Cited 84 times in
Robotic versus Laparoscopic versus Open Gastrectomy: A Meta-Analysis.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김유민 | - |
dc.contributor.author | 노성훈 | - |
dc.contributor.author | 최윤영 | - |
dc.contributor.author | 형우진 | - |
dc.date.accessioned | 2014-12-18T09:56:37Z | - |
dc.date.available | 2014-12-18T09:56:37Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 2093-582X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/89122 | - |
dc.description.abstract | PURPOSE: 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.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF GASTRIC CANCER | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Robotic versus Laparoscopic versus Open Gastrectomy: A Meta-Analysis. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | Alessandra Marano | - |
dc.contributor.googleauthor | Yoon Young Choi | - |
dc.contributor.googleauthor | Woo Jin Hyung | - |
dc.contributor.googleauthor | Yoo Min Kim | - |
dc.contributor.googleauthor | Jieun Kim | - |
dc.contributor.googleauthor | Sung Hoon Noh | - |
dc.identifier.doi | 10.5230/jgc.2013.13.3.136 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00782 | - |
dc.contributor.localId | A01281 | - |
dc.contributor.localId | A04138 | - |
dc.contributor.localId | A04382 | - |
dc.relation.journalcode | J01415 | - |
dc.identifier.eissn | 2093-5641 | - |
dc.identifier.pmid | 24156033 | - |
dc.subject.keyword | Gastrectomy | - |
dc.subject.keyword | Laparoscopy | - |
dc.subject.keyword | Robotics | - |
dc.subject.keyword | Stomach neoplasms | - |
dc.contributor.alternativeName | Kim, Yoo Min | - |
dc.contributor.alternativeName | Noh, Sung Hoon | - |
dc.contributor.alternativeName | Choi, Yoon Young | - |
dc.contributor.alternativeName | Hyung, Woo Jin | - |
dc.contributor.affiliatedAuthor | Kim, Yoo Min | - |
dc.contributor.affiliatedAuthor | Noh, Sung Hoon | - |
dc.contributor.affiliatedAuthor | Choi, Yoon Young | - |
dc.contributor.affiliatedAuthor | Hyung, Woo Jin | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 13 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 136 | - |
dc.citation.endPage | 148 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTRIC CANCER, Vol.13(3) : 136-148, 2013 | - |
dc.identifier.rimsid | 33816 | - |
dc.type.rims | ART | - |
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