Evidence map›Paper›PMID 40016662›Full record

ArticleBMC cancer2025

Short- and long-term outcomes of robotic- versus laparoscopic-assisted early-onset gastric cancer: a propensity score-matched retrospective cohort study.

Yihuan Qiao, Boyu Kang, Yichao Zhang, Jiawei Song, Shuai Liu, Qi Wang, Yajie Guo, Yunlong Li, Jun Zhu, Jipeng Li

Abstract readComparative Study
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yihuan Qiao *Department of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Boyu Kang *Department of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Yichao Zhang *Department of General Surgery, Peking University People's Hospital, Women and Children's Hospital, Qingdao University, Qingdao, China.
Jiawei SongDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Shuai LiuDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Qi WangDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Yajie GuoDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China.
Yunlong LiDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China. liyunlong1213@163.com.
Jun ZhuDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China. 1279385018@qq.com.
Jipeng LiDepartment of Digestive Surgery, Xijing Hospital of Digestive Diseases, The First Affiliated Hospital of Air Force Medical University, Xi'an, China. jipengli1974@aliyun.com.

Funding

National Natural Science Foundation of China 82172781
6 · The paper itself

Abstract

backgroundEarly-onset gastric cancer (EOGC) is a distinct subtype of gastric cancer with increasing incidence, characterized by unique clinical and pathological features. This propensity score-matched retrospective cohort study aims to compare the perioperative safety and outcomes of EOGC patients who underwent laparoscopic versus robotic radical gastrectomy, providing a scientific basis for surgical treatment of EOGC. MATERIALS AND

methodsWe included 252 patients diagnosed with EOGC at or before the age of 45, who underwent robotic or laparoscopic radical gastrectomy between January 2015 and April 2021. After propensity score matching, 47 patients in the robotic surgery group and 94 in the laparoscopic surgery group were compared. The study evaluated intraoperative and postoperative outcomes, pathological results, and long-term survival.

resultsThe robotic surgery group showed less intraoperative bleeding (50 ml vs. 100 ml, p = 0.042) and shorter postoperative hospital stays (6 days vs. 7 days, p = 0.008) compared to the laparoscopic group. The number of positive lymph nodes was higher in the robotic group (median 2 vs. 1, p = 0.016), but the number of lymph nodes harvested did not significantly differ. No significant differences were found in overall survival (3-year OS: 65.9% vs. 62.5%, p = 0.596) and disease-free survival (3-year DFS: 61.4% vs. 61.7%, p = 0.765) between the two groups.

conclusionsRobotic resection for EOGC is non-inferior to laparoscopic surgery in terms of perioperative outcomes and long-term prognosis. This study suggests that robotic surgery may be a viable option for the treatment of EOGC.

Indexed as

GastrectomyLaparoscopyRobotic Surgical ProceduresStomach NeoplasmsAdultAge of OnsetFemaleHumansLength of StayMaleMiddle AgedPropensity ScoreRetrospective StudiesTreatment OutcomeEarly-onset gastric cancerLaparoscopic surgeryLong-term survivalPerioperative outcomesPropensity score matchingRobotic surgery

Identifiers

PMID40016662
PMCPMC11866809

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.