Robotic gastrointestinal stromal tumors surgery - initial results

Introduction: Gastrointestinal stromal tumors (GISTs) usually present as an exophytic mass localized in stomach. Years ago, conventional surgery was the only option. Laparoscopic and robotic procedures have risen to prominence in recent decades as technology and surgical techniques have advanced.Aim...

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Main Authors: Valentin Ivanov, Luboslav Dimov, Strahil Strashilov, Denis Milkov, Nikolai Dzalov, Lyubomir Chervenkov
Format: Article
Language:English
Published: Pensoft Publishers 2022-12-01
Series:Folia Medica
Subjects:
Online Access:https://foliamedica.bg/article/91448/download/pdf/
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author Valentin Ivanov
Luboslav Dimov
Strahil Strashilov
Denis Milkov
Nikolai Dzalov
Lyubomir Chervenkov
author_facet Valentin Ivanov
Luboslav Dimov
Strahil Strashilov
Denis Milkov
Nikolai Dzalov
Lyubomir Chervenkov
author_sort Valentin Ivanov
collection DOAJ
description Introduction: Gastrointestinal stromal tumors (GISTs) usually present as an exophytic mass localized in stomach. Years ago, conventional surgery was the only option. Laparoscopic and robotic procedures have risen to prominence in recent decades as technology and surgical techniques have advanced.Aim: The aim of this study was to evaluate the safety and feasibility of robotic surgery of GIST.Materials and methods: All patients who underwent robotic surgery for a GIST in the University Hospital Kaspela-Plovdiv between November 2021 and April 2022 were included. Post-operative course and short oncological outcomes were analyzed.Results: Four patients with gastric GIST, median size 50 mm [40–70 mm], underwent robotic surgery. Conversion to open surgery not occurred. We have two cases with localization in corpus, one in antrum and one in the fundus. We have registered one complicationsanastomotic leakage after proximal resection treated conservatively. In others, the post-operative period was uneventful. The average hospital stay was 8.2 (4-11) days. The median operating time was 255 min (220–320 min).Conclusions: On basis of this initial results, we can conclude that robotic gastrointestinal tumors surgery is safe, feasible, and oncological sustained. Of course, one of the weakest sides of this surgery is prolonged operative time and increased expenses.
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spelling doaj.art-82103cb9c344429c9eaacd7c6ab343a12023-01-02T09:54:03ZengPensoft PublishersFolia Medica1314-21432022-12-0164688488810.3897/folmed.64.e9144891448Robotic gastrointestinal stromal tumors surgery - initial resultsValentin Ivanov0Luboslav Dimov1Strahil Strashilov2Denis Milkov3Nikolai Dzalov4Lyubomir Chervenkov5Department of Surgery, Kaspela University HospitalMedical University of PlovdivMedical UniversityMedical University of PlovdivMedical University of PlovdivMedical University of PlovdivIntroduction: Gastrointestinal stromal tumors (GISTs) usually present as an exophytic mass localized in stomach. Years ago, conventional surgery was the only option. Laparoscopic and robotic procedures have risen to prominence in recent decades as technology and surgical techniques have advanced.Aim: The aim of this study was to evaluate the safety and feasibility of robotic surgery of GIST.Materials and methods: All patients who underwent robotic surgery for a GIST in the University Hospital Kaspela-Plovdiv between November 2021 and April 2022 were included. Post-operative course and short oncological outcomes were analyzed.Results: Four patients with gastric GIST, median size 50 mm [40–70 mm], underwent robotic surgery. Conversion to open surgery not occurred. We have two cases with localization in corpus, one in antrum and one in the fundus. We have registered one complicationsanastomotic leakage after proximal resection treated conservatively. In others, the post-operative period was uneventful. The average hospital stay was 8.2 (4-11) days. The median operating time was 255 min (220–320 min).Conclusions: On basis of this initial results, we can conclude that robotic gastrointestinal tumors surgery is safe, feasible, and oncological sustained. Of course, one of the weakest sides of this surgery is prolonged operative time and increased expenses.https://foliamedica.bg/article/91448/download/pdf/gastrointestinal stromal tumorsrobotic gastric r
spellingShingle Valentin Ivanov
Luboslav Dimov
Strahil Strashilov
Denis Milkov
Nikolai Dzalov
Lyubomir Chervenkov
Robotic gastrointestinal stromal tumors surgery - initial results
Folia Medica
gastrointestinal stromal tumors
robotic gastric r
title Robotic gastrointestinal stromal tumors surgery - initial results
title_full Robotic gastrointestinal stromal tumors surgery - initial results
title_fullStr Robotic gastrointestinal stromal tumors surgery - initial results
title_full_unstemmed Robotic gastrointestinal stromal tumors surgery - initial results
title_short Robotic gastrointestinal stromal tumors surgery - initial results
title_sort robotic gastrointestinal stromal tumors surgery initial results
topic gastrointestinal stromal tumors
robotic gastric r
url https://foliamedica.bg/article/91448/download/pdf/
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AT luboslavdimov roboticgastrointestinalstromaltumorssurgeryinitialresults
AT strahilstrashilov roboticgastrointestinalstromaltumorssurgeryinitialresults
AT denismilkov roboticgastrointestinalstromaltumorssurgeryinitialresults
AT nikolaidzalov roboticgastrointestinalstromaltumorssurgeryinitialresults
AT lyubomirchervenkov roboticgastrointestinalstromaltumorssurgeryinitialresults