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| 1 | Minimally invasive surgery for gastric cancer: A comparison between robotic, laparoscopic and open surgery显示文摘AIM To investigate the role of minimally invasive surgery for gastric cancer and determine surgical, clinical, and oncological outcomes.METHODS This is a propensity score-matched case-control study, comparing three treatment arms: robotic gastrectomy(RG), laparoscopic gastrectomy(LG), open gastrectomy(OG). Data collection started after sharing a specific study protocol. Data were recorded through a tailored and protected web-based system. Primary outcomes: harvested lymph nodes, estimated blood loss, hospital stay, complications rate. Among the secondary outcomes, there are: operative time, R0 resections, POD of mobilization, POD of starting liquid diet and soft solid diet. The analysis includes the evaluation of type and grade of postoperative complications. Detailed information of anastomotic leakages is also provided.RESULTS The present analysis was carried out of 1026 gastrectomies. To guarantee homogenous distribution of cases, patients in the RG, LG and OG groups were 1:1:2 matched using a propensity score analysis with a caliper = 0.2. The successful matching resulted in a total sample of 604 patients(RG = 151; LG = 151; OG = 302). The three groups showed no differences in all baseline patients characteristics, type of surgery(P = 0.42) and stage of the disease(P = 0.16). Intraoperative blood loss was significantly lower in the LG(95.93 ± 119.22) and RG(117.91 ± 68.11) groups compared to the OG(127.26 ± 79.50, P = 0.002). The mean number of retrieved lymph nodes was similar between the RG(27.78 ± 11.45), LG(24.58 ± 13.56) and OG(25.82 ± 12.07) approach. A benefit in favor of the minimally invasive approaches was found in the length of hospital stay(P < 0.0001). A similar complications rate was found(P = 0.13). The leakage rate was not different(P = 0.78) between groups.CONCLUSION Laparoscopic and robotic surgery can be safely performed and proposed as possible alternative to open surgery. The main highlighted benefit is a faster postoperative functional recovery. | Amilcare Parisi Daniel Reim Felice Borghi Ninh T Nguyen Feng Qi Andrea Coratti Fabio Cianchi Maurizio Cesari Francesca Bazzocchi Orhan Alimoglu Johan Gagnière Graziano Pernazza Simone D'Imporzano Yan-Bing Zhou Juan-Santiago Azagra Olivier Facy Steven T Brower Zhi-Wei Jiang Lu Zang Arda Isik Alessandro Gemini Stefano Trastulli Alexander Novotny Alessandra Marano Tong Liu Mario Annecchiarico Benedetta Badii Giacomo Arcuri Andrea Avanzolini Metin Leblebici Denis Pezet Shou-Gen Cao Martine Goergen Shu Zhang Giorgio Palazzini Vito D'Andrea Jacopo Desiderio | 2017 | World Journal of Gastroenterology2017,23,13: | 17 |
| 2 | Post-operative imaging in liver transplantation: State-of-the-art and future perspectives显示文摘Orthotopic liver transplantation(OLT)represents a major treatment for end-stage chronic liver disease,as well as selected cases of hepatocellular carcinoma and acute liver failure.The ever-increasing development of imaging modalities significantly contributed,over the last decades,to the management of recipients both in the pre-operative and post-operative period,thus impacting on graft and patients survival.When properly used,imaging modalities such as ultrasound,multidetector computed tomography,magnetic resonance imaging(MRI)and procedures of direct cholangiography are capable to provide rapid and reliable recognition and treatment of vascular and biliary complications occurring after OLT.Less defined is the role for imaging in assessing primary graft dysfunction(including rejection)or chronic allograft disease after OLT,e.g.,hepatitis C virus(HCV)recurrence.This paper:(1)describes specific characteristic of the above imaging modalities and the rationale for their use in clinical practice;(2)illustrates main imaging findings related to post-OLTcomplications in adult patients;and(3)reviews future perspectives emerging in the surveillance of recipients with HCV recurrence,with special emphasis on MRI. | Rossano Girometti Giuseppe Como Massimo Bazzocchi Chiara Zuiani | 2014 | World Journal of Gastroenterology2014,20,20: | 8 |
| 3 | Magnetic resonance cholangiography in the assessment and management of biliary complications after OLT显示文摘Despite advances in patient and graft management,biliary complications(BC)still represent a challenge both in the early and delayed period after orthotopic liver transplantation(OLT).Because of unspecific clinical presentation,imaging is often mandatory in order to diagnose BC.Among imaging modalities,magnetic resonance cholangiography(MRC)has gained widespread acceptance as a tool to represent the reconstructed biliary tree noninvasively,using both the conventional technique(based on heavily T2-weighted sequences)and contrast-enhanced MRC(based on the acquisition of T1-weighted sequences after the administration of hepatobiliary contrast agents).On this basis,MRC is generally indicated to:(1)avoid unnecessary procedures of direct cholangiography in patients with a negative examination and/or identify alternative complications;and(2)provide a road map for interventional procedures or surgery.As illustrated in the review,MRC is accurate in the diagnosis of different types of biliarycomplications,including anastomotic strictures,nonanastomotic strictures,leakage and stones. | Rossano Girometti Lorenzo Cereser Massimo Bazzocchi Chiara Zuiani | 2014 | World Journal of Radiology2014,6,7: | 3 |
| 4 | Biliary complications after orthotopic liver transplantation: MRCP findings显示文摘 | Rossano Girometti Lorenzo Cereser Giuseppe Como Chiara Zuiani Massimo Bazzocchi | 2008 | Abdominal Imaging2008,,5: | 2 |
| 5 | Application of a computer aided detection (CAD) system to digitalized mammograms for identifying microcalcifications 显示文摘 | Bazzocchi M Facecchia I Zuiani C | 2001 | Radiol Med (Torino)2001,101,5: | 1 |
| 6 | Disfunzioni viscerali e Qualita della Vita nel trattamento riabilitativo delle mielolesioni显示文摘 | Menarini M Bazzocchi G | 2006 | Pelvi-Perin RICP2006,25,: | 1 |
| 7 | Locally advanced breast cancer : comparison of mammography, sonography andMR imaging in evaluation of residual disease in women receiving neoadjuvant chemotherapy显示文摘 | Londero V Bazzocchi M Delfrate C | 2004 | Eur Radiol2004,14,8: | 1 |
| 8 | Diffusionweighted MRI in valuating liver fibrosis:a feasibility study in cirrhotic patients显示文摘 | Girometti R Furlan A Bazzocchi M | 2007 | Radiolm Med2007,112,3: | 1 |
| 9 | Gastrointestinal stromal tumor:spiral computed tomography features and pathologic correlation显示文摘 | DA RONCH T MODESTO A BAZZOCCHI M | 2006 | Radiol Med2006,111,5: | 1 |
| 10 | New phenolic triterpenes from Maytenus blepharodes,semisynthesis of 6-deoxoblepharodol from pristimerin显示文摘 | RODRGUEZ F M LOPEZ M R JIMENEZ I A MOUJIR L RAVELO A G BAZZOCCHI I L | 2005 | Tetrahedron2005,61,9: | 1 |
| 11 | Locally advanced breast cancer:comparison of mammography sonography and MR imagine in evaluation of residual disease in women receiving neoadjuvant Chemotherapy显示文摘 | Londero V Bazzocchi M Del Frate C | 2004 | Eur Radiol2004,14,8: | 1 |
| 12 | Long term efficacy, safety and tolerability of low daily doses of osmotic polyethylene glycol electrolyte balanced solution ( PMF-100 ) in the treatment of functional chronic constipation显示文摘 | Corazziari E Badiali D Bazzocchi G | 2000 | Gut2000,46,4: | 1 |
| 13 | Detection of liver metastases : comparison of gadobenate dimeglumine-enhanced and ferumoxides-enhanced MR imaging examinations 显示文摘 | del Frate C Bazzocchi M Mortele K J | 2002 | Radiology2002,225,3: | 1 |
| 14 | Locallyadvanced breast cancer : comparison of mammography,sonographyand MR imaging in evaluation of residual disease in women recei-ving neoadjuvant chemotherapy 显示文摘 | L0NDER0 V BAZZOCCHI M DEL FRATE C | 2004 | Eur Radiol2004,14,8: | 1 |
| 15 | An alternative repair technique for anastomotic leakage after total gastrectomy显示文摘 | Folli S Morgagni P Bazzocchi F | 2000 | J Am Coll Surg2000,190,6: | 1 |
| 16 | Detection of liver metastases: comparison of gadobenate dimeglun, ine enhanced and ferumoxides-enhanced MR imaging examinations显示文摘 | del Frate C Bazzocchi M Mortele KJ | 2002 | Radiology2002,225,3: | 1 |
| 17 | Circular arrays of magnetic sensors for current measurement 显示文摘 | Di Rienzo L Bazzocchi R Manara A | 2001 | IEEE Transactions on Instrumentation and Measurement2001,50,5: | 1 |
| 18 | Lymph Node Micrometastases in Early Gastric Cancer and Their Impact on Prognosis显示文摘 | Paolo Morgagni M.D. Luca Saragoni M.D. Emanuela Scarpi B.Sc. Pier Sante Zattini M.D. Alberto Zaccaroni M.D. Diana Morgagni M.D. Francesca Bazzocchi M.D | 2003 | World Journal of Surgery2003,,5: | 1 |
| 19 | Application of a omputer- aided detection (CAD) system to digitalized mammograms for identifying microcalcifications显示文摘 | Bazzocchi M Facecchia I Zuiani C | 2001 | Radiol Med(Torino)2001,101,5: | 1 |
| 20 | Diffusion-weighted MRI in evaluating liver fibrosis:a feasibility study in cirrhotic patients显示文摘 | Girometti R Furlan H Bazzocchi M | 2007 | Radiol Med2007,112,3: | 1 |