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Chulkyu Roh,Sang-Yong Son,Hoon Hur,Sang-Uk Han 대한종양외과학회 2021 대한임상종양학회 학술대회지 Vol.2021 No.6
Background/Aims Textbook outcome is a composite quality measurement of short-term outcomes for evaluating complex surgical procedures. Few studies have reported on textbook outcome and survival of robotic total gastrectomy. We compared textbook outcome and survival of robotic total gastrectomy with those of laparoscopic total gastrectomy. Methods We retrospectively reviewed 395 patients (robotic total gastrectomy, n = 74; laparoscopic total gastrectomy, n = 321) who underwent curative total gastrectomy for gastric cancer via minimally invasive approaches from 2009 to 2018. We performed propensity score matched analysis to adjust for potential selection bias. Textbook outcome included a negative resection margin, no intraoperative complication, retrieved lymph nodes > 15, no severe complication, no reintervention, no unplanned intensive care unit admission, hospitalisation ≤ 21 days, no readmission after discharge, and no postoperative mortality. Survival outcomes included 5-year overall and relapse-free survival rates. Results After matching, 74 patients in each group were selected. Textbook outcome was similar in the robotic and laparoscopic total gastrectomy groups (70.3% and 75.7%, respectively), although robotic total gastrectomy required a longer operative time. The quality metric least often achieved was the presence of severe complications in both groups (77.0% in both groups). There were no differences in the 5-year overall survival rate (90.7% and 85.9%, respectively; log-rank P = 0.144) and relapse-free survival rate between the robotic and laparoscopic total gastrectomy groups (89.5% and 85.2%, respectively; log-rank P = 0.167). Conclusions Textbook outcome and survival outcome of robotic total gastrectomy were similar to those of laparoscopic total gastrectomy for gastric cancer.