Evidence map›Paper›PMID 40156763›Full record

ArticleLangenbeck's archives of surgery2025

Initial clinical experiences of robotic distal gastrectomy for gastric cancer using the Da Vinci™ SP system: a single-center retrospective study.

Ayaka Ito, Masaya Nakauchi, Masahiro Fujita, Yusuke Umeki, Kazumitsu Suzuki, Akiko Serizawa, Shingo Akimoto, Yusuke Watanabe, Tsuyoshi Tanaka, Susumu Shibasaki and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07237126 (Efficacy and Safety Assessment of Single-port Robotic Radical Gastrectomy for Gastric Cancer), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07237126 narecruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy and Safety Assessment of Single-port Robotic Radical Gastrectomy for Gastric Cancer: a Phase 2a Trial Based on the IDEAL Framework

TypeinterventionalSponsorDaping Hospital and the Research Institute of Surgery of the Third Military Medical UniversityRan2026 to 2027Enrolled20ConditionsGastric Cancer Patients Undergoing GastrectomyArmsSingle-port Robotic Radical Gastrectomy for Gastric Cancer
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ayaka ItoDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Masaya NakauchiDepartment of Advanced Robotic and Endoscopic Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan. naka57ma38@hotmail.com.
Masahiro FujitaDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Yusuke UmekiDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Kazumitsu SuzukiDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Akiko SerizawaDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Shingo AkimotoDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Yusuke WatanabeDepartment of Advanced Robotic and Endoscopic Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
Tsuyoshi TanakaDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Susumu ShibasakiDepartment of Surgery, Fujita Health University, Toyoake, Japan.
Kazuki InabaDepartment of Advanced Robotic and Endoscopic Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
Ichiro UyamaDepartment of Advanced Robotic and Endoscopic Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.
Koichi SudaDepartment of Surgery, Fujita Health University, Toyoake, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReduced-port surgery has been utilized in gastric cancer surgery but is not predominantly used due to its high technical difficulty. A new single-port surgical robot named da Vinci™ SP System (DVSP) was launched and eventually approved for clinical use in Japan in November 2022. We initiated robotic gastrectomy for gastric cancer using DVSP in March 2023. Here, we report our initial experiences and assessments of the feasibility and safety of robotic gastrectomy for gastric cancer using DVSP.

methodsThis single-center retrospective study included 20 patients with gastric cancer who underwent robotic gastrectomy with DVSP from March 2023 to April 2024. The primary endpoint was the postoperative complication rate within 30 days postoperatively. Secondary endpoints were surgical outcomes, including intraoperative adverse events, operative time, blood loss, and the number of dissected nodes.

resultsOf the 20 patients, 6 (30.0%) were male. The median age was 74 years. Tumors in the middle to lower stomach were observed in 20 patients (100.0%), including 18 (90.0%) and 2 (10.0%) with clinical stages I and II diseases, respectively. All patients underwent distal gastrectomy. The postoperative complications of Clavien-Dindo grade ≥ II occurred in 3 (15%) patients. Intraoperative adverse events, including conversion to other approaches, were not observed. All patients underwent R0 resection. The median operative and console times were 289 and 240 min, respectively. The median blood loss was 11 mL with 50 dissected nodes.

conclusionThis study revealed the safe performance of robotic distal gastrectomy with standard lymphadenectomy for clinical stage I/II gastric cancer using DVSP.

Indexed as

GastrectomyRobotic Surgical ProceduresStomach NeoplasmsAgedAged, 80 and overBlood Loss, SurgicalFeasibility StudiesFemaleHumansLymph Node ExcisionMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeGastrectomyRobotic surgical proceduresSingle-port surgeryStomach neoplasms

Identifiers

PMID40156763
PMCPMC11954707

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.