Robotic Versus Laparoscopic Gastric Resection for Primary Gastrointestinal Stromal Tumors >5 cm: A Size-Matched and Location-Matched Comparison

被引：12
作者：
de'Angelis, Nicola [1 ]
Genova, Pietro [1 ]
Amiot, Aurelien [2 ]
Charpy, Cecile [3 ]
Disabato, Mara [1 ]
Belgaumkar, Ajay P. [5 ,6 ]
Chahrour, Ali [1 ]
Legou, Francois [4 ]
Azoulay, Daniel [1 ]
Brunetti, Francesco [1 ]
机构：
[1] Univ Paris Est UPEC, Henri Mondor Univ Hosp, Dept Digest Hepatobiliary Surg & Liver Transplant, Creteil, France
[2] Univ Paris Est UPEC, Henri Mondor Univ Hosp, Dept Gastroenterol, Equipe Univ EC2M3, Creteil, France
[3] Univ Paris Est UPEC, Henri Mondor Univ Hosp, Dept Pathol, Creteil, France
[4] Univ Paris Est UPEC, Henri Mondor Univ Hosp, Dept Radiol, Creteil, France
[5] NHS Fdn Trust, Dept Surg, Ashford Hosp, Chertsey, Surrey, England
[6] NHS Fdn Trust, Dept Surg, St Peters Hosp, Chertsey, Surrey, England
来源：
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2017年 / 27卷 / 01期
关键词：
robotic surgery; GISTs; gastrointestinal stromal tumors; laparoscopy; health care costs; NEOADJUVANT/ADJUVANT IMATINIB MESYLATE; PHASE-II TRIAL; WEDGE RESECTION; PROGNOSTIC-FACTORS; ADJUVANT THERAPY; GIST; SURGERY; GASTRECTOMY; STOMACH; CANCER;
D O I：
10.1097/SLE.0000000000000371
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
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.
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页码：65 / 71
页数：7
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