| Title: |
Evaluating the Role of Robotic Surgery Gastric Cancer Treatment: A Comprehensive Review by the Robotic Global Surgical Society (TROGSS) and European Federation International Society for Digestive Surgery (EFISDS) Joint Working Group |
| Authors: |
Luigi Marano; Tomasz Cwalinski; Sergii Girnyi; Jaroslaw Skokowski; Aman Goyal; Silvia Malerba; Francesco Paolo Prete; Piotr Mocarski; Magdalena Kamila Kania; Maciej Świerblewski; Marek Strzemski; Luis Osvaldo Suárez-Carreón; Johnn Henry Herrera Kok; Karol Polom; Witold Kycler; Valentin Calu; Pasquale Talento; Antonio Brillantino; Francesco Antonio Ciarleglio; Luigi Brusciano; Nicola Cillara; Ruslan Duka; Beniamino Pascotto; Juan Santiago Azagra; Natale Calomino; Mario Testini; Adel Abou-Mrad; Rodolfo J. Oviedo; Yogesh Vashist |
| Contributors: |
Marano, Luigi; Cwalinski, Tomasz; Girnyi, Sergii; Skokowski, Jaroslaw; Goyal, Aman; Malerba, Silvia; Paolo Prete, Francesco; Mocarski, Piotr; Kamila Kania, Magdalena; Świerblewski, Maciej; Strzemski, Marek; Osvaldo Suárez-Carreón, Lui; Henry Herrera Kok, Johnn; Polom, Karol; Kycler, Witold; Calu, Valentin; Talento, Pasquale; Brillantino, Antonio; Antonio Ciarleglio, Francesco; Brusciano, Luigi; Cillara, Nicola; Duka, Ruslan; Pascotto, Beniamino; Santiago Azagra, Juan; Calomino, Natale; Testini, Mario; Abou-Mrad, Adel; Oviedo, Rodolfo J.; Vashist, Yogesh |
| Publication Year: |
2025 |
| Collection: |
Università degli Studi di Siena: USiena air |
| Subject Terms: |
gastric cancer surgery; learning curve; lymphadenectomy; minimally invasive surgery; robot-assisted gastrectomy |
| Description: |
Introduction: Robot-assisted minimally invasive gastrectomy (RAMIG) represents a significant advancement in the surgical management of gastric cancer, offering superior dexterity, enhanced visualization, and improved ergonomics compared to laparoscopic gastrectomy (LG). This review systematically evaluates the current evidence on perioperative outcomes, oncological efficacy, learning curves, and economic considerations, providing insights into RAMIG’s potential role in modern gastric cancer surgery. Methods: A thorough analysis of retrospective, prospective, and meta-analytic studies was conducted to compare RAMIG with LG. Key outcomes, including operative time, intraoperative blood loss, lymph node retrieval, postoperative complications, learning curve duration, and cost-effectiveness, were assessed. Emphasis was placed on both short-term and long-term oncological outcomes to determine the clinical value of RAMIG. Results: Evidence indicates that RAMIG is associated with reduced intraoperative blood loss, lower morbidity rates, and a shorter learning curve, with proficiency achieved after 11–25 cases compared to 40–60 cases for LG. The robotic platform’s articulated instruments and enhanced three-dimensional visualization enable more precise lymphadenectomy, particularly in complex anatomical regions. Despite these advantages, operative time remains longer, and costs remain higher due to system acquisition, maintenance, and consumable expenses. However, emerging data suggest a gradual narrowing of cost disparities. While short-term outcomes are favorable, further high-quality, multicenter studies are needed to validate long-term oncological efficacy and survival outcomes. Conclusion: RAMIG offers significant technical and clinical advantages over conventional LG, particularly in terms of precision and learning efficiency. However, the long-term oncological benefits and economic feasibility require further validation. Future research should focus on cost optimization, advanced technological integration such as ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
ELETTRONICO |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/39996883; info:eu-repo/semantics/altIdentifier/wos/WOS:001429618500001; volume:32; issue:2; numberofpages:26; journal:CURRENT ONCOLOGY; https://hdl.handle.net/11365/1286277; https://pmc.ncbi.nlm.nih.gov/articles/PMC11854667/ |
| DOI: |
10.3390/curroncol32020083 |
| Availability: |
https://hdl.handle.net/11365/1286277; https://doi.org/10.3390/curroncol32020083; https://www.mdpi.com/1718-7729/32/2/83; https://pmc.ncbi.nlm.nih.gov/articles/PMC11854667/ |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.1C6A9305 |
| Database: |
BASE |