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Updated: May 6, 2026
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Robotic versus Laparoscopic versus Open Gastrectomy: A Meta-Analysis
Alessandra Marano1, Yoon Young Choi, Woo Jin Hyung
1Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. ; Department of General and Oncologic Surgery, SS Antonio and Biagio Hospital, Alessandria, University of Turin, Turin, Italy.
Robotic gastrectomy for gastric cancer offers reduced blood loss and shorter hospital stays compared to open or laparoscopic approaches. However, it involves longer operative times but ensures adequate lymph node removal and similar complication rates.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Gastric cancer remains a significant global health challenge.
- Surgical intervention is a cornerstone of gastric cancer treatment.
- Advancements in surgical technology, including robotics, aim to improve patient outcomes.
Purpose of the Study:
- To systematically review and meta-analyze the role of robotic gastrectomy in treating gastric cancer.
- To compare robotic gastrectomy with traditional laparoscopic and open gastrectomy techniques.
Main Methods:
- A comprehensive literature search was conducted across PubMed, EMBASE, and the Cochrane Library up to July 2012.
- Eligible studies comparing robotic gastrectomy with laparoscopic or open gastrectomy were included.
- Meta-analysis was performed on data from seven studies involving 1,967 patients.
Main Results:
- Robotic gastrectomy was associated with a shorter hospital stay compared to open gastrectomy (WMD: -2.92 days, P=0.005).
- Significant reduction in intraoperative blood loss was observed with robotic versus laparoscopic gastrectomy (WMD: -35.53 ml, P=0.03).
- Prolonged operative times were noted for robotic gastrectomy compared to both laparoscopic (WMD: 63.70 min, P<0.00001) and open gastrectomy (WMD: 95.83 min, P<0.00001).
- No significant differences were found in lymph node retrieval or overall complication rates.
Conclusions:
- Robotic gastrectomy offers benefits in reduced blood loss and hospital stay for gastric cancer patients.
- It provides oncologically adequate lymphadenectomy, comparable to other methods.
- Longer operative times are a trade-off, and further high-quality prospective studies are needed to evaluate long-term outcomes.
