Toshiyuki Kosuga

Kyoto Prefectural University of Medicine, Kyoto Prefectural University

Papers

Total Citations

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About

Toshiyuki Kosuga is a leading surgical oncologist whose research focuses on advancing minimally invasive techniques for gastric cancer treatment, with a particular emphasis on comparing robotic and laparoscopic approaches. His most cited work, a 2019 study on robotic distal gastrectomy (RDG) versus laparoscopic distal gastrectomy (LDG), demonstrated that robotic systems may offer superior postoperative outcomes, contributing to the growing evidence for robotic surgery in gastric cancer management. This paper has garnered 7 citations, reflecting its influence in the field. In a more recent 2023 study with 4 citations, Kosuga identified pancreatic fistula (PF) as a pivotal prognostic factor among postoperative complications, showing that PF has the strongest negative impact on recurrence and survival. Notably, his research revealed that robotic gastrectomy resulted in zero incidence of PF, compared to 2% in open and 1.8% in laparoscopic procedures, underscoring the potential safety advantages of robotic surgery. Kosuga's work is instrumental in guiding surgical decision-making, highlighting how technological innovation can reduce critical complications and improve long-term outcomes for gastric cancer patients. His contributions are essential reading for surgeons and researchers striving to optimize minimally invasive oncologic surgery.