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Article: Laparoscopic Witzel jejunostomy.

Lotti, Marco / Capponi, Michela Giulii / Ferrari, Denise / Carrara, Giulia / Campanati, Luca / Lucianetti, Alessandro

2020 Volume 17, Issue 1, Page(s) 127–130

Abstract: The placement of a feeding jejunostomy can be indicated in malnourished patients with gastric and oesophagogastric junction cancer to allow for enteral nutritional support. In these patients, the jejunostomy tube can be suitably placed at the time of ... ...

Abstract	The placement of a feeding jejunostomy can be indicated in malnourished patients with gastric and oesophagogastric junction cancer to allow for enteral nutritional support. In these patients, the jejunostomy tube can be suitably placed at the time of staging laparoscopy. Several techniques of laparoscopic jejunostomy (LJ) have been described, yet the Witzel approach remains neglected, due to the perceived difficulty of suturing the bowel around the tube and securing them to the abdominal wall. Here, we describe a novel technique for LJ, using a single barbed suture for securing the bowel and tunnelling the jejunostomy catheter according to the Witzel approach.
Language	English
Publishing date	2020-12-22
Publishing country	India
Document type	Journal Article
ZDB-ID	2186884-0
ISSN	1998-3921 ; 0972-9941
ISSN (online)	1998-3921
ISSN	0972-9941
DOI	10.4103/jmas.JMAS_248_19
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Delirium: Time to climb this babylon tower.

Capponi, Michela Giulii / Biffi, Ave Maria / Spada, Maria Simonetta / Ansaloni, Luca

European journal of internal medicine

2017 Volume 38, Page(s) e18–e19

MeSH term(s)	Aged ; Delirium/epidemiology ; Early Diagnosis ; Health Knowledge, Attitudes, Practice ; Health Personnel/education ; Hospitalization ; Humans ; Risk Factors ; Surveys and Questionnaires
Language	English
Publishing date	2017-03
Publishing country	Netherlands
Document type	Letter
ZDB-ID	1038679-8
ISSN	1879-0828 ; 0953-6205
ISSN (online)	1879-0828
ISSN	0953-6205
DOI	10.1016/j.ejim.2016.11.005
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Article: Minimally invasive video-assisted thyroidectomy: Ascending the learning curve.

Capponi, Michela Giulii / Bellotti, Carlo / Lotti, Marco / Ansaloni, Luca

Journal of minimal access surgery

2014 Volume 11, Issue 2, Page(s) 119–122

Abstract: Background: Minimally invasive video-assisted thyroidectomy (MIVAT) is a technically demanding procedure and requires a surgical team skilled in both endocrine and endoscopic surgery. The aim of this report is to point out some aspects of the learning ... ...

Abstract	Background: Minimally invasive video-assisted thyroidectomy (MIVAT) is a technically demanding procedure and requires a surgical team skilled in both endocrine and endoscopic surgery. The aim of this report is to point out some aspects of the learning curve of the video-assisted thyroid surgery, through the analysis of our preliminary series of procedures. Patients and methods: Over a period of 8 months, we selected 36 patients for minimally invasive video-assisted surgery of the thyroid. The patients were considered eligible if they presented with a nodule not exceeding 35 mm and total thyroid volume <20 ml; presence of biochemical and ultrasound signs of thyroiditis and pre-operative diagnosis of cancer were exclusion criteria. We analysed surgical results, conversion rate, operating time, post-operative complications, hospital stay and cosmetic outcomes of the series. Results: We performed 36 total thyroidectomy and in one case we performed a consensual parathyroidectomy. The procedure was successfully carried out in 33 out of 36 cases (conversion rate 8.3%). The mean operating time was 109 min (range: 80-241 min) and reached a plateau after 29 MIVAT. Post-operative complications included three transient recurrent nerve palsies and two transient hypocalcemias; no definitive hypoparathyroidism was registered. The cosmetic result was considered excellent by most patients. Conclusions: Advances in skills and technology allow surgeons to easily reproduce the standard open total thyroidectomy with video-assistance. Although the learning curve represents a time-consuming step, training remains a crucial point in gaining a reasonable confidence with video-assisted surgical technique.
Language	English
Publishing date	2014-10-09
Publishing country	India
Document type	Journal Article
ZDB-ID	2186884-0
ISSN	1998-3921 ; 0972-9941
ISSN (online)	1998-3921
ISSN	0972-9941
DOI	10.4103/0972-9941.153808
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Article: A standardised and simplified technique for laparoscopic resection of the splenic flexure.

Lotti, Marco / Poiasina, Elia / Panyor, Gabor / Marini, Michele / Capponi, Michela Giulii / Paderno, Nadiane / Calcagno, Pietro / Poletti, Eugenio / Campanati, Luca

Journal of minimal access surgery

2018 Volume 15, Issue 3, Page(s) 268–272

Abstract: The splenic flexure is an uncommon location of colorectal cancer, being involved in 2%-3% of cases. The low chance of being engaged in resecting cancer of the splenic flexure can make it difficult for surgeons to build their learning curve and to achieve ...

Abstract	The splenic flexure is an uncommon location of colorectal cancer, being involved in 2%-3% of cases. The low chance of being engaged in resecting cancer of the splenic flexure can make it difficult for surgeons to build their learning curve and to achieve a reliable experience. As the majority of colectomies are still performed by low-volume surgeons, there is growing agreement that providing local services with adequate surgical education and training could be an effective strategy to improve outcomes and global health. Arming surgeons with simplified and easy-to-learn surgical techniques could be an important step of this strategy. A novel simplified technique for laparoscopic resection of the splenic flexure is presented, which combines laparoscopic mobilisation of the right colon with extracorporeal vascular ligation and bowel anastomosis.
Language	English
Publishing date	2018-06-27
Publishing country	India
Document type	Journal Article
ZDB-ID	2186884-0
ISSN	1998-3921 ; 0972-9941
ISSN (online)	1998-3921
ISSN	0972-9941
DOI	10.4103/jmas.JMAS_118_18
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Article: Laparoscopic HIPEC: A bridge between open and closed-techniques.

Lotti, Marco / Capponi, Michela Giulii / Piazzalunga, Dario / Poiasina, Elia / Pisano, Michele / Manfredi, Roberto / Ansaloni, Luca

Journal of minimal access surgery

2016 Volume 12, Issue 1, Page(s) 86–89

Abstract: Hyperthermic intraperitoneal chemotherapy (HIPEC) is currently delivered after cytoreductive surgery in patients with several kinds of peritoneal surface malignancies. Different methods for delivering HIPEC have been proposed all of them being variations ...

Abstract	Hyperthermic intraperitoneal chemotherapy (HIPEC) is currently delivered after cytoreductive surgery in patients with several kinds of peritoneal surface malignancies. Different methods for delivering HIPEC have been proposed all of them being variations between two modalities: the open technique and the closed technique. The open technique assures optimal distribution of heat and cytotoxic solution, with the disadvantage of heat loss and leakage of cytotoxic drugs. The closed technique prevents heat loss and drug spillage, increases drug penetration, but does not warrant homogeneous distribution of the perfusion fluid. A novel procedure that combines the advantages of the two techniques by means of laparoscopy is herein presented.
Language	English
Publishing date	2016-02-16
Publishing country	India
Document type	Journal Article
ZDB-ID	2186884-0
ISSN	1998-3921 ; 0972-9941
ISSN (online)	1998-3921
ISSN	0972-9941
DOI	10.4103/0972-9941.158965
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Article: Laparoscopic right colectomy: Miles away or just around the corner?

Lotti, Marco / Capponi, Michela Giulii / Campanati, Luca / Bertoli, Paolo / Palamara, Fabrizio / Coccolini, Federico / Ansaloni, Luca

Journal of minimal access surgery

2016 Volume 12, Issue 1, Page(s) 41–46

Abstract: Background: Despite the drive toward centralization of surgery in high-volume centers, the majority of colectomies are still performed by low- or medium-volume surgeons.: Materials and methods: A modification of the technique of laparoscopic right ... ...

Abstract	Background: Despite the drive toward centralization of surgery in high-volume centers, the majority of colectomies are still performed by low- or medium-volume surgeons. Materials and methods: A modification of the technique of laparoscopic right colectomy (LRC) originally described by Young-Fadok and Nelson was developed. The key points of that technique were maintained, but a different port-site layout and a counterclockwise approach were adopted, to warrant better trocar triangulation, to reduce the need of right colon manipulation and to avoid dissection along false planes. This modified technique was applied in 82 patients by 16 surgeons with no previous experience in LRC. Results: Average operative time was 125 ± 35 min. Conversion occurred in 10 cases (12.2%). Grade III postoperative complications occurred in 3 patients (3.6%). No postoperative mortality was observed. Average number of lymph nodes retrieved was 19 ± 6. Average length of stay was 7 ± 4 days. Conclusion: Providing low-volume surgeons with simplified and easy-to-learn surgical techniques could improve outcomes and lead to an increased use of laparoscopy.
Language	English
Publishing date	2016-02-24
Publishing country	India
Document type	Journal Article
ZDB-ID	2186884-0
ISSN	1998-3921 ; 0972-9941
ISSN (online)	1998-3921
ISSN	0972-9941
DOI	10.4103/0972-9941.158960
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Article ; Online: Peritoneal adhesion index (PAI)

Coccolini Federico / Ansaloni Luca / Manfredi Roberto / Campanati Luca / Poiasina Elia / Bertoli Paolo / Capponi Michela Giulii / Sartelli Massimo / Saverio Salomone Di / Cucchi Michele / Lazzareschi Daniel / Pisano Michele / Catena Fausto

World Journal of Emergency Surgery, Vol 8, Iss 1, p

proposal of a score for the “ignored iceberg” of medicine and surgery

2013 Volume 6

Abstract: Abstract Peritoneal adhesions describe a condition in which pathological bonds form between the omentum, the small and large bowels, the abdominal wall, and other intra-abdominal organs. Different classification systems have been proposed, but they do ... ...

Abstract	Abstract Peritoneal adhesions describe a condition in which pathological bonds form between the omentum, the small and large bowels, the abdominal wall, and other intra-abdominal organs. Different classification systems have been proposed, but they do not resolve the underlying problem of ambiguity in the quantification and definition of adhesions. We therefore propose a standardized classification system of adhesions to universalize their definition based on the macroscopic appearance of adhesions and their diffusion to different regions of the abdomen. By scoring with these criteria, the peritoneal adhesion index (PAI) can range from 0 to 30, unambiguously specifying precise adhesion scenarios. The standardized classification and quantification of adhesions would enable different studies to more meaningfully integrate their results, thereby facilitating a more comprehensive approach to the treatment and management of this pathology.
Keywords	Adhesions ; Classification ; PAI ; Peritoneal ; Abdominal ; Occlusion ; Surgery ; Treatment ; Prevention ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	English
Publishing date	2013-01-01T00:00:00Z
Publisher	BioMed Central
Document type	Article ; Online
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Article: Peritoneal adhesion index (PAI): proposal of a score for the "ignored iceberg" of medicine and surgery.

Coccolini, Federico / Ansaloni, Luca / Manfredi, Roberto / Campanati, Luca / Poiasina, Elia / Bertoli, Paolo / Capponi, Michela Giulii / Sartelli, Massimo / Di Saverio, Salomone / Cucchi, Michele / Lazzareschi, Daniel / Pisano, Michele / Catena, Fausto

World journal of emergency surgery : WJES

2013 Volume 8, Issue 1, Page(s) 6

Abstract: Peritoneal adhesions describe a condition in which pathological bonds form between the omentum, the small and large bowels, the abdominal wall, and other intra-abdominal organs. Different classification systems have been proposed, but they do not resolve ...

Abstract	Peritoneal adhesions describe a condition in which pathological bonds form between the omentum, the small and large bowels, the abdominal wall, and other intra-abdominal organs. Different classification systems have been proposed, but they do not resolve the underlying problem of ambiguity in the quantification and definition of adhesions. We therefore propose a standardized classification system of adhesions to universalize their definition based on the macroscopic appearance of adhesions and their diffusion to different regions of the abdomen. By scoring with these criteria, the peritoneal adhesion index (PAI) can range from 0 to 30, unambiguously specifying precise adhesion scenarios. The standardized classification and quantification of adhesions would enable different studies to more meaningfully integrate their results, thereby facilitating a more comprehensive approach to the treatment and management of this pathology.
Language	English
Publishing date	2013-01-31
Publishing country	England
Document type	Journal Article
ISSN	1749-7922
ISSN	1749-7922
DOI	10.1186/1749-7922-8-6
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Article: The management of retrorectal congenital tumors.

Bellotti, Carlo / Montori, Jessica / Capponi, Michela Giulii / Cancrini, Giulio / Cancrini, Antonio

Hepato-gastroenterology

2002 Volume 49, Issue 45, Page(s) 687–690

Abstract: Although retrorectal congenital tumors are still rare, the number of the observed ones is destined to increase, as methods by imaging become routinely used in the clinical practice. By presenting three clinical cases the authors describe the surgical ... ...

Abstract	Although retrorectal congenital tumors are still rare, the number of the observed ones is destined to increase, as methods by imaging become routinely used in the clinical practice. By presenting three clinical cases the authors describe the surgical technique of the anterior route they performed for the management of such formations. The abdominal approach had no postoperative complications, short hospital stay, no neurological consequences and good long-term results. There has been no evidence of recurrence thus far. Once diagnosed, the removal of retrorectal lesions should be mandatory. A precise definition of the extent of the tumors and of their relationships with the surrounding tissue and organs is necessary to perform maneuvers of total excision. For this reason an abdominal approach is recommended.
MeSH term(s)	Adolescent ; Adult ; Digestive System Surgical Procedures ; Female ; Humans ; Magnetic Resonance Imaging ; Rectal Neoplasms/congenital ; Rectal Neoplasms/diagnosis ; Rectal Neoplasms/surgery
Language	English
Publishing date	2002-05
Publishing country	Greece
Document type	Case Reports ; Journal Article
ZDB-ID	801013-4
ISSN	0172-6390
ISSN	0172-6390
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Article ; Online: Follow-up after gastrectomy for cancer: an appraisal of the Italian research group for gastric cancer.

Baiocchi, Gian Luca / Marrelli, Daniele / Verlato, Giuseppe / Morgagni, Paolo / Giacopuzzi, Simone / Coniglio, Arianna / Marchet, Alberto / Rosa, Fausto / Capponi, Michela Giulii / Di Leo, Alberto / Saragoni, Luca / Ansaloni, Luca / Pacelli, Fabio / Nitti, Donato / D'Ugo, Domenico / Roviello, Franco / Tiberio, Guido A M / Giulini, Stefano M / De Manzoni, Giovanni

Annals of surgical oncology

2014 Volume 21, Issue 6, Page(s) 2005–2011

Abstract: Background: The Italian Research Group for Gastric Cancer supports the practice of follow-up after radical surgery for gastric cancer.: Methods: This multicenter, retrospective study (1998-2009) included patients with T1-4N0-3M0 gastric cancer who ... ...

Abstract	Background: The Italian Research Group for Gastric Cancer supports the practice of follow-up after radical surgery for gastric cancer. Methods: This multicenter, retrospective study (1998-2009) included patients with T1-4N0-3M0 gastric cancer who had undergone D2 gastrectomy and lymphadenectomy, with at least 15 lymph nodes examined, and who had developed recurrent disease. Timing and site of recurrence were correlated to the actual scheduled follow-up timing and modalities. Results: From eight centers, 814 patients with recurrent cancer and over 1,754 (46.4 %) patients undergoing gastrectomy were investigated (median follow-up 31 months). The most frequent sites of recurrence were local/regional lymph nodes (35.4 %), liver (24.3 %), peritoneum (30.3 %), lung (10.4 %) and intraluminal (7.5 %). Ninety-four percent of the recurrences were diagnosed within 2 years and 98 % within 3 years. Thoracoabdominal computed tomography (CT) scan and (18)F-fluoro-2-deoxy-D-glucose positron emission tomography (18-FDG-PET) detected more than 90 % of recurrences, abdominal ultrasound detected 70 % and tumor markers detected 40 %, while <10 % were identified by physical examination, chest X-ray, and upper gastrointestinal endoscopy. Twenty-six percent of patients with recurrence were treated, but only 3.2 % were treated with potentially radical intent. Conclusion: Oncological follow-up after radical surgery for gastric cancer should be focused in the first 3 years, and based mainly on thoracoabdominal CT scan and 18-FDG-PET.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Endoscopy, Gastrointestinal ; Female ; Fluorodeoxyglucose F18 ; Follow-Up Studies ; Gastrectomy ; Humans ; Italy ; Liver Neoplasms/diagnosis ; Liver Neoplasms/secondary ; Lung Neoplasms/diagnosis ; Lung Neoplasms/secondary ; Lymph Node Excision ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoplasm Recurrence, Local/diagnosis ; Peritoneal Neoplasms/diagnosis ; Peritoneal Neoplasms/secondary ; Physical Examination ; Positron-Emission Tomography ; Radiopharmaceuticals ; Retrospective Studies ; Stomach ; Stomach Neoplasms/surgery ; Survival Rate ; Time Factors ; Tomography, X-Ray Computed ; Ultrasonography
Chemical Substances	Radiopharmaceuticals ; Fluorodeoxyglucose F18 (0Z5B2CJX4D)
Language	English
Publishing date	2014-06
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-014-3534-8
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