Robotic distal subtotal gastrectomy with D2 lymphadenectomy for gastric cancer patients with high body mass index: comparison with conventional laparoscopic distal subtotal gastrectomy with D2 lymphadenectomy

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• 作者：Juhan Lee ; Yoo-Min Kim ; Yanghee Woo ; Kazutaka Obama ; Sung Hoon Noh…
• 关键词：Gastric cancer ; Gastrectomy ; D2 lymphadenectomy ; Robot ; Laparoscopy
• 刊名：Surgical Endoscopy
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：29
• 期：11
• 页码：3251-3260
• 全文大小：624 KB
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• 作者单位：Juhan Lee (1)
  Yoo-Min Kim (2)
  Yanghee Woo (3)
  Kazutaka Obama (4)
  Sung Hoon Noh (1) (5)
  Woo Jin Hyung (1) (5) (6)
  
  1. Department of Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Republic of Korea
  2. Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam-si, Gyeonggi-do, Republic of Korea
  3. Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA
  4. Department of Gastroenterological Surgery, Kyoto University, Kyoto, Japan
  5. Gastric Cancer Center, Yonsei Cancer Center, Yonsei University Health System, Seoul, Republic of Korea
  6. Robot and MIS Center, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Gynecology
  Gastroenterology
  Hepatology
  Proctology
  Abdominal Surgery
  
• 出版者：Springer New York
• ISSN：1432-2218

文摘

Background Minimally invasive surgery (MIS) has emerged as a treatment of choice for early-stage gastric cancer. However, applying MIS to gastric patients with high body mass index (BMI) is technically challenging, especially when performing D2 lymphadenectomy. Recently, robotic systems have been adopted to overcome the technical limitations of conventional laparoscopic surgery. Nevertheless, studies on the impact of the use of robotic systems to perform D2 lymphadenectomy in high BMI patients are lacking. Accordingly, this study was designed to compare the quality of lymphadenectomy, together with surgical outcomes, by robotic distal subtotal gastrectomy with D2 lymphadenectomy (RDGD2) to those by laparoscopic distal subtotal gastrectomy with D2 lymphadenectomy (LDGD2) in patients of different BMI status.