Assessment of Robotic Versus Laparoscopic Gastrectomy for Gastric Cancer Patients With Intraoperative Technical Complexity: A Multicenter Retrospective Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Gastrectomy for Gastric Cancer
- Sponsor
- Fujian Medical University
- Enrollment
- 3534
- Locations
- 1
- Primary Endpoint
- Overall survival
- Status
- Completed
- Last Updated
- 10 months ago
Overview
Brief Summary
While robotic gastrectomy (RG) is increasingly used in gastric cancer surgery, its potential advantages over laparoscopic gastrectomy (LG) in Intraoperative technical complexity (ITC) cases remain debated.
Detailed Description
This retrospective cohort study included 3,534 patients with gastric cancer who underwent radical gastrectomy at eight high-volume hospitals. ITC was defined by any of the following criteria: operative time exceeding the third quartile, intraoperative estimated blood loss ≥ 400 mL, or conversion to open surgery. Propensity score matching (PSM) and inverse probability of treatment weighting (IPTW) were conducted to compare short- and long-term outcomes.
Investigators
Chang-Ming Huang, Prof.
Professor
Fujian Medical University
Eligibility Criteria
Inclusion Criteria
- •Patients with postoperatively histologically confirmed T1-4aN0-3bM0 gastric adenocarcinoma who underwent RG or LG
Exclusion Criteria
- •Remnant gastric cancer
- •Previous malignant
- •ASA class \>3
- •Use of indocyanine green
- •Neoadjuvant chemotherapy
- •Loss to follow-up
- •Combined resection
Outcomes
Primary Outcomes
Overall survival
Time Frame: Within 3 years after surgery
Telephone follow-up
Secondary Outcomes
- recurrence(36 months)
- Postoperative complications(30 days after surgery)