Robotic surgery for gastric cancer.
10.5124/jkma.2012.55.7.613
- Author:
Taeil SON
1
;
Woo Jin HYUNG
Author Information
1. Department of Surgery, Eulji University School of Medicine, Deajeon, Korea.
- Publication Type:Comparative Study ; Original Article
- Keywords:
Gastrectomy;
Robotic surgery;
Minimally invasive surgery
- MeSH:
Cost-Benefit Analysis;
Gastrectomy;
Laparoscopy;
Learning Curve;
Lymph Node Excision;
Retrospective Studies;
Stomach Neoplasms
- From:Journal of the Korean Medical Association
2012;55(7):613-619
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Minimally invasive surgery (MIS) for gastric cancer has been gaining popularity. Although many surgeons have reported the feasibility of MIS for gastric cancer, difficulties in standard lymph node dissection and anastomoses during laparoscopic procedures have hindered the widespread use of this technique. To overcome these difficulties, a robotic system has been adopted and its feasibility and safety have been shown. However, robotic surgery for gastric cancer has shown few definite advantages over conventional laparoscopy so far. In addition, longer operation time and much higher cost for this procedure are consistently noted. Recently, some retrospective comparative studies have reported benefits of robotic surgery over laparoscopic gastrectomy such as more complete D2 lymph node dissection for advanced gastric cancer, less blood loss, and shorter learning curves. For the wider spread of robotic surgery for gastric cancer, well designed studies are required to verify patients' secondary advantages, the cost benefit trade-off, and oncologic outcomes.
