Treatment progress of robotic gastric cancer surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YU Peiwu , LI Zhengyan

Department of General Surgery, Center for General Surgery of PLA, Southwest Hospital, Army Medical University, Chongqing 400038, P. R. China;

Corresponding author：

YU Peiwu, Email: yupeiwu01@sina.com

Keywords：

robotic surgery; stomach neoplasm; treatment progress

DOI：

10.7507/1007-9424.202308073

Video：

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Abstract Full text Figures/Tables Video References Cited by

Robotic gastric cancer surgery had developed rapidly in recent years, and its clinical application had come a long way. More and more studies had demonstrated that the robotic gastric cancer surgery was a safe and feasible procedure, and showed the technical advantages in the lymph node dissection, bleeding control, precise surgery, and postoperative recovery over laparoscopic surgery. However, some limitations such as the high surgical costs, lack of high-quality evidence, insufficient intelligence limited the development of robotic gastric cancer surgery. In the future, with more high-quality evidence-based medicine research and the development of intelligent surgical robots, the robotic gastric cancer surgery will be further standardized and promoted. We believe that robotic gastric cancer surgery will become the mainstream of minimally invasive surgery for the treatment of gastric cancer.

Citation： YU Peiwu, LI Zhengyan. Treatment progress of robotic gastric cancer surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(10): 1159-1162. doi: 10.7507/1007-9424.202308073 Copy

1.	Luo D, Liu Y, Zhu H, et al. The MicroHand S robotic-assisted versus Da Vinci robotic-assisted radical resection for patients with sigmoid colon cancer: a single-center retrospective study. Surg Endosc, 2020, 34(8): 3368-3374.
2.	Hashizume M, Shimada M, Tomikawa M, et al. Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system. Surg Endosc, 2002, 16(8): 1187-1191.
3.	余佩武, 钱锋, 曾冬竹, 等. 达芬奇机器人手术系统胃癌根治术五例报告. 中华外科杂志, 2010, 48(20): 1592-1594.
4.	Zhou JF, Shi Y, Tang B, et al. Robotic gastrectomy versus laparoscopic gastrectomy for gastric cancer: comparison of surgical performance and short-term outcomes. Surg Endosc, 2014, 28(6): 1779-1787.
5.	中国研究型医院学会机器人与腹腔镜外科专业委员会. 机器人胃癌手术专家共识(2015版). 中华消化外科杂志, 2016, 15(1): 7-11.
6.	中国研究型医院学会机器人与腹腔镜外科专业委员会, 中国抗癌协会胃癌专业委员会. 机器人胃癌手术中国专家共识(2021版). 中华消化外科杂志, 2022, 21(1): 1-9.
7.	李镇顺, 钱锋, 石彦, 等. 完全机器人手术系统和机器人手术系统辅助胃癌根治术的近期疗效分析. 中华消化外科杂志, 2023, 22(4): 512-518.
8.	中国医师协会外科医师分会上消化道外科学组, 中华医学会外科学分会胃肠外科学组, 中国研究型医院学会消化道肿瘤专业委员会, 等. 机器人胃癌切除术后完全腔内消化道重建中国专家共识(2021版). 中华胃肠外科杂志, 2021, 24(8): 647-652.
9.	Baral S, Arawker MH, Sun Q, et al. Robotic versus laparoscopic gastrectomy for gastric cancer: a mega meta-analysis. Front Surg, 2022, 9: 895976.
10.	Lu J, Zheng CH, Xu BB, et al. Assessment of robotic versus laparoscopic distal gastrectomy for gastric cancer: a randomized controlled trial. Ann Surg, 2021, 273(5): 858-867.
11.	Ojima T, Nakamura M, Hayata K, et al. Short-term outcomes of robotic gastrectomy vs laparoscopic gastrectomy for patients with gastric cancer: a randomized clinical trial. JAMA Surg, 2021, 156(10): 954-963.
12.	Li Z, Qian F, Zhao Y, et al. A comparative study on perioperative outcomes between robotic versus laparoscopic D2 total gastrectomy. Int J Surg, 2022, 102: 106636.
13.	Li ZY, Zhou YB, Li TY, et al. Robotic gastrectomy versus laparoscopic gastrectomy for gastric cancer: a multicenter cohort study of 5 402 patients in China. Ann Surg, 2023, 277(1): e87-e95.
14.	Feng QB, Ma HX, Qiu J, et al. Comparison of long-term and perioperative outcomes of robotic versus conventional laparoscopic gastrectomy for gastric cancer: a systematic review and meta-analysis of PSM and RCT studies. Front Oncol, 2021, 11: 759509. doi. 10.3389/fonc. 2021.759509.
15.	Liang W, Huang J, Song L, et al. Five-year long-term comparison of robotic and laparoscopic gastrectomy for gastric cancer: a large single-center cohort study. Surg Endosc, 2023, 37(8): 6333-6342.
16.	Lin X, Tan C, Li Z, et al. Long-term oncologic and surgical outcomes of robotic and laparoscopic gastrectomy for Siewert Ⅱ/Ⅲ esophagogastric junction carcinoma: a propensity score-matched retrospective cohort study. Eur J Surg Oncol, 2023, S0748-7983(23)00434-1.
17.	Huang KH, Lan YT, Fang WL, et al. Comparison of the operative outcomes and learning curves between laparoscopic and robotic gastrectomy for gastric cancer. PLoS One, 2014, 9(10): e111499.
18.	Song J, Oh SJ, Kang WH, et al. Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg, 2009, 249(6): 927-932.
19.	Huang KH, Lan YT, Fang WL, et al. Initial experience of robotic gastrectomy and comparison with open and laparoscopic gastrectomy for gastric cancer. J Gastrointest Surg, 2012, 16(7): 1303-1310.
20.	Zhou J, Shi Y, Qian F, et al. Cumulative summation analysis of learning curve for robot-assisted gastrectomy in gastric cancer. J Surg Oncol, 2015, 111(6): 760-767.
21.	Kim MS, Kim WJ, Hyung WJ, et al. Comprehensive learning curve of robotic surgery: discovery from a multicenter prospective trial of robotic gastrectomy. Ann Surg, 2021, 273(5): 949-956.
22.	Li ZY, Qian F, Shi Y, et al. Learning curve of robotic distal and total gastrectomy. Br J Surg, 2021, 108(9): 1126-1132.
23.	郝迎学, 刘春阳, 李平昂, 等. 达芬奇机器人手术系统单孔胃癌根治术的临床疗效. 中华消化外科杂志, 2017, 16(8): 808-812.
24.	Cui H, Cui JX, Zhang KC, et al. Can a single-port robot be safely used for robotic total gastrectomy for advanced gastric cancer? First experience using the da Vinci SP platform. Gastroenterol Rep (Oxf), 2022, 10: goac023.
25.	Wang ZK, Lin JX, Wang FH, et al. Robotic spleen-preserving total gastrectomy shows better short-term advantages: a comparative study with laparoscopic surgery. Surg Endosc, 2022, 36(11): 8639-8650.
26.	刘春阳, 郝迎学, 余佩武, 等. 达芬奇机器人手术系统保留迷走神经胃癌根治术的临床疗效. 中华消化外科杂志, 2017, 16(3): 251-256.
27.	Li ZY, Liu JJ, Yu PW, et al. Robotic total gastrectomy for carcinoma in the remnant stomach: a comparison with laparoscopic total gastrectomy. Gastroenterol Rep (Oxf), 2021, 9(6): 583-588.
28.	Fujimoto D, Taniguchi K, Takashima J, et al. Indocyanine green tracer-guided radical robotic distal gastrectomy using the Firefly™ system improves the quality of lymph node dissection in patients with gastric cancer. J Gastrointest Surg, 2023 Jun 12. doi: 10.1007/s11605-023-05740-7.
29.	Tian Y, Lin Y, Guo H, et al. Safety and efficacy of carbon nanoparticle suspension injection and indocyanine green tracer-guided lymph node dissection during robotic distal gastrectomy in patients with gastric cancer. Surg Endosc, 2022, 36(5): 3209-3216.
30.	Zhang Z, Deng C, Guo Z, et al. Safety and efficacy of indocyanine green near-infrared fluorescent imaging-guided lymph node dissection during robotic gastrectomy for gastric cancer: a systematic review and meta-analysis. Minim Invasive Ther Allied Technol, 2023, 1-9. doi: 10.1080/13645706.2023.2165415.

1. Luo D, Liu Y, Zhu H, et al. The MicroHand S robotic-assisted versus Da Vinci robotic-assisted radical resection for patients with sigmoid colon cancer: a single-center retrospective study. Surg Endosc, 2020, 34(8): 3368-3374.
2. Hashizume M, Shimada M, Tomikawa M, et al. Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system. Surg Endosc, 2002, 16(8): 1187-1191.
3. 余佩武, 钱锋, 曾冬竹, 等. 达芬奇机器人手术系统胃癌根治术五例报告. 中华外科杂志, 2010, 48(20): 1592-1594.
4. Zhou JF, Shi Y, Tang B, et al. Robotic gastrectomy versus laparoscopic gastrectomy for gastric cancer: comparison of surgical performance and short-term outcomes. Surg Endosc, 2014, 28(6): 1779-1787.
5. 中国研究型医院学会机器人与腹腔镜外科专业委员会. 机器人胃癌手术专家共识(2015版). 中华消化外科杂志, 2016, 15(1): 7-11.
6. 中国研究型医院学会机器人与腹腔镜外科专业委员会, 中国抗癌协会胃癌专业委员会. 机器人胃癌手术中国专家共识(2021版). 中华消化外科杂志, 2022, 21(1): 1-9.
7. 李镇顺, 钱锋, 石彦, 等. 完全机器人手术系统和机器人手术系统辅助胃癌根治术的近期疗效分析. 中华消化外科杂志, 2023, 22(4): 512-518.
8. 中国医师协会外科医师分会上消化道外科学组, 中华医学会外科学分会胃肠外科学组, 中国研究型医院学会消化道肿瘤专业委员会, 等. 机器人胃癌切除术后完全腔内消化道重建中国专家共识(2021版). 中华胃肠外科杂志, 2021, 24(8): 647-652.
9. Baral S, Arawker MH, Sun Q, et al. Robotic versus laparoscopic gastrectomy for gastric cancer: a mega meta-analysis. Front Surg, 2022, 9: 895976.
10. Lu J, Zheng CH, Xu BB, et al. Assessment of robotic versus laparoscopic distal gastrectomy for gastric cancer: a randomized controlled trial. Ann Surg, 2021, 273(5): 858-867.
11. Ojima T, Nakamura M, Hayata K, et al. Short-term outcomes of robotic gastrectomy vs laparoscopic gastrectomy for patients with gastric cancer: a randomized clinical trial. JAMA Surg, 2021, 156(10): 954-963.
12. Li Z, Qian F, Zhao Y, et al. A comparative study on perioperative outcomes between robotic versus laparoscopic D2 total gastrectomy. Int J Surg, 2022, 102: 106636.
13. Li ZY, Zhou YB, Li TY, et al. Robotic gastrectomy versus laparoscopic gastrectomy for gastric cancer: a multicenter cohort study of 5 402 patients in China. Ann Surg, 2023, 277(1): e87-e95.
14. Feng QB, Ma HX, Qiu J, et al. Comparison of long-term and perioperative outcomes of robotic versus conventional laparoscopic gastrectomy for gastric cancer: a systematic review and meta-analysis of PSM and RCT studies. Front Oncol, 2021, 11: 759509. doi. 10.3389/fonc. 2021.759509.
15. Liang W, Huang J, Song L, et al. Five-year long-term comparison of robotic and laparoscopic gastrectomy for gastric cancer: a large single-center cohort study. Surg Endosc, 2023, 37(8): 6333-6342.
16. Lin X, Tan C, Li Z, et al. Long-term oncologic and surgical outcomes of robotic and laparoscopic gastrectomy for Siewert Ⅱ/Ⅲ esophagogastric junction carcinoma: a propensity score-matched retrospective cohort study. Eur J Surg Oncol, 2023, S0748-7983(23)00434-1.
17. Huang KH, Lan YT, Fang WL, et al. Comparison of the operative outcomes and learning curves between laparoscopic and robotic gastrectomy for gastric cancer. PLoS One, 2014, 9(10): e111499.
18. Song J, Oh SJ, Kang WH, et al. Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg, 2009, 249(6): 927-932.
19. Huang KH, Lan YT, Fang WL, et al. Initial experience of robotic gastrectomy and comparison with open and laparoscopic gastrectomy for gastric cancer. J Gastrointest Surg, 2012, 16(7): 1303-1310.
20. Zhou J, Shi Y, Qian F, et al. Cumulative summation analysis of learning curve for robot-assisted gastrectomy in gastric cancer. J Surg Oncol, 2015, 111(6): 760-767.
21. Kim MS, Kim WJ, Hyung WJ, et al. Comprehensive learning curve of robotic surgery: discovery from a multicenter prospective trial of robotic gastrectomy. Ann Surg, 2021, 273(5): 949-956.
22. Li ZY, Qian F, Shi Y, et al. Learning curve of robotic distal and total gastrectomy. Br J Surg, 2021, 108(9): 1126-1132.
23. 郝迎学, 刘春阳, 李平昂, 等. 达芬奇机器人手术系统单孔胃癌根治术的临床疗效. 中华消化外科杂志, 2017, 16(8): 808-812.
24. Cui H, Cui JX, Zhang KC, et al. Can a single-port robot be safely used for robotic total gastrectomy for advanced gastric cancer? First experience using the da Vinci SP platform. Gastroenterol Rep (Oxf), 2022, 10: goac023.
25. Wang ZK, Lin JX, Wang FH, et al. Robotic spleen-preserving total gastrectomy shows better short-term advantages: a comparative study with laparoscopic surgery. Surg Endosc, 2022, 36(11): 8639-8650.
26. 刘春阳, 郝迎学, 余佩武, 等. 达芬奇机器人手术系统保留迷走神经胃癌根治术的临床疗效. 中华消化外科杂志, 2017, 16(3): 251-256.
27. Li ZY, Liu JJ, Yu PW, et al. Robotic total gastrectomy for carcinoma in the remnant stomach: a comparison with laparoscopic total gastrectomy. Gastroenterol Rep (Oxf), 2021, 9(6): 583-588.
28. Fujimoto D, Taniguchi K, Takashima J, et al. Indocyanine green tracer-guided radical robotic distal gastrectomy using the Firefly™ system improves the quality of lymph node dissection in patients with gastric cancer. J Gastrointest Surg, 2023 Jun 12. doi: 10.1007/s11605-023-05740-7.
29. Tian Y, Lin Y, Guo H, et al. Safety and efficacy of carbon nanoparticle suspension injection and indocyanine green tracer-guided lymph node dissection during robotic distal gastrectomy in patients with gastric cancer. Surg Endosc, 2022, 36(5): 3209-3216.
30. Zhang Z, Deng C, Guo Z, et al. Safety and efficacy of indocyanine green near-infrared fluorescent imaging-guided lymph node dissection during robotic gastrectomy for gastric cancer: a systematic review and meta-analysis. Minim Invasive Ther Allied Technol, 2023, 1-9. doi: 10.1080/13645706.2023.2165415.

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Treatment progress of robotic gastric cancer surgery

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