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Advances in Laparoscopic and Robotic Gastrectomy for Gastric Cancer

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Pathology & Oncology Research

Abstract

Robot-assisted gastrectomy has been reported to be a safe alternative to both conventional laparoscopy and the open approach for treating early gastric carcinoma. Currently, there are a limited number of published reports on this technique in the literature. We assessed the current status of robotic and laparoscopic surgery in the treatment of gastric cancer and compared the operative outcomes, learning curves, and oncological outcome of the two approaches. Robotic gastrectomy offers benefits that include increased ease of performing D2 lymph node dissection and reduced blood loss compared with laparoscopic gastrectomy. However, the operative time is longer, and robotic gastrectomy is more costly for the patients. Regarding to the operative and oncological outcomes, there appears to be no significant differences between laparoscopic and robotic gastrectomies after the surgeon overcomes the associated learning curves. Sharing the available knowledge regarding laparoscopic and robotic gastrectomies could shorten these learning curves. For elder patients, minimally invasive surgery that decreases the postoperative recovery time should be considered the preferred treatment. Prospective randomized studies are required to compare the surgical and oncological outcomes among laparoscopic, robotic, and open surgeries for both early and advanced gastric cancer.

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Acknowledgments

This research was supported by the Taipei Veterans General Hospital (V104C-071, V104B-005). None of the funding sources had role in the study design, data collection, data analysis and interpretation, or the manuscript writing, or in the decision to submit the manuscript for publication.

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Authors and Affiliations

  1. Department of Urology, Cheng Hsin General Hospital, Taipei City, Taiwan

    Sheng-Han Tsai

  2. Department of Radiology, Taipei Veterans General Hospital, Taipei City, Taiwan

    Chien-An Liu

  3. Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd, Beitou District, Taipei City, Taiwan, 11217

    Kuo-Hung Huang, Chew-Wun Wu, Yi-Ming Shyr & Wen-Liang Fang

  4. School of Medicine, National Yang-Ming University, Taipei City, Taiwan

    Sheng-Han Tsai, Chien-An Liu, Kuo-Hung Huang, Yuan-Tzu Lan, Ming-Huang Chen, Yee Chao, Su-Shun Lo, Anna Fen-Yau Li, Chew-Wun Wu, Yi-Ming Shyr & Wen-Liang Fang

  5. Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei City, Taiwan

    Kuo-Hung Huang, Shih-Hwa Chiou & Muh-Hwa Yang

  6. Division of Colon & Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei City, Taiwan

    Yuan-Tzu Lan

  7. Division of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan

    Ming-Huang Chen, Yee Chao & Muh-Hwa Yang

  8. National Yang-Ming University Hospital, Yilan City, Taiwan

    Su-Shun Lo

  9. Department of Pathology, Taipei Veterans General Hospital, Taipei City, Taiwan

    Anna Fen-Yau Li

  10. Department of Medical Research and Education, Taipei Veterans General Hospital, Taipei City, Taiwan

    Shih-Hwa Chiou

  11. Institute of Pharmacology, National Yang-Ming University, Taipei City, Taiwan

    Shih-Hwa Chiou

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  1. Sheng-Han Tsai
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  12. Yi-Ming Shyr
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  13. Wen-Liang Fang
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Corresponding author

Correspondence to Wen-Liang Fang.

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Conflict of Interest

All of the authors disclose that there are no financial or personal relationships with other people or organizations that could inappropriately influence their work.

Author Contributions

Conception and design: SHT, CAL, KHH, YTL, MHC, YC, SSL, FYL, CWW, SHC, MHY, YMS, WLF; analysis and interpretation of data, drafting the article or revising it critically for important intellectual content: SHT, CAL, KHH, YTL, WLF; WLF accepts full responsibility for the work and the conduct of the study and has access to the data and oversaw the decision to publish.

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Tsai, SH., Liu, CA., Huang, KH. et al. Advances in Laparoscopic and Robotic Gastrectomy for Gastric Cancer. Pathol. Oncol. Res. 23, 13–17 (2017). https://doi.org/10.1007/s12253-016-0131-0

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  • DOI: https://doi.org/10.1007/s12253-016-0131-0

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