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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 | Antibacterial, antifungal, and antiviral activities of some flavonoids显示文摘 | Orhan D D Ozcelik B Ozgen S | 2010 | Microbiological Research2010,165,6: | 1 |
| 3 | Digital computation of the fractional fourier transform 显示文摘 | Haldun M O Orhan A D | 1996 | IEEE Trans Signal Processing1996,44,9: | 1 |
| 4 | Using ant colony optimization to solve hybrid flow shop scheduling problems显示文摘 | Kemal Alaykyran Orhan Engin Alper D?yen | 2007 | The International Journal of Advanced Manufacturing Technology (-)2007,,5: | 1 |
| 5 | Influence of tumor stage,size,grade,vascular involvement,histological cell type and histological pattern on multifocality of renal cell carcinoma显示文摘 | Baltaci S Orhan D Soyupek S | 2000 | J Urol2000,164,1: | 1 |
| 6 | An unusual cause of acute renal failure:renal lymphoma显示文摘 | Yalcin B Orhan D etal | 2004 | Pediatr nephrol2004,19,8: | 1 |
| 7 | The prognostic value of proliferating cell nuclear antigen,Ki-67 and nuclear organizer region in transitional cell carcinoma of the bladder显示文摘 | Bozlu M Orhan D Bahael S | 2002 | Int Urol Nephrol2002,33,1: | 1 |
| 8 | The prognostic value of proliferating cell nuclear antigen,Ki-67 and nuclear organizer region in transitional cell carcinoma of the bladder显示文摘 | Bozlu M Orhan D Baltaci S | 2002 | Int Urol Nephrol2002,33,1: | 1 |
| 9 | Studying cytokines of T helper cells in the kidney disease of IgA vasculitis (henoch-schonlein purpura) 显示文摘 | Giilhan B Orhan D Kale G | 2015 | Pediatr Nephrol2015,30,8: | 1 |
| 10 | Hearing and cochlear function of patients with ankylosing spondylitis显示文摘 | Orhan KK Umit SD Abidin D | | 0,,: | 1 |
| 11 | Prealbumin is a more sensitive marker than albumin to assess the nurtrional sta?tus in patients undergoing radiotherapy for head and neck cancer显示文摘 | Unal D Orhan 0 Eroglu C | 2013 | Wspolczesna Onkol2013,17,3: | 1 |
| 12 | The prognostic value of proliferating cell nuclear antigen,Ki-67 and nucleolar organizer region in transitional cell carcinoma of the bladder显示文摘 | Bozlu M Orhan D Baltaci S | 2002 | Int Urol Nephrol2002,33,1: | 1 |
| 13 | Concomitant chemora- diotherapy with docetaxel and cisplatin followed by con- solidation chemotherapy in locally advanced unresectable non-small cell lung cancer显示文摘 | Eroglu C Orhan O Unal D | 2013 | Ann Thorac Med2013,8,2: | 1 |
| 14 | Utilization ofkraft pulp production residues in clay brickproduction显示文摘 | ISMAIL D SERHAT B M ORHAN M | 2005 | Building and Environment2005,40,11: | 1 |
| 15 | Thrombospondin21, vascular endothelial growth factor expression and microvessel density in renal cell carcinoma and their relationship with multifocality显示文摘 | Bahaei S Orhan D Gogus C | 2003 | Eur Urol2003,44,1: | 1 |
| 16 | Thermal isolation and mechanical properties of fibre reinforced mud bricks as wall materials显示文摘 | Hanifi Binici a Orhan Aksogan b Mehmet Nuri Bodur c Erhan Akca d Selim Kaput | 2007 | Construction and Building Materials2007,21,1: | 1 |
| 17 | Inducible nitric oxide synthase expression in benign prostatic hyperplasia, low-and high-grade prostatic intraepithelial neoplasia and prostatic carcinoma显示文摘 | Baltaci S Orhan D Gogus C | 2001 | BJU Int2001,88,1: | 1 |
| 18 | Thymosin β-4 is increased in renal interstitial fibrosis 显示文摘 | Orhan D Donnert EM Fogo AB | 2007 | Lab Invest2007,87,1: | 1 |
| 19 | Inducible nitric oxide synthase expression in benign prostatic hyperplasia,low and high grade prostatic intraepithelial neoplasia and prostatic carcinoma显示文摘 | Baltaci S Orhan D Gogus C | 2001 | BJU Int2001,88,1: | 1 |
| 20 | Intractable epistaxis related to cavernous carotid artery pseudoaneurysm : treatment of a case with covered stent 显示文摘 | Celil G Engin D Orhan G | 2004 | Auris Nasus Larynx2004,31,3: | 1 |