Gastric cancer laparoscopic and robotic surgery, hospitalization period is short and there are few aftereffects 'Effective'
Jul 17, 2024
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The Korean Society of Gastric Cancer used national data to investigate and analyze the results of gastric cancer by surgical method and found that "the surgical effect was better and complications and pain were less than that of laparoscopic and robotic surgery."The result is ".
▶"Effectively eliminate lymph nodes…Short hospital stay and less aftereffects"
The Korean Society of Gastric Cancer surveyed 14,076 patients who underwent gastric cancer surgery at 68 hospitals nationwide in 2019. Among them, 1,689 patients who underwent minimally invasive surgery (laparoscopy, robot) suitable for the investigation and 1,689 who underwent laparoscopic surgery were compared 1:1 after excluding factors such as age, gender, and degree of disease.
As a result, the method of removing more lymph nodes that can metastasize cancer because they are widely distributed around the stomach was minimally invasive surgery. If an average of 38 were resected for laparotomy, 41 were removed for minimally invasive surgery. Nevertheless, blood loss was less and hospitalization was shorter than patients who underwent laparotomy. The rate of complications for a month after surgery was also lower in those who underwent minimally invasive surgery compared to laparotomy. Problems caused by wounds were 67.6%p lower, abscesses in the abdominal cavity were 40.4%p lower, and heart problems were 71%p lower. The survey was published in the April issue of the Korean Society for Gastric Cancer.
▶"In clinical practice, the treatment effect of laparoscopic and robotic surgery patients is felt"
'Surgery' reminds me of laparotomy that cuts the area significantly, but methods for cutting fewer and reducing complications continue to develop. Previously, laparotomy was mainly performed in which the stomach was cut more than 10cm wide and the doctor looked directly at the stomach and surrounding lymph nodes with his eyes. Recently, however, laparoscopic and robotic surgery, which is performed through only one to five small holes ranging from 0.8cm to 3cm, including the navel, is mainly used.
`Minimal invasive surgery is useful because it can effectively remove cancer tissue while having a small incision range,' said Gong Min-hong, a professor of surgery at Hanlim University's Gangnam Sacred Heart Hospital. `Even in actual clinical practice, patients who have undergone laparoscopic and robotic surgery experience fewer aftereffects and pains and shorter hospitalization periods than laparoscopic surgery.'
▶ The effect of detailed surgery with instruments while magnifying with a camera
Laparoscopic or robotic surgery involves placing surgical instruments and cameras in a small hole and performing a resection in the stomach. In particular, in the case of robotic surgery, the device that is inserted into the stomach bends based on the joint like a human arm. The range of movements in the stomach is wider and detailed movements are possible. The doctor does not look directly at the affected area, but operates by looking closely at the narrow area from the outside through a high-definition camera that magnifies 5 to 15 times the size of the three dimensions. Professor Gong Min-hong said "You can look at the parts where the organs are concentrated and remove only the necessary parts, reducing the probability of removing surrounding nerves or unnecessary tissues" and "Why there are fewer aftereffects and a faster return to daily life"
Professor Min then said, `Sometimes, when it comes to robotic surgery, it is misunderstood that an artificial intelligence robot shaped like a human is operating instead of a doctor.' `It is a system in which a doctor sits on a computer controller (console), remotely controls the surgical instruments installed around the patient, and conducts it directly, so you can rest assured that it is highly safe.'
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bellho@sportschosun.com
