Gastric Cancer
Conditions
Keywords
distal gastrectomy, Robotic gastrectomy, registry, learning curve, cost-effectiveness, quality of life, acute inflammatory reaction, Robotic and laparoscopic surgery
Brief summary
Minimally invasive surgery revolutionized the field of gastric cancer surgery. The surgical robot was introduced to alleviate the difficulty of laparoscopic surgery. Although many studies have reported successful outcomes for robotic surgery, there is no multicenter prospective analysis regarding the advantage of the robotic gastrectomy. The aim of this study is to analyze the surgical outcomes of the robotic gastrectomy focusing on the learning curve, cost-effectiveness, quality of life, and acute-inflammatory reaction in comparison with laparoscopic gastrectomy.
Interventions
None listed
Sponsors
Yonsei University
Study design
Observational model
COHORT
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
for prospective study participants * Patients must have documented diagnosis of gastric cancer * Patients receiving laparoscopic gastric cancer surgery without preoperative evidence of serosal invasion and distant lymph node metastasis as determined by preoperative CT-scan, upper endoscopy, and endoscopic ultrasound. * Patients who have received comprehensive explanation about the planned study, understand and accept all the terms of the study and willingly give consent to participate in all the required elements of the study Inclusion Criteria for retrospective study participants \- Any patients who underwent robotic gastrectomy in Korea
Exclusion criteria
for prospective study participants * Patients without mental competence * Patients who are illiterate * Patients who are pregnant * Patients \< 20 years old
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Registration of all robotic gastrectomies performed in South Korea | at the end of the study |
| Learning curve (operation time and surgical outcome) of robotic gastrectomy | from the start of the operation to discharge of the patient (usually two weeks after the operation) |
| Cost-effectiveness comparison between robotic and laparoscopic gastrectomy | from admission to discharge of the patient (usually from two days before the operation until two weeks after the operation) |
| Quality of life after robotic and laparoscopic gastrectomy | One day before operation, first OPD visit after the operation (two weeks after the operation), 3M, 12M, 36M, and 60M after the operation |
| Acute-inflammatory response after undergoing robotic and laparoscopic gastrectomy | preop, 2hr, 24hr, 4days and 30 days after the operation |
Countries
South Korea
Outcome results
None listed