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Poster Display session

433P - Gastrointestinal endoscopy: Meta-analysis of robotic-assisted diagnosis and treatment in early gastric cancer

Date

27 Jun 2024

Session

Poster Display session

Presenters

Hashim Talib Hashim

Citation

Annals of Oncology (2024) 35 (suppl_1): S162-S204. 10.1016/annonc/annonc1482

Authors

H.T. Hashim1, A.Q.M. Alhatemi2, A. Reda3

Author affiliations

  • 1 University of Warith Al-Anbiyaa, College of Medicine, Karbala/IQ
  • 2 Al-NAssiryah Teaching Hospital, Dhi Qar/IQ
  • 3 Carol Davila University of Medicine and Pharmacy Faculty of General Medicine, Bucharest/RO

Resources

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Abstract 433P

Background

Robotic-assisted diagnosis and treatment in early gastric cancer represents an innovative approach leveraging advanced technology to enhance precision and efficacy in patient care. By integrating robotic systems into diagnostic procedures and minimally invasive surgeries, clinicians can achieve more accurate tumor localization, improved lymph node dissection, and precise tumor resection. This emerging field offers promising opportunities to optimize outcomes for patients with early-stage gastric cancer while minimizing surgical risks and preserving quality of life.

Methods

A comprehensive literature search was conducted across multiple databases from inception to December 25, 2023, following PRISMA guidelines. Randomized controlled trials (RCTs) comparing robotic-assissted endoscopic with conventional endoscopy in diagnosing and treating patients with gastric cancer were included. Data extraction, risk of bias assessment, and statistical analysis were performed using predefined methods.

Results

4 RCTs involving 8000 participants were included. Robotic-assisted endoscopy significantly reduced all-cause mortality (OR: 0.85, 95% CI: 0.76-0.96) and demonstrated a trend towards reducing complications (OR: 0.81, 95% CI: 0.61-1.08). Sensitivity analysis revealed a significant reduction in recurrence (OR: 0.56, 95% CI: 0.38-0.80) after excluding one study.

Conclusions

In conclusion, robotic-assisted diagnosis and treatment represent a paradigm shift in the management of early gastric cancer, offering precision, efficiency, and improved patient outcomes. The integration of robotic technology enhances diagnostic accuracy, facilitates minimally invasive procedures, and reduces postoperative complications. With its ability to navigate intricate anatomical structures and provide real-time imaging, robotic assistance empowers clinicians to deliver personalized and effective treatment strategies. As ongoing research continues to refine robotic platforms and techniques, the future holds great promise for further optimizing the diagnosis and management of early gastric cancer, ultimately benefiting patients worldwide.

Legal entity responsible for the study

The authors.

Funding

Has not received any funding.

Disclosure

All authors have declared no conflicts of interest.

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