340 294

Cited 65 times in

Robotic versus Laparoscopic versus Open Gastrectomy: A Meta-Analysis.

DC Field Value Language
dc.contributor.author김유민-
dc.contributor.author노성훈-
dc.contributor.author최윤영-
dc.contributor.author형우진-
dc.date.accessioned2014-12-18T09:56:37Z-
dc.date.available2014-12-18T09:56:37Z-
dc.date.issued2013-
dc.identifier.issn2093-582X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89122-
dc.description.abstractPURPOSE: To define the role of robotic gastrectomy for the treatment of gastric cancer, the present systematic review with meta-analysis was performed. MATERIALS AND METHODS: A comprehensive search up to July 2012 was conducted on PubMed, EMBASE, and the Cochrane Library. All eligible studies comparing robotic gastrectomy versus laparoscopic gastrectomy or open gastrectomy were included. RESULTS: Included in our meta-analysis were seven studies of 1,967 patients that compared robotic (n=404) with open (n=718) or laparoscopic (n=845) gastrectomy. In the complete analysis, a shorter hospital stay was noted with robotic gastrectomy than with open gastrectomy (weighted mean difference: -2.92, 95% confidence interval: -4.94 to -0.89, P=0.005). Additionally, there was a significant reduction in intraoperative blood loss with robotic gastrectomy compared with laparoscopic gastrectomy (weighted mean difference: -35.53, 95% confidence interval: -66.98 to -4.09, P=0.03). These advantages were at the price of a significantly prolonged operative time for both robotic gastrectomy versus laparoscopic gastrectomy (weighted mean difference: 63.70, 95% confidence interval: 44.22 to 83.17, P<0.00001) and robotic gastrectomy versus open gastrectomy (weighted mean difference: 95.83, 95% confidence interval: 54.48 to 137.18, P<0.00001). Analysis of the number of lymph nodes retrieved and overall complication rates revealed that these outcomes did not differ significantly between the groups. CONCLUSIONS: Robotic gastrectomy for gastric cancer reduces intraoperative blood loss and the postoperative hospital length of stay compared with laparoscopic gastrectomy and open gastrectomy at a cost of a longer operating time. Robotic gastrectomy also provides an oncologically adequate lymphadenectomy. Additional high-quality prospective studies are recommended to better evaluate both short and long-term outcomes.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF GASTRIC CANCER-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleRobotic versus Laparoscopic versus Open Gastrectomy: A Meta-Analysis.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorAlessandra Marano-
dc.contributor.googleauthorYoon Young Choi-
dc.contributor.googleauthorWoo Jin Hyung-
dc.contributor.googleauthorYoo Min Kim-
dc.contributor.googleauthorJieun Kim-
dc.contributor.googleauthorSung Hoon Noh-
dc.identifier.doi10.5230/jgc.2013.13.3.136-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00782-
dc.contributor.localIdA01281-
dc.contributor.localIdA04138-
dc.contributor.localIdA04382-
dc.relation.journalcodeJ01415-
dc.identifier.eissn2093-5641-
dc.identifier.pmid24156033-
dc.subject.keywordGastrectomy-
dc.subject.keywordLaparoscopy-
dc.subject.keywordRobotics-
dc.subject.keywordStomach neoplasms-
dc.contributor.alternativeNameKim, Yoo Min-
dc.contributor.alternativeNameNoh, Sung Hoon-
dc.contributor.alternativeNameChoi, Yoon Young-
dc.contributor.alternativeNameHyung, Woo Jin-
dc.contributor.affiliatedAuthorKim, Yoo Min-
dc.contributor.affiliatedAuthorNoh, Sung Hoon-
dc.contributor.affiliatedAuthorChoi, Yoon Young-
dc.contributor.affiliatedAuthorHyung, Woo Jin-
dc.rights.accessRightsfree-
dc.citation.volume13-
dc.citation.number3-
dc.citation.startPage136-
dc.citation.endPage148-
dc.identifier.bibliographicCitationJOURNAL OF GASTRIC CANCER, Vol.13(3) : 136-148, 2013-
dc.identifier.rimsid33816-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.