{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:43:49Z","timestamp":1792158229425,"version":"4.4.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":231,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Surgery for gastric cancer in elderly patients is challenging because of comorbidities and diminished physiological reserve. Robotic gastrectomy (RG) may improve outcomes via technical precision; however, its impact on the elderly remains unclear. This study evaluated the short\u2010term outcomes of RG between elderly and non\u2010elderly patients, and between RG and laparoscopic gastrectomy (LG) in elderly patients using propensity score matching (PSM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed elderly patients who underwent RG or LG and non\u2010elderly patients who underwent RG for gastric cancer between April 2020 and December 2024. Patients were divided into elderly RG (\u2265\u200980\u2009years,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200933), non\u2010elderly RG (&lt;\u200980\u2009years,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009118), and elderly LG groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946). PSM (1:1) adjusted between elderly and non\u2010elderly RG groups, and between elderly RG and LG groups. Short\u2010term surgical outcomes and postoperative complications were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After PSM, there was no significant difference in surgical complication rates (16% vs. 6%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.43) between elderly and non\u2010elderly RG groups. However, the elderly group had numerically higher non\u2010surgical complications (12% vs. 3%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.35), primarily driven by non\u2010surgical issues, such as acute heart failure, atelectasis, and urinary tract infections. Postoperative complication rates were also similar between elderly RG and LG groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RG appears to be a safe and feasible procedure for elderly patients aged \u2265\u200980\u2009years, providing surgical stability comparable to that in younger and elderly patients who underwent LG. While the robotic platform may contribute to mitigating surgery\u2010related risks, the higher incidence of non\u2010surgical complications underscores the necessity of tailored perioperative management addressing elderly\u2010specific vulnerabilities in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70368","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T03:58:20Z","timestamp":1787284700000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Short\u2010Term Outcomes of Robotic Gastrectomy in Elderly Gastric Cancer Patients: A Propensity Score\u2010Matched Comparison With Robotic Gastrectomy in Non\u2010Elderly Patients and Laparoscopic Gastrectomy in Elderly"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6098-9504","authenticated-orcid":false,"given":"Rufuto","family":"Kubota","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5973-9091","authenticated-orcid":false,"given":"Sho","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Homma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1252-9220","authenticated-orcid":false,"given":"Yusuke","family":"Takeshita","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9893-227X","authenticated-orcid":false,"given":"Kohdai","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1568-558X","authenticated-orcid":false,"given":"Hiroki","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayato","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3738-9393","authenticated-orcid":false,"given":"Yusuke","family":"Suwa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1090-1614","authenticated-orcid":false,"given":"Yasuhiro","family":"Yabushita","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0414-0046","authenticated-orcid":false,"given":"Masakatsu","family":"Numata","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5129-0285","authenticated-orcid":false,"given":"Mayumi","family":"Ozawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3565-0236","authenticated-orcid":false,"given":"Tsutomu","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1936-9484","authenticated-orcid":false,"given":"Takaki","family":"Yoshikawa","sequence":"additional","affiliation":[{"name":"Department of Gastric Surgery National Cancer Center Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6431-4178","authenticated-orcid":false,"given":"Takashi","family":"Kosaka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotoshi","family":"Akiyama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5520-8114","authenticated-orcid":false,"given":"Itaru","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Yokohama City University Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol32020083"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0081946"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-024-01534-1"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-021-01059-7"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v22.i25.5694"},{"issue":"1","key":"e_1_2_12_7_1","first-page":"120","article-title":"ERAS Programs in Elderly Patients Undergoing Gastric Cancer Surgery: A Systematic Review and Meta\u2010Analysis","volume":"20","author":"Feng F.","year":"2022","journal-title":"World Journal of Surgical Oncology"},{"issue":"2","key":"e_1_2_12_8_1","first-page":"100","article-title":"Endoscopic Surgical Skill Qualification System in Gastric Surgery: A New System to Standardise Surgical Technique","volume":"3","author":"Hiki N.","year":"2018","journal-title":"Lancet Gastroenterology & Hepatology"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"issue":"1","key":"e_1_2_12_10_1","first-page":"18","article-title":"Comparison of Short\u2010Term Outcomes Between Elderly and Non\u2010Elderly Patients After Gastrectomy for Gastric Cancer","volume":"21","author":"Miki Y.","year":"2021","journal-title":"BMC Surgery"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.01.028"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-018-00906-8"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001249"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-023-11481-2"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70368","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70368","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:44:14Z","timestamp":1792154654000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70368"],"URL":"https:\/\/doi.org\/10.1111\/ases.70368","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70368"}}