Comparative benefits of robotic gastrectomy over laparoscopic surgery across different age and BMI groups.

IF 2.7 2区医学 Q2 SURGERY

Surgical Endoscopy And Other Interventional Techniques Pub Date : 2026-03-16 DOI:10.1007/s00464-026-12716-6

Yuichiro Miki, Tsubasa Bito, Ryota Kawai, Mami Yoshii, Yasutaka Ihara, Kenji Kuroda, Kiyoshi Maeda, Ayumi Shintani

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引用次数: 0

Abstract

Background: Although robotic gastrectomy is increasingly being employed worldwide in patients with gastric cancer, the advantages of robotic gastrectomy (RG) over laparoscopic gastrectomy (LG) remain unclear across different age and BMI groups. This study aims to compare short-term outcomes of RG and LG across different age and BMI groups.

Methods: We analyzed Japanese administrative claims data for patients who underwent RG or LG for gastric cancer between February 2019 and June 2023. The study included 17,786 patients. Multivariable Cox proportional hazard regression models, incorporating interactions between the surgical approach and age, were used to assess postoperative complications, costs, and hospital stay. BMI analyses were conducted similarly.

Results: RG was associated with fewer postoperative complications (grade IIIa or higher, p < 0.001) and shorter hospital stays (p < 0.001) compared to LG in most age groups. Age significantly influenced the relationship between the surgical approach and costs (p = 0.004), with RG having lower costs in older patients, while younger patients incurred lower costs with LG. BMI also affected the association between the surgical approach and complications (p = 0.048); with patients having a BMI ≥ 20 kg/m² experiencing fewer complications with RG than LG.

Conclusions: RG offers greater benefits for elderly and/or non-underweight patients compared to LG.

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不同年龄和BMI组的机器人胃切除术与腹腔镜手术的比较效益。

背景：虽然机器人胃切除术在世界范围内越来越多地用于胃癌患者，但机器人胃切除术（RG）比腹腔镜胃切除术（LG）的优势在不同年龄和BMI组中尚不清楚。本研究旨在比较不同年龄和BMI组的RG和LG的短期结果。方法：我们分析了2019年2月至2023年6月期间日本因胃癌接受RG或LG治疗的患者的行政索赔数据。该研究包括17786名患者。采用多变量Cox比例风险回归模型，纳入手术入路和年龄之间的相互作用，评估术后并发症、费用和住院时间。BMI分析也进行了类似的分析。结果：RG术后并发症较少（IIIa级或更高），2例RG术后并发症少于LG。结论：与LG相比，RG对老年人和/或非体重过轻患者有更大的益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Endoscopy And Other Interventional Techniques 医学-外科

CiteScore

6.10

自引率

12.90%

发文量

890

审稿时长

6 months

期刊介绍： Uniquely positioned at the interface between various medical and surgical disciplines, Surgical Endoscopy serves as a focal point for the international surgical community to exchange information on practice, theory, and research. Topics covered in the journal include: -Surgical aspects of: Interventional endoscopy, Ultrasound, Other techniques in the fields of gastroenterology, obstetrics, gynecology, and urology, -Gastroenterologic surgery -Thoracic surgery -Traumatic surgery -Orthopedic surgery -Pediatric surgery