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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 | Effect of alloying elements onthermal contraction and crack susceptibility during in-mold solidi-fication 显示文摘 | Ridolfi M T Vito A D Ferro L | 2008 | Metallurgical and Materials Transactions B2008，39，4： | 1 |
| 3 | Effects of short-term in vivo exposure to polybrominated diphenyl ethers on thyroid hormones and hepatic enzyme activities in weaning rats 显示文摘 | Zhou T Ross DG De Vito M J | 2001 | Toxicological Science2001，61，： | 1 |
| 4 | Cooperation through self assembly in multi-robot systems显示文摘 | Elio T Roderich G Vito T | 2006 | ACM Transactions on Autonomous and Adaptive Systems2006，1，2： | 1 |
| 5 | Analysis of chitin synthase function in a plant parasitic nematode, Meloidogyne artiellia, using RNAi显示文摘 | Fanelli E Di Vito M Jones J T | 2005 | Gene2005，349，： | 1 |
| 6 | The distribution of strain in the human cornea显示文摘 | Vito R P Johnson L W | 1997 | Biomechanics1997，30，5： | 1 |
| 7 | The seventh ring:exploring TRAF7 functions显示文摘 | Zotti T Vito P Stilo R | 2012 | J Cellular Physiol2012，227，： | 1 |
| 8 | Emergy-based simulation to assess Brazil′s long-term carrying capacity:Environment,electricity and population显示文摘 | DAVID R T VITO C | 2006 | Population and Environment2006，27，3： | 1 |
| 9 | Lysosomal cysteine proteases: Facts and opportunities显示文摘 | Vito T Boris T Dusan T | 2001 | 20 (17): 4629-46332001，20，17： | 1 |
| 10 | Spectroscopic and biological properties of palladium( Ⅱ ) complxes of ethyl 2-quinolylmethylphosphonate显示文摘 | Zjerka T B Ariella F Vito S | 1998 | J lnorg Biochem1998，72，： | 1 |
| 11 | Analysis of chitin synthase function in a plant parasitic nematode, Meloidogyne artiellia, using RNAi显示文摘 | Fanelli E di Vito M Jones J T de Giorgi C | 2005 | Gene2005，349，： | 1 |
| 12 | Androgen and estrogen receptors in adult hamster brain显示文摘 | Vito C C DeBold J F Fox T O | 1983 | Brain Res1983，264，1： | 1 |
| 13 | Lysosomal cysteine proteases:Facts and opportunities 显示文摘 | VITO T BORIS T DUSAN T | 2001 | The Embo J2001，20，17： | 1 |
| 14 | Generation of anti - apoptotic presenilin- 2 polypeptides by alternative transcription, proteolysis,and casepas - 3 cleavage显示文摘 | Vito P Ghayur T D' Adamio L | 1997 | J Biol Chem1997，272，28： | 1 |
| 15 | Are symptom reports useful for differ- entiating between acute rejection and pulmonary infection after lung transplantation? 显示文摘 | De Vito Dabbs A Hoffman L A Iaeono A T Zullo T G Mc- Curry K R Dauber J H | 2004 | Heart Lung2004，3，： | 1 |
| 16 | Developmental exposure to brominated diphenyl ethers results in thyroid hormone disruption 显示文摘 | Zhou T Taylor MM de Vito MJ | 2002 | Toxicol Sci2002，66，： | 1 |
| 17 | Analysis of chitin syn- thase function in a plant parasitic nematode, Meloidogyne ar- tiellia, using RNAi显示文摘 | Fanelli E Di Vito M Jones J T | 2005 | Gene2005，349，： | 1 |
| 18 | Anisotropic PP and PSV prestack depth imaging of 4C data, Pamberi, off- shore Trinidad显示文摘 | Johns T D Vito C Sarmiento R | 2007 | Extended Abstracts of 69^th EAEG Conference2007，021，： | 1 |
| 19 | Analysis of chitin synthase function in a plant parasitic nematode, Meloidogyne artiellia, using RNAi 显示文摘 | Fanelli E Di Vito M Jones J T | 2005 | Gene2005，349，： | 1 |
| 20 | Developmental exposure to brominated diphenyl ethers results in thyroid hormone disruption显示文摘 | ZHOU T TAYLOR M M de VITO M J | 2002 | Toxicol Sci2002，66，： | 1 |
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