched pairs. The median operative time and blood loss were comparable (P = 0.272 and P = 0.933, respectively). Regarding postoperative outcomes, the incidence of postoperative complications [Clavien-Dindo classification II (CD >= II)] was lower in the RDG group than in the LDG group (P = 0.020). No significant differences in the peak C-reactive protein value and length of hospital stay were observed between the two groups (P = 0.391 and P = 0.057, respectively). In addition, no patients had postoperative pancreas-related complications (>= CD II) in the RDG group. RDG using PRA seems to be a safe and feasible procedure for gastric cancer because of short-term outcomes and reduction of postoperative complications (especially postoperative pancreas-related complications) as compared to conventional LDG. |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/90292 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 海老原 裕磨
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