Robotic gastrectomy and esophagogastrectomy

A single center experience of 105 cases

Lawrence Harrison, Anusak Yiengpruksawan, Jay Patel, Alex Itskovich, Benjamin Lee, Robert Korst

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)888-893
Number of pages6
JournalJournal of Surgical Oncology
Volume112
Issue number8
DOIs
StatePublished - Dec 15 2015
Externally publishedYes

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Robotics
Gastrectomy
Learning Curve
Operative Time
Length of Stay
Stomach
Demography
Databases

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

Cite this

Harrison, Lawrence ; Yiengpruksawan, Anusak ; Patel, Jay ; Itskovich, Alex ; Lee, Benjamin ; Korst, Robert. / Robotic gastrectomy and esophagogastrectomy : A single center experience of 105 cases. In: Journal of Surgical Oncology. 2015 ; Vol. 112, No. 8. pp. 888-893.
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abstract = "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.",
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Harrison, L, Yiengpruksawan, A, Patel, J, Itskovich, A, Lee, B & Korst, R 2015, 'Robotic gastrectomy and esophagogastrectomy: A single center experience of 105 cases', Journal of Surgical Oncology, vol. 112, no. 8, pp. 888-893. https://doi.org/10.1002/jso.24073

Robotic gastrectomy and esophagogastrectomy : A single center experience of 105 cases. / Harrison, Lawrence; Yiengpruksawan, Anusak; Patel, Jay; Itskovich, Alex; Lee, Benjamin; Korst, Robert.

In: Journal of Surgical Oncology, Vol. 112, No. 8, 15.12.2015, p. 888-893.

Research output: Contribution to journalArticle

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AU - Harrison, Lawrence

AU - Yiengpruksawan, Anusak

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AU - Lee, Benjamin

AU - Korst, Robert

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N2 - 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.

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