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Updated: Apr 15, 2026

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[Robotic gastrectomy: Research progress and practical challenges].

Bin Li1, Han Liang1

  • 1Department of Gastric Surgery, Tianjin Medical University Cancer Institute & Hospital; National Clinical Research Center for Cancer; Tianjin Key Laboratory of Digestive Cancer; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China.

Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences
|April 14, 2026
PubMed
Summary
This summary is machine-generated.

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Robotic gastrectomy (RG) offers benefits over laparoscopic surgery for gastric cancer, including less blood loss and faster recovery. However, longer operation times and higher costs are drawbacks, with ongoing advancements driving precision and intelligence in surgical procedures.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Gastric cancer presents high global incidence and mortality, particularly in China.
  • Minimally invasive procedures, including robotic gastrectomy (RG), are increasingly adopted for gastric cancer surgery.
  • Robotic gastrectomy shows advantages in complex procedures but faces challenges like longer operation times and higher costs.

Purpose of the Study:

  • To systematically review clinical research and guideline consensus on robotic gastrectomy (RG).
  • To evaluate the technical characteristics, learning curve, efficacy, and indications for RG.
  • To analyze limitations and discuss future directions for RG in gastric cancer treatment.

Main Methods:

  • Systematic review of domestic and international clinical research.
Keywords:
LaparoscopyMinimally invasive surgical proceduresRobotic surgical proceduresStomach neoplasms

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  • Analysis of guideline consensus regarding robotic gastrectomy.
  • Evaluation of technical aspects, efficacy, and limitations based on existing literature.

    • Main Results:

    • Robotic gastrectomy (RG) demonstrates advantages in intraoperative blood loss, recovery speed, and certain complications compared to laparoscopic gastrectomy (LG).
    • Current guidelines include RG for early and some locally advanced gastric cancer in experienced centers.
    • Emerging technologies like ICG imaging, reduced-port surgery, 5G, and AI are enhancing RG precision and intelligence.

    Conclusions:

    • Robotic gastrectomy is a valuable minimally invasive option for gastric cancer, with established indications and ongoing technological advancements.
    • Addressing limitations such as operation time and cost is crucial for wider adoption.
    • Future developments in RG aim for increased precision, intelligence, and potentially expanded clinical applications.