Minimally invasive surgery for gastric cancer: A comparison between robotic, laparoscopic and open surgery
| العنوان: | Minimally invasive surgery for gastric cancer: A comparison between robotic, laparoscopic and open surgery |
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| المؤلفون: | Stefano Trastulli, Andrea Coratti, Andrea Avanzolini, Denis Pezet, Maurizio Cesari, Steven Brower, J.S. Azagra, Metin Leblebici, Fabio Cianchi, Arda Isik, Vito D'Andrea, Shu Zhang, G Palazzini, Olivier Facy, Giacomo Arcuri, Alessandro Gemini, Yan-Bing Zhou, Francesca Bazzocchi, Orhan Alimoglu, Jacopo Desiderio, Ninh T Nguyen, Simone D’Imporzano, Shou-Gen Cao, Felice Borghi, Tong Liu, Benedetta Badii, Feng Qi, Graziano Pernazza, Alexander Novotny, Martine Goergen, Lu Zang, Johan Gagnière, Zhi-Wei Jiang, Mario Annecchiarico, Alessandra Marano, Daniel Reim, Amilcare Parisi |
| المساهمون: | Università degli Studi di Perugia (UNIPG), St. Mary's Hospital (Terni, Italy), Klinik und Poliklinik fuer Chirurgie ( Klinikum Rechts der Isar, Technical University Munich), Technische Universität Munchen - Université Technique de Munich [Munich, Allemagne] (TUM)-Klinikums rechts der Isar, Groupe d'Etude sur l'Inflammation Chronique et l'Obésité (GEICO), Université de La Réunion (UR), Chirurgie digestive et hépatobiliaire, CHU Estaing [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Service de Chirurgie Digestive, Cancérologique, Générale, Endocrinienne et Urgences (CHU de Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Medical School (University of Nanjing), Nanjing University (NJU), Department of Surgical Science [University of Roma 'La Sapienza'], Università degli Studi di Roma 'La Sapienza' = Sapienza University [Rome] |
| المصدر: | World Journal of Gastroenterology World Journal of Gastroenterology, Baishideng Publishing Group Co. Limited, 2017, 23 (13), pp.2376-2384. ⟨10.3748/wjg.v23.i13.2376⟩ Parisi, A; Reim, D; Borghi, F; Nguyen, NT; Qi, F; Coratti, A; et al.(2017). Minimally invasive surgery for gastric cancer: A comparison between robotic, laparoscopic and open surgery. WORLD JOURNAL OF GASTROENTEROLOGY, 23(13), 2376-2384. doi: 10.3748/wjg.v23.i13.2376. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/74v3g44rTest |
| بيانات النشر: | HAL CCSD, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, medicine.medical_treatment, Gastrectomy, Gastric cancer, Laparoscopy, Minimally invasive surgery, Robot-assisted, Robotic, Gastroenterology, 030230 surgery, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Robotic Surgical Procedures, Retrospective Study, Stomach Neoplasms, Humans, Medicine, Robotic surgery, Aged, Retrospective Studies, Aged, 80 and over, medicine.diagnostic_test, castric cancer, laparoscopy, minimally invasive surgery, robot-assisted, robotic, business.industry, Open surgery, General surgery, digestive, oral, and skin physiology, technology, industry, and agriculture, Cancer, [SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology, General Medicine, Middle Aged, medicine.disease, 3. Good health, body regions, surgical procedures, operative, Italy, 030220 oncology & carcinogenesis, Invasive surgery, Female, business, human activities |
| الوصف: | IF 3.365; International audience; AIMTo investigate the role of minimally invasive surgery for gastric cancer and determine surgical, clinical, and oncological outcomes.METHODSThis 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.RESULTSThe 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.CONCLUSIONLaparoscopic 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. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1007-9327 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7b8e8c943513206bc937db79b9b32bacTest https://hal.archives-ouvertes.fr/hal-01590717/file/Minimally_invasive_surgery_for_gastric_cancer_comparison_between_robotic_laparoscopic_open_surgery.pdfTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7b8e8c943513206bc937db79b9b32bac |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10079327 |
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