No abstract

Highlights Large GIST in proximal jejunum mimick the mucinous cystic neoplasm of pancreas by preoperative Computed Tomography (CT) scan. GISTs are rarely occurred in jejunum. The misdiagnosis of this case might be due to the proximity of the tumor to the body and tail of pancreas, and compressing the adjacent organ due to its large size.

robotically (RPD) are now reported. We compared the short-term outcomes of RPD cases with LPD and OPD. Methods: A retrospective review of a prospectively collected database was undertaken of our first consecutive RPD, our first LPD and consecutive OPD cases. Those requiring venous and/or arterial resection were excluded. Results: RPD (n=25) had longer operating times (451.9 +/-92.2 mins) than LPD (n=41) (338.2 +/-55.6 mins) and OPD (n=37) (309.6 +/-81.0 mins, p< 0.0001). On subgroup analysis, after 20 cases, RPD operating time was comparable to OPD (p=0.414). Estimated blood loss and transfusion requirement was less after RPD and LPD compared to OPD (p=0.012 and p< 0.0001 respectively). No RPD cases required conversion to open operation compared to 24.4% of LPD. Morbidity was comparable. 90-day mortality was seen in 0.97% of the total cohort. Length of hospital stay (LOS) was shorter for RPD compared to both LPD (p=0.030) and OPD (p=0.002). Conclusion: RPD is safe to perform with comparable outcomes to LPD and OPD. Further evidence is provided that a randomised controlled trial for PD techniques is required.