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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 | Single-incision laparoscopic colorectal surgery for cancer: State of art显示文摘A number of clinical trials have demonstrated that the laparoscopic approach for colorectal cancer resection provides the same oncologic results as open surgery along with all clinical benefits of minimally invasive surgery.During the last years,a great effort has been made to research for minimizing parietal trauma,yet for cosmetic reasons and in order to further reduce surgery-related pain and morbidity.New techniques,such as natural orifice transluminal endoscopic surgery(NOTES)and single-incision laparoscopy(SIL)have been developed in order to reach the goal of'scarless'surgery.Although NOTES may seem not fully suitable or safe for advanced procedures,such as colectomies,SIL is currently regarded as the next major advance in the progress of minimally invasive surgical approaches to colorectal disease that is more feasible in generalized use.The small incision through the umbilicus allows surgeons to use familiar standard laparoscopic instruments and thus,perform even complex procedures which require extraction of large surgical specimens orintestinal anastomosis.The cosmetic result from SIL is also better because the only incision is made through the umbilicus which can hide the wound effectively after operation.However,SIL raises a number of specific new challenges compared with the laparoscopic conventional approach.A reduced capacity for triangulation,the repeated conflicts between the shafts of the instruments and the difficulties to achieve a correct exposure of the operative field are the most claimed issues.The use therefore of this new approach for complex colorectal procedures might understandingly be viewed as difficult to implement,especially for oncologic cases. | Fabio Cianchi Fabio Staderini Benedetta Badii | 2014 | World Journal of Gastroenterology2014,20,20: | 15 |
| 3 | Robotic rectal surgery: State of the art显示文摘Laparoscopic rectal surgery has demonstrated its superiority over the open approach, however it still has some technical limitations that lead to the development of robotic platforms. Nevertheless the literature on this topic is rapidly expanding there is still no consensus about benefits of robotic rectal cancer surgery over the laparoscopic one. For this reason a review of all the literature examining robotic surgery for rectal cancer was performed. Two reviewers independently conducted a search of electronic databases(Pub Med and EMBASE) using the key words 'rectum', 'rectal', 'cancer', 'laparoscopy', 'robot'. After the initial screen of 266 articles, 43 papers were selected for review. A total of 3013 patients were included in the review. The most commonly performed intervention was low anterior resection(1450 patients, 48.1%), followed by anterior resections(997 patients, 33%), ultra-low anterior resections(393 patients, 13%) and abdominoperineal resections(173 patients, 5.7%). Robotic rectal surgery seems to offer potential advantages especially in low anterior resections with lower conversions rates and better preservation of the autonomic function. Quality of mesorectum and status of and circumferential resection margins are similar to those obtained with conventional laparoscopy even if robotic rectal surgery is undoubtedly associated with longer operative times. This review demonstrated that robotic rectal surgery is both safe and feasible but there is no evidence of its superiority over laparoscopy in terms of postoperative, clinical outcomes and incidence of complications. In conclusion robotic rectal surgery seems to overcome some of technical limitations of conventional laparoscopic surgery especially for tumors requiring low and ultralow anterior resections but this technical improvement seems not to provide, until now, any significant clinical advantages to the patients. | Fabio Staderini Caterina Foppa Alessio Minuzzo Benedetta Badii Etleva Qirici Giacomo Trallori Beatrice Mallardi Gabriele Lami Giuseppe Macrì Andrea Bonanomi Siro Bagnoli Giuliano Perigli Fabio Cianchi | 2016 | World Journal of Gastrointestinal Oncology2016,8,11: | 7 |
| 4 | Changes in the texture and structure of cod and haddock fillets during frozen storage显示文摘 | Farah Badii Nazlin K Howell | 2002 | Food Hydrocolloids2002,,4: | 2 |
| 5 | Elucidation of the effect of formaldehyde and lipids on fro- zen stored cod collagen by FT - Raman spectroscopy and differential scanning calorimetry 显示文摘 | Badii F Howell N K | 2003 | Journal of Agricultural and Food Chemistry2003,51,: | 1 |
| 6 | Structure-activity relationships in flexible protein domains: regulation of rho GTPases by RhoGDI and D4 GDI 1 1 Edited by P. E. Wright显示文摘 | Alexander P. Golovanov Tsung-Hsien Chuang Celine DerMardirossian Igor Barsukov Dawn Hawkins Ramin Badii Gary M. Bokoch Lu-Yun Lian Gordon C.K. Roberts | 2001 | Journal of Molecular Biology2001,,1: | 1 |
| 7 | A comparison of biochemical changes in cod ( Gadus morhua) and haddock ( Melanogrammus aeglefinus) fillets during frozen storage显示文摘 | BADII F HOWELL N K | 2001 | Journal of the Science of Food and Agriculture2001,82,1: | 1 |
| 8 | Effect of antioxidants,citrate,and cryoprotectants on protein denaturation and texture of frozen cod (Gadus morhua)显示文摘 | Badii F Howell N K | 2002 | Journal of Agricultural and Food Chemistry2002,50,7: | 1 |
| 9 | Information management and knowledge integration for enterprise innovation显示文摘 | Badii A Sharif A | 2003 | Logistics Information Management2003,16,2: | 1 |
| 10 | Preparation and characterisation of chicken skin gelatin as an alternative to mammalian gelatin显示文摘 | SARBON M BADII F HOWELL N K | 2013 | Food Hydrocolloids2013,30,1: | 1 |
| 11 | A comparison of biochemical changes in cod (Gadus morhua) and haddock (Melanogrammus aeglefinus) during frozen storage显示文摘 | Badii F Howell N K | 2001 | J Sci Food Agric2001,82,: | 1 |
| 12 | Preparation and characterization of chicken skin gelatin as an alternative to mammalian gelatin显示文摘 | Mhd Sarbon N Badii F Howell N K | | 0,,1: | 1 |
| 13 | Effect of antioxidants,citrate,and cryoprotectants on protein denaturation and texture of frozen cod (gadus morhua)显示文摘 | Badii F Howell N K | 2002 | J Agric Food Chem2002,50,: | 1 |
| 14 | Prey stage preference and functional response of Euseius hibisci to Tetranychus urticae(Acari:Phytoseiidae,Tetranychidae)显示文摘 | Badii M H Hernàndez-ortiz E Flores A eta | | Experimental and Applied Acarology0,34,: | 1 |
| 15 | Preparation and characterisation of chicken skin gelatin as an alternative to mammalian gelat- in显示文摘 | Sarbon N M Badii F Howell N K | 2013 | Food Hydrocolloids2013,30,1: | 1 |
| 16 | Changes in the texture and structure of cod and haddock fillets during frozen storage显示文摘 | Farah Badii and Nazlin Howell K | 2002 | Food Hydrocolloids2002,16,: | 1 |
| 17 | Elucidation of the effect of formaldehyde and lipids on frozen stored cod collagen by FT-Raman spectroscopy and differential scanning calorimetry显示文摘 | BADII F HOWELL N K | 2003 | Journal of Agricultural and Food Chemistry2003,51,5: | 1 |
| 18 | Preparation and characterization of novel nano-mineral for the removal of severalheavy metals from aqueous soIutlon:bateh and continuous systems 显示文摘 | SHABANI K S ARDEJANI F D BADII K | 2013 | Arabian Journal of Chemistry2013,12,1: | 1 |
| 19 | Semantic - associative visual content labeling and retrieval: A multimodal approach 显示文摘 | Zhu M Badii A | 2007 | Signal Processing: Image Communication2007,22,6: | 1 |
| 20 | A comparison of biochemical changes in cod (Gadus morhua) and haddock (Melanogrammus aeglefinus) fillets during frozen storage显示文摘 | BADII F HOWELL N K | 2001 | Journal of the Science of Food and Agriculture2001,82,1: | 1 |