Users Online : 716 About us |  Subscribe |  e-Alerts  | Feedback | Login   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
 
ORIGINAL ARTICLE
Ahead of Print

Gastrointestinal stromal tumours of stomach: Robot-assisted excision with the da Vinci Surgical System regardless of size and location site


1 General Surgery Unit, Department of Surgery, Translational and New Technologies in Medicine, University of Pisa, Pisa, Italy
2 General Surgery Unit, Cannizzaro Hospital, Catania, Italy
3 EndoCAS (Center for Computer Assisted Surgery), University of Pisa, Pisa, Italy
4 Sant'Anna School of Advanced Study, Pisa, Italy
5 General Surgery Unit, Department of Surgery, Translational and New Technologies in Medicine, University of Pisa; EndoCAS (Center for Computer Assisted Surgery), University of Pisa, Pisa, Italy

Correspondence Address:
Luca Morelli,
Department of Surgery, General Surgery Unit, University of Pisa, Italy, Via Paradisa 2, Pisa 56125
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_260_17

PMID: 29595183

Aims: The role of minimally invasive surgery of gastrointestinal stromal tumours (GISTs) of the stomach remains uncertain especially for large and/or difficult located tumours. We are hereby presenting a single-centre series of robot-assisted resections using the da Vinci Surgical System (Si or Xi). Subjects and Methods: Data of patients undergoing robot-assisted treatment of gastric GIST were retrieved from the prospectively collected institutional database and a retrospective analysis was performed. Patients were stratified according to size and location of the tumour. Difficult cases (DCs) were considered for size if tumour was >50 mm and/or for location if the tumour was Type II, III or IV sec. Privette/Al-Thani classification. Results: Between May 2010 and February 2017, 12 consecutive patients underwent robot-assisted treatment of GIST at our institution. DCs were 10/12 cases (83.3%), of which 6/10 (50%) for location, 2/10 (25%) for size and 2/10 (25%) for both. The da Vinci Si was used in 8 patients, of which 6 (75%) were DC, and the da Vinci Xi in 4, all of which (100%) were DC. In all patients, excision was by wedge resection. All lesions had microscopically negative resection margins. There was no conversion to open surgery, no tumour ruptures or spillage and no intraoperative complications. Conclusion: Our experience suggests a positive role of the robot da Vinci in getting gastric GIST removal with a conservative approach, regardless of size and location site. Comparative studies with a greater number of patients are necessary for a more robust assessment.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Furbetta N
    -  Palmeri M
    -  Guadagni S
    -  Di Franco G
    -  Gianardi D
    -  Latteri S
    -  Marciano E
    -  Moglia A
    -  Cuschieri A
    -  Di Candio G
    -  Mosca F
    -  Morelli L
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed540    
    PDF Downloaded1917    

Recommend this journal

2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04