Retrospective Cohort Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 21, 2021; 27(39): 6659-6672
Published online Oct 21, 2021. doi: 10.3748/wjg.v27.i39.6659
Prognostic factors of minimally invasive surgery for gastric cancer: Does robotic gastrectomy bring oncological benefit?
Masaya Nakauchi, Koichi Suda, Susumu Shibasaki, Kenichi Nakamura, Shinichi Kadoya, Kenji Kikuchi, Kazuki Inaba, Ichiro Uyama
Masaya Nakauchi, Koichi Suda, Susumu Shibasaki, Kenichi Nakamura, Kenji Kikuchi, Kazuki Inaba, Ichiro Uyama, Department of Gastroenterological Surgery, Fujita Health University, Toyoake 470-1192, Aichi, Japan
Shinichi Kadoya, Department of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, Kanazawa 920-8535, Ishikawa, Japan
Author contributions: Nakauchi M, Suda K, Shibasaki S, and Uyama I provided substantial contributions to the conception and design of the study; Nakauchi M, Shibasaki S, Nakamura K, Kikuchi K, Kadoya S, and Inaba K contributed to the acquisition, analysis, and interpretation of the data; Nakauchi M performed the statistical analysis; Nakauchi M, Suda K, and Uyama I drafted the article and made critical revisions related to important intellectual content of the manuscript; all the authors have read and approved the final version to be published.
Institutional review board statement: This study was approved by the institutional review board of Fujita Health University.
Informed consent statement: Informed consent was obtained from all patients.
Conflict-of-interest statement: All authors have no commercial association or financial involvement that might pose a conflict of interest in connection with the submitted article. I. U. received lecture fees from Intuitive Surgical, Inc. K. S. and K. K. received funding from Medicaroid, Inc. in relation to Collaborative Laboratory for Research and Development in Advanced Surgical Technology. K.S. also received advisory fees from Medicaroid, Inc. outside of the submitted work.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Koichi Suda, FACS, MD, PhD, Professor, Department of Gastroenterological Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake 470-1192, Aichi, Japan. ko-suda@nifty.com
Received: April 26, 2021
Peer-review started: April 26, 2021
First decision: June 13, 2021
Revised: June 18, 2021
Accepted: September 23, 2021
Article in press: September 23, 2021
Published online: October 21, 2021
Core Tip

Core Tip: This retrospective cohort study on 814 patients undergoing minimally invasive surgery for primary gastric cancer revealed a 5-year overall and recurrence-free survival of 80.3% and 78.2%, respectively. Moreover, our analysis identified age, American Society of Anesthesiologists status, type of gastrectomy, and pathological T and N status as prognostic predictors for overall and recurrence-free survival. The robotic approach was also identified as an independent positive predictor for recurrence-free survival in patients with pathological stage II/III disease, confirmed by the lesser morbidity in the robotic group following propensity score analysis.