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Robotic gastrectomy and esophagogastrectomy: A single center experience of 105 cases
Author(s) -
Harrison Lawrence E.,
Yiengpruksawan Anusak,
Patel Jay,
Itskovich Alex,
Lee Benjamin,
Korst Robert
Publication year - 2015
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24073
Subject(s) - medicine , perioperative , robotic surgery , gastrectomy , surgery , general surgery , prospective cohort study , cancer
Background A robotic approach to general surgery procedures may provide improved postoperative outcomes compared to either open or laparoscopic approaches. The role of robotics for gastroesophageal surgery, however, is still being evaluated. Study Design A review of the prospective database for robotic surgery at Valley Hospital between January 2002 and March 2014 identified 105 patients who underwent robotic gastric and esophageal resection. Patient demographics and perioperative factors were studied. Results Over a 12 years period, 105 patients underwent robotic gastroesophageal resection. The median operative time for distal gastrectomy (230 min [112–327]) was significantly less compared to either total gastrectomy (302 min [214–364]) or esophagogastrectomy (309 min [190–682]). The length of stay for patients undergoing distal gastrectomy (6 days [4–32]) was also significantly less than patients undergoing total gastrectomy (11 days [7–43]), as well as esophagogastrectomy (9 days [5–64]). In regard to the learning curve to perform robotic gastroesophageal surgery, there was a significant correlation between operative time and overall experience. Conclusions This study demonstrated that robotic gastroesophageal surgery is feasible and can be safely performed. Assuming familiarity with the open procedures and acquisition of basic robotic skills, the learning curve for robotic gastroesophageal surgery requires approximately 20 cases. J. Surg. Oncol. 2015;112:888–893 . © 2015 Wiley Periodicals, Inc.