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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 hyperbaric oxygen therapy on ischemia-modified albumin levels in people with diabetes with foot ulcers显示文摘 | Cakmak T Metin S Yaman H | 2014 | Undersea Hyperb Med2014，41，4： | 1 |
| 3 | Organization and evolutionary trajectory of the mating type (MAT) locus in dermatophyte and dimorphic fungal pathogens 显示文摘 | Li W Metin B White T C | 2010 | Eukaryotic Cell2010，9，1： | 1 |
| 4 | Effects of acute and adaptive hypoxia on heat shock protein expression in hepatic tissue显示文摘 | Cigdem T Gokhan K Metin B | 2005 | High Altitude Medicine & Biology2005，6，3： | 1 |
| 5 | Torque quality and comparison of internal and external rotor axial flux surface magnet disc machines显示文摘 | AYDIN Metin HUANG Surong LIPO T A | 2006 | IEEE Transactions on Industrial Electronics2006，53，3： | 1 |
| 6 | Mode I and mode U fracture toughness of E - glass non - crimp fabric/carbon nanotube (CNT) modified polymer based composites 显示文摘 | Tugrul S A Metin T Karl S | 2008 | Engineering Fracture Mechanics2008，75，18： | 1 |
| 7 | Hyperparathyroid crisis presenting with hyperemesis gravidarum显示文摘 | Banu Akta? Y?lmaz Mustafa Altay Ceyla Konca De?ertekin Ali R?za ?imen ?zlem Turhan ?yidir Aydan Biri Osman Yüksel Füsun Balo? T?rüner Metin Arslan | 2014 | Archives of Gynecology and Obstetrics2014，，： | 1 |
| 8 | Determination of surface temperature rise with thermoelastic analysis of spur gears 显示文摘 | Murat T Metin A | 2006 | Wear2006，261，56： | 1 |
| 9 | Prognosis and prognostic factors for unexplained subarachnoid hemorrhage:review of 84 cases显示文摘 | Faruk I Metin T Tahs in E | 2002 | Neurosurgery2002，50，8： | 1 |
| 10 | PSAR: Power-source aware routing in Zig Bee networks 显示文摘 | Metin T Ibrahim K | 2012 | Wireless Networks2012，18，6： | 1 |
| 11 | Modified atmosphere packaging of fish salad显示文摘 | METIN S ERKAN N BAYGAR T | 2002 | Fisheries science2002，68，1： | 1 |
| 12 | Optoelectrochemical properties of the copolymer of 2, 5-di (4-methylthiophen-2-yl)-1-(4-nitrophenyl)-^1H-pyrrole monomer with 3,4-ethylenedioxythiophene显示文摘 | Metin A K Cihangir T Akhmedov I M | 2008 | Thin Solid Films2008，516，： | 1 |
| 13 | The effects of the pre-treatment of intravenous nimodipine on Na ^+ - K ^+/ATPase, Ca^2 +/Mg^2+ AT- Pase, Lipid peroxidation and early uhrastructural findings following- middle cerebral after occlusion in the rat显示文摘 | Faruk I Alp IG Metin T | 2001 | Stroke2001，23，： | 1 |
| 14 | Intrusion prevention in informa-tion systems : reactive and proactive responses 显示文摘 | YUE W T METIN C | 2007 | Journal of Management Information Systems2007，24，1： | 1 |
| 15 | Critical aspects related to processing of carbon nano-tube/unsaturated thermoset polyester nanocomposites显示文摘 | FLORIAN H G METIN To | 2007 | European Polymer Journal2007，43，： | 1 |
| 16 | Mesenteric arterial variations detected at MDCT angiography of abdominal aorta显示文摘 | Hazirolan T Metin Y Karaosmanoglu AD | 2009 | Am J Roentgenol2009，192，4： | 1 |
| 17 | Modified atmosphere packaging of fish salad显示文摘 | Metin S Erkan N Baygar T | 2002 | Fisheries Science2002，68，1： | 1 |
| 18 | Critical aspects related to processing of carbon nano-tube / unsaturated thermoset polyester nanocomposites显示文摘 | Seyhan A T Florian H G Metin T | 2007 | European Polymer Journal2007，43，2： | 1 |
| 19 | Vibration of a variable cross-section beam 显示文摘 | Mehmet C E Metin A Vedat T | 2007 | Mechanics Research Communications2007，34，： | 1 |
| 20 | Mechanical Properties and Microstructural Evalution of AA5013 Aluminum Alloy Treated in the Semi-solid State by SIMA Process显示文摘 | Nursen S I Etem S Metin T | 2004 | Journal of Materials Processing Technology2004，，148： | 1 |
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