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Updated: Feb 1, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
Minimally invasive and open gastrectomy for gastric cancer: A protocol for systematic review and network
Xixiong Wang1, Zhiqiang Li2, Meizhu Chen2
1Department of Surgical Oncology, Boao Evergrande International Hospital, Qionghai.
Background:
The aim of this study is to find the better treatment for gastric cancer by comparing robotic gastrectomy, laparoscopic gastrectomy, and open gastrectomy using Bayesian network meta-analysis.
Methods:
We will search PubMed, Embase, and the Cochrane Library for eligible studies published before 1 September 2018. There will be no language restrictions. Randomized clinical trials that compare robotic gastrectomy, laparoscopic gastrectomy, or open gastrectomy for patients with gastric cancer will be included. The risk of bias of included studies will be assessed by the Cochrane Collaboration's tool for assessing risk of bias in randomized trial. The outcomes of the study include operation time, estimated blood loss, time of ambulation, times to first flatus, time of oral intake, hospitalization, and the occurrence of complication. If sufficient data is collected and adequate clinical homogeneity is established among studies, we will conduct pairwise meta-analyses and Bayesian network meta-analyses for all related outcome measures.
Ethics And Dissemination:
The study does not involve human subjects and does not need ethical approval and patient consent. The results of the network meta-analysis will be disseminated in a peer-reviewed journal for publication.
Insights
This Bayesian network meta-analysis compares robotic, laparoscopic, and open gastrectomy for gastric cancer, evaluating outcomes like operation time and complications to determine the optimal surgical approach.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
- Comparative Effectiveness Research
Background:
- Gastric cancer treatment involves surgical options including robotic, laparoscopic, and open gastrectomy.
- Choosing the optimal surgical approach is crucial for patient outcomes.
Purpose of the Study:
- To compare the effectiveness and safety of robotic, laparoscopic, and open gastrectomy for gastric cancer.
- To identify the superior surgical method through rigorous meta-analysis.
Main Methods:
- Systematic literature search of PubMed, Embase, and Cochrane Library up to September 1, 2018.
- Inclusion of randomized clinical trials comparing the three gastrectomy types.
- Bayesian network meta-analysis of outcomes including operation time, blood loss, recovery, and complications.
Main Results:
- Analysis of operation time, estimated blood loss, ambulation time, flatus, oral intake, hospitalization, and complication rates.
- Statistical comparison of outcomes across robotic, laparoscopic, and open gastrectomy groups.
Conclusions:
- The study aims to provide evidence-based recommendations for the best surgical treatment for gastric cancer.
- Findings will guide clinical decision-making in gastric cancer surgery.
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