Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study. Issue 2 (16th November 2020)

• Record Type: Journal Article
• Authors: Solaini, Leonardo; Cavaliere, Davide; Fico, Valeria; Milone, Marco; De Pascale, Stefano; Desiderio, Jacopo; Vitali, Giulia; Parisi, Amilcare; Fumagalli Romario, Uberto; De Palma, Giovanni Domenico; D'Ugo, Domenico; Ercolani, Giorgio
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 17:Issue 2(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-11-16
• Subjects: gastrectomy -- gastrointestinal stromal tumour -- minimally invasive gastric resection -- robotic gastrectomy -- robotic surgery; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2198
• Languages: English
• ISSNs: 1478-5951

Abstract

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.