Journal of gastrointestinal oncology · 2026
Retrospective study on clinical outcomes and safety evaluation of da Vinci robot-assisted laparoscopy and endoscopic cooperative for small gastric stromal tumors resection: preliminary single-center experience.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Zhang Jiawei, Wang Hongzhi, Fang Hong, Liu Yanhong, Zhao Jia, Wang Chuntao, Song Peng, Cao Lei
Аннотация
BACKGROUND: Gastric stromal tumors, common mesenchymal tumors in the digestive system, are mainly treated by partial gastrectomy. Da Vinci robotic surgery offers a new treatment option for such patients. This study aimed to preliminarily assess the viability of da Vinci robot-assisted laparoscopic and endoscopic resection of gastric stromal tumors endoscopically confirmed mucosal integrity, based on a retrospective study design.
METHODS: A total of 69 patients, who were diagnosed with gastric stromal tumors through histopathological examination and received surgical treatment at the Department of General Surgery at Tianjin Union Medical Center (The First Affiliated Hospital of Nankai University) between June 2020 and December 2023, were enrolled in this study. Data were retrospectively collected from the patient's medical charts, and a comprehensive summary and analysis were conducted regarding the treatment outcomes of these 69 patients.
RESULTS: Among the 69 patients diagnosed with gastric stromal tumors, 46 underwent laparoscopic excision and 23 underwent robotic resection. Technical success was achieved in all procedures without intraoperative complication-induced conversion to laparotomy. Regarding demographic variables such as age and sex, no significant discrepancies were identified between the two groups, ensuring their homogeneity and comparability for subsequent analysis. The mean operative time in the robotic resection group was not significantly different from that in the laparoscopic excision group. However, the postoperative recumbency duration, the time to the first postoperative flatus, the postoperative alimentary abstinence period, the suture removal time point, and the mean postoperative hospitalization stay were significantly reduced along with a reduced mean blood loss volume. These differences were statistically validated (P<0.05), indicating the potential advantages of the robotic approach in the postoperative recovery phase.
CONCLUSIONS: In this retrospective cohort, robotic-assisted laparoscopic and endoscopic cooperative surgery (LECS) was associated with faster postoperative recovery metrics and less blood loss compared with laparoscopy. Patients undergoing this procedure had accelerated postoperative recovery, with statistical results consistent with the goals of minimally invasive surgery and enhanced recovery after surgery (ERAS) guidelines. Prospective studies are warranted to confirm these findings.
METHODS: A total of 69 patients, who were diagnosed with gastric stromal tumors through histopathological examination and received surgical treatment at the Department of General Surgery at Tianjin Union Medical Center (The First Affiliated Hospital of Nankai University) between June 2020 and December 2023, were enrolled in this study. Data were retrospectively collected from the patient's medical charts, and a comprehensive summary and analysis were conducted regarding the treatment outcomes of these 69 patients.
RESULTS: Among the 69 patients diagnosed with gastric stromal tumors, 46 underwent laparoscopic excision and 23 underwent robotic resection. Technical success was achieved in all procedures without intraoperative complication-induced conversion to laparotomy. Regarding demographic variables such as age and sex, no significant discrepancies were identified between the two groups, ensuring their homogeneity and comparability for subsequent analysis. The mean operative time in the robotic resection group was not significantly different from that in the laparoscopic excision group. However, the postoperative recumbency duration, the time to the first postoperative flatus, the postoperative alimentary abstinence period, the suture removal time point, and the mean postoperative hospitalization stay were significantly reduced along with a reduced mean blood loss volume. These differences were statistically validated (P<0.05), indicating the potential advantages of the robotic approach in the postoperative recovery phase.
CONCLUSIONS: In this retrospective cohort, robotic-assisted laparoscopic and endoscopic cooperative surgery (LECS) was associated with faster postoperative recovery metrics and less blood loss compared with laparoscopy. Patients undergoing this procedure had accelerated postoperative recovery, with statistical results consistent with the goals of minimally invasive surgery and enhanced recovery after surgery (ERAS) guidelines. Prospective studies are warranted to confirm these findings.