Amilcare Parisi1, Ninh T Nguyen2, Daniel Reim3, Shu Zhang4, Zhi-Wei Jiang4, Steven T Brower5, Juan-Santiago Azagra6, Olivier Facy7, Orhan Alimoglu8, Patrick G Jackson9, Hironori Tsujimoto10, Yukinori Kurokawa11, Lu Zang12, Natalie G Coburn13, Pei-Wu Yu14, Ben Zhang14, Feng Qi15, Andrea Coratti16, Mario Annecchiarico16, Alexander Novotny3, Martine Goergen6, Jean-Baptiste Lequeu7, Tunc Eren8, Metin Leblebici8, Waddah Al-Refaie17, Shuji Takiguchi11, Junjun Ma12, Yong-Liang Zhao14, Tong Liu15, Jacopo Desiderio18. 1. Department of Digestive Surgery, St. Mary's Hospital, University of Perugia, Terni, Italy. 2. Department of Surgery, Division of Gastrointestinal Surgery, University of California, Irvine Medical Center, Orange, CA, USA. 3. Chirurgische Klinik und Poliklinik, Klinikum Rechts der Isar der Technischen Universität München, München, Germany. 4. Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing, PR China. 5. Department of Surgery, Mount Sinai Beth Israel Medical Center, New York, NY, USA. 6. Unité des Maladies de l'Appareil Digestif et Endocrine (UMADE), Centre Hospitalier de Luxembourg, Luxembourg. 7. Service de chirurgie digestive et cancérologique CHU Bocage, Dijon, France. 8. Department of General Surgery, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey. 9. Division of General Surgery, Medstar Georgetown University Hospital, Washington, DC, USA. 10. Department of Surgery, National Defense Medical College, Tokorozawa, Japan. 11. Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. 12. Department of Surgery, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, PR China. 13. Division of General Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada. 14. Department of General Surgery, Third Military Medical University Southwest Hospital, Chongqing, PR China. 15. Department of Gastrointestinal Surgery, Tianjin Medical University General Hospital, Tianjin, PR China. 16. Division of Oncological and Robotic Surgery, Department of Oncology, Careggi University Hospital, Florence, Italy. 17. Division of Surgical Oncology, Medstar Georgetown University Hospital, Washington DC, USA. 18. Department of Digestive Surgery, St. Mary's Hospital, University of Perugia, Terni, Italy. Electronic address: djdesi85@hotmail.it.
Abstract
BACKGROUND: Gastric cancer represents a great challenge for health care providers and requires a multidisciplinary approach in which surgery plays the main role. Minimally invasive surgery has been progressively developed, first with the advent of laparoscopy and more recently with the spread of robotic surgery, but a number of issues are currently being investigate, including the limitations in performing effective extended lymph node dissections and, in this context, the real advantages of using robotic systems, the possible role for advanced Gastric Cancer, the reproducibility of completely intracorporeal techniques and the oncological results achievable during follow-up. METHOD: Searches of MEDLINE, Embase and Cochrane Central Register of Controlled Trials were performed to identify articles published until April 2014 which reported outcomes of surgical treatment for gastric cancer and that used minimally invasive surgical technology. Articles that deal with endoscopic technology were excluded. RESULTS: A total of 362 articles were evaluated. After the review process, data in 115 articles were analyzed. CONCLUSION: A multicenter study with a large number of patients is now needed to further investigate the safety and efficacy as well as long-term outcomes of robotic surgery, traditional laparoscopy and the open approach.
BACKGROUND:Gastric cancer represents a great challenge for health care providers and requires a multidisciplinary approach in which surgery plays the main role. Minimally invasive surgery has been progressively developed, first with the advent of laparoscopy and more recently with the spread of robotic surgery, but a number of issues are currently being investigate, including the limitations in performing effective extended lymph node dissections and, in this context, the real advantages of using robotic systems, the possible role for advanced Gastric Cancer, the reproducibility of completely intracorporeal techniques and the oncological results achievable during follow-up. METHOD: Searches of MEDLINE, Embase and Cochrane Central Register of Controlled Trials were performed to identify articles published until April 2014 which reported outcomes of surgical treatment for gastric cancer and that used minimally invasive surgical technology. Articles that deal with endoscopic technology were excluded. RESULTS: A total of 362 articles were evaluated. After the review process, data in 115 articles were analyzed. CONCLUSION: A multicenter study with a large number of patients is now needed to further investigate the safety and efficacy as well as long-term outcomes of robotic surgery, traditional laparoscopy and the open approach.
Authors: Jacopo Desiderio; Zhi-Wei Jiang; Ninh T Nguyen; Shu Zhang; Daniel Reim; Orhan Alimoglu; Juan-Santiago Azagra; Pei-Wu Yu; Natalie G Coburn; Feng Qi; Patrick G Jackson; Lu Zang; Steven T Brower; Yukinori Kurokawa; Olivier Facy; Hironori Tsujimoto; Andrea Coratti; Mario Annecchiarico; Francesca Bazzocchi; Andrea Avanzolini; Johan Gagniere; Denis Pezet; Fabio Cianchi; Benedetta Badii; Alexander Novotny; Tunc Eren; Metin Leblebici; Martine Goergen; Ben Zhang; Yong-Liang Zhao; Tong Liu; Waddah Al-Refaie; Junjun Ma; Shuji Takiguchi; Jean-Baptiste Lequeu; Stefano Trastulli; Amilcare Parisi Journal: BMJ Open Date: 2015-10-19 Impact factor: 2.692