1
|
De Ruvo N, Fenocchi S, Veronesi L, Missori G, Ricciardolo AA, Rossi EG, Sorrentino L, Cautero N, Serra F, Gelmini R. Prognostic factors in gastric cancer patients: a 10-year mono-institutional experience. Front Surg 2024; 11:1321981. [PMID: 38362460 PMCID: PMC10867173 DOI: 10.3389/fsurg.2024.1321981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Accepted: 01/11/2024] [Indexed: 02/17/2024] Open
Abstract
Introduction Gastric cancer (GC) is one of the main causes of death from cancer globally. Long-term survival, especially in Western countries, remains dismal, with no significant improvements in recent years. Therefore, precise identification of clinical and pathological risk factors is crucial for prognosis, as it allows a better selection of patients suitable for oncologically radical treatments and contributes to longer survivals. Methods We devised a retrospective observational longitudinal study over 10 years of experience with GC patients operated with curative intent. Results Several factors were thoroughly investigated in a multivariate analysis to look for significance as independent risk factors for disease-free survival. Our results showed that only BMI, pTNM, and lymph node ratio expressed hazard ratios with implications for survival in our series of patients. Discussion Although limited by the retrospective nature of the study, this is one of the few cancer reports from Northern Italy showing results over 10 years, which may in our view, have an impact on decision-making processes for multidisciplinary teams dedicated to the care of gastric cancer patients.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | - F. Serra
- General, Oncological and Emergency Surgery Unit, Department of Surgery, AOU Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
| | | |
Collapse
|
2
|
Missori G, Marchesini NLA, Mosca D, Ricciardolo AA, Serra F, Gelmini R. Vaginal Evisceration of Small Bowel With Extraperitoneal Ileal Resection of the Herniated Loops: A Case Report. Front Surg 2022; 9:878760. [PMID: 35558386 PMCID: PMC9086488 DOI: 10.3389/fsurg.2022.878760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 03/31/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction Vaginal evisceration is an extremely rare surgical emergency that can be described as the extrusion of abdominal viscera through a defect or a rupture of the vaginal wall. We reported the case of an acute abdomen due to small bowel evisceration secondary to vaginal vault dehiscence that required combined vaginal-abdominal approach Case We discuss the case of a 72-year-old female who presented to the emergency department for a large prolapse with visible extrusion of the small bowel per vagina. The eviscerated bowel was resected by external vaginal approach due to excessive swelling of the loops which made it impossible to reduce them through the vagina defect. A midline laparotomy was undertaken for further assessment, and the vault defect was closed by transabdominal repair Conclusion From its first description in 1864, just a few cases of vaginal evisceration had been described in the medical literature; the most common organ to eviscerate is the distal ileum, although cases of omentum, colon, fallopian tube, and appendix evisceration have also been reported. We described a rare case of transvaginal evisceration of the small bowel in our emergency department; it is a rare surgical emergency that must be managed to prevent serious consequences, such as bowel ischemia and necrosis, sepsis, and death. We suggest that a multidisciplinary approach to prompt examination and management by gynecologists and general surgeons is recommended to reduce the risk of morbidity and mortality. With this paper the authors would like to share the surgical manage of this rare emergency with other surgeons all around the world.
Collapse
Affiliation(s)
- Giulia Missori
- Department of Surgery, Azienda ospedaliero-Universitaria Policlinico di Modena, Modena, Italy
| | | | - Donatella Mosca
- Department of Surgery, Azienda ospedaliero-Universitaria Policlinico di Modena, Modena, Italy
| | - Andrea Aurelio Ricciardolo
- Department of Emergency Medicine, Azienda ospedaliero-Universitaria Policlinico di Modena, Modena, Italy
| | - Francesco Serra
- Department of Surgery, Azienda ospedaliero-Universitaria Policlinico di Modena, Modena, Italy
- *Correspondence: Francesco Serra
| | - Roberta Gelmini
- Department of Surgery, Azienda ospedaliero-Universitaria Policlinico di Modena, Modena, Italy
| |
Collapse
|
3
|
Ricciardolo AA, De Ruvo N, Serra F, Prampolini F, Solaini L, Battisti S, Missori G, Fenocchi S, Rossi EG, Sorrentino L, Salati M, Spallanzani A, Cautero N, Pecchi A, Ercolani G, Gelmini R. Strong impact of sarcopenia as a risk factor of survival in resected gastric cancer patients: first Italian report of a Bicentric study. Updates Surg 2021; 74:283-293. [PMID: 34699033 DOI: 10.1007/s13304-021-01175-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 09/20/2021] [Indexed: 12/15/2022]
Abstract
Gastric cancer (GC) accounts for 4% of all cancers in Europe. Sarcopenia is a complex syndrome characterized by a loss of muscle mass and function associated with age, often present in neoplastic patients. Recently, several studies have shown a significant association between sarcopenia and poor prognosis in various pathological conditions. The current observational retrospective study investigates the association between sarcopenia and overall survival (OS) and recurrence-free survival (RFS) in patients with GC undergoing up-front surgery with curative intent. Resected GC patients' clinical records and CT images were retrospectively assessed. The preoperative CT calculation of the skeletal muscle index (SMI) at L3 level allowed us to categorize patients as sarcopenic or not. Kaplan-Meyer and univariate and multivariate Cox regression analyses were performed to determine the difference in survival and presence of independent prognostic factors. Fifty-five patients, 28 male and 27 female, out of 298 studied for gastric cancer were enrolled in the current study from two cancer referral centers in Italy. The preoperative CT calculation of the SMI at L3 level allowed us to identify 39 patients with and 16 without sarcopenia. A statistically significant difference between the sarcopenic and non-sarcopenic groups was observed in both OS and RFS (p < 0.023; p < 0.006). Moreover, sarcopenia was strongly correlated to a higher risk of recurrence in univariate and multivariate analysis (p < 0.02). Sarcopenia can be considered a critical risk factor for survival in patients with resectable GC treated with up-front surgery. Identifying sarcopenic patients at the time of diagnosis would direct selection of patients who could benefit from early nutritional and/or physical treatments able to increase their muscle mass and possibly improve the prognosis. More extensive multicenter studies are needed to address this issue.
Collapse
Affiliation(s)
- A A Ricciardolo
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| | - N De Ruvo
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy.
| | - F Serra
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| | - F Prampolini
- Department of Radiology, AOU of Modena, University of Modena and Reggio Emilia, via del Pozzo 71, 41125 Modena Italy, Modena, Italy
| | - L Solaini
- Department Of Medical and Surgical Sciences, University of Bologna, Morgagni-Pierantoni Hospital, Forli, Italy
| | - S Battisti
- Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori (IRST) IRCCS, Meldola, Italy
| | - G Missori
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| | - S Fenocchi
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| | - E G Rossi
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| | - L Sorrentino
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| | - M Salati
- Department of Oncology, AOU of Modena, University of Modena and Reggio Emilia, via del Pozzo 71, 41125 Modena Italy, Modena, Italy
| | - A Spallanzani
- Department of Oncology, AOU of Modena, University of Modena and Reggio Emilia, via del Pozzo 71, 41125 Modena Italy, Modena, Italy
| | - N Cautero
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| | - A Pecchi
- Department of Radiology, AOU of Modena, University of Modena and Reggio Emilia, via del Pozzo 71, 41125 Modena Italy, Modena, Italy
| | - G Ercolani
- Department Of Medical and Surgical Sciences, University of Bologna, Morgagni-Pierantoni Hospital, Forli, Italy
| | - R Gelmini
- Department of General and Specialistic Surgery, Unit of General, Emergency and Oncological Surgery, Policlinico, AOU of Modena University of Modena and Reggio Emilia, Via del Pozzo 71, 41125, Modena, Italy
| |
Collapse
|
4
|
Abstract
Cholecystitis is one of the leading causes of emergency surgical interventions; the occurrence of metastases to the gallbladder is rare and has only been reported in the literature exceptionally. Metastatic breast cancer to the gallbladder is even less frequent; in fact, breast cancer usually metastasizes to bone, lung, lymph nodes, liver and brain. We report the case of an 83-year-old female patient with a previous history of breast surgery with axillary dissection in 1997, followed by adjuvant chemotherapy due to invasive ductal carcinoma of the left breast. The patient was admitted at the emergency department for sepsis and an episode of acute kidney failure, anuria and fever. Right-upper quadrant abdominal pain triggered by food intake and abdominal tenderness was also present, placing the diagnostic suspicion of biliary sepsis due to acute cholecystitis. The histological examination of the surgical specimen highlighted the presence of metastasis from an infiltrating ductal breast carcinoma with positive hormone receptors. We also report here the results of a review of the literature looking at articles describing cases of gallbladder metastasis from breast cancer.
Collapse
Affiliation(s)
- Giulia Missori
- Department of General Surgery, University of Modena and Reggio Emilia, Modena, Italy, 41124, Italy
| | - Francesco Serra
- Department of General Surgery, University of Modena and Reggio Emilia, Modena, Italy, 41124, Italy
| | - Giorgia Prestigiacomo
- Department of General Surgery, University of Modena and Reggio Emilia, Modena, Italy, 41124, Italy
| | | | - Lucio Brugioni
- Department of Emergency Medicine, University Hospital Modena, Modena, Italy, 41124, Italy
| | - Roberta Gelmini
- Department of General Surgery, University of Modena and Reggio Emilia, Modena, Italy, 41124, Italy
| |
Collapse
|
5
|
Shalaby M, Polisca P, Missori G, Sileri P. Correction to: Hiatal hernia, mitral valve prolapse and defecatory disorders: An underlying rectal prolapse? Tech Coloproctol 2018; 22:825. [PMID: 30324409 DOI: 10.1007/s10151-018-1867-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Unfortunately, the 2nd affiliation of Shalaby has been missed out in the original publication.
Collapse
Affiliation(s)
- M Shalaby
- Department of General Surgery, Policlinico Tor Vergata di Roma UOC B, University of Rome Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.,Department of General Surgery, Mansoura University, Mansoura, Egypt
| | - P Polisca
- Department of Internal Medicine, Policlinico Tor Vergata, University of Rome Tor Vergata, Viale Oxford 81, 00133, Rome, Italy
| | - G Missori
- Department of General Surgery, Policlinico Tor Vergata di Roma UOC B, University of Rome Tor Vergata, Viale Oxford 81, 00133, Rome, Italy
| | - P Sileri
- Department of General Surgery, Policlinico Tor Vergata di Roma UOC B, University of Rome Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.
| |
Collapse
|
6
|
Balla A, Quaresima S, Smolarek S, Shalaby M, Missori G, Sileri P. Corrigendum: Correction of the Fourth Author's Affiliation. Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review. Ann Coloproctol 2018; 33:253. [PMID: 29354610 PMCID: PMC5768482 DOI: 10.3393/ac.2017.33.6.253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Andrea Balla
- Department of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza University of Rome, Rome, Italy
| | | | - Sebastian Smolarek
- Pelvic Oncology Fellow, Abertawe Bro Morgannwg University Health Board, Swansea, UK
| | | | - Giulia Missori
- Department of Surgery, Tor Vergata University, Rome, Italy
| | | |
Collapse
|
7
|
Crafa F, Smolarek S, Missori G, Shalaby M, Quaresima S, Noviello A, Cassini D, Ascenzi P, Franceschilli L, Delrio P, Baldazzi G, Giampiero U, Megevand J, Maria Romano G, Sileri P. Transanal Inspection and Management of Low Colorectal Anastomosis Performed With a New Technique: the TICRANT Study. Surg Innov 2017; 24:483-491. [PMID: 28514887 DOI: 10.1177/1553350617709182] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND Anastomotic leakage is one of the most serious complications after rectal cancer surgery. METHOD A prospective multicenter interventional study to assess a newly described technique of creating the colorectal and coloanal anastomosis. The primary outcome was to access the safety and efficacy of this technique in the reduction of anastomotic leak. RESULT Fifty-three patients with rectal cancer who underwent low or ultra-low anterior resection were included in the study. There were 35 males and 18 females, with a median age of 68 years (range = 49-89 years). The median tumor distance from the anal verge was 8 cm (range = 4-12 cm), and the median body mass index was 24 kg/m2 (range = 20-35 kg/m2). Thirty patients underwent open, 16 laparoscopic, and 7 robotic surgeries. Multiple firing (2-charges) was required in 30 patients to obtain a complete rectal division. Forty-five patients had colorectal anastomosis, and 8 patients had coloanal anastomosis. The protective ileostomy was created in 40 patients at the time of initial surgery. There was no mortality in the first 30 days postoperatively, and only 10 (19%) patients developed complications. There were 3 anastomotic leakages (6%); 2 of them were subclinical with ileostomy created at initial operation and both were treated conservatively with transanal drainage and intravenous antibiotics. One patient required reoperation and ileostomy. The median length of hospital stay was 10 days (range = 4-20 days). CONCLUSION Our technique is a safe and efficient method of creation of colorectal anastomosis. It is also a universal method that can be used in open, laparoscopic, and robotic surgeries.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Paolo Delrio
- 5 Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale," Naples, Italy
| | | | | | | | | | | |
Collapse
|
8
|
Balla A, Quaresima S, Smolarek S, Shalaby M, Missori G, Sileri P. Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review. Ann Coloproctol 2017; 33:46-51. [PMID: 28503515 PMCID: PMC5426201 DOI: 10.3393/ac.2017.33.2.46] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Accepted: 11/20/2016] [Indexed: 12/15/2022] Open
Abstract
Purpose This review reports the incidence of mesh-related erosion after ventral mesh rectopexy to determine whether any difference exists in the erosion rate between synthetic and biological mesh. Methods A systematic search of the MEDLINE and the Ovid databases was conducted to identify suitable articles published between 2004 and 2015. The search strategy capture terms were laparoscopic ventral mesh rectopexy, laparoscopic anterior rectopexy, robotic ventral rectopexy, and robotic anterior rectopexy. Results Eight studies (3,956 patients) were included in this review. Of those patients, 3,517 patients underwent laparoscopic ventral rectopexy (LVR) using synthetic mesh and 439 using biological mesh. Sixty-six erosions were observed with synthetic mesh (26 rectal, 32 vaginal, 8 recto-vaginal fistulae) and one (perineal erosion) with biological mesh. The synthetic and the biological mesh-related erosion rates were 1.87% and 0.22%, respectively. The time between rectopexy and diagnosis of mesh erosion ranged from 1.7 to 124 months. No mesh-related mortalities were reported. Conclusion The incidence of mesh-related erosion after LVR is low and is more common after the placement of synthetic mesh. The use of biological mesh for LVR seems to be a safer option; however, large, multicenter, randomized, control trials with long follow-ups are required if a definitive answer is to be obtained.
Collapse
Affiliation(s)
- Andrea Balla
- Department of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza University of Rome, Rome, Italy
| | | | - Sebastian Smolarek
- Pelvic Oncology Fellow, Abertawe Bro Morgannwg University Health Board, Swansea, UK
| | | | - Giulia Missori
- Department of Surgery, Tor Vergata University, Rome, Italy
| | | |
Collapse
|
9
|
Smolarek S, Shalaby M, Paolo Angelucci G, Missori G, Capuano I, Franceschilli L, Quaresima S, Di Lorenzo N, Sileri P. Small-Bowel Obstruction Secondary to Adhesions After Open or Laparoscopic Colorectal Surgery. JSLS 2017; 20:JSLS.2016.00073. [PMID: 28028380 PMCID: PMC5147680 DOI: 10.4293/jsls.2016.00073] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Background and Objectives: Small-bowel obstruction (SBO) is a common surgical emergency that occurs in 9% of patients after abdominal surgery. Up to 73% are caused by peritoneal adhesions. The primary purpose of this study was to compare the rate of SBOs between patients who underwent laparoscopic (LPS) and those who had open (OPS) colorectal surgery. The secondary reasons were to evaluate the rate of adhesive SBO in a cohort of patients who underwent a range of colorectal resections and to assess risk factors for the development of SBO. Method: This was a retrospective observational cohort study. Data were analyzed from a prospectively collected database and cross checked with operating theater records and hospital patient management systems. Results: During the study period, 707 patients underwent colorectal resection, 350 of whom (49.5%) were male. Median follow-up was 48.3 months. Of the patients included, 178 (25.2%) underwent LPS, whereas 529 (74.8%) had OPS. SBO occurred in 72 patients (10.2%): 20 (11.2%) in the LPS group and 52 (9.8%) in the OPS group [P = .16; hazards ratio (HR) 1.4 95% CI 0.82–2.48] within the study period. Conversion to an open procedure was associated with increased risk of SBO (P = .039; HR 2.82; 95% CI 0.78–8.51). Stoma formation was an independent risk factor for development of SBO (P = .049; HR, 0.63; 95% CI 0.39–1.03). The presence of an incisional hernia in the OPS group was associated with SBO (P = .0003; HR, 2.85; 95% CI 1.44–5.283). There was no difference in SBO between different types of procedures: right colon, left colon, and rectal surgery. Patients who developed early small-bowel obstruction (ESBO) were more often treated surgically compared to late SBO (P = .0001). Conclusion: The use of laparoscopy does not influence the rate of SBO, but conversion from laparoscopic to open surgery is associated with an increased risk of SBO. Stoma formation is associated with a 2-fold increase in SBO. Development of ESBO is highly associated with a need for further surgical intervention.
Collapse
Affiliation(s)
- Sebastian Smolarek
- Department of General Surgery, University of Rome Tor Vergata, Rome, Italy
| | - Mostafa Shalaby
- Department of General Surgery, University of Rome Tor Vergata, Rome, Italy
| | | | - Giulia Missori
- Department of General Surgery, University of Rome Tor Vergata, Rome, Italy
| | - Ilaria Capuano
- Department of General Surgery, University of Rome Tor Vergata, Rome, Italy
| | | | - Silvia Quaresima
- Department of General Surgery, University of Rome Tor Vergata, Rome, Italy
| | - Nicola Di Lorenzo
- Department of General Surgery, University of Rome Tor Vergata, Rome, Italy
| | - Pierpaolo Sileri
- Department of General Surgery, University of Rome Tor Vergata, Rome, Italy
| |
Collapse
|
10
|
Sileri P, Franceschilli L, Smolarek S, Colombo D, Giorgi F, Missori G, Shalaby M, Orlandi A. Interstitial cells of Cajal increased in patients with rectal prolapse. Int J Colorectal Dis 2016; 31:1069-1070. [PMID: 26428363 DOI: 10.1007/s00384-015-2386-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/16/2015] [Indexed: 02/04/2023]
Affiliation(s)
- Pierpaolo Sileri
- Department of Surgery, University of Rome Tor Vergata, Rome, Italy.
| | | | | | - Daniele Colombo
- Department of Biomedicine and Prevention, Anatomic Pathology Section, University of Rome Tor Vergata, Rome, Italy
| | - Federica Giorgi
- Department of Surgery, University of Rome Tor Vergata, Rome, Italy
| | - Giulia Missori
- Department of Surgery, University of Rome Tor Vergata, Rome, Italy
| | - Mostafa Shalaby
- Department of Surgery, University of Rome Tor Vergata, Rome, Italy
| | - Augusto Orlandi
- Department of Biomedicine and Prevention, Anatomic Pathology Section, University of Rome Tor Vergata, Rome, Italy
| |
Collapse
|
11
|
Shalaby M, Polisca P, Missori G, Sileri P. Hiatal hernia, mitral valve prolapse and defecatory disorders: An underlying rectal prolapse? Tech Coloproctol 2016; 20:337-338. [DOI: 10.1007/s10151-016-1442-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Accepted: 01/31/2016] [Indexed: 02/03/2023]
|