Robotic Gastric Cancer Surgery: What Happened Last Year?
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Purpose of review
This following review aims to evaluate the role of robotic surgery in gastric cancer, comparison with open and laparoscopic alternatives, based on the articles published last year.
Robotic gastric surgery is a promising and developing platform in the surgical era and its perioperative or oncological results after gastric cancer surgery are still under evaluation. Besides this, the approaches of eastern and western societies in robotic gastric surgery are also different as in open surgery, in some ways.
Robotic gastric surgery seems to be more advantageous to use in early-stage gastric cancers, it causes less bleeding and provides technical advantage to the surgeon. The high cost and the long operation time are still the biggest problems. There is no difference in terms of oncological results compared to other methods. It is feasible and safe alternative to other methods.
KeywordsGastric cancer Robotic surgery Minimal invasive surgery
Compliance with Ethical Guidelines
Conflict of interest
Muhammet Kadri Çolakoğlu, Volkan Öter, and Erdal Birol Bostancı each declare no potential conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.• Antoniou SA, Antoniou GA, Antoniou AI, Granderath FA. Past, present and future of minimally invasive abdominal surgery. JSLS. 2015;19(3):e2015.00052. A study that shows the evolution of abdominal surgery step-by-step.Google Scholar
- 7.•• Tsai SH, Liu CA, Huang KH, Lan YT, Chen MH, Chao Y, Lo SS, Li AF, Wu CW, Chiou SH, Yang MH, Shyr YM, Fang WL. Advances in Laparoscopic and robotic gastrectomy for gastric cancer. Pathol Oncol Res. 2017;23(1):13–17. It is an original study that compares operative outcomes, learning curves, and oncological outcome of laparoscopic and robotic gastric surgery approaches.Google Scholar
- 8.•• Li Z, Li B, Bai B, Yu P, Lian B, Zhao Q. Long-term outcomes of laparoscopic versus open D2 gastrectomy for advanced gastric cancer. Surg Oncol. 2018;27(3):441–448. A study, showing that minimally invasive surgery could be equivalent to open surgery for advanced gastric tumors.Google Scholar
- 9.•• Xu Y, Hua J, Li J, Shi L, Xue H, Shuang J, Du J. Long-term outcomes of laparoscopic versus open gastrectomy for advanced gastric cancer: A large cohort study. Am J Surg. 2018. https://doi.org/10.1016/j.amjsurg.2018.07.012. Another study, showing that minimally invasive surgery could be equivalent to open surgery for advanced gastric tumors.
- 16.• Greenleaf EK, Sun SX, Hollenbeak CS, Wong J. Minimally invasive surgery for gastric cancer: the American experience. Gastric Cancer. 2017;20:368–378. A good study that reflects perspective of west for gastric surgery.Google Scholar
- 18.Parisi A, Reim D, Borghi F, Nguyen NT, Qi F, Coratti A, Cianchi F, Cesari M, Bazzocchi F, Alimoglu O, Gagniere J, Pernazza G, D’Imporzano S, Zhou YB, Azagra JS, Facy O, Brower ST, Jiang ZW, Zang L, Isik A, Gemini A, Trastulli S, Novotny A, Marano A, Liu T, Annecchiarico M, Badii B, Arcuri G, Avanzolini A, Leblebici M, Pezet D, Cao SG, Goergen M, Zhang S, Palazzini G, D’Andrea V, Desiderio J. Minimally invasiive surgery for gastric cancer: a comparison between robotic, laparoscopic and open surgery. World J Gastroenterol. 2017;23(13):2376–84.CrossRefGoogle Scholar
- 26.Lu J, Zheng HL, Li P, Xie JW, Wang JB, Lin JX, Chen QY, Cao LL, Lin M, Tu RH, Huang ZN, Huang CM, Zheng CH. A propensity score-matched comparison of robotic versus laparoscopic gastrectomy for gastric cancer: oncological, cost and surgical stress analysis. J Gastrointest Surg. 2018. https://doi.org/10.1007/s11605-018-3785-y.CrossRefPubMedGoogle Scholar
- 38.Heemskerk J, van Gemert WG, de Vries J, Greve J, Bouvy ND. Learning curve of robot-assisted laparoscopic surgery compared with conventional laparoscopic surgery: an experimental study evaluating skill acquisition of robot-assisted laparoscopic tasks compared with conventional laparoscopic tasks in inexperienced users. Surg Laparosc Endosc Percutan Tech. 2007;17(3):171–4.CrossRefGoogle Scholar
- 47.Liu CA, Huang KH, Chen MH, Lo SS, Li AF, Wu CW, Shyr YM, Fang WL. Comparison of the surgical outcomes of minimally invasive and open surgery for octogenarian and older compared to younger gastric cancer patients: a retrospective cohort study. BMC Surg. 2017;17(1):68. https://doi.org/10.1186/s12893-017-0265-3.CrossRefPubMedPubMedCentralGoogle Scholar