| Title: |
Minimally invasive approach to gastric GISTs: Analysis of a multicenter robotic and laparoscopic experience with literature review |
| Authors: |
Ceccarelli G.; Costa G.; De Rosa M.; Codacci Pisanelli M.; Frezza B.; De Prizio M.; Bravi I.; Scacchi A.; Gallo G.; Amato B.; Bugiantella W.; Tacchi P.; Bartoli A.; Patriti A.; Cappuccio M.; Komici K.; Mariani L.; Avella P.; Rocca A. |
| Contributors: |
Ceccarelli, G.; Costa, G.; De Rosa, M.; Codacci Pisanelli, M.; Frezza, B.; De Prizio, M.; Bravi, I.; Scacchi, A.; Gallo, G.; Amato, B.; Bugiantella, W.; Tacchi, P.; Bartoli, A.; Patriti, A.; Cappuccio, M.; Komici, K.; Mariani, L.; Avella, P.; Rocca, A. |
| Publisher Information: |
MDPI AG |
| Publication Year: |
2021 |
| Collection: |
Sapienza Università di Roma: CINECA IRIS |
| Subject Terms: |
Gastric re-section; Gastrointestinal stromal tumor; GIST; Intracorporeal suture; Laparoscopic surgery; Minimally invasive surgery; Robotic surgery |
| Description: |
Background: Gastrointestinal stromal tumors (GISTs) are most frequently located in the stomach. In the setting of a multidisciplinary approach, surgery represents the best therapeutic op-tion, consisting mainly in a wedge gastric resection. (1) Materials and methods: Between January 2010 to September 2020, 105 patients with a primary gastrointestinal stromal tumor (GISTs) located in the stomach, underwent surgery at three surgical units. (2) Results: A multi-institutional analysis of minimally invasive series including 81 cases (36 laparoscopic and 45 robotic) from 3 referral centers was performed. Males were 35 (43.2%), the average age was 66.64 years old. ASA score > 3 was 6 (13.3%) in the RS and 4 (11.1%) in the LS and the average tumor size was 4.4 cm. Most of the procedures were wedge resections (N = 76; 93.8%) and the main operative time was 151 min in the RS and 97 min in the LS. Conversion was necessary in five cases (6.2%). (3) Conclusions: Minimal invasive approaches for gastric GISTs performed in selected patients and experienced centers are safe. A robotic approach represents a useful option, especially for GISTs that are more than 5 cm, even located in unfavorable places. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/wos/WOS:000694215800001; volume:13; issue:17; numberofpages:22; journal:CANCERS; https://hdl.handle.net/11573/1566877 |
| DOI: |
10.3390/cancers13174351 |
| Availability: |
https://hdl.handle.net/11573/1566877; https://doi.org/10.3390/cancers13174351 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.E75CAA33 |
| Database: |
BASE |