Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Anticancer Res. 2019 Sep;39(9):5033-5038. doi: 10.21873/anticanres.13694.
Robotic surgical systems have advantages over laparoscopic surgery. The object of this study was to assess patients' postoperative outcomes after robotic distal gastrectomy (RDG) compared to laparoscopic distal gastrectomy (LDG).
We retrospectively evaluated 21 and 119 patients who underwent RDG and LDG, respectively, for stage I gastric cancer. Short-term outcomes were compared including drain amylase levels and quality of life using a post-gastrectomy syndrome questionnaire.
No patients experienced pancreatic fistula or anastomosis-related complications following RDG. The rate of overall complications tended to be lower in patients undergoing RDG. In addition to drain amylase level, inflammatory findings were lower after RDG than LDG. Patients undergoing RDG experienced a better quality of life and less dissatisfaction in daily life.
RDG is feasible and produced highly-satisfactory results for early gastric cancer. We believe that the effective use of robotic surgery will increase safety and precision in minimally invasive surgery.
机器人手术系统相对于腹腔镜手术具有优势。本研究旨在评估接受机器人远端胃切除术（RDG）与腹腔镜远端胃切除术（LDG）的患者术后结局。
我们回顾性评估了分别接受 RDG 和 LDG 的 21 例和 119 例 I 期胃癌患者。比较短期结果，包括引流淀粉酶水平和使用胃癌综合征问卷评估生活质量。
RDG 后无患者发生胰瘘或吻合口相关并发症。RDG 组总体并发症发生率较低。除引流淀粉酶水平外，RDG 后炎症表现低于 LDG。RDG 组患者生活质量更好，日常生活满意度更高。
RDG 对于早期胃癌是可行的，且结果非常满意。我们相信，机器人手术的有效应用将提高微创手术的安全性和精准度。
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