文献类型：期刊文献

英文题名：Robotic versus laparoscopic gastrectomy for gastric cancer in asia: A meta-analysis of short-term outcomes from six randomized controlled trials

作者：Deng, Yuan[1,2,4,5,6,7,8];He, Lan-Juan[3];Li, Xun[1,4,5,6,7,8]

第一作者：Deng, Yuan

通信作者：Li, X[1]

机构：[1]Lanzhou Univ, Sch Clin Med 1, Lanzhou 730000, Peoples R China;[2]Gansu Prov Hosp, Lanzhou 730000, Peoples R China;[3]Gansu Univ Chinese Med, Lanzhou 730000, Peoples R China;[4]Lanzhou Univ, Hosp 1, Dept Gen Surg, Lanzhou 730000, Peoples R China;[5]Key Lab Biotherapy & Regenerat Med Gansu Prov, Lanzhou 730000, Peoples R China;[6]Hepatopancreatobiliary Surg Inst Gansu Prov, Lanzhou 730000, Peoples R China;[7]Clin Res Ctr Gen Surg Gansu Prov, Lanzhou 730000, Peoples R China;[8]Med Engn Ctr Liver Repair & Regenerat Gansu Prov, Lanzhou 730000, Peoples R China

第一机构：Lanzhou Univ, Sch Clin Med 1, Lanzhou 730000, Peoples R China

通信机构：[1]corresponding author), Lanzhou Univ, Sch Clin Med 1, Lanzhou 730000, Peoples R China.

年份：2025

卷号：51

期号：9

外文期刊名：EJSO

收录：;Scopus(收录号：2-s2.0-105009760106);WOS:【SCI-EXPANDED(收录号:WOS:001533996600001)】；

基金：This study was funded by Gansu Provincial Natural Science Foundation, China (No.21JR7RA649) ; Research Project of Gansu Provincial Hospital (No.24GSSYC-10) ; Science and Technology Programme of Lanzhou (No. 2020-ZD-29) .

语种：英文

外文关键词：Gastric cancer; Robotic gastrectomy; Laparoscopic gastrectomy; Short-term outcomes; Meta-analysis

摘要：Background: This study aims to compare the short-term outcomes of RG and LG for the treatment of gastric cancer(GC). Methods: All potential studies comparing the surgical effects between RG and LG were electronically searched in the PubMed, Web of Science, Cochrane Library, Wanfang, and China National Knowledge Infrastructure (CNKI) databases up to August 30, 2024. Results: After screening 660 articles, a total of six randomized controlled trials(RCTs) with 1055 patients (547 in the RG group and 508 in the LG group) were included in the current meta-analysis. As compared with LG group, the pooled data showed that RG group had less intraoperative blood loss(WMD = -27.36; 95%CI = -45.76 to -8.96; p = 0.004), more retrieved lymph nodes(WMD = 2.7; 95%CI = 0.16 to 5.24; p = 0.04), shorter postoperative hospital stay(WMD = -1.06; 95%CI = -1.54 to -0.59; p < 0.0001), lower postoperative complications(OR = 0.47; 95%CI = 0.28 to 0.82; p < 0.0001), earlier time to first flatus(WMD = -0.28; 95%CI = -0.48 to -0.07; p = 0.007) and liquid intake(WMD = -0.3; 95%CI = -0.42 to -0.19; p < 0.00001). There were no significant differences between the two groups concerning operating times(WMD = 8.21; 95%CI = -3.76 to 20.19; p = 0.18) and time to first ambulation(WMD = -0.06; 95%CI = -0.19 to 0.08; p = 0.41). In addition, no difference in perioperative mortality was observed between the two study groups. Conclusions: Current evidence suggests that RG could provide better short-term outcomes compared to LG for the treatment of gastric cancer.