Short-term Outcomes and Cost-effectiveness of Laparoscopic Gastrectomy with Articulating Instruments for Gastric Cancer Compared with the Robotic Approach

Overview

Journal Sci Rep

Specialty Science

Date 2023 Jun 8

PMID 37291374

Authors

Chang Min Lee

Sungsoo Park

Sung Hyun Park

Ki-Yoon Kim

Minah Cho

Yoo Min Kim

Woo Jin Hyung

Hyoung-Il Kim

Affiliations

Soon will be listed here.

Abstract

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.

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