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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 | Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy显示文摘 | Ninh T NguyenMD David M | 2000 | Archives Surg2000，135，： | 1 |
| 3 | Minimally invasive esophagectomy lessons learned from 104 operations显示文摘 | Ninh T Nguyen MD Marcelo W | 2008 | Annals of Surg2008，248，： | 1 |
| 4 | Dibenzocyclooctadiene lignans and lanostane derivatives from the roots of Kadsura coccinea and their protective effects on primary rat hepatocyte injury induced by t - butyl hydroperoxide显示文摘 | NINH K B BUI V T PHAN V K | | 0，，11： | 1 |
| 5 | Minimally invasive esophagec- tomy lessons leamed from 104 operations 显示文摘 | Ninh T Nguyen MD Marcelo W | 2008 | Annals of Surg2008，248，： | 1 |
| 6 | Systemic stress response after laparoscopic and open gastric bypass so显示文摘 | NGUYEN NINH T GOLD MAN CHARLES D | 2002 | J Am Coil Surg2002，194，5： | 1 |
| 7 | A comparison study of laparoscopic versus open gastric bypass for morbid obesity显示文摘 | Hung S Levi S | 2000 | J Am Coll Surg2000，2，： | 1 |
| 8 | A new approach in the evaluation of the support effect for NiMo hy- drodesulfurization catalysts显示文摘 | Ninh T K T Massin L Laurenti D | 2011 | Appl Catal A: Gen2011，407，12： | 1 |
| 9 | The effect of welded geometry and residual stresses on the fatigue of welded joints under combined loading显示文摘 | Ninh Nguyen T Wahab M A | 1998 | Journal of Materials Processing Technology1998，77，1： | 1 |
| 10 | A new approach in the evaluation of the support effect for NiMo hydrodesulfurization catalysts显示文摘 | NINH T MASSIN L LAURENTI D | 2011 | Applied Catalysis A: General2011，407，1： | 1 |
| 11 | Staging Accuracy of Endoscopic Ultrasound Based on Pathologic Analysis after Minimally Invasive Esophagectomy显示文摘 | Smith Brian R Chang Kenneth J Lee John G Nguyen Ninh T | 2010 | The American Surgeon2010，，11： | 1 |
| 12 | Reavis laparoscopic transumbilical cholecystectomy without visible abdominal scats显示文摘 | Ninh T Nguyen Kevin M | 2009 | J Gastrointest Surg2009，13，6： | 1 |
| 13 | Cystic hygroma in children: a report of 126 cases 显示文摘 | Ninh T N | 1974 | J PediatrSurg1974，9，2： | 1 |
| 14 | Dibenzocycloocta- diene lignans and lanostane derivatives from the roots of Kadsura coccinea and their protective effects on primary rat hepatocyte injury induced by t-butyl hydroperoxide 显示文摘 | Ninh K B Bui V T Phan V K | 2009 | Planta Med2009，75，11： | 1 |
| 15 | Minimally invasive esophagectomy显示文摘 | James D Luketich Philip R Schauer Neil A Christie Tracey L Weigel Siva Raja Hiran C Fernando Robert J Keenan Ninh T Nguyen | 2000 | The Annals of Thoracic Surgery2000，，3： | 1 |
| 16 | Comparison of laparoscopic versus open appendectomy for acute nonperforated and perforated appendicitis in the obese population显示文摘 | Hossein Masoomi Ninh T Nguyen Matthew O | 2011 | American Journal of Surgery2011，202，6： | 1 |
| 17 | Dibermocyeloocta - liene lignans and lanostane derivatives from the roots of Kadsura coeeinea and their protective effects on primary rat hepatocyte injury induced by t - butyl hydroperoxide 显示文摘 | Ninh K B Bui V T Phan V K | 2009 | Planta Med2009，75，11： | 1 |
| 18 | A new approach in the evaluation of the support effect for NiMo hydrodesulfu- rization catalysts 显示文摘 | Ninh T K T Massin L Laurenti D | 2011 | Applied Catalysis A: General2011，407，1： | 1 |
| 19 | Minimally invasive Ivor Lewis esophagectomy显示文摘 | Ninh T Nguyen David M Follette Philippe H Lemoine Peter F Roberts James E Goodnight | 2001 | The Annals of Thoracic Surgery2001，，2： | 1 |
| 20 | Numerical analysis for the influ- ence of the construction of the secondary reaction plate on the char- acteristics of linear induction motor 显示文摘 | NINH V C KOSEKI T ISOBE E | 2013 | IECON 20132013，，： | 1 |
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