Robotic spleen-preserving total gastrectomy for gastric cancer: comparison with conventional laparoscopic procedure
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- 作者：Taeil Son (1) (2)
Joong Ho Lee (1)
Yoo Min Kim (1) (3)
Hyoung-Il Kim (4) (5)
Sung Hoon Noh (4) (5)
Woo Jin Hyung (4) (5) (6) - 关键词：Gastric cancer ; Total gastrectomy ; Spleen ; preservation ; D2 lymph node dissection ; Robot ; Laparoscopy
- 刊名：Surgical Endoscopy
- 出版年：2014
- 出版时间：September 2014
- 年：2014
- 卷：28
- 期：9
- 页码：2606-2615
- 全文大小：869 KB
- 参考文献：1. Sakuramoto S, Kikuchi S, Futawatari N, Katada N, Moriya H, Hirai K, Yamashita K, Watanabe M (2009) Laparoscopy-assisted pancreas- and spleen-preserving total gastrectomy for gastric cancer as compared with open total gastrectomy. Surg Endosc 23:2416-423 CrossRef
2. Kitano S, Shiraishi N, Fujii K, Yasuda K, Inomata M, Adachi Y (2002) A randomized controlled trial comparing open vs laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: an interim report. Surgery 131:S306–S311 CrossRef
3. Mochiki E, Toyomasu Y, Ogata K, Andoh H, Ohno T, Aihara R, Asao T, Kuwano H (2008) Laparoscopically assisted total gastrectomy with lymph node dissection for upper and middle gastric cancer. Surg Endosc 22:1997-002 CrossRef
4. Tanimura S, Higashino M, Fukunaga Y, Takemura M, Tanaka Y, Fujiwara Y, Osugi H (2008) Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases. Surg Endosc 22:1161-164 CrossRef
5. Topal B, Leys E, Ectors N, Aerts R, Penninckx F (2008) Determinants of complications and adequacy of surgical resection in laparoscopic versus open total gastrectomy for adenocarcinoma. Surg Endosc 22:980-84 CrossRef
6. Lee SE, Ryu KW, Nam BH, Lee JH, Kim YW, Yu JS, Cho SJ, Lee JY, Kim CG, Choi IJ, Kook MC, Park SR, Kim MJ, Lee JS (2009) Technical feasibility and safety of laparoscopy-assisted total gastrectomy in gastric cancer: a comparative study with laparoscopy-assisted distal gastrectomy. J Surg Oncol 100:392-95 CrossRef
7. Hyung WJ, Lim JS, Song J, Choi SH, Noh SH (2008) Laparoscopic spleen-preserving splenic hilar lymph node dissection during total gastrectomy for gastric cancer. J Am Coll Surg 207:e6–e11 CrossRef
8. Patriti A, Ceccarelli G, Bellochi R, Bartoli A, Spaziani A, Di Zitti L, Casciola L (2008) Robot-assisted laparoscopic total and partial gastric resection with D2 lymph node dissection for adenocarcinoma. Surg Endosc 22:2753-760 CrossRef
9. Griffith JP, Sue-Ling HM, Martin I, Dixon MF, McMahon MJ, Axon AT, Johnston D (1995) Preservation of the spleen improves survival after radical surgery for gastric cancer. Gut 36:684-90 CrossRef
10. Lee KY, Noh SH, Hyung WJ, Lee JH, Lah KH, Choi SH, Min JS (2001) Impact of splenectomy for lymph node dissection on long-term surgical outcome in gastric cancer. Ann Surg Oncol 8:402-06 CrossRef
11. Hur H, Jeon HM, Kim W (2008) Laparoscopic pancreas- and spleen-preserving D2 lymph node dissection in advanced (cT2) upper-third gastric cancer. J Surg Oncol 97:169-72 CrossRef
12. Okabe H, Obama K, Tsunoda S, Tanaka E, Sakai Y (2014) Advantage of completely laparoscopic gastrectomy with linear stapled reconstruction: a long-term follow-up study. Ann Surg?259:109-16 CrossRef
13. Nagai E, Ohuchida K, Nakata K, Miyasaka Y, Maeyama R, Toma H, Shimizu S, Tanaka M (2013) Feasibility and safety of intracorporeal esophagojejunostomy after laparoscopic total gastrectomy: inverted T-shaped anastomosis using linear staplers. Surgery 153:732-38 CrossRef
14. Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E, Plana MN (2010) Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg 252:254-62 CrossRef
15. Ballantyne GH (2007) Telerobotic gastrointestinal surgery: phase 2–safety and efficacy. Surg Endosc 21:1054-062 CrossRef
16. Yoon HM, Kim YW, Lee JH, Ryu KW, Eom BW, Park JY, Choi IJ, Kim CG, Lee JY, Cho SJ, Rho JY (2012) Robot-assisted total gastrectomy is comparable with laparoscopically assisted total gastrectomy for early gastric cancer. Surg Endosc 26:1377-381 CrossRef
17. Anderson C, Ellenhorn J, Hellan M, Pigazzi A (2007) Pilot series of robot-assisted laparoscopic subtotal gastrectomy with extended lymphadenectomy for gastric cancer. Surg Endosc 21:1662-666 CrossRef
18. Song J, Oh SJ, Kang WH, Hyung WJ, Choi SH, Noh SH (2009) Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg 249:927-32 CrossRef
19. Gotoda T, Yanagisawa A, Sasako M, Ono H, Nakanishi Y, Shimoda T, Kato Y (2000) Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers. Gastric Cancer 3:219-25 CrossRef
20. Japanese Gastric Cancer Association (1998) Japanese classification of gastric carcinoma-nd English edition. Gastric Cancer 1:10-4 CrossRef
21. Japanese Gastric Cancer Association (2011) Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer 14:113-23
22. Marano A, Hyung WJ (2012) Robotic gastrectomy: the current state of the art. J Gastric Cancer 12:63-2 CrossRef
23. Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications—a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205-13 CrossRef
24. Kitamura K, Nishida S, Ichikawa D, Taniguchi H, Hagiwara A, Yamaguchi T, Sawai K (1999) No survival benefit from combined pancreaticosplenectomy and total gastrectomy for gastric cancer. Br J Surg 86:119-22 CrossRef
25. Cuschieri A, Fayers P, Fielding J, Craven J, Bancewicz J, Joypaul V, Cook P (1996) Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomised controlled surgical trial. The Surgical Cooperative Group. Lancet 347:995-99 CrossRef
26. Wanebo HJ, Kennedy BJ, Winchester DP, Stewart AK, Fremgen AM (1997) Role of splenectomy in gastric cancer surgery: adverse effect of elective splenectomy on longterm survival. J Am Coll Surg 185:177-84 CrossRef
27. Oh SJ, Hyung WJ, Li C, Song J, Kang W, Rha SY, Chung HC, Choi SH, Noh SH (2009) The effect of spleen-preserving lymphadenectomy on surgical outcomes of locally advanced proximal gastric cancer. J Surg Oncol 99:275-80 CrossRef
28. Tanimura S, Higashino M, Fukunaga Y, Kishida S, Ogata A, Fujiwara Y, Osugi H (2007) Laparoscopic gastrectomy with regional lymph node dissection for upper gastric cancer. Br J Surg 94:204-07 CrossRef
29. Shinohara T, Kanaya S, Taniguchi K, Fujita T, Yanaga K, Uyama I (2009) Laparoscopic total gastrectomy with D2 lymph node dissection for gastric cancer. Arch Surg 144:1138-142 CrossRef
30. Okabe H, Obama K, Kan T, Tanaka E, Itami A, Sakai Y (2010) Medial approach for laparoscopic total gastrectomy with splenic lymph node dissection. J Am Coll Surg 211:e1–e6 CrossRef
31. Lee JH, Ahn SH, Park do J, Kim HH, Lee HJ, Yang HK (2012) Laparoscopic total gastrectomy with D2 lymphadenectomy for advanced gastric cancer. World J Surg 36:2394-399 CrossRef
32. Woo Y, Hyung WJ, Pak KH, Inaba K, Obama K, Choi SH, Noh SH (2011) Robotic gastrectomy as an oncologically sound alternative to laparoscopic resections for the treatment of early-stage gastric cancers. Arch Surg 146:1086-092 CrossRef
33. Uyama I, Kanaya S, Ishida Y, Inaba K, Suda K, Satoh S (2012) Novel integrated robotic approach for suprapancreatic D2 nodal dissection for treating gastric cancer: technique and initial experience. World J Surg 36:331-37 CrossRef
34. Huang KH, Lan YT, Fang WL, Chen JH, Lo SS, Hsieh MC, Li AF, Chiou SH, Wu CW (2012) Initial experience of robotic gastrectomy and comparison with open and laparoscopic gastrectomy for gastric cancer. J Gastrointest Surg 16:1303-310 CrossRef
35. Han TS, Kong SH, Lee HJ, Ahn HS, Hur K, Yu J, Kim WH, Yang HK (2011) Dissemination of free cancer cells from the gastric lumen and from perigastric lymphovascular pedicles during radical gastric cancer surgery. Ann Surg Oncol 18:2818-825 CrossRef
36. Marutsuka T, Shimada S, Shiomori K, Hayashi N, Yagi Y, Yamane T, Ogawa M (2003) Mechanisms of peritoneal metastasis after operation for non-serosa-invasive gastric carcinoma: an ultrarapid detection system for intraperitoneal free cancer cells and a prophylactic strategy for peritoneal metastasis. Clin Cancer Res 9:678-85
37. Jeong O, Jung MR, Kim GY, Kim HS, Ryu SY, Park YK (2013) Comparison of short-term surgical outcomes between laparoscopic and open total gastrectomy for gastric carcinoma: case-control study using propensity score matching method. J Am Coll Surg 216:184-91 CrossRef
38. Wang JB, Huang CM, Zheng CH, Li P, Xie JW, Lin JX (2012) Laparoscopic spleen-preserving No. 10 lymph node dissection for advanced proximal gastric cancer in left approach: a new operation procedure. World J Surg?Oncol. doi:10.1186/1477-7819-10-241
39. Song J, Kang WH, Oh SJ, Hyung WJ, Choi SH, Noh SH (2009) Role of robotic gastrectomy using da Vinci system compared with laparoscopic gastrectomy: initial experience of 20 consecutive cases. Surg Endosc 23:1204-211 CrossRef
40. Hunerbein M, Dohmoto M, Rau B, Schlag PM (1996) Endosonography and endosonography-guided biopsy of upper-GI-tract tumors using a curved-array echoendoscope. Surg Endosc 10:1205-209 CrossRef
41. Habermann CR, Weiss F, Riecken R, Honarpisheh H, Bohnacker S, Staedtler C, Dieckmann C, Schoder V, Adam G (2004) Preoperative staging of gastric adenocarcinoma: comparison of helical CT and endoscopic US. Radiology 230:465-71 CrossRef
42. Tsendsuren T, Jun SM, Mian XH (2006) Usefulness of endoscopic ultrasonography in preoperative TNM staging of gastric cancer. World J Gastroenterol 12:43-7
43. Kwee RM, Kwee TC (2007) Imaging in local staging of gastric cancer: a systematic review. J Clin Oncol 25:2107-116 CrossRef
44. Lee HH, Lim CH, Park JM, Cho YK, Song KY, Jeon HM, Park CH (2012) Low accuracy of endoscopic ultrasonography for detailed T staging in gastric cancer. World J Surg Oncol. doi:10.1186/1477-7819-10-190
45. Cardoso R, Coburn N, Seevaratnam R, Sutradhar R, Lourenco LG, Mahar A, Law C, Yong E, Tinmouth J (2012) A systematic review and meta-analysis of the utility of EUS for preoperative staging for gastric cancer. Gastric Cancer 15:S19–S26 CrossRef
46. Hasegawa S, Yoshikawa T, Shirai J, Fujikawa H, Cho H, Doiuchi T, Yoshida T, Sato T, Oshima T, Yukawa N, Rino Y, Masuda M, Tsuburaya A (2013) A prospective validation study to diagnose serosal invasion and nodal metastases of gastric cancer by multidetector-row CT. Ann Surg Oncol 20:2016-022 CrossRef - 作者单位：Taeil Son (1) (2)
Joong Ho Lee (1)
Yoo Min Kim (1) (3)
Hyoung-Il Kim (4) (5)
Sung Hoon Noh (4) (5)
Woo Jin Hyung (4) (5) (6)
1. Department of Surgery, Graduate School, Yonsei University College of Medicine, Seoul, South Korea
2. Department of Surgery, Eulji Medical Center, Eulji University School of Medicine, Seoul, South Korea
3. Department of Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, South Korea
4. Department of Surgery, Yonsei University College of Medicine, 50 Yonsei-ro Seodaemun-gu, Seoul, 120-752, South Korea
5. Gastric Cancer Clinic, Severance Hospital, Yonsei University Health System, Seoul, South Korea
6. Robot and MIS Center, Severance Hospital, Yonsei University Health System, Seoul, South Korea - ISSN：1432-2218
文摘
Background Robotic systems recently have been introduced to overcome technical limitations of conventional laparoscopic surgery, especially for complex procedures. Laparoscopic spleen-preserving total gastrectomy with D2 lymph node (LN) dissection (LTGD2) is one of the most complicated procedures. We hypothesized that robotic LN dissection would be more thorough and accurate. We compared robotic spleen-preserving total gastrectomy with D2 LN dissection (RTGD2) with LTGD2 to investigate the impact of robotics. Methods Clinicopathologic characteristics and short-term and long-term outcomes of RTGD2 (n?=?51) versus LTGD2 (n?=?58) in gastric adenocarcinoma patients were extracted from a prospectively designed database and analyzed retrospectively. Results There was no difference of patients-characteristics between groups. Mean operation time of RTGD2 was longer than LTGD2 (p?p?=?0.013), as was also the case at the splenic hilum and artery (3.6 vs. 1.9, p?=?0.014). Postoperative complication (16 vs. 22?%, p?=?0.374) and overall and disease-free survival between the two groups were not significantly different (p?=?0.767 and p?=?0.666, respectively). Conclusions Robotic spleen-preserving total gastrectomy with D2 LN dissection is feasible. Operation time and retrieved total LNs and splenic hilar LNs in the robotic procedure are acceptable.