ArticleSurgical endoscopy2025
Comparison of partially extracorporeal versus totally intracorporeal Roux-en-Y reconstruction in robotic surgery for gastric cancer.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRobotic surgery for gastric cancer has been increasingly performed globally. The ability to perform accurate dissection is recognized as a pivotal advantage. As for reconstruction, the debate remains as to whether it should be partially extracorporeal or totally intracorporeal with robotic manipulation.
methodsThis retrospective study reviewed the clinical data of patients who underwent robotic radical gastrectomy with Roux-en-Y reconstruction (total gastrectomy or distal gastrectomy) for gastric cancer between January 2023 and October 2024. Patients were divided into two groups depending on how jejunal limb was created: extracorporeal via mini-laparotomy (Extra group, n = 50) or totally intracorporeal (Intra group, n = 58). Esophagojejunostomy in total gastrectomy or gastrojejunostomy in distal gastrectomy was done intracorporeally in all patients. Surgical outcomes were compared between the two groups.
resultsThe Intra group included more patients with high body mass index (BMI) (21.4 vs. 25.0 kg/m
conclusionsTotally intracorporeal Roux-en-Y reconstruction in robotic gastric cancer surgery may reduce reconstruction time because there is no need to undock the robotic system and there are no surgical interruptions. Furthermore, it has the advantage of not being affected by patient's BMI.
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