Impact of a robotic system on intra‐abdominal infectious complications after minimally invasive gastrectomy in patients with gastric cancer: A propensity score matching analysis regarding visceral obesity

Autor: Naoshi Kubo, Katsunobu Sakurai, Tsuyoshi Hasegawa, Yutaka Tamamori, Yasuhito Iseki, Takafumi Nishii, Sadatoshi Shimizu, Toru Inue, Yukio Nishiguchi, Kiyoshi Maeda
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Annals of Gastroenterological Surgery, Vol 8, Iss 2, Pp 221-233 (2024)
Druh dokumentu: article
ISSN: 2475-0328
DOI: 10.1002/ags3.12748
Popis: Abstract Background The efficacy of robotic gastrectomy (RG) on postoperative complications in patients with gastric cancer (GC) is unclear in terms of the volume of intra‐abdominal fat tissue. Patients and Methods We enrolled 403 patients with GC who had minimally invasive surgery between January 2015 and July 2022. During this time, 197 RG and 206 laparoscopic gastrectomies (LG) were performed on the study participants. According to the computed tomography scan, patients were defined as having or not having visceral obesity based on the visceral fatty area (VFA). In each high and low VFA group, we compared short‐term outcomes between the RG group and LG group. Results After PS matching for patients with high VFA, the two groups were well matched, with 71 cases in both the RG and LG groups. The median surgical time in the RG group was significantly longer (420 vs. 365 min, p
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