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Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature

Since the first report of robotic gastrectomy, experienced laparoscopic surgeons have used surgical robots to treat gastric cancer and resolve problems associated with laparoscopic gastrectomy. However, compared with laparoscopic gastrectomy, the superiority of robotic procedures has not been clearl...

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Detalles Bibliográficos
Autores principales: Lee, Sejin, Son, Taeil, Kim, Hyoung-Il, Hyung, Woo Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463113/
https://www.ncbi.nlm.nih.gov/pubmed/28626474
http://dx.doi.org/10.1155/2017/7197652
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author Lee, Sejin
Son, Taeil
Kim, Hyoung-Il
Hyung, Woo Jin
author_facet Lee, Sejin
Son, Taeil
Kim, Hyoung-Il
Hyung, Woo Jin
author_sort Lee, Sejin
collection PubMed
description Since the first report of robotic gastrectomy, experienced laparoscopic surgeons have used surgical robots to treat gastric cancer and resolve problems associated with laparoscopic gastrectomy. However, compared with laparoscopic gastrectomy, the superiority of robotic procedures has not been clearly proven. There are several advantages to using robotic surgery for gastric cancer, such as reduced estimated blood loss during the operation, a shorter learning curve, and a larger number of examined lymph nodes than conventional laparoscopic gastrectomy. The increased operation time observed with a robotic system is decreasing because surgeons have accumulated experience using this procedure. While there is limited evidence, long-term oncologic outcomes appear to be similar between robotic and laparoscopic gastrectomy. Robotic procedures have a significantly greater financial cost than laparoscopic gastrectomy, which is a major drawback. Recent clinical studies tried to demonstrate that the benefits of robotic surgery outweighed the cost, but the overall results were disappointing. Ongoing studies are investigating the benefits of robotic gastrectomy in more complicated and challenging cases. Well-designed randomized control trials with large sample sizes are needed to investigate the benefits of robotic gastrectomy compared with laparoscopic surgery.
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spelling pubmed-54631132017-06-18 Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature Lee, Sejin Son, Taeil Kim, Hyoung-Il Hyung, Woo Jin Gastroenterol Res Pract Review Article Since the first report of robotic gastrectomy, experienced laparoscopic surgeons have used surgical robots to treat gastric cancer and resolve problems associated with laparoscopic gastrectomy. However, compared with laparoscopic gastrectomy, the superiority of robotic procedures has not been clearly proven. There are several advantages to using robotic surgery for gastric cancer, such as reduced estimated blood loss during the operation, a shorter learning curve, and a larger number of examined lymph nodes than conventional laparoscopic gastrectomy. The increased operation time observed with a robotic system is decreasing because surgeons have accumulated experience using this procedure. While there is limited evidence, long-term oncologic outcomes appear to be similar between robotic and laparoscopic gastrectomy. Robotic procedures have a significantly greater financial cost than laparoscopic gastrectomy, which is a major drawback. Recent clinical studies tried to demonstrate that the benefits of robotic surgery outweighed the cost, but the overall results were disappointing. Ongoing studies are investigating the benefits of robotic gastrectomy in more complicated and challenging cases. Well-designed randomized control trials with large sample sizes are needed to investigate the benefits of robotic gastrectomy compared with laparoscopic surgery. Hindawi 2017 2017-05-23 /pmc/articles/PMC5463113/ /pubmed/28626474 http://dx.doi.org/10.1155/2017/7197652 Text en Copyright © 2017 Sejin Lee et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Lee, Sejin
Son, Taeil
Kim, Hyoung-Il
Hyung, Woo Jin
Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature
title Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature
title_full Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature
title_fullStr Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature
title_full_unstemmed Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature
title_short Status and Prospects of Robotic Gastrectomy for Gastric Cancer: Our Experience and a Review of the Literature
title_sort status and prospects of robotic gastrectomy for gastric cancer: our experience and a review of the literature
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463113/
https://www.ncbi.nlm.nih.gov/pubmed/28626474
http://dx.doi.org/10.1155/2017/7197652
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