Feasibility and Effects of a Postoperative Recovery Exercise Program Developed Specifically for Gastric Cancer Patients (PREP-GC) Undergoing Minimally Invasive Gastrectomy

Purposes: To explore the safety and feasibility of totally robotic distal gastrectomy (TRDG) for gastric cancer patients who undergo distal gastrectomy. Methods: Consecutive patients with gastric cancer who underwent TRDG (TRDG group) and robotic-assisted distal gastrectomy (RADG) (RADG group) were systematically reviewed at the Second Xiangya Hospital of Central South University from October 2015 to August 2018. Data were collected and statistically analyzed. Results: A total of 161 consecutive patients were included in this study: 84 cases in the TRDG group and 77 in the RADG group. Clinical characteristics and pathological results were mostly similar in both groups. The TRDG group had a significantly longer anastomotic time (20.6 ± 3.3 vs. 17.5 ± 4.0 min, p ˂ 0.001) but showed no difference in total operating time (167.0 ± 18.0 vs. 162.9 ± 17.6 min, p = 0.159). The postoperative hospitalization in the TRDG group was shorter than that in the RADG group (6.7 ± 1.2 vs. 7.2 ± 1.7 days, p = 0.019). Conversion rate, estimated blood loss, and postoperative complications were similar in both groups. There were no statistical differences in the estimated 2-year disease-free survival and overall survival rate between both groups. Conclusions: Although our current results need to be verified in further studies, TRDG represents a safe and feasible approach to distal gastrectomy and embodies the theory of minimally invasive surgery.

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Matched pair analysis to examine the effects of a planned preoperative exercise program in early gastric cancer patients with metabolic syndrome to reduce operative risk: The Adjuvant Exercise for General Elective Surgery (AEGES) study group.

Journal of Clinical Oncology ◽

10.1200/jco.2014.32.3_suppl.166 ◽

2014 ◽

Vol 32 (3_suppl) ◽

pp. 166-166

Author(s):

Haruhiko Cho ◽

Takaki Yoshikawa ◽

Mari Saito Oba ◽

Naoki Hirabayashi ◽

Junya Shirai ◽

...

Keyword(s):

Gastric Cancer ◽

Metabolic Syndrome ◽

Postoperative Complications ◽

Cancer Patients ◽

Exercise Program ◽

Exercise Group ◽

Matched Pair ◽

Control Group ◽

Preoperative Exercise ◽

Gastric Cancer Patients

166 Background: Since obesity is a risk factor during surgery, the effects of a preoperative exercise program to reduce the incidence of peri- and postoperative complications in patients with a high BMI (> 25) and metabolic syndrome were investigated. An assessment of the effects of prospectively planned preoperative exercise was performed in a prospective matching study comparing an exercise testing group and a usual preoperative preparation group who underwent gastrectomy for gastric cancer in Japan. Methods: Stage I gastric cancer patients with metabolic syndrome diagnosed according to the criteria of the Japanese Ministry of Health, Labour and Welfare were enrolled in a surgery after preoperative exercise group. The control group was selected from a database using an individual matching approach for surgery, sex, weight, BMI, volume of visceral fat and institution. The primary end point was the frequency of postoperative complications (cardiovascular events, pneumonia, surgery-related abdominal complications, etc.). Results: A total of 72 patients (54 in the surgery alone group, 18 in the preoperative exercise group) were analyzed. The median operative time and amount of bleeding were 208 min and 130 ml in the surgery alone group and 248 min and 105 ml in the exercise group, respectively. Postoperative complications occurred in one case (5.5%) in the exercise group and 22 (40.7%) cases in the surgery alone group. Conclusions: Preoperative exercise is safe, and its benefits in reducing postoperative complications are promising and therefore warrant further investigation.

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Effects Of Postoperative Recovery Exercise Program On Body Composition, Functional Assessment, Depression, Fatigue, And Inflammatory Markers In Early Gastric Cancer Survivors

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000486544.64753.7d ◽

2016 ◽

Vol 48 ◽

pp. 513

Author(s):

Younsun Son ◽

In Cho ◽

Chong Do Lee ◽

Yoon Jung Bae ◽

Hyoung-Il Kim ◽

...

Keyword(s):

Gastric Cancer ◽

Body Composition ◽

Early Gastric Cancer ◽

Cancer Survivors ◽

Functional Assessment ◽

Inflammatory Markers ◽

Exercise Program ◽

Postoperative Recovery ◽

Recovery Exercise

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Comparison of the surgical outcomes of minimally invasive and open surgery for octogenarian and older compared to younger gastric cancer patients: a retrospective cohort study

BMC Surgery ◽

10.1186/s12893-017-0265-3 ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 8

Author(s):

Chien-An Liu ◽

Kuo-Hung Huang ◽

Ming-Huang Chen ◽

Su-Shun Lo ◽

Anna Fen-Yau Li ◽

...

Keyword(s):

Gastric Cancer ◽

Cohort Study ◽

Minimally Invasive ◽

Cancer Patients ◽

Retrospective Cohort Study ◽

Surgical Outcomes ◽

Retrospective Cohort ◽

Open Surgery ◽

Gastric Cancer Patients

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Robot-Assisted versus Laparoscopic-Assisted Gastrectomy among Gastric Cancer Patients: A Retrospective Short-Term Analysis from a Single Institution in China

Gastroenterology Research and Practice ◽

10.1155/2019/9059176 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Li-Fei Sun ◽

Kai Liu ◽

Xue-Shang Su ◽

Xuan Wei ◽

Xiao-Long Chen ◽

...

Keyword(s):

Gastric Cancer ◽

Lymph Nodes ◽

Learning Curve ◽

Cancer Patients ◽

Postoperative Recovery ◽

Learning Curves ◽

Robot Assisted ◽

Alternative Treatment Option ◽

Gastric Cancer Patients ◽

Laparoscopic Assisted

Background. The da Vinci robotic system was considered an effectively alternative treatment option for early gastric cancer patients in recent years. The aim of our study was to evaluate the safety and feasibility of robot-assisted gastrectomy in our center. Methods. This study included 33 patients who underwent robot-assisted gastrectomy (RAG) and 88 patients who underwent laparoscopic-assisted gastrectomy (LAG) between January 2016 and April 2018. Clinicopathological characteristics, surgical parameters, postoperative recovery, and the learning curves of RAG were evaluated. Results. Baseline characteristics between two groups were well balanced. The operation time of RAG was longer than that of LAG (333.1±61.4 min vs. 290.6±39.0 min, p=0.001), and the estimated blood loss was 62.4±41.2 ml in the RAG group and 77.7±32.3 ml in the LAG group (p=0.005), respectively. The mean number of examined lymph nodes in RAG was less than that in LAG (30.3±10.2 vs. 37.4±13.7, p=0.008). However, RAG had an advantage in the dissection of No. 9 lymph nodes (3.4±2.1 vs. 2.5±1.6, p=0.039). The incidence of postoperative complications was similar in both groups (p=0.735). There were no significant differences in terms of postoperative recovery between the two groups. The learning curve of RAG showed that the CUSUM value decreased from the 8th case, which suggested a rapid learning curve among experienced surgeons on LAG operations. Conclusions. RAG was safe and feasible for gastric cancer patients, with superiority in the dissection of No. 9 lymph nodes.

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