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dc.contributor.author하태경-
dc.date.accessioned2018-08-02T04:26:18Z-
dc.date.available2018-08-02T04:26:18Z-
dc.date.issued2016-07-
dc.identifier.citationEJSO, v. 42, NO 12, Page. 1944-1949en_US
dc.identifier.issn0748-7983-
dc.identifier.issn1532-2157-
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0748798316306825?via%3Dihub-
dc.identifier.urihttp://repository.hanyang.ac.kr/handle/20.500.11754/74294-
dc.description.abstractAims: Robotic gastrectomy for gastric cancer has been proven to be a feasible and safe minimally invasive procedure. However, our previous multicenter prospective study indicated that robotic gastrectomy is not superior to laparoscopic gastrectomy. This study aimed to identify which subgroups of patients would benefit from robotic gastrectomy rather than from conventional laparoscopic gastrectomy. Methods: A prospective multicenter comparative study comparing laparoscopic and robotic gastrectomy was previously conducted. We divided the patients into subgroups according to obesity, type of gastrectomy performed, and extent of lymph node dissection. Surgical outcomes were compared between the robotic and laparoscopic groups in each subgroup. Results: A total of 434 patients were enrolled into the robotic (n = 223) and laparoscopic (n = 211) surgery groups. According to obesity and gastrectomy type, there was no difference in the estimated blood loss (EBL), number of retrieved lymph nodes, complication rate, open conversion rate, and the length of hospital stay between the robotic and laparoscopic groups. According to the extent of lymph node dissection, the robotic group showed a significantly lower EBL than did the laparoscopic group after D2 dissection (P = 0.021), while there was no difference in EBL in patients that did not undergo D2 dissection (P = 0.365). Conclusion: Patients with gastric cancer undergoing D2 lymph node dissection can benefit from less blood loss when a robotic surgery system is used. (C) 2016 Elsevier Ltd, BASO similar to The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.en_US
dc.description.sponsorshipThis research was supported by a grant from the National R&D Program for Cancer Control, Ministry of Health & Welfare, Republic of Korea (1020410), and the National Cancer Center, Republic of Korea (Grant No. 1410140-2).en_US
dc.language.isoenen_US
dc.publisherELSEVIER SCI LTDen_US
dc.subjectGastric canceren_US
dc.subjectRobotic surgeryen_US
dc.subjectLaparoscopyen_US
dc.subjectSurgical outcomeen_US
dc.titleWho may benefit from robotic gastrectomy?: A subgroup analysis of multicenter prospective comparative study data on robotic versus laparoscopic gastrectomyen_US
dc.typeArticleen_US
dc.relation.no12-
dc.relation.volume42-
dc.identifier.doi10.1016/j.ejso.2016.07.012-
dc.relation.page1944-1949-
dc.relation.journalEJSO-
dc.contributor.googleauthorPark, J. M.-
dc.contributor.googleauthorKim, H. I.-
dc.contributor.googleauthorHan, S. U.-
dc.contributor.googleauthorYang, H. K.-
dc.contributor.googleauthorKim, Y. W.-
dc.contributor.googleauthorLee, H. J.-
dc.contributor.googleauthorAn, J. Y.-
dc.contributor.googleauthorKim, M. C.-
dc.contributor.googleauthorPark, S.-
dc.contributor.googleauthorHa, T. K.-
dc.relation.code2016007499-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidmissurgeon-
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