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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 | Single balloon enteroscopy for endoscopic retrograde cholangiography in patients with Roux-en-Y hepaticojejuno anastomosis显示文摘AIM:To evaluate single balloon enteroscopy in diagnostic and therapeutic endoscopic retrograde cholangiography(ERC)in patients with Roux-en-Y hepaticojejunoanastomosis(HJA).METHODS:The study took place from January 2009to December 2011 and we retrospectively assessed 15patients with Roux-en-Y HJA who had signs of biliary obstruction.In total,23 ERC procedures were performed in these patients and a single balloon videoen-teroscope(Olympus SIF Q 180)was used in all of the cases.A transparent overtube was drawn over the videoenteroscope and it freely moved on the working part of the enteroscope.Its distal end was equipped with a silicone balloon that was inflated by air from an external pump at a pressure of≤5.4 kPa.The technical limitations or rather the parameters of the single balloon enteroscope(working length-200 cm,diameter of the working channel-2.8 mm,absence of Albarran bridge)showed the need for special endoscopic instrumentation.RESULTS:Cannulation success was reached in diagnostic ERC in 12 of 15 patients.ERC findings were normal in 1 of 12 patients.ERC in the remaining 11 patients showed some pathological changes.One of these(cystic bile duct dilation)was subsequently resolved surgically.Endoscopic treatment was initialized in the remaining 10 patients(5 with HJA stenosis,2 with choledocholithiasis,and 3 with both).This treatment was successful in 9 of 10 patients.The endoscopic therapeutic procedures included:balloon dilatation of HJA stenosis-11 times(7 patients);choledocholitiasis extraction-five times(5 patients);biliary plastic stent placement-six times(4 patients);and removal of biliary stents placed by us-six times(4 patients).The mean time of performing a single ERC was 72 min.The longest procedure took 110 min and the shortest took34 min.This shows that it is necessary to allow for more time in individual procedures.Furthermore,these procedures require the presence of an anesthesiologist.We did not observe any complications in these 15 patients.CONCLUSION:This method is more demanding than standard endoscopic retrograde cholangiopancreatography due to altered postsurgical anatomy.However,it is effective,safe,and widens the possibilities of resolving biliary pathology. | Bohuslav Kianika Jan Lata Ivo Novotny Petr Dítě Jirí Vaníek | 2013 | World Journal of Gastroenterology2013，19，44： | 2 |
| 3 | Gas chromatography-mass spectrometric and nuclear magnetic resonance determination of polynuclear aromatic hydrocarbons in airborne particulates 显示文摘 | LEE M L NOVOTNY M BARTLE K D | 1976 | Anal Chem1976，48，： | 1 |
| 4 | Willingness to pay for flood and ecological risk reduction in an urban watershed显示文摘 | Clark D E Novotny V Griffin R | 2001 | Water Science & Technology2001，45，9： | 1 |
| 5 | Compositional studies of coal tar by capillary gaschromatographymass spectrometry显示文摘 | NOVOTNY M STRAND J W SMITH S L WIESLER D SCHWENDE F J | 1981 | Fuel1981，60，3： | 1 |
| 6 | A pessimistic explanatory style is prognostic for poor lung cancer survival显示文摘 | NOVOTNY P COLLIGAN R C SZYDLO D W | 2010 | J Thorac Oncol2010，5，3： | 1 |
| 7 | Randomizedphase II trial comparing bevacizumab plus carboplatin and paclitaxel with carhop latin and paclitaxel alone in previously untreated locally advanced ormetastatic non-small-cell lung cancer 显示文摘 | Johnson D H Fehrenbacher L Novotny W F | 2004 | J ClinOncol2004，22，11： | 1 |
| 8 | Gpu based real- lime inslrument tracking with three-dimensional ultrasound显示文摘 | Novotny P M Stoll J A Pedro E Nido J D | 2007 | Medical Image Analysis2007，11，5： | 1 |
| 9 | A new induction motor V/f control method capable of high-performance regulation at low speeds 显示文摘 | GARCIA A Munoz LIPO T A NOVOTNY D W | 1998 | IEEE Transactions on Industry Applications1998，34，4： | 1 |
| 10 | Motion control with induction motors显示文摘 | Lorenz R D Lipo T A Novotny D W | 1994 | Proceedings of the IEEE1994，82，8： | 1 |
| 11 | The nematophagous hyphomycete Esteya vermicola found in the Czech Republic显示文摘 | Kubátová A Novotny D Práil K | 2000 | Czech Mycol2000，52，： | 1 |
| 12 | Perioperarive Complications of Radical Cystectomy in a Contemporary Serie8 显示文摘 | Novotny V Hakenberg 0 W Wiessner D | 2007 | Eur Urol2007，51，2： | 1 |
| 13 | Influence of frozen storage and packaging on oxidative stability and texture of bread produced by different processes显示文摘 | Novotni D Curic D Galic K Skevin D. | | 0，，： | 1 |
| 14 | Randomized phase Ⅱ trial comparing bevacizumab plus carboplatin and paclitaxel with carboplatin and paclitaxel alone in previously untreated locally advanced or metastatic non-small-cell lung cancer显示文摘 | Fehrenbacher L Novotny W | 2004 | J Clin Oncol2004，22，11： | 1 |
| 15 | Application of the three omega thermal conductivity measurement method to a film on a substrate of finite thickness显示文摘 | Kim J H Feldman A Novotny D | 1999 | J Appl Phys1999，86，7： | 1 |
| 16 | Formin homology 2 domains occur in multiple contexts in angiosperms显示文摘 | Novotny M Pickova D | 2004 | BMC Genomics2004，5，1： | 1 |
| 17 | Evaluation of Protein Fold Comparison Servers 显示文摘 | Novotny M Madsen D Kleywegt G J | 2004 | Proteins Struct Funct Genet2004，54，2： | 1 |
| 18 | Complications of axillary dissection in breast carcinoma显示文摘 | Pavlista D Duskov a M Novotny J | 2002 | Ceska Gynekol2002，67，6： | 1 |
| 19 | Periopemtive complications of radical cystectomy in a contemporary serJes显示文摘 | Novotny V Hakenberg OW Wiessner D | 2007 | Eur Urol2007，51，2： | 1 |
| 20 | Charge equalization for series connected battery strings显示文摘 | Divan D M Novotny D W | 1995 | Industry Applications IEEE Transactions on1995，31，3： | 1 |
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