Safety profile and oncological outcomes of gastric gastrointestinal stromal tumors (GISTs) robotic resection: Single center experience

Int J Med Robot. 2019 Dec;15(6):e2031. doi: 10.1002/rcs.2031. Epub 2019 Sep 4.

Abstract

Background: Although usefulness of robot assisted surgery has been largely reported and accepted, robot assisted gastrointestinal stromal tumor (GIST) treatment is rare. Hence, the aim of this study is to report a single center evaluation on gastric GIST's robotic resection.

Methods: Six patients were analyzed focusing on safe (conversion/complications rate, hospital stay), oncological (margin resection, recurrence rate), and feasible (operative time, technical tip, and tricks) profile of robotic-assisted GIST surgery.

Results: The mean operative time and hospital stay was 173 ± 39 minutes and 3 ± 1 days, respectively. The conversion rate (to open or laparoscopy) was nil, and no intra and postoperative (mean follow-up 12 months) complications were registered. In all cases, the resections were classified as R0.

Conclusions: This study supports the usefulness of robotic-assisted surgery, as the anatomical hand-sewn reconstruction might avoid the stomach distortion, and the oncological (100% R0) and safety profile outcomes encourage its use. However, further studies with larger sample size are recommended to confirm the outcomes of this study.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Gastrectomy
  • Gastrointestinal Neoplasms / surgery*
  • Gastrointestinal Stromal Tumors / surgery*
  • Hospitalization
  • Humans
  • Laparoscopy / methods
  • Length of Stay
  • Male
  • Margins of Excision
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Operative Time
  • Patient Safety
  • Postoperative Period
  • Prospective Studies
  • Robotic Surgical Procedures*
  • Treatment Outcome