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.
Solaini, L., Cavaliere, D., Fico, V., Milone, M., De Pascale, S., Desiderio, J., et al. (2021). Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study. THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, 17, 1-9 [10.1002/rcs.2198].
Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study
Solaini, Leonardo;Ercolani, Giorgio
2021
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
