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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 | Performance of rotating spray plate sprinklers in indoor experiments 显示文摘 | Sourell H Faci J M Playdn E | 2003 | Journal of Irrigation and Drainage Engineering2003，129，5： | 1 |
| 3 | Comparison of fixed and rotating spray plate sprinklers显示文摘 | Faci J M Salvador R Play in E | 2001 | Journal of Irrigation and Drainage Engineering2001，127，4： | 1 |
| 4 | Performance of rotating spray plate sprinklers in indoor experiments 显示文摘 | Sourel H I Faci J M Playan E | 2003 | J lrrig Drain Eng2003，129，5： | 1 |
| 5 | Performance of rotating spray plate sprinklers in indoor experiments显示文摘 | Sourell H Faci J M Play in E | 2003 | Journal of Irrigation and Drainage Engineering2003，129，5： | 1 |
| 6 | Reactivity of Langerhans cells in human reconstructed epidermis to known allergens and UV radiation 显示文摘 | Facy V Flouret V Regnier M | 2005 | Toxicol In Vitro2005，19，： | 1 |
| 7 | Characterizing pivot sprinklers using an experimental irrigation machine显示文摘 | Playa E Garrido S Faci J M | 2004 | Agricultural Water Management2004，70，3： | 1 |
| 8 | 9 Ga, continental margin, back-arc, felsic caldera province with diverse Zn-Pb-Ag-(Cu-Au) sulfide and Fe oxide deposits, Bergslagen re- gion, Sweden显示文摘 | Allen R L Lundstrom I PApa M et aL Facies analysis of a 1 | 1996 | Economic Geology1996，91，6： | 1 |
| 9 | Characterizing pivot sprinklers using an experimental irrigation machine显示文摘 | PLAYáN E GARRIDO S FACI J M | 2004 | Agricultural Water Management2004，70，3： | 1 |
| 10 | Comparative response of maize and sorghum to deficit irrigation in a Mediterranean environment显示文摘 | Farre I Faci J M | 2006 | Agric Water Manage2006，83，： | 1 |
| 11 | Day and night wind drift and evaporation losses in sprinkler solid-sets and moving laterals 显示文摘 | Play in E Salvador R Faci J M | 2005 | Agricultural Water Management2005，76，3： | 1 |
| 12 | Characterizing microtopographical effects on level-basin irrigation performance显示文摘 | Playan E Faci J M | 1996 | Agricultural Water Management1996，29，： | 1 |
| 13 | Modeling microtopograohy in basin irrigation显示文摘 | Playan E Faci J M Serreta A | 1996 | Journal of Irrigation and Drainage Engineering ASCE1996，122，6： | 1 |
| 14 | Assessing sprinkler irrigation uniformity using a ballistic simulation model 显示文摘 | Playn E Zapata N Faci J M | 2006 | Agricultural Water Management2006，84，12： | 1 |
| 15 | Comparison of fixed and ro- tating spray plate sprinklers显示文摘 | Faci J Salvador R Playdn E | 2001 | Journal of irrigation and drainage engineering2001，127，4： | 1 |
| 16 | Characterizing microtopographical effects on level-basin irrigation performance显示文摘 | Playan E Faci J M | 1996 | Agricultural Water Management1996，29，2： | 1 |
| 17 | Characterizing pivot sprinklers using an experimental irrigation machine显示文摘 | Playdn E Garrido S Faci J M | 2004 | Agri- cultural Water Management2004，70，70： | 1 |
| 18 | Steel Mill Grea- ses= Evaluation and Analysis 显示文摘 | Schlobohm Sr J Faci H Cisler B | 2005 | NLGI Spokesman2005，69，8： | 1 |
| 19 | The effects of pressure, nozzle diameter and meteorological conditions on the performance of agricultural impact sprinklers显示文摘 | Sanchez I Faci J M Zapata N | 2011 | Agricultural Water Management2011，102，1： | 1 |
| 20 | Analysis of an irrigation district in northeasten spain显示文摘 | Dechmi F Playan E Faci T M | 2003 | Agricultural Water Management2003，16，2： | 1 |
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