Clinical effect of robot-assisted laparoscopic resection for gastric stromal tumor
Objective:To analyze the clinical effect of robot-assisted laparoscopic resection for gastric stromal tumor.Methods:The clinical data of 125 patients who underwent gastric stromal tumor resection in Qiqihar Hospital of Traditional Chinese Medicine and Luohe Central Hospital from January 2019 to June 2022 were retrospectively analyzed.They were divided into the robotic group(n=48)and the laparoscopic group(n=77)according to the surgical method.The operative effect,complications and immune indexes were compared between the two groups of patients.Results:The operative time,first feeding time,gastrointestinal decompression tube and abdominal drainage tube removal time of the robotic group were shorter than those of the laparoscopic group,and the differences were statistically significant(P<0.05),while the differences in intraoperative blood loss,digestive tract reconstruction time and hospital stay between the two groups were not statistically significant(P>0.05).The rates of conversion to laparotomy and tumor rupture in the robotic group were lower than those in the laparoscopic group,and the differences were not statistically significant(P>0.05).There was no significant difference in the incidence and severity of postoperative complications between the two groups(P>0.05).The immune function of the robotic group was higher than that of the laparoscopic group,and the inflammatory response indicators were lower than that of the laparoscopic group,the differences were statistically significant(P<0.05).Conclusion:Compared with laparoscopic surgery,robot-assisted laparoscopic gastric stromal tumor resection could shorten the operative time,reduce complications,and lower the impact of surgery on patients'immune function,which is worthy of clinical application.