Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database
Background Comparative data on D2-robotic gastrectomy (RG) vs D2-open gastrectomy (OG) are lacking in the Literature. Aim of this paper is to compare RG to OG with a focus on D2-lymphadenectomy. Study design Data of patients undergoing D2-OG or RG for gastric cancer were retrieved from the internati...
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creator | Trastulli, Stefano Desiderio, Jacopo Lin, Jian-Xian Reim, Daniel Zheng, Chao-Hui Borghi, Felice Cianchi, Fabio Norero, Enrique Nguyen, Ninh T. Qi, Feng Coratti, Andrea Cesari, Maurizio Bazzocchi, Francesca Alimoglu, Orhan Brower, Steven T. Pernazza, Graziano D’Imporzano, Simone Azagra, Juan-Santiago Zhou, Yan-Bing Cao, Shou-Gen Guerra, Francesco Liu, Tong Arcuri, Giacomo González, Paulina Staderini, Fabio Marano, Alessandra Di Nardo, Domenico Parisi, Amilcare Huang, Chang-Ming Tebala, Giovanni Domenico |
description | Background
Comparative data on D2-robotic gastrectomy (RG) vs D2-open gastrectomy (OG) are lacking in the Literature. Aim of this paper is to compare RG to OG with a focus on D2-lymphadenectomy.
Study design
Data of patients undergoing D2-OG or RG for gastric cancer were retrieved from the international IMIGASTRIC prospective database and compared.
Results
A total of 1469 patients were selected for inclusion in the study. After 1:1 propensity score matching, a total of 580 patients were matched and included in the final analysis, 290 in each group, RG vs OG. RG had longer operation time (210 vs 330 min,
p
|
doi_str_mv | 10.1007/s00423-023-03032-x |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2848229744</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2848229744</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-d7c055fd19c68f12703cfa3640264e1936d7d90ec282a0ac67b7706ea55fb5a53</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EoqXwAiyQl2wCE__ECbvqFsqViipBWUeOM-lNlcTB41ua1-CJcZSCWLEYzcg-59NoDmOvc3iXA5j3BKCEzGAtCVJkD0_Yaa6kzoTS-dN_5hP2gugOAApTqefsRBqtdanhlP26nnHi98SDb3zsHb-1FAO66MeF_-zjgV8IPizjfLAtTtv7B275HHwyUh8XTs4HzEYb3QFbbic7LNQT9xPPVVHx2cYep0i8C37k8YB8_2V_ef7t5ut-t2JoTtT-Hnlro20s4Uv2rLMD4avHfsa-f_p4s_ucXV1f7nfnV5mTysSsNQ607tq8ckXZ5cKAdJ2VhQJRKMwrWbSmrQCdKIUF6wrTGAMF2mRqtNXyjL3duGmJH0ekWI89ORwGO6E_Ui1KVQpRGaWSVGxSl_algF09h360YalzqNcs6i2LGtZas6gfkunNI__YjNj-tfw5fhLITUDpa7rFUN_5Y0j3o_9hfwMmv5Zu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2848229744</pqid></control><display><type>article</type><title>Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Trastulli, Stefano ; Desiderio, Jacopo ; Lin, Jian-Xian ; Reim, Daniel ; Zheng, Chao-Hui ; Borghi, Felice ; Cianchi, Fabio ; Norero, Enrique ; Nguyen, Ninh T. ; Qi, Feng ; Coratti, Andrea ; Cesari, Maurizio ; Bazzocchi, Francesca ; Alimoglu, Orhan ; Brower, Steven T. ; Pernazza, Graziano ; D’Imporzano, Simone ; Azagra, Juan-Santiago ; Zhou, Yan-Bing ; Cao, Shou-Gen ; Guerra, Francesco ; Liu, Tong ; Arcuri, Giacomo ; González, Paulina ; Staderini, Fabio ; Marano, Alessandra ; Di Nardo, Domenico ; Parisi, Amilcare ; Huang, Chang-Ming ; Tebala, Giovanni Domenico</creator><creatorcontrib>Trastulli, Stefano ; Desiderio, Jacopo ; Lin, Jian-Xian ; Reim, Daniel ; Zheng, Chao-Hui ; Borghi, Felice ; Cianchi, Fabio ; Norero, Enrique ; Nguyen, Ninh T. ; Qi, Feng ; Coratti, Andrea ; Cesari, Maurizio ; Bazzocchi, Francesca ; Alimoglu, Orhan ; Brower, Steven T. ; Pernazza, Graziano ; D’Imporzano, Simone ; Azagra, Juan-Santiago ; Zhou, Yan-Bing ; Cao, Shou-Gen ; Guerra, Francesco ; Liu, Tong ; Arcuri, Giacomo ; González, Paulina ; Staderini, Fabio ; Marano, Alessandra ; Di Nardo, Domenico ; Parisi, Amilcare ; Huang, Chang-Ming ; Tebala, Giovanni Domenico</creatorcontrib><description>Background
Comparative data on D2-robotic gastrectomy (RG) vs D2-open gastrectomy (OG) are lacking in the Literature. Aim of this paper is to compare RG to OG with a focus on D2-lymphadenectomy.
Study design
Data of patients undergoing D2-OG or RG for gastric cancer were retrieved from the international IMIGASTRIC prospective database and compared.
Results
A total of 1469 patients were selected for inclusion in the study. After 1:1 propensity score matching, a total of 580 patients were matched and included in the final analysis, 290 in each group, RG vs OG. RG had longer operation time (210 vs 330 min,
p
< 0.0001), reduced intraoperative blood loss (155 vs 119.7 ml,
p
< 0.0001), time to liquid diet (4.4 vs 3 days,
p
< 0.0001) and to peristalsis (2.4 vs 2 days,
p
< 0.0001), and length of postoperative stay (11 vs 8 days,
p
< 0.0001). Morbidity rate was higher in OG (24.1% vs 16.2%,
p
= 0.017).
Conclusion
RG significantly expedites recovery and reduces the risk of complications compared to OG. However, long-term survival is similar.</description><identifier>ISSN: 1435-2451</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-023-03032-x</identifier><identifier>PMID: 37555850</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdominal Surgery ; Cardiac Surgery ; Gastrectomy ; General Surgery ; Humans ; Laparoscopy ; Lymph Node Excision ; Medicine ; Medicine & Public Health ; Postoperative Complications - epidemiology ; Postoperative Complications - surgery ; Propensity Score ; Retrospective Studies ; Robotic Surgical Procedures ; Stomach Neoplasms - surgery ; Thoracic Surgery ; Traumatic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2023-08, Vol.408 (1), p.302-302, Article 302</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-d7c055fd19c68f12703cfa3640264e1936d7d90ec282a0ac67b7706ea55fb5a53</citedby><cites>FETCH-LOGICAL-c347t-d7c055fd19c68f12703cfa3640264e1936d7d90ec282a0ac67b7706ea55fb5a53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-023-03032-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-023-03032-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37555850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trastulli, Stefano</creatorcontrib><creatorcontrib>Desiderio, Jacopo</creatorcontrib><creatorcontrib>Lin, Jian-Xian</creatorcontrib><creatorcontrib>Reim, Daniel</creatorcontrib><creatorcontrib>Zheng, Chao-Hui</creatorcontrib><creatorcontrib>Borghi, Felice</creatorcontrib><creatorcontrib>Cianchi, Fabio</creatorcontrib><creatorcontrib>Norero, Enrique</creatorcontrib><creatorcontrib>Nguyen, Ninh T.</creatorcontrib><creatorcontrib>Qi, Feng</creatorcontrib><creatorcontrib>Coratti, Andrea</creatorcontrib><creatorcontrib>Cesari, Maurizio</creatorcontrib><creatorcontrib>Bazzocchi, Francesca</creatorcontrib><creatorcontrib>Alimoglu, Orhan</creatorcontrib><creatorcontrib>Brower, Steven T.</creatorcontrib><creatorcontrib>Pernazza, Graziano</creatorcontrib><creatorcontrib>D’Imporzano, Simone</creatorcontrib><creatorcontrib>Azagra, Juan-Santiago</creatorcontrib><creatorcontrib>Zhou, Yan-Bing</creatorcontrib><creatorcontrib>Cao, Shou-Gen</creatorcontrib><creatorcontrib>Guerra, Francesco</creatorcontrib><creatorcontrib>Liu, Tong</creatorcontrib><creatorcontrib>Arcuri, Giacomo</creatorcontrib><creatorcontrib>González, Paulina</creatorcontrib><creatorcontrib>Staderini, Fabio</creatorcontrib><creatorcontrib>Marano, Alessandra</creatorcontrib><creatorcontrib>Di Nardo, Domenico</creatorcontrib><creatorcontrib>Parisi, Amilcare</creatorcontrib><creatorcontrib>Huang, Chang-Ming</creatorcontrib><creatorcontrib>Tebala, Giovanni Domenico</creatorcontrib><title>Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Background
Comparative data on D2-robotic gastrectomy (RG) vs D2-open gastrectomy (OG) are lacking in the Literature. Aim of this paper is to compare RG to OG with a focus on D2-lymphadenectomy.
Study design
Data of patients undergoing D2-OG or RG for gastric cancer were retrieved from the international IMIGASTRIC prospective database and compared.
Results
A total of 1469 patients were selected for inclusion in the study. After 1:1 propensity score matching, a total of 580 patients were matched and included in the final analysis, 290 in each group, RG vs OG. RG had longer operation time (210 vs 330 min,
p
< 0.0001), reduced intraoperative blood loss (155 vs 119.7 ml,
p
< 0.0001), time to liquid diet (4.4 vs 3 days,
p
< 0.0001) and to peristalsis (2.4 vs 2 days,
p
< 0.0001), and length of postoperative stay (11 vs 8 days,
p
< 0.0001). Morbidity rate was higher in OG (24.1% vs 16.2%,
p
= 0.017).
Conclusion
RG significantly expedites recovery and reduces the risk of complications compared to OG. However, long-term survival is similar.</description><subject>Abdominal Surgery</subject><subject>Cardiac Surgery</subject><subject>Gastrectomy</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Lymph Node Excision</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - surgery</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures</subject><subject>Stomach Neoplasms - surgery</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>1435-2451</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAQhS0EoqXwAiyQl2wCE__ECbvqFsqViipBWUeOM-lNlcTB41ua1-CJcZSCWLEYzcg-59NoDmOvc3iXA5j3BKCEzGAtCVJkD0_Yaa6kzoTS-dN_5hP2gugOAApTqefsRBqtdanhlP26nnHi98SDb3zsHb-1FAO66MeF_-zjgV8IPizjfLAtTtv7B275HHwyUh8XTs4HzEYb3QFbbic7LNQT9xPPVVHx2cYep0i8C37k8YB8_2V_ef7t5ut-t2JoTtT-Hnlro20s4Uv2rLMD4avHfsa-f_p4s_ucXV1f7nfnV5mTysSsNQ607tq8ckXZ5cKAdJ2VhQJRKMwrWbSmrQCdKIUF6wrTGAMF2mRqtNXyjL3duGmJH0ekWI89ORwGO6E_Ui1KVQpRGaWSVGxSl_algF09h360YalzqNcs6i2LGtZas6gfkunNI__YjNj-tfw5fhLITUDpa7rFUN_5Y0j3o_9hfwMmv5Zu</recordid><startdate>20230809</startdate><enddate>20230809</enddate><creator>Trastulli, Stefano</creator><creator>Desiderio, Jacopo</creator><creator>Lin, Jian-Xian</creator><creator>Reim, Daniel</creator><creator>Zheng, Chao-Hui</creator><creator>Borghi, Felice</creator><creator>Cianchi, Fabio</creator><creator>Norero, Enrique</creator><creator>Nguyen, Ninh T.</creator><creator>Qi, Feng</creator><creator>Coratti, Andrea</creator><creator>Cesari, Maurizio</creator><creator>Bazzocchi, Francesca</creator><creator>Alimoglu, Orhan</creator><creator>Brower, Steven T.</creator><creator>Pernazza, Graziano</creator><creator>D’Imporzano, Simone</creator><creator>Azagra, Juan-Santiago</creator><creator>Zhou, Yan-Bing</creator><creator>Cao, Shou-Gen</creator><creator>Guerra, Francesco</creator><creator>Liu, Tong</creator><creator>Arcuri, Giacomo</creator><creator>González, Paulina</creator><creator>Staderini, Fabio</creator><creator>Marano, Alessandra</creator><creator>Di Nardo, Domenico</creator><creator>Parisi, Amilcare</creator><creator>Huang, Chang-Ming</creator><creator>Tebala, Giovanni Domenico</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230809</creationdate><title>Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database</title><author>Trastulli, Stefano ; Desiderio, Jacopo ; Lin, Jian-Xian ; Reim, Daniel ; Zheng, Chao-Hui ; Borghi, Felice ; Cianchi, Fabio ; Norero, Enrique ; Nguyen, Ninh T. ; Qi, Feng ; Coratti, Andrea ; Cesari, Maurizio ; Bazzocchi, Francesca ; Alimoglu, Orhan ; Brower, Steven T. ; Pernazza, Graziano ; D’Imporzano, Simone ; Azagra, Juan-Santiago ; Zhou, Yan-Bing ; Cao, Shou-Gen ; Guerra, Francesco ; Liu, Tong ; Arcuri, Giacomo ; González, Paulina ; Staderini, Fabio ; Marano, Alessandra ; Di Nardo, Domenico ; Parisi, Amilcare ; Huang, Chang-Ming ; Tebala, Giovanni Domenico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-d7c055fd19c68f12703cfa3640264e1936d7d90ec282a0ac67b7706ea55fb5a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Cardiac Surgery</topic><topic>Gastrectomy</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Lymph Node Excision</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - surgery</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures</topic><topic>Stomach Neoplasms - surgery</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trastulli, Stefano</creatorcontrib><creatorcontrib>Desiderio, Jacopo</creatorcontrib><creatorcontrib>Lin, Jian-Xian</creatorcontrib><creatorcontrib>Reim, Daniel</creatorcontrib><creatorcontrib>Zheng, Chao-Hui</creatorcontrib><creatorcontrib>Borghi, Felice</creatorcontrib><creatorcontrib>Cianchi, Fabio</creatorcontrib><creatorcontrib>Norero, Enrique</creatorcontrib><creatorcontrib>Nguyen, Ninh T.</creatorcontrib><creatorcontrib>Qi, Feng</creatorcontrib><creatorcontrib>Coratti, Andrea</creatorcontrib><creatorcontrib>Cesari, Maurizio</creatorcontrib><creatorcontrib>Bazzocchi, Francesca</creatorcontrib><creatorcontrib>Alimoglu, Orhan</creatorcontrib><creatorcontrib>Brower, Steven T.</creatorcontrib><creatorcontrib>Pernazza, Graziano</creatorcontrib><creatorcontrib>D’Imporzano, Simone</creatorcontrib><creatorcontrib>Azagra, Juan-Santiago</creatorcontrib><creatorcontrib>Zhou, Yan-Bing</creatorcontrib><creatorcontrib>Cao, Shou-Gen</creatorcontrib><creatorcontrib>Guerra, Francesco</creatorcontrib><creatorcontrib>Liu, Tong</creatorcontrib><creatorcontrib>Arcuri, Giacomo</creatorcontrib><creatorcontrib>González, Paulina</creatorcontrib><creatorcontrib>Staderini, Fabio</creatorcontrib><creatorcontrib>Marano, Alessandra</creatorcontrib><creatorcontrib>Di Nardo, Domenico</creatorcontrib><creatorcontrib>Parisi, Amilcare</creatorcontrib><creatorcontrib>Huang, Chang-Ming</creatorcontrib><creatorcontrib>Tebala, Giovanni Domenico</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trastulli, Stefano</au><au>Desiderio, Jacopo</au><au>Lin, Jian-Xian</au><au>Reim, Daniel</au><au>Zheng, Chao-Hui</au><au>Borghi, Felice</au><au>Cianchi, Fabio</au><au>Norero, Enrique</au><au>Nguyen, Ninh T.</au><au>Qi, Feng</au><au>Coratti, Andrea</au><au>Cesari, Maurizio</au><au>Bazzocchi, Francesca</au><au>Alimoglu, Orhan</au><au>Brower, Steven T.</au><au>Pernazza, Graziano</au><au>D’Imporzano, Simone</au><au>Azagra, Juan-Santiago</au><au>Zhou, Yan-Bing</au><au>Cao, Shou-Gen</au><au>Guerra, Francesco</au><au>Liu, Tong</au><au>Arcuri, Giacomo</au><au>González, Paulina</au><au>Staderini, Fabio</au><au>Marano, Alessandra</au><au>Di Nardo, Domenico</au><au>Parisi, Amilcare</au><au>Huang, Chang-Ming</au><au>Tebala, Giovanni Domenico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2023-08-09</date><risdate>2023</risdate><volume>408</volume><issue>1</issue><spage>302</spage><epage>302</epage><pages>302-302</pages><artnum>302</artnum><issn>1435-2451</issn><eissn>1435-2451</eissn><abstract>Background
Comparative data on D2-robotic gastrectomy (RG) vs D2-open gastrectomy (OG) are lacking in the Literature. Aim of this paper is to compare RG to OG with a focus on D2-lymphadenectomy.
Study design
Data of patients undergoing D2-OG or RG for gastric cancer were retrieved from the international IMIGASTRIC prospective database and compared.
Results
A total of 1469 patients were selected for inclusion in the study. After 1:1 propensity score matching, a total of 580 patients were matched and included in the final analysis, 290 in each group, RG vs OG. RG had longer operation time (210 vs 330 min,
p
< 0.0001), reduced intraoperative blood loss (155 vs 119.7 ml,
p
< 0.0001), time to liquid diet (4.4 vs 3 days,
p
< 0.0001) and to peristalsis (2.4 vs 2 days,
p
< 0.0001), and length of postoperative stay (11 vs 8 days,
p
< 0.0001). Morbidity rate was higher in OG (24.1% vs 16.2%,
p
= 0.017).
Conclusion
RG significantly expedites recovery and reduces the risk of complications compared to OG. However, long-term survival is similar.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37555850</pmid><doi>10.1007/s00423-023-03032-x</doi><tpages>1</tpages></addata></record> |
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source | MEDLINE; SpringerLink Journals |
subjects | Abdominal Surgery Cardiac Surgery Gastrectomy General Surgery Humans Laparoscopy Lymph Node Excision Medicine Medicine & Public Health Postoperative Complications - epidemiology Postoperative Complications - surgery Propensity Score Retrospective Studies Robotic Surgical Procedures Stomach Neoplasms - surgery Thoracic Surgery Traumatic Surgery Treatment Outcome Vascular Surgery |
title | Open vs robotic gastrectomy with D2 lymphadenectomy: a propensity score-matched analysis on 1469 patients from the IMIGASTRIC prospective database |
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