Utility of robotic surgery for Siewert type II/III adenocarcinoma of esophagogastric junction: transhiatal robotic versus laparoscopic approach

BMC Surgery

Research

Hideya Kashihara¹  Takuya Tokunaga¹  Toshiaki Yoshimoto¹  Yuma Wada¹  Kozo Yoshikawa¹  Toshihiro Nakao¹  Mitsuo Shimada¹  Masaaki Nishi¹  Chie Takasu¹ 

[1] Department of Surgery, University of Tokushima Graduate School, 3-18-15 Kuramoto-Cho, 770-8503, Tokushima, Japan;

关键词: Siewert II/III;    Adenocarcinoma of esophagogastric junction;    Robotic surgery;    Laparoscopic surgery;   

DOI  :  10.1186/s12893-023-02045-z

 received in 2023-02-06, accepted in 2023-05-12,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundRobotic surgery (RS) has been rapidly adopted for gastric cancer and adenocarcinoma of the esophagogastric junction (AEG). However, the utility of RS for Siewert type II/III AEG remains unclear.MethodsForty-one patients who underwent either transhiatal RS (n = 15) or laparoscopic surgery (LS) (n = 26) for Siewert type II/III AEG were enrolled in this study. The surgical outcomes of the two groups were compared.ResultsIn the entire cohort, there were no significant intergroup differences in the operative time, blood loss volume, or number of retrieved lymph nodes. The length of the postoperative hospital stay was shorter in the RS group than in the LS group (14.20 ± 7.10 days vs. 18.73 ± 17.82 days, respectively; p = 0.0388). The morbidity rate (Clavien–Dindo grade ≥ 2) was similar between the groups. In the Siewert II cohort, there were no significant intergroup differences in short-term outcomes. In the entire cohort, there was no significant difference between the RS and LS groups in the 3-year overall survival rate (91.67% vs. 91.48%, N.S.) or 3-year disease-free survival rate (91.67% vs. 91.78%, N.S.), respectively. Likewise, in the Siewert type II cohort, there was no significant difference between the RS and LS groups in the 3-year overall survival rate (80.00% vs. 93.33%, N.S.) or 3-year disease-free survival rate (80.00% vs. 94.12%, N.S.), respectively.ConclusionsTranshiatal RS for Siewert II/III AEG was safe and contributed to similar short-term and long-term outcomes compared with LS.

【 授权许可】

CC BY   
© The Author(s) 2023

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