Robotic gastrectomy significantly improves surgical and survival outcomes for patients with locally advanced gastric cancer.

• 47.6% of robotic gastrectomy patients achieved textbook oncological outcomes, compared to 32.5% for laparoscopic.
• No severe complications in 98.4% of robotic cases vs. 89.7% for laparoscopic (p=0.006).
• 3-year overall survival rates were 86.2% for those achieving outcomes versus 65.5% for those who did not (p=0.013).

Promoting robotic techniques may enhance oncological results and patient survival.