Analysis Of Recent Outcomes Of Radical Gastric Cancer Surgery Assisted By The Da Vinci Machine Surgical System Versus Laparoscopic Radical Gastric Cancer Surgery

Objective:An examination of the safety and practicality of the Da Vinci robot in relation to radical gastric cancer surgery is to be conducted,as well as a comparison and evaluation of the recent clinical effectiveness of the Da Vinci robot and laparoscopic radical gastric cancer surgery.Methods : A retrospective case-control approach was used in this study.In the Department of Gastrointestinal Surgery of the People,data on gastric cancer patients who underwent Da Vinci robotic or laparoscopic radical surgery was obtained.This study encompassed a total of 94 cases,all of which were gathered from the Autonomous Region’s Hospital between January 2021 and December 202247 The robotic group of gastric cancer patients undergoing Da Vinci robotic radical surgery was split into 47 and laparoscopic radical g.The patients’ clinical information was tallied,and the perioperative information of both groups was compared to contrast the recent results of the two procedures.Results : 1.Comparison of basic data: The differences in mean age,gender ratio,BMI,p TNM stage and combined underlying diseases between the two groups were not statistically significant(P>O.05).2.Comparison of surgical and postoperative recovery: There were no statistically significant differences between the two groups in the amount of surgical bleeding,time to first postoperative anal venting,and VAS score on postoperative day 3(p>O.05),and the surgical time was longer in the robotic group than in the laparoscopic group(258.08±65.26 min vs.230.95±51.08min),with statistical differences(p<0.05).The time to the first postoperative liquid diet was shorter in the robotic group than in the laparoscopic group(3.18±0.63 days vs.3.49±0.56 days),and the number of postoperative hospital days was shorter in the robotic group than in the laparoscopic group(9.68±4.55 days vs.11.75 ± 5.12 days in the robotic group),with a statistically significant difference(p<0.05).3.No statistically significant disparity in the occurrence of postoperative issues between the two groups was observed(P>0.05)when comparing surgical complications.4.Comparison of postoperative pathological results: No residual tumor tissue was seen in the microscopic cut margins of the specimens in both groups.No statistically significant distinctions were observed between the two groups in terms of maximum tumor diameter,lymph node metastasis rate,and TNM stage(P>O.05).The robotic group had a significantly higher number of lymph nodes cleared than the laparoscopic group,with 36.97 ± 9.77 and 30.51 ± 10.47 respectively,as evidenced by a statistically significant difference(P<0.05).Conclusion:The use of the Da Vinci robot in radical gastric cancer surgery is safe and feasible.Compared with laparoscopy,it has more advantages in terms of vascular protection and lymph node dissection,and facilitates patients’ postoperative recovery,with good overall near-term outcomes,although the long-term outcomes need to be further discussed and analyzed.