| アブストラクト | BACKGROUND AND OBJECTIVES: Robotic distal gastrectomy (RDG) has been widely performed throughout Japan since it became insured in 2018. This study aimed to evaluate the short-term outcomes of RDG and laparoscopic distal gastrectomy (LDG) for gastric cancer using real-world data. METHODS: A total of 4161 patients who underwent LDG (n = 3173) or RDG (n = 988) for gastric cancer between April 2018 and October 2022 were identified through the Japanese Diagnosis Procedure Combination Database, which covers 42 national university hospitals. The primary outcome was postoperative in-hospital mortality rate. The secondary outcomes were postoperative complication rates, time to diet resumption, and postoperative length of stay (LOS). RESULTS: In-hospital mortality and postoperative complication rates in the RDG group were comparable with those in the LDG group (0.1% vs. 0.0%, p = 1.000, and 8.7% vs. 8.2%, p = 0.693, respectively). RDG was associated with a longer duration of anesthesia (325 vs. 262 min, p < 0.001), similar time to diet resumption (3 vs. 3 days, p < 0.001), and shorter postoperative LOS (10 vs. 11 days, p < 0.001) compared with LDG. CONCLUSIONS: RDG was performed safely and provided shorter postoperative LOS, since it became covered by insurance in Japan. |
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| ジャーナル名 | Journal of surgical oncology |
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| 投稿日 | 2024/1/4 |
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| 投稿者 | Hondo, Nao; Yamamoto, Yuta; Nakabe, Takayo; Otsubo, Tetsuya; Kitazawa, Masato; Nakamura, Satoshi; Koyama, Makoto; Miyazaki, Satoru; Kataoka, Masahiro; Soejima, Yuji |
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| 組織名 | Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and;Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine,;Matsumoto, Nagano, Japan.;The Database Center of the National University Hospitals, The University of Tokyo;Hospital, Tokyo, Japan.;Yokohama City University School of Economics and Business Administration,;Yokohama, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/38173362/ |
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