@article{oai:shiga-med.repo.nii.ac.jp:00004295, author = {貝田, 佐知子 and 村田, 聡 and 三宅, 亨 and 石川, 健 and 竹林, 克士 and 前平, 博充 and 山口, 剛 and 飯田, 洋也 and 谷, 眞至 and KAIDA, Sachiko and MURATA, Satoshi and MIYAKE, Toru and ISHIKAWA, Ken and TAKEBAYASHI, Katsushi and MAEHIRA, Hiromitsu and YAMAGUCHI, Tsuyoshi and IIDA, Hiroya and TANI, Masaji}, journal = {American journal of surgery}, month = {Jun}, note = {pdf, Background: There is no consensus amongst comparative studies about the advantages of robotic over laparoscopic surgeries for gastric cancer (GC). We compared invasiveness and lymph node dissection between robotic and laparoscopic gastrectomies (RG and LG)., Methods: We retrospectively reviewed the medical records of 215 consecutive patients with GC who underwent RG or LG with lymphadenectomy from January 2011-December 2020. Propensity score matching analysis was performed to control selection bias., Results: The RG group had less operative blood loss (P = 0.0005) and higher C-reactive protein levels on postoperative day 1 (P = 0.0006) than the LG group. When analyzing the specific sites of dissected lymph nodes, station groups of supra-pancreatic and lesser curvature areas accounted for this difference (P = 0.0073 and 0.0362, respectively)., Conclusions: RG demonstrated lesser intraoperative bleeding, less of a postoperative inflammatory response, and a higher proportion of lymph node removal than LG, suggesting that it is a better surgical and oncological procedure., Journal Article}, title = {Surgical invasiveness and lymphadenectomy in robotic and laparoscopic gastrectomy : A retrospective study with propensity-score matching.}, year = {2022} }