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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 | An unusual case of hydatid disease located in the erector spinae muscle显示文摘 | Atalay F Orug T Arda K | 2003 | JBR- BTR2003，86，6： | 1 |
| 3 | Tests on beam-column strong and weak axis connections 显示文摘 | Yardimci N Yorgun C Arda T S | 1996 | Computers & Structures1996，61，3： | 1 |
| 4 | An in vitro comparison of retentive force and deformation of acetal resin and cobalt-chromium clasps 显示文摘 | Arda T | 2005 | ProsthetDent2005，94，6： | 1 |
| 5 | An in vitro comparison of retentive force atal defornmtion of acetal resin and cobalt -chromium clasp显示文摘 | Arda T Arikan A | 2005 | Prosthet Dent2005，94，3： | 1 |
| 6 | An in vitro comparison of retentive force and deformation of acetal resin and cobalt-chromium clasps显示文摘 | Arda T Arikan A | 2005 | J Prosthet Dent2005，94，3： | 1 |
| 7 | An in vitro investigation water sorption and solubility of two acetal denture base materials显示文摘 | Arikan A Ozkan YK Arda T | 2005 | Eur J Prosthodont Restor Dent2005，13，3： | 1 |
| 8 | An in Vitro Comparison of Retentive Force and Deformation of Acetal Resin Andcobalt-chromium Clasps显示文摘 | Arda T Arikan A | 2005 | J Prosthet Dent2005，94，2： | 1 |
| 9 | An in vitro comparison of retentive force and de formation of acetal resin and cobalt-chromium clasps显示文摘 | Arda T Arikan A | 2005 | J Proathet Dent2005，94，3： | 1 |
| 10 | Vancomycinversusteicoplanin intlle tllerapy of experimental methicillin resistantStaphylococcus aureua(MlISA)meningitis显示文摘 | Sipahi OR Arda B Taskin Y T | 2005 | Int Anfimi-crob Agents2005，26，15： | 1 |
| 11 | Efficacy of oral levofloxacin and dirithromycin alone and in combination with fifampicin in the treatment of experimental murine Brucalla abortus infection 显示文摘 | Arda B Tun el M Yaimazhan T | 2004 | Int J Antimicrob Agents2004，23，2： | 1 |
| 12 | Role of ICOS versus CD28 inantiviral immunity显示文摘 | Edward M B Anna T Arda S | 2002 | Eur J Immunol2002，32，12： | 1 |
| 13 | Tests on Beam-column Strong and Weak Axis Connections显示文摘 | YARDIMCI M YORGUN C ARDA T S | 1996 | Computers and Structures1996，61，3： | 1 |
| 14 | Friction and wear performance of pure and glass fibre reinforced poly-ether-imide on polymer and steel counterface materials显示文摘 | Mimaroglu A Unal H Arda T | 2007 | Wear2007，262，1112： | 1 |
| 15 | Efficacy of oral Levofloxacin and dirithromycin alone and in combination with rifampicin in the treatment of experimental murine Brucella abortus infection显示文摘 | Arda B Tuncel M Yaimazhan T | 2004 | Int Antimicrob Agents2004，23，2： | 1 |
| 16 | Surgical treatment of 13 pediatric patients with Dandy-Walker syndrome 显示文摘 | Yuceer N Mertol T Arda N | 2007 | Pediatr Neurosurg2007，43，5： | 1 |
| 17 | Using MODIS Snow Cover Map in Model Snowmelt Runoff Process in the Estern Part of Turkey显示文摘 | Amer A T Zuhal A Arda A S | 2005 | Remote Sensing of Environment2005，97，2： | 1 |
| 18 | Tests on beam-column strong and weak axis connections 显示文摘 | Yardimci N Yorgun C Arda T S | 1996 | Computers and Structures1996，61，3： | 1 |
| 19 | Vancomycin versus teicoplanin in the therapy of experimental methicillin-resistant Staphylococcus aureus (MRSA) meningitis显示文摘 | Sipahi O R Arda B Yurtseven T | 2005 | Int J Antimicrob Agents2005，26，5： | 1 |
| 20 | Experimental and mechanical model for predicting the behaviour of minor axis beam-to-column semi-rigid joints 显示文摘 | de Lima L R O de Andrade S A L Arda T S | 2002 | International Journal of Mechanical Science2002，44，6： | 1 |
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