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Surgical Techniques and Related Perioperative Outcomes After Robot-assisted Minimally Invasive Gastrectomy (RAMIG): Results From the Prospective Multicenter International Ugira Gastric Registry by Cas de Jongh; Fabio Cianchi; Takahiro Kinoshita; Feike Kingma; Micaela Piccoli; Attila Dubecz; Ewout Kouwenhoven; Marc van Det; Tom Mala; Andrea Coratti; Paolo Ubiali; Paul Turner; Pursnani Kish; Felice Borghi; Arul Immanuel; Magnus Nilsson; Ioannis Rouvelas; Jens Peter Hӧlzen; Philippe Rouanet; Olivier Saint-Marc; David Dussart; Alberto Patriti; Francesca Bazzocchi; Boudewijn van Etten; Jan Willem Haveman; Marco DePrizio; Flávio Sabino; Massimo Viola; Felix Berlth; Peter Philip Grimminger; Franco Roviello; Richard van Hillegersberg; Jelle Ruurda; UGIRA Collaborative Group is a Medicine article available to read on EtoBox.

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## Objective: To gain insight in global practice of RAMIG and evaluated perioperative outcomes using an international registry. ## Background: The techniques and perioperative outcomes of robot-assisted minimally invasive gastrectomy (RAMIG) for gastric cancer vary substantially in literature. ## Methods: Prospectively registered RAMIG-cases for gastric cancer (≥10 per center) were extracted from 25 centers in Europe, Asia and South-America. Techniques for the resection, reconstruction, anastomosis and lymphadenectomy were analyzed, and related to perioperative surgical and oncological outcomes. Complications were uniformly defined by the Gastrectomy Complications Consensus Group. ## Results: Between 2020-2023, 759 patients underwent total (n=272), distal (n=465) or proximal (n=22) gastrectomy (RAMIG). After total gastrectomy with Roux-en-Y-reconstruction, anastomotic leakage rates were 8% with hand-sewn (n=9/111) and 6% with linear stapled anastomoses (n=6/100). After distal gastrectomy 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 lymphadenectomy cons

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Author

Cas de Jongh; Fabio Cianchi; Takahiro Kinoshita; Feike Kingma; Micaela Piccoli; Attila Dubecz; Ewout Kouwenhoven; Marc van Det; Tom Mala; Andrea Coratti; Paolo Ubiali; Paul Turner; Pursnani Kish; Felice Borghi; Arul Immanuel; Magnus Nilsson; Ioannis Rouvelas; Jens Peter Hӧlzen; Philippe Rouanet; Olivier Saint-Marc; David Dussart; Alberto Patriti; Francesca Bazzocchi; Boudewijn van Etten; Jan Willem Haveman; Marco DePrizio; Flávio Sabino; Massimo Viola; Felix Berlth; Peter Philip Grimminger; Franco Roviello; Richard van Hillegersberg; Jelle Ruurda; UGIRA Collaborative Group

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2023

Field

Medicine (Health Sciences)