pISSN 2636-0004eISSN 2636-0012
pISSN 2636-0004Comparison of Postoperative Outcomes Between Robotic Gastrectomy and Laparoscopic Gastrectomy Based on Two Recent Randomized Controlled Trials
| Postoperative outcome | The FUGES-011 trial | The Japanese RCT | |||||
|---|---|---|---|---|---|---|---|
| RDG ( |
LDG ( |
RG ( |
LG ( |
||||
| Operation time (min) | 0.001 | ||||||
| Total operation time | 201.2 ± 32.0 | 181.6 ± 44.4 | < 0.001 | 297 (179–654) | 245 (131–534) | ||
| Actual operation time | 187.0 ± 32.4 | 181.6 ± 44.4 | 0.243 | 250 | |||
| Estimated blood loss (mL) | 41.2 ± 45.7 | 55.7 ± 70.5 | 0.045 | 25 (5–475) | 25 (5–1,405) | 0.18 | |
| Lymphadenectomy | |||||||
| Total LN | 40.9 ± 11.2 | 39.9 ± 12.2 | 0.452 | 30 (10–103) | 35 (5–92) | 0.09 | |
| Perigastric | 23.3 ± 8.6 | 24.0 ± 9.0 | 0.500 | ||||
| Extragastric | 17.6 ± 5.8 | 15.8 ± 6.6 | 0.018 | ||||
| Metastatic LN | 1.57 (0–21) | 1.97 (0–28) | 0.45 | ||||
| Postoperative recovery | |||||||
| First flatus (day) | 3.2 ± 0.6 | 3.5 ± 0.9 | < 0.001 | 2 (1–4) | 2 (1–6) | 0.01 | |
| First liquid diet (day) | 3.5 ± 0.6 | 3.9 ± 1.3 | 0.001 | 1 (1–4) | 1 (1–26) | 0.49 | |
| Postoperative hospital stay (day) | 7.9 ± 3.4 | 8.2 ± 2.5 | 0.062 | 12 (7–43) | 13 (6–45) | 0.93 | |
| Analgesic drug | 1 (0–12) | 2 (0–21) | 0.001 | ||||
| Postoperative morbidity | |||||||
| Overall morbidity | 13 (9.2) | 25 (17.6) | 0.039 | 10 (8.8) | 23 (19.7) | 0.02 | |
| Overall morbidity, ≥ CDC III | 6 (5.3) | 19 (16.2) | 0.01 | ||||
| Intra-abdominal abscess, ≥ CDC II | 3 (2.1) | 2 (1.4) | 0.684 | 7 (6.2) | 10 (8.5) | 0.50 | |
| Intra-abdominal abscess, ≥ CDC III | 5 (4.4) | 9 (7.7) | 0.30 | ||||
| Anastomosis leakage | 0 (0.0) | 1 (0.7) | > 0.999 | 4 (3.5) | 5 (4.3) | 0.99 | |
| Pancreatic fistula | 0 (0.0) | 2 (1.7) | 0.72 | ||||
| Intra-abdominal bleeding | 1 (0.7) | 3 (2.1) | 0.622 | 0 (0.0) | 0 (0.0) | 0.99 | |
| Ileus | 1 (0.7) | 1 (0.7) | > 0.999 | 1 (0.9) | 2 (1.7) | 0.99 | |
| Cholecystitis | 0 (0.0) | 3 (2.6) | 0.25 | ||||
| Wound infection | 1 (0.7) | 1 (0.7) | > 0.999 | 1 (0.9) | 1 (0.9) | 0.99 | |
| Pneumonia | 8 (5.7) | 16 (11.3) | 0.091 | 1 (0.9) | 5 (4.2) | 0.21 | |
| Cardiovascular system | 1 (0.7) | 1 (0.7) | > 0.999 | 0 (0.0) | 0 (0.0) | 0.99 | |
| Liver system | 2 (1.4) | 1 (0.7) | 0.622 | 0 (0.0) | 0 (0.0) | 0.99 | |
| Urinary system | 1 (0.7) | 2 (1.4) | > 0.999 | 0 (0.0) | 1 (0.9) | 0.99 | |
| Thrombosis | 0 (0.0) | 1 (0.7) | > 0.999 | 0 (0.0) | 0 (0.0) | 0.99 | |
| Postoperative mortality | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0.99 | ||
Values are presented as mean ± standard deviation, number (%), or median (range).
RDG, robotic distal gastrectomy; LDG, laparoscopic distal gastrectomy; RG, robotic gastrectomy; LG, laparoscopic gastrectomy; CDC, Clavien-Dindo classification; LN, lymph nodes.