Minimally invasive approach to gastric GISTs: Analysis of a multicenter robotic and laparoscopic experience with literature review

Graziano Ceccarelli, Gianluca Costa, Michele De Rosa, Massimo Codacci Pisanelli, Barbara Frezza, Marco De Prizio, Ilaria Bravi, Andrea Scacchi, Gaetano Gallo, Bruno Amato, Walter Bugiantella, Piergiorgio Tacchi, Alberto Bartoli, Alberto Patriti, Micaela Cappuccio, Klara Komici, Lorenzo Mariani, Pasquale Avella, Aldo Rocca

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Gastrointestinal stromal tumors (GISTs) are most frequently located in the stomach. In the setting of a multidisciplinary approach, surgery represents the best therapeutic op-tion, consisting mainly in a wedge gastric resection. (1) Materials and methods: Between January 2010 to September 2020, 105 patients with a primary gastrointestinal stromal tumor (GISTs) located in the stomach, underwent surgery at three surgical units. (2) Results: A multi-institutional analysis of minimally invasive series including 81 cases (36 laparoscopic and 45 robotic) from 3 referral centers was performed. Males were 35 (43.2%), the average age was 66.64 years old. ASA score > 3 was 6 (13.3%) in the RS and 4 (11.1%) in the LS and the average tumor size was 4.4 cm. Most of the procedures were wedge resections (N = 76; 93.8%) and the main operative time was 151 min in the RS and 97 min in the LS. Conversion was necessary in five cases (6.2%). (3) Conclusions: Minimal invasive approaches for gastric GISTs performed in selected patients and experienced centers are safe. A robotic approach represents a useful option, especially for GISTs that are more than 5 cm, even located in unfavorable places.

Original languageEnglish
Article number4351
JournalCancers
Volume13
Issue number17
DOIs
Publication statusPublished - Sep 1 2021
Externally publishedYes

Keywords

  • Gastric re-section
  • Gastrointestinal stromal tumor
  • GISTs
  • Intracorporeal suture
  • Laparoscopic surgery
  • Minimally invasive surgery
  • Robotic surgery

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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