Robotic Versus Laparoscopic Gastric Resection for Primary Gastrointestinal Stromal Tumors5 cm: A Size-Matched and Location-Matched Comparison.

6533b7d4fe1ef96bd1261e83

RESEARCH PRODUCT

Robotic Versus Laparoscopic Gastric Resection for Primary Gastrointestinal Stromal Tumors5 cm: A Size-Matched and Location-Matched Comparison.

Cécile Charpy Aurelien Amiot Ali Chahrour Ajay P. Belgaumkar Francesco Brunetti Mara Disabato Daniel Azoulay Pietro Genova Nicola De’angelis Francois Legou

subject

Adult Male medicine.medical_specialty Stromal cell Gastrointestinal Stromal Tumors Operative Time Blood Loss Surgical 030230 surgery Robotic gastric resection Risk Assessment 03 medical and health sciences 0302 clinical medicine Postoperative Complications Robotic Surgical Procedures Stomach Neoplasms laparoscopic gastric resection medicine Humans Laparoscopic resection Gastric resection Ultrasonography Interventional Aged Aged 80 and over Tumor size business.industry Stomach Incidence (epidemiology)Length of Stay Middle Aged Surgery Settore MED/18 - Chirurgia Generale medicine.anatomical_structure Treatment Outcome Surgery Computer-Assisted 030220 oncology & carcinogenesis Costs and Cost Analysis Operative time Surgery Female Laparoscopy business primary gastrointestinal stromal tumor GIST Wedge resection (lung)

description

This study compared robotic (RR) and laparoscopic resection (LR) for primary gastrointestinal stromal tumors (GISTs) of the stomach >5 cm. Twelve consecutive patients who underwent RR from 2012 to 2015 were matched for tumor size and location with 24 patients who underwent LR from 2000 to 2012. The median tumor size was 7.1 cm (range, 5.5 to 11.5). GISTs were resected by wedge resection (91.7%) or distal gastrectomy. The median RR operative time was longer than that of LR (162.5 vs. 130 min, respectively; P=0.004). Only 1 LR patient required conversion. The time to flatus and hospital stay were similar between groups. Overall, 3 patients developed minor postoperative complications that were medically treated. Mortality was nil. All resections were R0. No difference was observed in the incidence of recurrence. RR was significantly more expensive (+21.6%) than LR. RR appears to be safe and feasible for GISTs>5 cm, but is associated with longer operative times and greater costs.

year	journal	country	edition	language
2017-02-01	Surgical laparoscopy, endoscopypercutaneous techniques

10.1097/sle.0000000000000371 https://pubmed.ncbi.nlm.nih.gov/28079762