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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 | Difficult polypectomy-giant hypopharyngeal polyp: Case report and literature review显示文摘Giant esophageal and hypopharyngeal polyps are benign tumors rarely encountered in clinical practice.In most cases,they are completely asymptomatic;however,despite the rarity of these tumors,interest in giant esophageal polyps derives from their degree of growth(characterized by slow growth into the esophageal lumen)and their mobility.In fact,if regurgitation occurs,they can ascend into the oral cavity and be aspirated into the airways,with potentially lethal consequences.The removal of these giant polyps is recommended.An adequate preoperative evaluation to identify the correct origin of the stalk is mandatory for a successful endoscopic or surgical treatment.A 60-year-old man was admitted to our hospital for anemia.The patient underwent gastroscopy,contrast computed tomography and endoscopic ultrasound.At the conclusion of the procedure,during the extraction of the echoendoscope,the patient began retching and regurgitated the polyp,without experiencing respiratory distress.The patient underwent a left cervicotomy and polyp dissection via a pharyngotomy. | Giovanni Pallabazzer Stefano Santi Solito Biagio Simone D'Imporzano | 2013 | World Journal of Gastroenterology2013，19，35： | 3 |
| 3 | On - field study of anaerobic digestion full- scale plants (Part Ⅰ) : An on - field methodology to determine mass, carbon and nutri- ents balance 显示文摘 | Sohlevano D' Imporzano Salati | 2011 | Bioresource Technology2011，102，17： | 1 |
| 4 | On-field study of anaerobic digestion full-scale plants (Part I): An on-field methodology to determine mass, carbon and nutrients balance显示文摘 | Schievano A D'Imporzano G Salati S | 2011 | Bioresource Technology2011，102，17： | 1 |
| 5 | Estimating biogas production of biologically treated municipal solid waste 显示文摘 | Barbara Scaglia Roberto Confalonieri Giuliana D'Imporzano | 2010 | Bioresource Technology2010，101，： | 1 |
| 6 | Trabecular metal cup without augments for acetabular revision in case of extensive bone loss and low bone-prosthesis contact显示文摘 | Pierannunzii L Mambretti A D'Imporzano M | | 0，，1： | 1 |
| 7 | Potential odoor e- mission measurement in organic fraction of municipal solid waste during anaerobic digestion: relationship with process and biological stability parameters 显示文摘 | Orzi V Cadena E D'Imporzano G | 2010 | Bioresource Technology2010，101，19： | 1 |
| 8 | On-field study of anaerobic digestion full-scale plants (Part II): New approaches in monitoring and evaluating process efficiency显示文摘 | Andrea Schievano Giuliana D’Imporzano Valentina Orzi Fabrizio Adani | 2011 | Bioresource Technology2011，，19： | 1 |
| 9 | In search of a reliable technique for the determination of the biological stability of the organic matter in the mechanical-biological treated waste显示文摘 | Raquel Barrena Giuliana d' Imporzano Sergio Ponsa | | 0，，： | 1 |
| 10 | Potential odour e- mission measurement in organic fraction of municipal solid waste during anaerobic digestion : relationship with process and biological stability parameters显示文摘 | ORZI V CADENA E D'IMPORZANO G | 2010 | Bioresource Technology f2010，101，19： | 1 |
| 11 | Biological compost stability influences odor molecules production measured by electronic nose during food-waste high-rate composting显示文摘 | Giuliana D’Imporzano Fernando Crivelli Fabrizio Adani | 2008 | Science of the Total Environment2008，，2： | 1 |
| 12 | Predicting anaerobic biogasification potential of ingestates and digestates of a full-scale biogas plant using chemical and biological parameters 显示文摘 | Schievano A Pognani M D'Imporzano G | 2008 | Bioresource Technology2008，，99： | 1 |
| 13 | Predicting anaerobic biogasification potential of ingestates and digestates of a full-scale biogas plant using chemical and biological parameters显示文摘 | Andrea Schievano Michele Pognani Giuliana D’Imporzano Fabrizio Adani | 2008 | Bioresource Technology2008，，17： | 1 |
| 14 | Biological compost stability influences odor molecules production measured by electronic nose during food-waste high-rate composting 显示文摘 | D'Imporzano G Crivelli F Adani F | 2008 | Science of the total environment2008，402，23： | 1 |
| 15 | Potential odour emission measurement in organic fraction of municipal solid waste during anaerobic digestion: Relationship with process and biological stability parameters显示文摘 | V. Orzi E. Cadena G. D’Imporzano A. Artola E. Davoli M. Crivelli F. Adani | 2010 | Bioresource Technology2010，，19： | 1 |
| 16 | Central pancreatectomy with inframesocolic pancreatojejunostomy显示文摘 | Ugo Boggi Gabriella Amorese Nelide Lio Vittorio Perrone Simone D'Imporzano Chiara Croce Fabio Vistoli Stefano Signori Carla Cappelli Franco Mosca | 2012 | Langenbeck’s Archives of Surgery2012，，6： | 1 |
| 17 | Robotic suture of a large caval injury caused by endo-GIA stapler malfunction during laparoscopic wedge resection of liver segments VII and VIII en-bloc with the right hepatic vein显示文摘 | Ugo Boggi Carlo Moretto Fabio Vistoli Simone D’Imporzano Franco Mosca | 2009 | Minimally Invasive Therapy & Allied Technologies2009，，5： | 1 |
| 18 | Potential odour emission measurement in organic fraction of municipal solid waste during anaerobic digestion: relationship with process and biological stability parameters 显示文摘 | Orzi V Cadena E D'Imporzano G | 2010 | Bioresource Technology2010，101，19： | 1 |
| 19 | Biological compost stability influences odor molecules production measured by electronic nose during food-waste high-rate composting显示文摘 | D'Imporzano G Crivelli F Adani F | 2008 | Science of the Total Environment2008，402，23： | 1 |
| 20 | Predicting anaerobicbiogasification potential of ingestates and digestates of a full-scale biogas plant using chemical and biological parameters显示文摘 | Schievano A Pognani M D’Imporzano G | 2008 | Bioresource Technology2008，99，： | 1 |
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