Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study

Leonardo Solaini; Davide Cavaliere; Valeria Fico; Marco Milone; Stefano De Pascale; Jacopo Desiderio; Giulia Vitali; Amilcare Parisi; Uberto Fumagalli Romario; Giovanni Domenico De Palma; Domenico D'Ugo; Giorgio Ercolani

doi:10.1002/rcs.2198

Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study

Leonardo Solaini, Davide Cavaliere, Valeria Fico, Marco Milone, Stefano De Pascale, Jacopo Desiderio, Giulia Vitali, Amilcare Parisi, Uberto Fumagalli Romario, Giovanni Domenico De Palma, Domenico D'Ugo, Giorgio Ercolani

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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
Pages (from-to)	e2198
Journal	Int. J. Med. Rob. Comput. Assisted Surg.
Volume	17
Issue number	2
DOIs	https://doi.org/10.1002/rcs.2198
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

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10.1002/rcs.2198

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Solaini, L., Cavaliere, D., Fico, V., Milone, M., De Pascale, S., Desiderio, J., Vitali, G., Parisi, A., Fumagalli Romario, U., De Palma, G. D., D'Ugo, D., & Ercolani, G. (2021). Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study. Int. J. Med. Rob. Comput. Assisted Surg., 17(2), e2198. https://doi.org/10.1002/rcs.2198

Solaini, L, Cavaliere, D, Fico, V, Milone, M, De Pascale, S, Desiderio, J, Vitali, G, Parisi, A, Fumagalli Romario, U, De Palma, GD, D'Ugo, D & Ercolani, G 2021, 'Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study', Int. J. Med. Rob. Comput. Assisted Surg., vol. 17, no. 2, pp. e2198. https://doi.org/10.1002/rcs.2198

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title = "Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study",

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.",

keywords = "Cohort Studies, Gastrectomy, Gastrointestinal Stromal Tumors/surgery, Humans, Laparoscopy, Length of Stay, Postoperative Complications, Robotic Surgical Procedures, Stomach Neoplasms/surgery, Treatment Outcome",

author = "Leonardo Solaini and Davide Cavaliere and Valeria Fico and Marco Milone and {De Pascale}, Stefano and Jacopo Desiderio and Giulia Vitali and Amilcare Parisi and {Fumagalli Romario}, Uberto and {De Palma}, {Giovanni Domenico} and Domenico D'Ugo and Giorgio Ercolani",

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T1 - Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections

T2 - A multicentre cohort study

AU - Solaini, Leonardo

AU - Cavaliere, Davide

AU - Fico, Valeria

AU - Milone, Marco

AU - De Pascale, Stefano

AU - Desiderio, Jacopo

AU - Vitali, Giulia

AU - Parisi, Amilcare

AU - Fumagalli Romario, Uberto

AU - De Palma, Giovanni Domenico

AU - D'Ugo, Domenico

AU - Ercolani, Giorgio

PY - 2021/4

Y1 - 2021/4

N2 - 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.

AB - 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.

KW - Cohort Studies

KW - Gastrectomy

KW - Gastrointestinal Stromal Tumors/surgery

KW - Humans

KW - Laparoscopy

KW - Length of Stay

KW - Postoperative Complications

KW - Robotic Surgical Procedures

KW - Stomach Neoplasms/surgery

KW - Treatment Outcome

U2 - 10.1002/rcs.2198

DO - 10.1002/rcs.2198

M3 - Article

C2 - 33131156

VL - 17

SP - e2198

JO - Int. J. Med. Rob. Comput. Assisted Surg.

JF - Int. J. Med. Rob. Comput. Assisted Surg.

SN - 1478-5951

IS - 2

ER -

Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study

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Keywords

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