University Hospital Careggi Reports Findings in Gastrectomy [Surgical Techniques and Related Perioperative Outcomes After Robotassisted Mini mally Invasive Gastrectomy (RAMIG): Results From the Prospective Multicenter Int ernational Ugira Gastric ...]
University Hospital Careggi Reports Findings in Gastrectomy [Surgical Techniques and Related Perioperative Outcomes After Robotassisted Mini mally Invasive Gastrectomy (RAMIG): Results From the Prospective Multicenter Int ernational Ugira Gastric ...]
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Surgery-Gastrectomy is the subject of a report. According to news reporting from Florence, Italy, by NewsRx journalists, research stated, "To gain insight into the global practice of robot-assisted minimally invasive gastrectomy (RAMIG) and evaluate perioperat ive outcomes using an international registry. The techniques and perioperative o utcomes of RAMIG for gastric cancer vary substantially in the literature." The news correspondents obtained a quote from the research from University Hospi tal Careggi, "Prospectively registered RAMIG cases for gastric cancer ( 10 per c enter) were extracted from 25 centers in Europe, Asia, and South-America. Techni ques for resection, reconstruction, anastomosis, and lymphadenectomy were analyz ed and related to perioperative surgical and oncological outcomes. Complications were uniformly defined by the Gastrectomy Complications Consensus Group. Betwee n 2020 and 2023, 759 patients underwent total (n=272), distal (n=465), or proxim al (n=22) gastrectomy (RAMIG). After total gastrectomy with Roux-en-Y-reconstruc tion, anastomotic leakage rates were 8% with handsewn (n=9/111) a nd 6% with linear stapled anastomoses (n=6/100). After distal gast rectomy with Roux-en-Y (67%) or Billroth-II-reconstruction (31% ), anastomotic leakage rates were 3% with linear stapled (n=11/433 ) and 0% with hand-sewn anastomoses (n=0/26). Extent of lymphadene ctomy consisted of D1+ (28%), D2 (59%), or D2+ (12% ). Median nodal harvest yielded 31 nodes (interquartile range: 21-47) after tota l and 34 nodes (interquartile range: 24-47) after distal gastrectomy. R0 resecti on rates were 93% after total and 96% distal gastrec tomy. The hospital stay was 9 days after total and distal gastrectomy, and was m edian 3 days shorter without perianastomotic drains versus routine drain placeme nt. Postoperative 30-day mortality was 1%. This large multicenter s tudy provided a worldwide overview of current RAMIG techniques and their respect ive perioperative outcomes."
Key words
Florence/Italy/Europe/Digestive Syste m Surgical Procedures/Emerging Technologies/Gastrectomy/Gastroenterology/Hea lth and Medicine/Machine Learning/Robot/Robotics/Surgery
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