Robotic surgery for gastric cancer

Taeil Son; Woo Jin Hyung

doi:10.5124/jkma.2012.55.7.613

Journal List > J Korean Med Assoc > v.55(7) > 1042588

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Son and Hyung: Robotic surgery for gastric cancer

Focused Issue of This Month

Current Status of Robotic Surgery

Journal of the Korean Medical Association

Journal of the Korean Medical Association 2012; 55(7): 613-619.

Published online: 11 July 2012

DOI: https://doi.org/10.5124/jkma.2012.55.7.613

Robotic surgery for gastric cancer

Taeil Son, MD¹, Woo Jin Hyung, MD²

¹Department of Surgery, Eulji University School of Medicine, Deajeon, Korea.

²Department of Surgery, Yonsei University College of Medicine, Korea.

Corresponding author: Woo Jin Hyung, wjhyung@yuhs.ac

Received 13 June 2012 Accepted 27 June 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Minimally invasive surgery (MIS) for gastric cancer has been gaining popularity. Although many surgeons have reported the feasibility of MIS for gastric cancer, difficulties in standard lymph node dissection and anastomoses during laparoscopic procedures have hindered the widespread use of this technique. To overcome these difficulties, a robotic system has been adopted and its feasibility and safety have been shown. However, robotic surgery for gastric cancer has shown few definite advantages over conventional laparoscopy so far. In addition, longer operation time and much higher cost for this procedure are consistently noted. Recently, some retrospective comparative studies have reported benefits of robotic surgery over laparoscopic gastrectomy such as more complete D2 lymph node dissection for advanced gastric cancer, less blood loss, and shorter learning curves. For the wider spread of robotic surgery for gastric cancer, well designed studies are required to verify patients' secondary advantages, the cost benefit trade-off, and oncologic outcomes.

Keywords: Gastrectomy, Robotic surgery, Minimally invasive surgery

Figures and Tables

Table 1

Advantages and disadvantages of robotic gastrectomy

Lap, laparoscopic surgery; BMI, body mass index; LN, lymph node; LOS, length of stay; MIS, minimally invasive surgery; CTx, chemotherapy.

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