Abstract
Background: Robotic surgery for gastric cancer has been adopted to overcome technical difficulties in performing laparoscopic gastrectomy. This study aimed to investigate the feasibility and safety of robotic gastrectomy in elderly gastric cancer patients. Methods: Patients who underwent laparoscopic or robotic gastrectomy from 2003 to 2010 in a single high-volume center were included in this study. We retrospectively compared preoperative characteristics, perioperative factors, and oncological parameters among an elderly (≥70 years old) robotic gastrectomy group (n = 49), a younger (<70 years old) robotic gastrectomy group (n = 321), and an elderly laparoscopic gastrectomy group (n = 132). Results: The elderly robotic group presented with more comorbidities than the younger robotic group. Except for number of retrieved lymph nodes (36.5 vs. 41.5; P = 0.007), short-term operative outcomes including complications and pathological parameters were comparable between the two robotic groups. The elderly robotic group showed comparable disease-specific survival to the younger robotic group although overall survival was worse. Compared to their laparoscopic counterparts, the elderly robotic group showed longer mean operation time (227 vs. 174 min). Nevertheless, the incidence and severity of postoperative complications was not different between the two elderly groups. Overall and disease-specific survival were also comparable between the elderly groups. In multivariate analysis, age and surgical approach were not risk factors for overall and major complications. Conclusions: The outcomes of robotic gastrectomy in the elderly did not differ from those in younger robotic gastrectomy patients and were comparable to those in elderly patients who underwent laparoscopic gastrectomy. Thus, robotic gastrectomy could be a safe and feasible approach in elderly patients.
| Original language | English |
|---|---|
| Pages (from-to) | 1125-1134 |
| Number of pages | 10 |
| Journal | Gastric Cancer |
| Volume | 19 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2016 Oct 1 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Oncology
- Gastroenterology
- Cancer Research
Cite this
}
Robotic gastrectomy for elderly gastric cancer patients : comparisons with robotic gastrectomy in younger patients and laparoscopic gastrectomy in the elderly. / Okumura, Naoki; Son, Taeil; Kim, Yoo Min; Kim, Hyoung Il; An, Ji Yeong; Noh, Sung Hoon; Hyung, WooJin.
In: Gastric Cancer, Vol. 19, No. 4, 01.10.2016, p. 1125-1134.Research output: Contribution to journal › Article
TY - JOUR
T1 - Robotic gastrectomy for elderly gastric cancer patients
T2 - comparisons with robotic gastrectomy in younger patients and laparoscopic gastrectomy in the elderly
AU - Okumura, Naoki
AU - Son, Taeil
AU - Kim, Yoo Min
AU - Kim, Hyoung Il
AU - An, Ji Yeong
AU - Noh, Sung Hoon
AU - Hyung, WooJin
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Background: Robotic surgery for gastric cancer has been adopted to overcome technical difficulties in performing laparoscopic gastrectomy. This study aimed to investigate the feasibility and safety of robotic gastrectomy in elderly gastric cancer patients. Methods: Patients who underwent laparoscopic or robotic gastrectomy from 2003 to 2010 in a single high-volume center were included in this study. We retrospectively compared preoperative characteristics, perioperative factors, and oncological parameters among an elderly (≥70 years old) robotic gastrectomy group (n = 49), a younger (<70 years old) robotic gastrectomy group (n = 321), and an elderly laparoscopic gastrectomy group (n = 132). Results: The elderly robotic group presented with more comorbidities than the younger robotic group. Except for number of retrieved lymph nodes (36.5 vs. 41.5; P = 0.007), short-term operative outcomes including complications and pathological parameters were comparable between the two robotic groups. The elderly robotic group showed comparable disease-specific survival to the younger robotic group although overall survival was worse. Compared to their laparoscopic counterparts, the elderly robotic group showed longer mean operation time (227 vs. 174 min). Nevertheless, the incidence and severity of postoperative complications was not different between the two elderly groups. Overall and disease-specific survival were also comparable between the elderly groups. In multivariate analysis, age and surgical approach were not risk factors for overall and major complications. Conclusions: The outcomes of robotic gastrectomy in the elderly did not differ from those in younger robotic gastrectomy patients and were comparable to those in elderly patients who underwent laparoscopic gastrectomy. Thus, robotic gastrectomy could be a safe and feasible approach in elderly patients.
AB - Background: Robotic surgery for gastric cancer has been adopted to overcome technical difficulties in performing laparoscopic gastrectomy. This study aimed to investigate the feasibility and safety of robotic gastrectomy in elderly gastric cancer patients. Methods: Patients who underwent laparoscopic or robotic gastrectomy from 2003 to 2010 in a single high-volume center were included in this study. We retrospectively compared preoperative characteristics, perioperative factors, and oncological parameters among an elderly (≥70 years old) robotic gastrectomy group (n = 49), a younger (<70 years old) robotic gastrectomy group (n = 321), and an elderly laparoscopic gastrectomy group (n = 132). Results: The elderly robotic group presented with more comorbidities than the younger robotic group. Except for number of retrieved lymph nodes (36.5 vs. 41.5; P = 0.007), short-term operative outcomes including complications and pathological parameters were comparable between the two robotic groups. The elderly robotic group showed comparable disease-specific survival to the younger robotic group although overall survival was worse. Compared to their laparoscopic counterparts, the elderly robotic group showed longer mean operation time (227 vs. 174 min). Nevertheless, the incidence and severity of postoperative complications was not different between the two elderly groups. Overall and disease-specific survival were also comparable between the elderly groups. In multivariate analysis, age and surgical approach were not risk factors for overall and major complications. Conclusions: The outcomes of robotic gastrectomy in the elderly did not differ from those in younger robotic gastrectomy patients and were comparable to those in elderly patients who underwent laparoscopic gastrectomy. Thus, robotic gastrectomy could be a safe and feasible approach in elderly patients.
UR - http://www.scopus.com/inward/record.url?scp=84946430731&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84946430731&partnerID=8YFLogxK
U2 - 10.1007/s10120-015-0560-6
DO - 10.1007/s10120-015-0560-6
M3 - Article
C2 - 26541766
AN - SCOPUS:84946430731
VL - 19
SP - 1125
EP - 1134
JO - Gastric Cancer
JF - Gastric Cancer
SN - 1436-3291
IS - 4
ER -