Mranda Geofrey Mahiki, Wei Tian, Wang Yu, Xiang Zhi-Ping, Liu Jun-Jian, Xue Ying, Zhou Xing-Guo, Ding Yin-Lu
Department of Gastrointestinal Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong Province, China.
Department of General Surgery, Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong Province, China.
Ann Med Surg (Lond). 2022 Mar 7;75:103466. doi: 10.1016/j.amsu.2022.103466. eCollection 2022 Mar.
Robotic surgery has potential benefits in the management of gastric cancer patients. This study compares the outcomes between totally robotic distal gastrectomy (TRDG) with modified port placement and arm positioning technique and conventional totally laparoscopic distal gastrectomy (CTLDG).
Fifty-two patients were enrolled into the study following a retrospective review of an in-patient database between January 2019 and June 2021. Patients who underwent gastric resection with the modified robotic technique were recruited into the study. Patients who did not receive treatment using the modified technique were excluded from the study. Data on demographic, clinical data and surgical outcomes were collected, analyzed, and presented. All statistical analyses were done using IBM SPSS statistical software.
Nineteen patients were in the TRDG group, and their mean age was 60.42 ± 11.53 years. There were no differences in demographic characteristics (all p > 0.05); nonetheless, laparoscopic patients had a significantly higher preoperative albumin level (p = 0.000). The operative time was longer in the TRDG group (223min), but the difference was insignificant. The reconstruction time was significantly shorter for the laparoscopic group (p = 0.000). Except for a significantly higher value of postoperative albumin level (p-value = 0.005) in the robotic group, there were no significant differences in all other surgical outcomes between the two groups. One (5.3%) patient had a severe complication in the robotic group compared to four (12.1%) in the laparoscopic group. Nevertheless, the differences in complications were statistically insignificant.
The modified approach is a safe and feasible in totally robotic distal gastrectomy for the treatment of gastric cancer patients.
机器人手术在胃癌患者的治疗中具有潜在优势。本研究比较了采用改良端口放置和手臂定位技术的全机器人远端胃切除术（TRDG）与传统全腹腔镜远端胃切除术（CTLDG）的治疗效果。
通过回顾2019年1月至2021年6月的住院患者数据库，纳入52例患者进行研究。采用改良机器人技术行胃切除术的患者被纳入研究。未采用改良技术治疗的患者被排除在研究之外。收集、分析并呈现人口统计学、临床数据和手术结果的数据。所有统计分析均使用IBM SPSS统计软件进行。
TRDG组有19例患者，平均年龄为60.42±11.53岁。两组在人口统计学特征上无差异（所有p>0.05）；然而，腹腔镜手术患者术前白蛋白水平显著更高（p=0.000）。TRDG组的手术时间较长（223分钟），但差异不显著。腹腔镜组的重建时间显著更短（p=0.000）。除机器人手术组术后白蛋白水平显著更高（p值=0.005）外，两组在所有其他手术结果上均无显著差异。机器人手术组有1例（5.3%）患者出现严重并发症，而腹腔镜组有4例（12.1%）。然而，并发症的差异在统计学上不显著。
改良方法在全机器人远端胃切除术中治疗胃癌患者是安全可行的。
