{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T20:32:59Z","timestamp":1793824379635,"version":"4.6.1"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Open gastrectomy (OG) has long been the standard for gastric cancer surgery. Robotic gastrectomy (RG) has emerged as a minimally invasive alternative with potential technical advantages, but large-sample meta-analyses comparing their clinical value are limited. This study aims to evaluate its clinical practical application value and provide a reference for clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search was conducted in PubMed, EMBASE, MEDLINE, Web of Science, and Cochrane Library up to July 2025, following PRISMA guidelines, with statistical analysis using STATA 12.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventeen studies involving 31,573 patients (10,524 RG, 21,049 OG) were included. RG had longer operative time (WMD: 93.4; 95% CI: 65.89\u2013120.9;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) but less blood loss (WMD: \u221286.71; 95% CI: \u2212120.91\u2013\u221252.52;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), shorter hospital stay (WMD: \u22123.17 days; 95% CI: \u22124.17\u2013\u22122.16;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), lower postoperative complication rate (OR: 0.61; 95% CI: 0.43\u20130.87;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.006), and higher R0 resection rate (OR: 1.88; 95% CI: 1.57\u20132.24;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.000). No significant differences were found in lymph nodes, positive lymph nodes, postoperative mortality, or 5-year survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RG is a reasonable choice for proficient robotic surgery centers, balancing invasiveness and oncological precision. Future studies should focus on long-term outcome and quality of life to guide clinical decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1828368","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T04:28:28Z","timestamp":1780979308000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The value of robot-assisted gastrectomy in the treatment of gastric cancer: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Lei","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, People's Hospital of Leshan","place":["Leshan, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Medicine, People's Hospital of Leshan","place":["Leshan, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanbin","family":"He","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, People's Hospital of Leshan","place":["Leshan, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonghong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, People's Hospital of Leshan","place":["Leshan, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaping","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, People's Hospital of Leshan","place":["Leshan, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Dan","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, People's Hospital of Leshan","place":["Leshan, Sichuan, 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