Cargando…
Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer
BACKGROUND: Minimally invasive surgery, including laparoscopic and robotic gastrectomy, has become more popular in the treatment of gastric cancer. However, few studies have compared the learning curves between laparoscopic and robotic gastrectomy for gastric cancer. METHODS: Data were prospectively...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216064/ https://www.ncbi.nlm.nih.gov/pubmed/25360767 http://dx.doi.org/10.1371/journal.pone.0111499 |
_version_ | 1782342203223310336 |
---|---|
author | Huang, Kuo-Hung Lan, Yuan-Tzu Fang, Wen-Liang Chen, Jen-Hao Lo, Su-Shun Li, Anna Fen-Yau Chiou, Shih-Hwa Wu, Chew-Wun Shyr, Yi-Ming |
author_facet | Huang, Kuo-Hung Lan, Yuan-Tzu Fang, Wen-Liang Chen, Jen-Hao Lo, Su-Shun Li, Anna Fen-Yau Chiou, Shih-Hwa Wu, Chew-Wun Shyr, Yi-Ming |
author_sort | Huang, Kuo-Hung |
collection | PubMed |
description | BACKGROUND: Minimally invasive surgery, including laparoscopic and robotic gastrectomy, has become more popular in the treatment of gastric cancer. However, few studies have compared the learning curves between laparoscopic and robotic gastrectomy for gastric cancer. METHODS: Data were prospectively collected between July 2008 and Aug 2014. A total of 145 patients underwent minimally invasive gastrectomy for gastric cancer by a single surgeon, including 73 laparoscopic and 72 robotic gastrectomies. The clinicopathologic characteristics, operative outcomes and learning curves were compared between the two groups. RESULTS: Compared with the laparoscopic group, the robotic group was associated with less blood loss and longer operative time. After the surgeon learning curves were overcome for each technique, the operative outcomes became similar between the two groups except longer operative time in the robotic group. After accumulating more cases of robotic gastrectomy, the operative time in the laparoscopic group decreased dramatically. CONCLUSIONS: After overcoming the learning curves, the operative outcomes became similar between laparoscopic and robotic gastrectomy. The experience of robotic gastrectomy could affect the learning process of laparoscopic gastrectomy. |
format | Online Article Text |
id | pubmed-4216064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-42160642014-11-05 Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer Huang, Kuo-Hung Lan, Yuan-Tzu Fang, Wen-Liang Chen, Jen-Hao Lo, Su-Shun Li, Anna Fen-Yau Chiou, Shih-Hwa Wu, Chew-Wun Shyr, Yi-Ming PLoS One Research Article BACKGROUND: Minimally invasive surgery, including laparoscopic and robotic gastrectomy, has become more popular in the treatment of gastric cancer. However, few studies have compared the learning curves between laparoscopic and robotic gastrectomy for gastric cancer. METHODS: Data were prospectively collected between July 2008 and Aug 2014. A total of 145 patients underwent minimally invasive gastrectomy for gastric cancer by a single surgeon, including 73 laparoscopic and 72 robotic gastrectomies. The clinicopathologic characteristics, operative outcomes and learning curves were compared between the two groups. RESULTS: Compared with the laparoscopic group, the robotic group was associated with less blood loss and longer operative time. After the surgeon learning curves were overcome for each technique, the operative outcomes became similar between the two groups except longer operative time in the robotic group. After accumulating more cases of robotic gastrectomy, the operative time in the laparoscopic group decreased dramatically. CONCLUSIONS: After overcoming the learning curves, the operative outcomes became similar between laparoscopic and robotic gastrectomy. The experience of robotic gastrectomy could affect the learning process of laparoscopic gastrectomy. Public Library of Science 2014-10-31 /pmc/articles/PMC4216064/ /pubmed/25360767 http://dx.doi.org/10.1371/journal.pone.0111499 Text en © 2014 Huang et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Huang, Kuo-Hung Lan, Yuan-Tzu Fang, Wen-Liang Chen, Jen-Hao Lo, Su-Shun Li, Anna Fen-Yau Chiou, Shih-Hwa Wu, Chew-Wun Shyr, Yi-Ming Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer |
title | Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer |
title_full | Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer |
title_fullStr | Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer |
title_full_unstemmed | Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer |
title_short | Comparison of the Operative Outcomes and Learning Curves between Laparoscopic and Robotic Gastrectomy for Gastric Cancer |
title_sort | comparison of the operative outcomes and learning curves between laparoscopic and robotic gastrectomy for gastric cancer |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216064/ https://www.ncbi.nlm.nih.gov/pubmed/25360767 http://dx.doi.org/10.1371/journal.pone.0111499 |
work_keys_str_mv | AT huangkuohung comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT lanyuantzu comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT fangwenliang comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT chenjenhao comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT losushun comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT liannafenyau comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT chioushihhwa comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT wuchewwun comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer AT shyryiming comparisonoftheoperativeoutcomesandlearningcurvesbetweenlaparoscopicandroboticgastrectomyforgastriccancer |