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Robot-assisted laparoscopic gastrectomy for gastric cancer

Phase III evidence in the shape of a series of randomized controlled trials and meta-analyses has shown that laparoscopic gastrectomy is safe and gives better short-term results with respect to the traditional open technique for early-stage gastric cancer. In fact, in the East laparoscopic gastrecto...

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Autores principales: Caruso, Stefano, Franceschini, Franco, Patriti, Alberto, Roviello, Franco, Annecchiarico, Mario, Ceccarelli, Graziano, Coratti, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215113/
https://www.ncbi.nlm.nih.gov/pubmed/28101302
http://dx.doi.org/10.4253/wjge.v9.i1.1
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author Caruso, Stefano
Franceschini, Franco
Patriti, Alberto
Roviello, Franco
Annecchiarico, Mario
Ceccarelli, Graziano
Coratti, Andrea
author_facet Caruso, Stefano
Franceschini, Franco
Patriti, Alberto
Roviello, Franco
Annecchiarico, Mario
Ceccarelli, Graziano
Coratti, Andrea
author_sort Caruso, Stefano
collection PubMed
description Phase III evidence in the shape of a series of randomized controlled trials and meta-analyses has shown that laparoscopic gastrectomy is safe and gives better short-term results with respect to the traditional open technique for early-stage gastric cancer. In fact, in the East laparoscopic gastrectomy has become routine for early-stage gastric cancer. In contrast, the treatment of advanced gastric cancer through a minimally invasive way is still a debated issue, mostly due to worries about its oncological efficacy and the difficulty of carrying out an extended lymphadenectomy and intestinal reconstruction after total gastrectomy laparoscopically. Over the last ten years the introduction of robotic surgery has implied overcoming some intrinsic drawbacks found to be present in the conventional laparoscopic procedure. Robot-assisted gastrectomy with D2 lymphadenectomy has been shown to be safe and feasible for the treatment of gastric cancer patients. But unfortunately, most available studies investigating the robotic gastrectomy for gastric cancer compared to laparoscopic and open technique are so far retrospective and there have not been phase III trials. In the present review we looked at scientific evidence available today regarding the new high-tech surgical robotic approach, and we attempted to bring to light the real advantages of robot-assisted gastrectomy compared to the traditional laparoscopic and open technique for the treatment of gastric cancer.
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spelling pubmed-52151132017-01-19 Robot-assisted laparoscopic gastrectomy for gastric cancer Caruso, Stefano Franceschini, Franco Patriti, Alberto Roviello, Franco Annecchiarico, Mario Ceccarelli, Graziano Coratti, Andrea World J Gastrointest Endosc Review Phase III evidence in the shape of a series of randomized controlled trials and meta-analyses has shown that laparoscopic gastrectomy is safe and gives better short-term results with respect to the traditional open technique for early-stage gastric cancer. In fact, in the East laparoscopic gastrectomy has become routine for early-stage gastric cancer. In contrast, the treatment of advanced gastric cancer through a minimally invasive way is still a debated issue, mostly due to worries about its oncological efficacy and the difficulty of carrying out an extended lymphadenectomy and intestinal reconstruction after total gastrectomy laparoscopically. Over the last ten years the introduction of robotic surgery has implied overcoming some intrinsic drawbacks found to be present in the conventional laparoscopic procedure. Robot-assisted gastrectomy with D2 lymphadenectomy has been shown to be safe and feasible for the treatment of gastric cancer patients. But unfortunately, most available studies investigating the robotic gastrectomy for gastric cancer compared to laparoscopic and open technique are so far retrospective and there have not been phase III trials. In the present review we looked at scientific evidence available today regarding the new high-tech surgical robotic approach, and we attempted to bring to light the real advantages of robot-assisted gastrectomy compared to the traditional laparoscopic and open technique for the treatment of gastric cancer. Baishideng Publishing Group Inc 2017-01-16 2017-01-16 /pmc/articles/PMC5215113/ /pubmed/28101302 http://dx.doi.org/10.4253/wjge.v9.i1.1 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Review
Caruso, Stefano
Franceschini, Franco
Patriti, Alberto
Roviello, Franco
Annecchiarico, Mario
Ceccarelli, Graziano
Coratti, Andrea
Robot-assisted laparoscopic gastrectomy for gastric cancer
title Robot-assisted laparoscopic gastrectomy for gastric cancer
title_full Robot-assisted laparoscopic gastrectomy for gastric cancer
title_fullStr Robot-assisted laparoscopic gastrectomy for gastric cancer
title_full_unstemmed Robot-assisted laparoscopic gastrectomy for gastric cancer
title_short Robot-assisted laparoscopic gastrectomy for gastric cancer
title_sort robot-assisted laparoscopic gastrectomy for gastric cancer
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215113/
https://www.ncbi.nlm.nih.gov/pubmed/28101302
http://dx.doi.org/10.4253/wjge.v9.i1.1
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