Evidence map›Paper›PMID 42169900›Full record

ArticleJournal of gastrointestinal oncology2026

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.

Jiawei Zhang, Hongzhi Wang, Hong Fang, Yanhong Liu, Jia Zhao, Chuntao Wang, Peng Song, Lei Cao

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jiawei Zhang *School of Medicine, Nankai University, Tianjin, China.
Hongzhi Wang *Department of General Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Hong Fang *Department of General Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Yanhong LiuDepartment of General Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Jia ZhaoDepartment of General Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Chuntao WangDepartment of General Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Peng SongDepartment of General Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.
Lei CaoSchool of Medicine, Nankai University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

enhanced recovery after surgery (ERAS)Gastric stromal tumorslaparoscopic surgeryrobot-assisted surgery

Identifiers

PMID42169900
PMCPMC13188047

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.