Publications by authors named "Li Taiyuan"

Robotic surgery is extensively used for rectal cancer treatment. Nonetheless, studies on whether to preserve the left colonic artery (LCA) during robotic rectal cancer surgery to reduce complications remain scarce and controversial. This study compared short-term outcomes of high tie (HT) and low tie (LT) ligation of the inferior mesenteric artery in 455 patients undergoing robotic rectal cancer surgery between May 2018 and July 2022.

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The 2024 updates of the Chinese Society of Clinical Oncology (CSCO) Clinical Guidelines for the diagnosis and treatment of colorectal cancer emphasize standardizing cancer treatment in China, highlighting the latest advancements in evidence-based medicine, healthcare resource access, and precision medicine in oncology. These updates address disparities in epidemiological trends, clinicopathological characteristics, tumor biology, treatment approaches, and drug selection for colorectal cancer patients across diverse regions and backgrounds. Key revisions include adjustments to evidence levels for intensive treatment strategies, updates to regimens for deficient mismatch repair (dMMR)/ microsatellite instability-high (MSI-H) patients, proficient mismatch repair (pMMR)/ microsatellite stability (MSS) patients who have failed standard therapies, and rectal cancer patients with low recurrence risk.

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Background: The tumor microenvironment (TME) is a dynamic system orchestrated by intricate cell-to-cell crosstalk. Specifically, macrophages within the TME play a crucial role in driving tumor progression. Exosomes are key mediators of communication between tumor cells and the TME.

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  • * A study of 306 patients showed that the TRDG group experienced faster gastrointestinal recovery, shorter hospital stays, less pain, and better overall physical and cosmetic outcomes than the RADG group.
  • * TRDG patients also had lower inflammatory markers post-operation and reported milder fatigue compared to those who underwent RADG, highlighting the benefits of fully robotic surgery.
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  • The study investigates how robotic radical resection (R-RE) of rectal cancer affects sexual function in younger, overweight men, compared to traditional laparoscopic radical resection (L-RE).
  • A retrospective analysis of male patients under 50 who had rectal cancer was conducted, measuring sexual function through the International Index of Erectile Function (IIEF) at various postoperative intervals.
  • Results showed that while both R-RE and L-RE patients experienced a decline in sexual function after surgery, the R-RE group recovered more quickly, with significantly improved scores at 6 months post-op compared to 12 months for the L-RE group.
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Background: Totally robotic distal gastrectomy (TRDG) is being used more and more in gastric cancer (GC) patients. The study aims to evaluate the short-term efficacy of TRDG and robotic-assisted distal gastrectomy (RADG) in the treatment of GC.

Methods: We retrospectively collected the clinical data of patients who underwent TRDG or RADG, of which 60 patients were included in the study: 30 cases of totally robotic and 30 cases of robotic-assisted.

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Objective: The Surgical Apgar Score quantifies three intraoperative parameters: lowest heart rate, lowest mean arterial pressure, and estimated blood loss (EBL). This scoring system predicts postoperative complications based on these measured factors. The aim of this study was to investigate the value of modified Surgical Apgar Score (mSAS) in predicting postoperative complications in patients with rectal cancer treated with robotic surgery in order to improve the survival and quality of life of rectal cancer patients.

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Background: Despite the global increase in the adoption of robotic natural orifice specimen extraction surgery (R-NOSES), its advantages over robotic transabdominal specimen extraction surgery (R-TSES) for treating early-stage rectal cancer remain debated. There is scant nationwide, multicenter studies comparing the surgical quality and short-term outcomes between R-NOSES and R-TSES for this condition.

Objective: This retrospective cohort study was conducted nationally across multiple centers to compare the surgical quality and short-term outcomes between R-NOSES and R-TSES in early-stage rectal cancer.

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Background: This study aims to analyze the influencing factors of postoperative Low Anterior Resection Syndrome (LARS) in patients with middle and low rectal cancer who underwent robotic surgery. It also seeks to predict the probability of LARS through a visual, quantitative, and graphical nomogram. This approach is expected to lower the risk of postoperative LARS in these patients and improve their quality of life through effective prevention and early intervention.

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Background: The treatment strategy for stage II rectal mucinous adenocarcinoma (RMA) recommends neoadjuvant chemoradiotherapy (NCR) followed by total mesorectal excision (TME). However, the necessity of adjuvant chemotherapy (AC) remains controversial.

Materials And Methods: Chi-square test was used to assess the relationship between pathological classification, AC and clinicopathological characteristics.

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Accumulating evidence suggests that aberrant miRNAs participate in carcinogenesis and progression of hepatocellular carcinoma (HCC). Abnormal miR-557 expression is reported to interfere with the progression of several human cancers. However, the potential roles of miR-557 in HCC remain largely unknown.

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Article Synopsis
  • - This study compares the outcomes of robotic gastrectomy (RG) and laparoscopic gastrectomy (LG) in patients with gastric cancer, analyzing data from 3599 patients in China over a four-year period.
  • - After matching patients for a fair comparison, both RG and LG showed similar 3-year disease-free survival (83.7% for RG vs. 83.1% for LG) and overall survival rates (85.2% for RG vs. 84.4% for LG) without significant differences in recurrence patterns.
  • - RG had advantages such as less blood loss, lower conversion rates to open surgery, and shorter hospital stays, making it a safe alternative to LG with comparable oncological outcomes
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Background: The aim of this multicentre cohort study was to compare the long-term oncological outcomes of robotic gastrectomy (RG) and laparoscopic gastrectomy (LG) for patients with gastric cancer.

Methods: Patients with gastric cancer who underwent radical gastrectomy by robotic or laparoscopic approaches from 1 March 2010 to 31 December 2018 at 10 high-volume centres in China were selected from institutional databases. Patients receiving RG were matched 1 : 1 by propensity score with patients undergoing LG.

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Background: Although rectal mucinous adenocarcinoma (RMC) is less sensitive to radiotherapy, adjuvant radiotherapy is still recommended for RMC patients. This study aimed to explore whether adjuvant radiotherapy is necessary for stage III RMC.

Methods: Data of patients with stage III RMC were obtained from the National Cancer Institute's SEER database (2004-2015).

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Background: Robotic resection using the natural orifice specimen extraction surgery I-type F method (R-NOSES I-F) is a novel minimally invasive surgical strategy for the treatment of lower rectal cancer. However, the current literature on this method is limited to case reports, and further investigation into its safety and feasibility is warranted.

Aim: To evaluate the safety and feasibility of R-NOSES I-F for the treatment of low rectal cancer.

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Robotic surgery is widely used in gastrointestinal surgery. While the application of robotic surgery for colon cancer patients with previous abdominal surgery (PAS) remains controversial for the fear of intra-abdominal adhesions. This study was aimed to evaluate the safety and feasibility of robotic colectomy for patients with PAS.

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Article Synopsis
  • The study compares the short-term outcomes of robotic-assisted natural orifice specimen extraction (NOSES) and transabdominal specimen extraction (TRSE) in patients undergoing median rectal cancer surgery, noting advancements in minimally invasive techniques.
  • Data from 87 patients were analyzed, revealing that those in the NOSES group experienced shorter surgery times, faster recovery of gastrointestinal function, and less post-surgical pain, with no wound complications reported.
  • Overall, both NOSES and TRSE showed similar effectiveness for treatment, but NOSES demonstrated advantages in recovery and fewer complications, suggesting it is a safe alternative for specimen extraction in this type of surgery.
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Purpose: The oncological role of adjuvant chemotherapy (ACT) remains debated in locally advanced rectal cancer (RC) after neoadjuvant therapy (NAT), especially ypI RC. In this study, we used population-based data to evaluate the benefits of ACT in stage ypI RC after NAT and surgery. Moreover, we tried to differentiate what kind of NAT (radiotherapy alone or chemoradiotherapy) was administered because this may affect the further efficacy of ACT.

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Abnormal stratifin (SFN) expression is closely related to the progression of several human cancers, but the potential roles of SFN in hepatocellular carcinoma (HCC) remain largely unknown. In this study, we found that SFN was upregulated in HCC cell lines and tissues and was positively associated with tumor size, poor differentiation, Tumor Node Metastasis (TNM) stage, and vascular invasion. In addition, high expression levels of SFN were associated with poor overall survival and disease-free survival.

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Purpose: The benefits of adjuvant chemotherapy remain debated rectal mucinous adenocarcinoma (MC). Our study aims to delve into the efficacy of adjuvant chemotherapy in pathologic stage III rectal MC by a large population-based database.

Methods: The Chi-square test was performed to examine the parameters between treatment groups.

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Article Synopsis
  • Surgery is evolving with advances in technology, leading to minimally invasive techniques like Natural Orifice Specimen Extraction Surgery (NOSES), which is becoming increasingly popular worldwide.
  • A study compared short-term outcomes of robotic-assisted NOSES and laparoscopic-assisted NOSES in 46 patients with middle rectal cancer, finding no major differences in clinicopathological data.
  • Results showed that the robotic group experienced less blood loss, reduced postoperative complications, shorter recovery times, and better anal function compared to the laparoscopic group, indicating robotic assistance may enhance outcomes in NOSES procedures.
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Background: Breast cancer (BC) negatively impacts the health of women worldwide. Circular RNAs (circRNAs) are a group of endogenous RNAs considered essential regulatory factor in BC tumorigenesis and progression. However, the underlying molecular mechanisms of circRNAs remain unclear.

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Robotic surgery is widely utilized for rectal cancer. Older patients are associated with comorbidity and diminished cardiopulmonary reserve, resulting in uncertainty and reluctance to perform robotic surgery in older patients. The aim of the study was to assess the safety and feasibility of robotic surgery in older rectal cancer patients.

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Background: The morbidity and mortality of young-onset colorectal cancer (YO-CRC) patients have been increasing in recent years. Moreover, YO-CRC patients with synchronous liver-only metastases (YO-CRCSLM) have various survival outcomes. Therefore, the purpose of this study was to construct and validate a prognostic nomogram for patients with YO-CRCSLM.

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