title: Robotic Versus Laparoscopic Gastric Resection for Primary Gastrointestinal Stromal Tumors >5 cm: A Size-Matched and Location-Matched Comparison.
abstract: 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.
authors.affiliation: Departments of *Digestive, Hepatobiliary Surgery and Liver Transplantation †Gastroenterology, EC2M3 Equipe Universitaire ‡Pathology ∥Radiology, Henri Mondor University Hospital, Université Paris Est-UPEC, Créteil, France §Department of Surgery, Ashford & St Peter's Hospitals, NHS Foundation Trust, Chertsey, Surrey, UK.
authors.forename: Nicola
authors.initials: N
authors.lastname: de'Angelis
authors.forename: Pietro
authors.initials: P
authors.lastname: Genova
authors.forename: Aurelien
authors.initials: A
authors.lastname: Amiot
authors.forename: Cecile
authors.initials: C
authors.lastname: Charpy
authors.forename: Mara
authors.initials: M
authors.lastname: Disabato
authors.forename: Ajay P
authors.initials: AP
authors.lastname: Belgaumkar
authors.forename: Ali
authors.initials: A
authors.lastname: Chahrour
authors.forename: Francois
authors.initials: F
authors.lastname: Legou
authors.forename: Daniel
authors.initials: D
authors.lastname: Azoulay
authors.forename: Francesco
authors.initials: F
authors.lastname: Brunetti
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D003365:Costs and Cost Analysis; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000191:economics / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000191:economics / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology; D018570:Risk Assessment; D065287:Robotic Surgical Procedures / Q000191:economics / Q000379:methods*; D013274:Stomach Neoplasms / Q000191:economics / Q000601:surgery*; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional