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

Leonardo Solaini; Davide Cavaliere; Valeria Fico; Marco Milone; Maria Milone; Stefano De Pascale; Jacopo Desiderio; Giulia Vitali; Amilcare Parisi; Carmelo Maria Antonio Parisi; Uberto Fumagalli Romario; Giovanni Domenico De Palma; Domenico D'Ugo; Giorgio Ercolani

doi:10.1002/rcs.2198

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

Leonardo Solaini, Davide Cavaliere, Valeria Fico, Marco Milone, Maria Milone, Stefano De Pascale, Jacopo Desiderio, Giulia Vitali, Amilcare Parisi, Carmelo Maria Antonio Parisi, Uberto Fumagalli Romario, Giovanni Domenico De Palma, Domenico D'Ugo, Giorgio Ercolani

Risultato della ricerca: Contributo in rivista › Articolo in rivista

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.

Lingua originale	English
pagine (da-a)	1-18
Numero di pagine	18
Rivista	THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
Volume	17
DOI	https://doi.org/10.1002/rcs.2198
Stato di pubblicazione	Pubblicato - 2021

Keywords

gastrectomy
gastrointestinal stromal tumour
minimally invasive gastric resection
robotic gastrectomy
robotic surgery

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10.1002/rcs.2198

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Solaini, L., Cavaliere, D., Fico, V., Milone, M., Milone, M., De Pascale, S., Desiderio, J., Vitali, G., Parisi, A., Parisi, C. M. A., Fumagalli Romario, U., De Palma, G. D., D'Ugo, D., & Ercolani, G. (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, 1-18. https://doi.org/10.1002/rcs.2198

@article{97295f985e1c42f9bc11179be03c73ca,

title = "Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study",

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.",

keywords = "gastrectomy, gastrointestinal stromal tumour, minimally invasive gastric resection, robotic gastrectomy, robotic surgery, gastrectomy, gastrointestinal stromal tumour, minimally invasive gastric resection, robotic gastrectomy, robotic surgery",

author = "Leonardo Solaini and Davide Cavaliere and Valeria Fico and Marco Milone and Maria Milone and {De Pascale}, Stefano and Jacopo Desiderio and Giulia Vitali and Amilcare Parisi and Parisi, {Carmelo Maria Antonio} and {Fumagalli Romario}, Uberto and {De Palma}, {Giovanni Domenico} and Domenico D'Ugo and Giorgio Ercolani",

year = "2021",

doi = "10.1002/rcs.2198",

language = "English",

volume = "17",

pages = "1--18",

journal = "THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY",

issn = "1478-596X",

publisher = "[Ilkley] : Robotic Publications.",

}

Solaini, L, Cavaliere, D, Fico, V, Milone, M, Milone, M, De Pascale, S, Desiderio, J, Vitali, G, Parisi, A, Parisi, CMA, Fumagalli Romario, U, De Palma, GD, D'Ugo, D & Ercolani, G 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, vol. 17, pagg. 1-18. https://doi.org/10.1002/rcs.2198

TY - JOUR

T1 - Open versus laparoscopic versus robotic gastric gastrointestinal stromal tumour resections: A multicentre cohort study

AU - Solaini, Leonardo

AU - Cavaliere, Davide

AU - Fico, Valeria

AU - Milone, Marco

AU - Milone, Maria

AU - De Pascale, Stefano

AU - Desiderio, Jacopo

AU - Vitali, Giulia

AU - Parisi, Amilcare

AU - Parisi, Carmelo Maria Antonio

AU - Fumagalli Romario, Uberto

AU - De Palma, Giovanni Domenico

AU - D'Ugo, Domenico

AU - Ercolani, Giorgio

PY - 2021

Y1 - 2021

N2 - 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.

AB - 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.

KW - gastrectomy

KW - gastrointestinal stromal tumour

KW - minimally invasive gastric resection

KW - robotic gastrectomy

KW - robotic surgery

KW - gastrectomy

KW - gastrointestinal stromal tumour

KW - minimally invasive gastric resection

KW - robotic gastrectomy

KW - robotic surgery

UR - http://hdl.handle.net/10807/169823

U2 - 10.1002/rcs.2198

DO - 10.1002/rcs.2198

M3 - Article

SN - 1478-596X

VL - 17

SP - 1

EP - 18

JO - THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY

JF - THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY

ER -

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

Abstract

Keywords

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