Minerva Surgery 2021 Dec 10

DOI: 10.23736/S2724-5691.21.09119-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Laparoscopic versus open resection for the treatment of gastric GIST: a retrospective 10-year single-center experience

Andrea LOCATELLI ¹ ✉, Daniele CARZANIGA ², Pierluigi CARZANIGA ³, Andrea COSTANZI ¹

¹ General Surgery Unit, Department of Surgery, Ospedale San Leopoldo Mandic - ASST Lecco, Merate, Lecco, Italy; ² University of Milan Bicocca, Milano, Italy; ³ Casa di Cura B. L.Talamoni, Lecco, Italy

BACKGROUND: Laparoscopic resection (LR) is increasingly performed for gastrointestinal stromal tumors (GIST). The aim of this study is to investigate the short-term outcomes and terapheutic effects of LR compared to Open Resection (OR) for gastric GISTs.
METHODS: All 12 patients undergoing surgery (LR vs OR) for gastric GISTs during 2012-2021 in a single centre, were analysed retrospectively. All outcomes were compared between the two groups.
RESULTS: No statistical significant differences were observed between the two groups (LR vs OR) as far as operative time (143 vs 144,5 min, p 0,81 n.s. ) , blood loss (70 vs 125 ml, p 0,2 n.s.), early postoperative complications (2 vs 1, Fisher 1 p n.s.), length of hospital stay (8,5 vs 14,2 days, p 0,17 n.s.).
CONCLUSIONS: LR for GISTs is safe and effective. The only limiting factor for the widespread application of Minimally Invasive Surgery (MIS) is surgeon expertise in challenging cases.

KEY WORDS: Laparoscopic resection (LR); Laparoscopic wedge resection (LWR); Gastrointestinal stromal tumor (GIST); Open resection (OR); Minimally invasive surgery (MIS); Oesophago-gastro-duodenoscopy (OGD); Overall survival (OS); Relapse free survival (RFS); Esophago-gastric junction (EGJ)