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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 | The effect of interfaeial interaction on the mechanical properties of poIypropylene/natural zeolite composites 显示文摘 | Metin D Tihminllioglu F Balkose D | 2004 | Composites Part A2004，35，： | 1 |
| 3 | Weapon selection using the AHP and TOPSIS methods under fuzzy environment 显示文摘 | Metin D D Serkan Y Nevzat K | 2009 | Expert Systems with Applications2009，36，： | 1 |
| 4 | The effect of interfacial interactions on the mechanical properties of polypropylene/natural zeolite composites显示文摘 | D Metin | 2004 | Composites2004，35，1： | 1 |
| 5 | An investigation on effects of various parameters on viscosities of coal-water mixture prepared with Erzurum- Askale lignite eoal显示文摘 | AHMET G METIN A CETIN D | 2006 | Fuel Process Technol2006，87，9： | 1 |
| 6 | The effect of interfacial interactions on the mechanical properties of polypropylene/natural zeolite composites显示文摘 | Metin D Tihminlioglu F Balkose D | 2004 | Composites (part A)2004，35，： | 1 |
| 7 | A rare cause of precocious puberty: hepatoblastoma 显示文摘 | Eren E Metin D Esra D | 2009 | J Clin Res Pediatr Endocrinol2009，1，6： | 1 |
| 8 | Using of cotton oil soapstock biodiesel-diesel fuel blends as an ahternative diesel fuel显示文摘 | KESKIN A METIN G ALTIPARMAK D | 2008 | Renewable Energy2008，33，4： | 1 |
| 9 | A preliminary study of hu man paraoxonase and PON1 L/M55-PON i Q/R 192 polymor- phisms in Turkish patients with coronary artery disease显示文摘 | Kaman D Ilhan N Metin K | 2009 | Cell Biochem Funct2009，27，2： | 1 |
| 10 | An investigation on effects of various parameters on viscosities of coal water mixture prepared with Erzurum-Askale lignite coal显示文摘 | Ahmet G Metin A Cetin D | 2006 | Fuel processing Technology2006，87，9： | 1 |
| 11 | A rare cause of precocious puberty: hepatoblastoma 显示文摘 | Eren E Metin D Esra D | 2009 | J Clin Res Pediatr Endocrinol2009，1，6： | 1 |
| 12 | 10-year evaluation of wain accidents显示文摘 | AkkaS M Ay D Metin Aksu N | | 0，，5： | 1 |
| 13 | Fatal disseminated Acremonium stricture infection in a preterm newborn:a very rare cause of neonatal septicaemia显示文摘 | Yalaz M Hilmioglu S Metin D Akisu M Nart D Cetin H Ozturk C Isik E Kultursay N | 2003 | Journal of Medical Microbiology2003，52，： | 1 |
| 14 | 显示文摘 | Kaufmann J H Metin S Saperstein D D | 1989 | Phys Rev B1989，39，13： | 1 |
| 15 | Weapon selection using the AHP and TOPSIS methods under fuzzy environment显示文摘 | Metin D Serkan Y | 2009 | Expert Systems with Appli- cations2009，36，4： | 1 |
| 16 | Effects of thermoplastic preforming binder on the properties of S2-glass fabric reinforced epoxy composites 显示文摘 | Tanoglu Metin Robert S Heider D | 2001 | International Journal of Adhesion & Adhesives2001，21，： | 1 |
| 17 | Structural, electrochemical and optical comparisons of tungsten oxide coatings derived from tungsten powder-based sols 显示文摘 | DILEK I METIN A CANER D | 2009 | Thin Solid Films2009，518，： | 1 |
| 18 | Structural, electrochemical and optical comparisons of tungsten oxide coatings derived from tungsten powder- based sols 显示文摘 | Dilek I Metin A Caner D | 2009 | Thin Solid Films2009，518，： | 1 |
| 19 | Optimal tuning of PI speed controller coefficients for electric drives using neural network and genetic algorithms显示文摘 | Seydi VU Metin D | 2005 | Electrical Engineering2005，87，： | 1 |
| 20 | Sliding mode control for non linear systems with adaptive sliding sorfaces显示文摘 | Burak D Ozgoren M K Metin U S | 2012 | Transactions of the Institute of Measurement & Control2012，34，1： | 1 |
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