Enhanced recovery and reduced opioid requirements following robot-assisted minimally invasive gastrectomy: a retrospective cohort study.

Journal: Journal of robotic surgery

This retrospective cohort study compared robot-assisted minimally invasive gastrectomy (RAMIG) to open gastrectomy (OG) in 138 patients with resectable gastric cancer.

Key findings for RAMIG included:

  • Significantly lower postoperative opioid consumption
  • Reduced pain scores during mobilization on days 5 and 7
  • Lower pain scores at rest on day 7
  • Shorter ICU/intermediate care stays and overall hospital stays
  • Less intraoperative blood loss

However, the operative time was longer compared to OG.

These results suggest that RAMIG offers improved pain control and faster recovery, supporting its use as a patient-centered surgical approach. Confirmation by prospective randomized trials is still needed.

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