Comparison of robotic- and laparoscopic-assisted gastrectomy in advanced gastric cancer: updated short- and long-term results
Comparison of robotic- and laparoscopic-assisted gastrectomy in advanced gastric cancer: updated short- and long-term results
复制标题
机器人辅助胃切除术和腹腔镜辅助胃切除术治疗晚期胃癌的比较：更新的短期和长期结果
DOI：
10.1007/s00464-018-6327-5
复制
发表时间：
2019-02-01
影响因子：
3.1
通讯作者：
Chen, Lin
中科院分区：
文献类型：
--
作者：
Gao, Yunhe;Xi, Hongqing;Chen, Lin
BackgroundEmerging evidence has demonstrated that either laparoscopic-assisted gastrectomy (LAG) or robotic-assisted gastrectomy (RAG) could be adopted as standard treatment for early gastric cancer. However, the long-term survival and recurrence rate after LAG or RAG for locally advanced gastric cancer (AGC) has seldom been reported.MethodsWe retrospectively analyzed the data from 339 patients who underwent LAG and 163 patients who underwent RAG from a prospectively established database in the Chinese People's Liberation Army General Hospital. We compared the short- and long-term oncological outcomes of the RAG group versus the LAG group in the entire cohort, and in a propensity score-matched cohort.ResultsBefore propensity score matching (PSM), the two groups revealed comparable 3-year overall survival rates (OS, RAG vs. LAG: 76.1 vs. 81.7%, p=0.118), and recurrence-free survival rates (RFS, RAG vs. LAG: 73.0 vs. 67.6%, p=0.297). Similar results were obtained in the propensity score-matched cohort; the respective overall survival rates in the propensity score-matched RAG and LAG groups were 76.1 and 79.8% (p=0.552), and the respective RFS rates were 73.0 and 68.7% (p=0.386). After PSM, RAG was still associated with a significantly longer mean operating time (249.4663.26 vs. 232.17 +/- 65.39min, p=0.008) and higher total costs (133.38 +/- 41.62 vs. 95.34 +/- 29.39 10(3) RMB, p
