Laparoscopic and robotic distal gastrectomy for gastrointestinal stromal tumour: case report

Ortiz-Oshiro, Elena; Exposito, Patricia Benito; Sierra, Jesús Moreno; Gonzalez, Jesus Diaz; Barbosa, Diego Sierra; Fernandez-Represa, Jesus A.

doi:10.1002/rcs.1456

Cited by 12 publications

(5 citation statements)

References 17 publications

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“…Robotic surgery was introduced to overcome the limitations that could have been encountered with laparoscopic approach in case of difficult locations or large tumours. However, only a few reports 4–14 have been published in literature regarding robotic surgery for gastric GIST and most of them were presented in form of case report or small case series with less than 10 cases 4–6,8,9,11–13 …”

Section: Introductionmentioning

confidence: 99%

“…most of them were presented in form of case report or small case series with less than 10 cases. [4][5][6]8,9,[11][12][13] In this study we aim to present short-and long-term data of gastric GIST resection from five Italian centres, focussing our analysis on the comparison among open (OG), laparoscopic (LG) and robotic (RG) approaches. The tumour-related variables collected were tumour location, tumour size (mm), type of growth and resection margins (R0/1).…”

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confidence: 99%

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

Solaini

Cavaliere

Fico

et al. 2020

Robotics Computer Surgery

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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.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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

Solaini

Cavaliere

Fico

et al. 2020

Robotics Computer Surgery

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“…Сообщения о робот-ассистированных операциях при ГИСО различной локализации еди-ничны, в них не обсуждаются вопросы тактики и особенности техники выполнения вмешательств, отсутствует сравнение результатов с таковыми после лапароскопических операций [16,18].…”

Section: Discussionunclassified

Minimally invasive surgical treatment of gastrointestinal stromal tumor

Берелавичус¹,

Кригер²,

Калдаров³

et al. 2015

Khir. Z. im. N.I. Pirogova

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“…Bariatric surgery, paediatric surgery, animal and experimental laboratory studies, and reports in abstract form only, were excluded. We also excluded case reports on robot‐assisted gastrectomy for the treatment of gastrointestinal stromal tumours because of the lack of standardized surgical resections and lymphadenectomy for this type of tumour . The latest publication with the largest patient numbers was emphasized if the same surgery unit had published multiple reports.…”

Section: Methodsmentioning

confidence: 99%

Robot‐assisted gastrectomy and oesophagectomy for cancer

Falkenback

Lehane

Lord

2014

ANZ Journal of Surgery

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Background: Robot-assisted surgery is a technically feasible alternative to open and laparoscopic surgery, which is being more frequently used in general surgery. We undertook this review to investigate whether robotic assistance provides a significant benefit for oesophagogastric cancer surgery. Methods: Electronic databases were searched for original English-language publications for robotic-assisted gastrectomy and oesophagectomy between January 1990 and October 2013. Results: Sixty-one publications were included. Thirty-five included gastrectomy, 31 included oesophagectomy and five included both operations. Several publications suggest that robot-assisted subtotal gastrectomy can be as safe and effective as an open or laparoscopic procedure, with equal outcomes with regard to the number of lymph nodes resected, overall morbidity and perioperative mortality, and length of hospital stay. Robotic assistance is associated with longer operation times but also with less blood loss in some reports. A significant benefit for robotic assistance has not been shown for the more extensive operations of oesophagectomy or total gastrectomy with D2-lymphadenectomy. There are very few oncologic data regarding local recurrence or long-term survival for any of the robotic operations. Conclusions: No significant differences in morbidity, mortality or number of lymph node harvested have been shown between robot-assisted and laparoscopic gastrectomy or oesophagectomy. Robotic surgery, with its relatively short learning curve, may facilitate reproducible minimally invasive surgery in this field but operation times are reportedly longer and cost differences remain unclear. Randomized trials with oncologic outcomes and cost comparisons are needed.

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Laparoscopic and robotic distal gastrectomy for gastrointestinal stromal tumour: case report

Abstract: Minimally invasive surgery offers benefits compared to open surgery, and laparoscopic and robot-assisted gastrectomy for the treatment of GIST could be technically feasible and safe because of the advantageous movements provided by the robotic arms.

Cited by 12 publications

References 17 publications

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

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

Minimally invasive surgical treatment of gastrointestinal stromal tumor

Robot‐assisted gastrectomy and oesophagectomy for cancer

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