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Short-term outcomes and cost-effectiveness of laparoscopic gastrectomy with articulating instruments for gastric cancer compared with the robotic approach

 Chang Min Lee  ;  Sungsoo Park  ;  Sung Hyun Park  ;  Ki-Yoon Kim  ;  Minah Cho  ;  Yoo Min Kim  ;  Woo Jin Hyung  ;  Hyoung-Il Kim 
 SCIENTIFIC REPORTS, Vol.13(1) : 9355, 2023-06 
Journal Title
Issue Date
Cost-Benefit Analysis ; Gastrectomy ; Humans ; Laparoscopy* ; Postoperative Complications / surgery ; Prospective Studies ; Retrospective Studies ; Robotic Surgical Procedures* ; Stomach Neoplasms* / pathology ; Stomach Neoplasms* / surgery ; Treatment Outcome
To overcome the limitations of laparoscopic surgery, robotic systems have been commonly used in the era of minimally invasive surgery despite their high cost. However, the articulation of instruments can be achieved without a robotic system at lower cost using articulating laparoscopic instruments (ALIs). Between May 2021 and May 2022, perioperative outcomes following laparoscopic gastrectomy using ALIs versus robotic gastrectomy were compared. A total of 88 patients underwent laparoscopic gastrectomy using ALIs, while 96 underwent robotic gastrectomy. Baseline characteristics were similar between the groups except for a higher proportion of patients with a medical history in the ALI group (p = 0.013). Clinicopathologic and perioperative outcomes were not significantly different between the groups. However, the operation time was significantly shorter in the ALI group (p = 0.026). No deaths occurred in either group. In conclusion, laparoscopic gastrectomy using ALIs was associated with comparable perioperative surgical outcomes and a shorter operation time compared to robotic gastrectomy in this prospective cohort study. © 2023, The Author(s).
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki-Yoon(김기윤)
Kim, Yoo Min(김유민)
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Park, Sung Hyun(박성현)
Cho, Minah(조민아) ORCID logo https://orcid.org/0000-0003-3011-5813
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
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