Impact of surgical approach on short- and long-term outcomes in gastroenteropancreatic neuroendocrine carcinomas

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Introduction: Complete resection is the cornerstone of curative-intent treatment for gastroenteropancreatic neuroendocrine carcinomas (GEP-NECs) without distant metastases. However, there is a paucity of data on the impact of recent advancements in minimally invasive surgery (MIS), such as the utilization of laparoscopic and robotic approaches, on GEP-NEC patients’ outcomes.

Aim(s): We aimed to compare perioperative and oncologic outcomes among GEP-NEC patients undergoing open, laparoscopic, and robotic resection.

Materials and methods: Multiple imputations were used to handle missing data. We used the inverse probability of treatment weighting (IPTW) method to account for selection bias. Patients were stratified by surgical approaches: Open, laparoscopic, and robotic resection; and pairwise comparisons were conducted by analysing short- and long-term outcomes.

Conference:

Presenting Author: Chen Q

Authors: Chen Q, Rhodin K, Li K, Kanu E, Zani S,

Keywords: Gastroenteropancreatic neuroendocrine carcinoma, Minimally Invasive Surgery, Open resection, Laparoscopic resection, Robotic resection, Outcome,