Gastrointestinal Stromal Tumors of the Stomach: Is There Any Advantage of Robotic Resections? A Systematic Review and Meta-Analysis.
J Laparoendosc Adv Surg Tech A
; 34(7): 603-613, 2024 Jul.
Article
in En
| MEDLINE
| ID: mdl-38962886
ABSTRACT
Background:
The role of robotic surgery for gastrointestinal stromal tumor (GIST) resection remains unclear. This systematic review and meta-analysis aimed to investigate the outcomes of robotic versus laparoscopic surgery in patients requiring surgery for gastric GISTs.Methods:
MEDLINE, EMBASE, and the Cochrane databases were searched from inception to September 4, 2023. Two independent reviewers conducted a systematic review of the literature to select all types of analytic studies comparing robotic versus laparoscopic surgery for GISTs and reporting intraoperative, postoperative, and/or pathological outcomes.Results:
Overall, 4 retrospective studies were selected, including a total of 264 patients, specifically 111 (42%) in the robotic and 153 (58%) in the laparoscopic group. Robotic surgery was associated with longer operating time (+42.46 min; 95% confidence interval [CI] 9.34, 75.58; P=0.01; I2 85%) and reduced use of mechanical staplers (odds ratio [OR] 0.05; 95%CI 0.02, 0.11; P<0.00001; I2 92%;) compared with laparoscopy. Although nonsignificant, conversion to open surgery was less frequently reported for robotic surgery (2.7%) than laparoscopy (5.2%) (OR 0.59; 95%CI 0.17, 2.03; P=0.4; I2 0%). No difference was found for postoperative and oncological outcomes.Conclusions:
Robotic surgery for gastric GISTs provides similar intraoperative, postoperative, and pathological outcomes to laparoscopy, despite longer operative time.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stomach Neoplasms
/
Laparoscopy
/
Gastrointestinal Stromal Tumors
/
Robotic Surgical Procedures
Limits:
Humans
Language:
En
Journal:
J Laparoendosc Adv Surg Tech A
Year:
2024
Document type:
Article
Affiliation country:
Italia