Abstract
PURPOSE: To present the outcomes of gastric gastrointestinal stromal tumour (GIST) resection from five Italian centres, focussing the analysis on the comparison among open (OG), laparoscopic (LG) and robotic (RG) approaches.
METHODS: All consecutive gastric wedge resections for GIST between 2009 and 2019 were included.
RESULTS: In total 101 (OG = 14, LG = 63 and RG = 24) were included. No differences were seen in the preoperative characteristics among the groups. Robotic procedures were longer (RG 180 min vs. LG 100 vs. OG 110; p < 0.0001). Time-to-first flatus and length of hospital stay were significantly longer in the OG group. Complication rates were similar among the groups. A sub-analysis on minimally invasive (RG = 19 vs. LG = 20) wedge resections and hand/robot-sewn suture showed that operative time was longer in the RGs (p = 0.007). No conversions were recorded in the RG group versus three in the LG group (p = 0.231). Safety-related factors were similar.
CONCLUSIONS: Gastric GIST can be safely treated with a minimally invasive approach which is also associated with improved postoperative outcomes.
Original language | English |
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Pages (from-to) | e2198 |
Journal | Int. J. Med. Rob. Comput. Assisted Surg. |
Volume | 17 |
Issue number | 2 |
DOIs | |
Publication status | Published - Apr 2021 |
Keywords
- Cohort Studies
- Gastrectomy
- Gastrointestinal Stromal Tumors/surgery
- Humans
- Laparoscopy
- Length of Stay
- Postoperative Complications
- Robotic Surgical Procedures
- Stomach Neoplasms/surgery
- Treatment Outcome