Radical gastrectomy is essential for gastric cancer treatment. While guidelines advise dissecting at least 16 lymph nodes, some research suggests over 30 nodes might be beneficial. This study assessed ICG-guided robotic gastrectomy’s effectiveness in thorough lymph node dissection. We analyzed data from 393 stage II or III gastric cancer patients treated at Seoul St. Mary’s Hospital from 2016–2022. Patients were categorized into conventional laparoscopy (G1,n= 288), ICG-guided laparoscopy (G2,n= 61), and ICG-guided robotic surgery (G3,n= 44). Among 391 patients, 308 (78.4%) achieved proper lymphadenectomy. The ICG-robotic group (G3) showed the highest success rate at 90.9%. ICG-guided robotic surgery was a significant predictor for achieving proper lymphadenectomy, with an odds ratio of 3.151. In conclusion, ICG-robotic gastrectomy improves lymphadenectomy outcomes in selected gastric cancer cases, indicating a promising surgical approach for the future.
根治性胃切除术是胃癌治疗的关键。尽管指南建议至少清扫16枚淋巴结，但部分研究表明清扫超过30枚淋巴结可能更具临床获益。本研究旨在评估吲哚菁绿（ICG）引导下机器人胃切除术在淋巴结彻底清扫中的有效性。我们分析了2016年至2022年间在首尔圣玛丽医院接受治疗的393例II期或III期胃癌患者数据。患者被分为传统腹腔镜手术组（G1，n=288）、ICG引导腹腔镜手术组（G2，n=61）和ICG引导机器人手术组（G3，n=44）。在391例患者中，308例（78.4%）实现了规范淋巴结清扫。ICG-机器人手术组（G3）成功率最高，达90.9%。ICG引导机器人手术是实现规范淋巴结清扫的重要预测因素，其比值比为3.151。综上所述，ICG-机器人胃切除术可改善特定胃癌患者的淋巴结清扫效果，预示着这一术式在未来具有广阔的应用前景。
肿瘤(癌症)患者之家