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Updates Surg. 2018 Jul 17. doi: 10.1007/s13304-018-0568-7. [Epub ahead of print]

Feasibility of robotic resection of gastrointestinal stromal tumors along the entire gastrointestinal tract.

Author information

1
Division of Oncological and Robotic General Surgery, Careggi University Hospital, Florence, Italy. fra.guerra.mail@gmail.com.
2
Division of Oncological and Robotic General Surgery, Careggi University Hospital, Florence, Italy.
3
Division of Clinical Oncology, Careggi University Hospital, Florence, Italy.
4
Division of Digestive and Liver Surgery, Santa Maria Hospital, Terni, Italy.

Abstract

Robotic surgery has been proposed over the last decade as a valid option to treat gastrointestinal malignancies in a minimally invasive method, yielding encouraging results. The authors examine the outcomes of a consecutive series of patients with stromal gastrointestinal neoplasms who were operated on using a totally robotic technique. There were 36 patients in the study, with median age 70 years. Resected tumors were located in the esophagus, stomach, duodenum, small intestine and rectum. Perioperative morbidity was 8% and no mortality occurred. R0 resection was achieved in all cases. At a median follow-up of 25 months, 35 patients were disease free while there was one case of death related to metastatic disease. Robotic surgery is a valid option to resect gastrointestinal stromal tumors anywhere along the gastrointestinal tract in a minimally invasive manner.

KEYWORDS:

Digestive tract minimally invasive surgery; Gastrointestinal stromal tumor; Laparoscopy; Robotic surgery

PMID:
30019164
DOI:
10.1007/s13304-018-0568-7

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