Department of Surgery, Korea University College of Medicine, Seoul, South Korea.
Department of Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, South Korea.
Sci Rep. 2023 Jun 8;13(1):9355. doi: 10.1038/s41598-023-36601-7.
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.
为了克服腹腔镜手术的局限性，尽管机器人系统成本高昂，但在微创外科时代，它们已被广泛应用。然而，使用具有活动关节的腹腔镜器械（ALIs）可以以较低的成本实现器械的活动关节，而无需机器人系统。在 2021 年 5 月至 2022 年 5 月期间，比较了使用 ALIs 进行腹腔镜胃切除术与使用机器人进行胃切除术的围手术期结果。共有 88 例患者接受了使用 ALIs 的腹腔镜胃切除术，96 例患者接受了机器人胃切除术。两组患者的基线特征相似，但 ALI 组有更多的患者有病史（p=0.013）。两组患者的临床病理和围手术期结果无显著差异。然而，ALI 组的手术时间明显更短（p=0.026）。两组均无死亡病例。总之，在这项前瞻性队列研究中，与机器人胃切除术相比，使用 ALIs 进行腹腔镜胃切除术与可比的围手术期手术结果和更短的手术时间相关。
