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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 | Vacuum packaging of bovine tripe microbial contamination and indole content显示文摘 | GIACCONE V CIVERA T PARISI E | 1994 | Sciences Des Aliments1994，14，： | 1 |
| 3 | When behaviour reveals activity: Assigning fishing effort to métiers based on VMS data using artificial neural networks显示文摘 | RUSSO T PARISI A PRORGI M | 2011 | Fisheries Research2011，111，12： | 1 |
| 4 | When behaviour reveals activity:Assigning fishing effort to métiers based on VMS data using artificial neural networks显示文摘 | Russo T Parisi A Prorgi M | 2011 | Fisheries Research2011，111，12： | 1 |
| 5 | Learning curve of robotic-assisted microvascular anastomosis in the rat显示文摘 | LeeJY Mattar T Parisi TJ | 2012 | J Reconstr Microsurg2012，28，45： | 1 |
| 6 | When behaviour reveals activity: Assigning fishing effort to mrtiers based on VMS data using artificial neural networks 显示文摘 | RUSSO T PARISI A PRORGI M | 2011 | FisheriesResearch2011，111，12： | 1 |
| 7 | The human MDM2 oncoprotein increases the transcriptional activity and the protein level of the p53 homolog p63显示文摘 | Calabro V Mansueto G Parisi T | 2002 | J Biol Chem2002，277，4： | 1 |
| 8 | New insights in interpolating fishing tracks from VMS data for different métiers显示文摘 | Russo T Parisi A Cataudella S | 2011 | Fisheries Research2011，108，1： | 1 |
| 9 | A comparison of polyglycolic acid versus type 1 collagen bioabsorbable nerve conduits in a rat model:an alternative to autografting显示文摘 | Waitayawinyu T Parisi D M Miller B | 2007 | J Hand Surg Am2007，32，10： | 1 |
| 10 | Surgical Neuropathology Update: A Review of Changes Introduced by the WHO Classification of Tumours of the Central Nervous System, 4th Edition显示文摘 | Brat Daniel J Parisi Joseph E Kleinschmidt-DeMasters Bette K Yachnis Anthony T Montine Thomas J Boyer Philip J Powell Suzanne Z Prayson Richard A McLendon Roger E | 2008 | Archives of Pathology & Laboratory Medicine2008，，6： | 1 |
| 11 | Increased risk of type 2 diabetes in Alzheimer disease显示文摘 | Janson J Laedtke T Parisi JE | 2004 | Diabetes2004，53，： | 1 |
| 12 | Increased risk of type 2 diabetes in Alzheimer' s disease显示文摘 | Janson J Laedtke T Parisi JE | 2004 | Diabetes2004，53，： | 1 |
| 13 | Preliminary results with the use of AlloDerm in chronic otitis media显示文摘 | Fayad J N Baino T Parisier S C | 2003 | La-ryngoscope2003，113，7： | 1 |
| 14 | DNA wrapping and bending by a mItochondrial high mobility group-like transcriptional activator protein显示文摘 | Fisher R P Lisowsky T Parisi M A Clayton D A | | 0，，05： | 1 |
| 15 | Novel microbial diversity adherent to plant biomass in the herbivore gastrointestinal tract as revealed by ribosomal intergenic spacer analysis and rrs genese quencing 显示文摘 | Laure R Yu Z T Parisi V A | 2005 | Environ Microbiol2005，，7： | 1 |
| 16 | Selective requirements for E2f3 in the development and tumorigenicity of Rb- deficient chimeric tissues显示文摘 | Parisi T Yuan TL Faust AM | 2007 | Mol Cell Biol2007，27，6： | 1 |
| 17 | Increased risk of type 2 dia- betes in Alzheimer disease 显示文摘 | Janson J Laedtke T Parisi J E | 2004 | Diabetes2004，53，2： | 1 |
| 18 | Increased Risk of Type 2 Diabetes in Alzheimer Disease显示文摘 | Janson J Laedtke T Parisi JE | 2004 | Diabetes2004，53，2： | 1 |
| 19 | Antioxidant β-caro- tene does not quench singlet oxygen in mammalian cells显示文摘 | Bosio G N Breitenhach T Parisi J | 2013 | J Am Chem Soc2013，135，1： | 1 |
| 20 | Rationale,design,and baseline data for Commit to Quit Ⅱ:an evaluation of the efficacy of moderate-intensity physical activity as an aid to smoking cessation in women显示文摘 | Marcus B Albrecht A Lewis B Parisi A Hogan J King T | | 0，，： | 1 |
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