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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 | Percutaneous imaging-guided treatment of hydatid liver cysts: Do long-term results make it a first choice?显示文摘 | Adnan Kabaalio?lu Ka?an ?eken Emel Alimoglu Ali Apaydin | 2006 | European Journal of Radiology2006，，1： | 2 |
| 3 | Recurrent laryngeal nerve palsy after thyroid surgery 显示文摘 | ALIMOGLU O AKDAG M KAYA B | 2008 | Int Surg2008，93，5： | 1 |
| 4 | BI-RADS category 3 nonpalpable breast masses on sonography:long-term results of a prospective cohort study显示文摘 | Alimoglu E Alimoglu MK Ceken K | 2012 | J Clin Ultrasound2012，40，3： | 1 |
| 5 | Femoral hernia; a revew of 83 cases显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
| 6 | Timing of cholecystecto my for acute biliary pancreatits:outcomes of cholecystectomy on first admission and after recurrent biliary pancreatitLn显示文摘 | Ozkan OV Sahin M | 2003 | World J Surg2003，27，3： | 1 |
| 7 | Timing of cholecystectomyfor acute biliary pancreatitis:outcomes of cholecystectomy on first admission and after recurrent biliary pancreatitis显示文摘 | Alimoglu O Ozkan OV Sahin M | 2003 | World J Surg2003，27，3： | 1 |
| 8 | Femoral hernia: a review of 83 eases 显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
| 9 | Femoral hernia: a review of 83 cases显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
| 10 | Can learning style predict student satisfaction with different instruction methods and academic achievement in medical education显示文摘 | Gurpinar E Alimoglu MK Mamakli S | 2010 | Adv Physiol Educ2010，34，4： | 1 |
| 11 | Femoral hernia: a review of 83 cases显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
| 12 | Can learning style pre- dict student satisfaction with different instruction methods and aca- demic achievement in medical education 显示文摘 | Gurpinar E Alimoglu MK Mamakli S | 2010 | Adv Physiol Ednc2010，34，4： | 1 |
| 13 | Can learning style predict student satisfaction with different instruction methods and academic achievement in medical education?显示文摘 | Gurpinar E Alimoglu MK Mamakli S | 2010 | Adv Physiol Educ2010，34，： | 1 |
| 14 | BI-RADS category 3 nonpalpable breast masses on sonography :long -term results of a prospective cohort study显示文摘 | Alimoglu E Alimoglu MK Ceken K | 2012 | J Clin Ultrasound2012，40，3： | 1 |
| 15 | Timing of cholecystectomy for acute biliary pancreatitis:outcomes of cholecystectomy on first admission and after recurrent biliary pancreatitis显示文摘 | Alimoglu O Ozkan O V Sahin M | 2003 | World J Surg2003，27，3： | 1 |
| 16 | Femoral hernia:a review of 83 cases显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
| 17 | Femoral hernia: a review of 83 eases显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
| 18 | Femoral hernia:a review of 83 cases显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
| 19 | The effect of lidocaine, bupi- vacaine and ropivacaine in nasal packs on pain and hemorrhage after septoplasty 显示文摘 | Karaman E Gungor G Alimoglu Y | 2011 | Eur Arch Otorhinolaryngol2011，268，5： | 1 |
| 20 | Femoral hernia:a review of 83 cases显示文摘 | Alimoglu O Kaya B Okan I | 2006 | Hernia2006，10，1： | 1 |
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