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Article ; Online: The utility of CT Colonography in colonic diaphragm disease: Case report.

Khenkina, Natallia / Di Pietro, Salvatore / Scolari, Sofia / Luigiano, Carmelo / Ceretti, Andrea Pisani / Flor, Nicola

Clinics and research in hepatology and gastroenterology

2021 Volume 46, Issue 4, Page(s) 101846

MeSH term(s)	Colonic Diseases/diagnostic imaging ; Colonic Polyps ; Colonography, Computed Tomographic ; Colonoscopy ; Colorectal Neoplasms ; Diaphragm/diagnostic imaging ; Humans ; Sensitivity and Specificity
Language	English
Publishing date	2021-12-15
Publishing country	France
Document type	Case Reports ; Letter
ZDB-ID	2594333-9
ISSN	2210-741X ; 2210-7401
ISSN (online)	2210-741X
ISSN	2210-7401
DOI	10.1016/j.clinre.2021.101846
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Article ; Online: The use of Versius CMR for pelvic surgery: a multicentric analysis of surgical setup and early outcomes.

World journal of urology

2024 Volume 42, Issue 1, Page(s) 31

Abstract: Introduction: Versius CMR is a novel robotic system characterized by an open surgical console and independent bedside units. The system has potentials of flexibility and versatility, and has been used in urological, gynecological, and general surgical ... ...

Abstract	Introduction: Versius CMR is a novel robotic system characterized by an open surgical console and independent bedside units. The system has potentials of flexibility and versatility, and has been used in urological, gynecological, and general surgical procedure. The aim is to depict a comprehensive analysis of the Versius system for pelvic surgery. Methods: This is a study involving two Institutions, ASST Santi Paolo and Carlo, Milan, and Apuane Hospital, Massa, Italy. All interventions performed in the pelvic area with the Versius were included. Data about indications, intra-, and post-operative course were prospectively collected and analyzed. Results: A total of 171 interventions were performed with the Versius. Forty-two of them involved pelvic procedures. Twenty-two had an oncological indication (localized prostate cancer), the remaining had a non-oncological or functional purpose. The mostly performed pelvic procedure was radical prostatectomy (22) followed by annexectomy (9). No intra-operative complication nor conversion to other approaches occurred. A Clavien II complication and one Clavien IIIb were reported. Malfunctioning/alarms requiring a power cycle of the system occurred in 2 different cases. An adjustment in trocar placement according to patients' height was required in 2 patients undergoing prostatectomy, in which the trocar was moved caudally. In two cases, a pelvic prolapse was repaired concomitant with other gynecological procedures. Conclusions: Pelvic surgery with the Versius is feasible without major complications; either dissection and reconstructive steps could be accomplished, provided a proper OR setup and trocar placement are pursued. Versius can be easily adopted by surgeons of different disciplines and backgrounds; a further multi-specialty implementation is presumed and long-term oncological and functional outcomes are awaited.
MeSH term(s)	Male ; Humans ; Prostatectomy/methods ; Plastic Surgery Procedures ; Prostatic Neoplasms/surgery ; Robotic Surgical Procedures ; Preoperative Care
Language	English
Publishing date	2024-01-13
Publishing country	Germany
Document type	Multicenter Study ; Journal Article
ZDB-ID	380333-8
ISSN	1433-8726 ; 0724-4983
ISSN (online)	1433-8726
ISSN	0724-4983
DOI	10.1007/s00345-023-04730-3
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Article ; Online: Correction: The use of Versius CMR for pelvic surgery: a multicentric analysis of surgical setup and early outcomes.

World journal of urology

2024 Volume 42, Issue 1, Page(s) 86

Language	English
Publishing date	2024-02-19
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	380333-8
ISSN	1433-8726 ; 0724-4983
ISSN (online)	1433-8726
ISSN	0724-4983
DOI	10.1007/s00345-024-04850-4
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Article ; Online: Performance of CT Colonography in Diagnosis of Synchronous Colonic Lesions in Patients With Occlusive Colorectal Cancer.

Flor, Nicola / Ceretti, Andrea Pisani / Luigiano, Carmelo / Brambillasca, Pietro / Savoldi, Anna Paola / Verrusio, Clemente / Ferrari, Daris

AJR. American journal of roentgenology

2019 Volume 214, Issue 2, Page(s) 348–354

Abstract: OBJECTIVE. ...

Abstract	OBJECTIVE.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Colonography, Computed Tomographic/methods ; Colonoscopy ; Colorectal Neoplasms/diagnostic imaging ; Colorectal Neoplasms/pathology ; Contrast Media ; Female ; Humans ; Male ; Middle Aged ; Neoplasms, Multiple Primary/diagnostic imaging ; Neoplasms, Multiple Primary/pathology ; Predictive Value of Tests ; Sensitivity and Specificity
Chemical Substances	Contrast Media
Language	English
Publishing date	2019-10-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.19.21810
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Article ; Online: Risk Factors for Prolonged Postoperative Ileus in Adult Patients Undergoing Elective Colorectal Surgery: An Observational Cohort Study.

Ceretti, Andrea Pisani / Maroni, Nirvana / Longhi, Marco / Giovenzana, Marco / Santambrogio, Roberto / Barabino, Matteo / Luigiano, Carmelo / Radaelli, Giovanni / Opocher, Enrico

Reviews on recent clinical trials

2018 Volume 13, Issue 4, Page(s) 295–304

Abstract: Purpose: Prolonged Postoperative Ileus (PPOI) after abdominal surgery may affect unfavourably the patient recovery. The aim of this study was to estimate the incidence of PPOI in patients elective for colorectal resection and investigate perioperative ... ...

Abstract	Purpose: Prolonged Postoperative Ileus (PPOI) after abdominal surgery may affect unfavourably the patient recovery. The aim of this study was to estimate the incidence of PPOI in patients elective for colorectal resection and investigate perioperative variables associated with PPOI. Methods: A consecutive series of 428 patients undergoing colorectal resection (median age 72, range 24-92, years; men/women ratio 1.14) were analyzed. Data were extracted retrospectively throughout a five-year period from an electronic prospectively maintained database. PPOI was defined as the need for postoperative insertion of a nasogastric tube in a patient experiencing nausea and two episodes of vomiting and further showing absence of adequate bowel function (absence of flatus/stool) with lack of bowel sounds and abdominal distension. Results: Incidence of PPOI was 7% [95% confidence interval (95%CI), 4.8-9.9%]. Mean hospital stay was 8 days longer in patients with PPOI. Male gender, cancer, cardiac and respiratory co-morbidity, rectal resection, open/converted access, duration of operation, stoma formation and body mass index were associated with PPOI at univariate analysis (0.001< P< 0.048). PPOI was independently associated with male gender [adjusted odds ratio (OR), 4.2; 95%CI, 1.5-11.5], stoma formation (OR, 2.8; 95%CI, 1.2-6.8) and obesity (OR of obese vs. normal weight patients, 3.8, 95%CI, 1.2-12.0). Conclusion: After colorectal resection, PPOI leads to a prolonged hospital stay and slower patient's recovery. An international standardized definition of PPOI is strongly needed to make comparable results from researches and to reliably identify patients with increased risk, also to improve the therapeutic preventive policies in these patients.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Cohort Studies ; Colectomy/adverse effects ; Colorectal Neoplasms/surgery ; Elective Surgical Procedures/adverse effects ; Female ; Humans ; Ileus/epidemiology ; Incidence ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Proctectomy/adverse effects ; Risk Factors ; Time Factors ; Young Adult
Language	English
Publishing date	2018-05-16
Publishing country	United Arab Emirates
Document type	Journal Article ; Observational Study
ZDB-ID	2251879-4
ISSN	1876-1038 ; 1574-8871
ISSN (online)	1876-1038
ISSN	1574-8871
DOI	10.2174/1574887113666180521111153
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Article: Trattamento laparoscopico di diverticolo esofageo epifrenico: presentazione di un caso.

Ceretti, Andrea Pisani / Carzaniga, Pierluigi

Chirurgia italiana

2005 Volume 57, Issue 2, Page(s) 261–266

Abstract: Epiphrenic diverticuli are rare pulsion "pseudodiverticuli" of the distal oesophagus that are commonly associated with oesophageal motility disorders. Surgical treatment is usually reserved for patients with symptoms. Traditionally, patients are treated ... ...

Title translation	Laparoscopic management of oesophageal epiphrenic diverticulum: a case report.
Abstract	Epiphrenic diverticuli are rare pulsion "pseudodiverticuli" of the distal oesophagus that are commonly associated with oesophageal motility disorders. Surgical treatment is usually reserved for patients with symptoms. Traditionally, patients are treated with diverticulectomy, myotomy and fundoplication via a left thoracotomy. The aim of this study was to describe the laparoscopic technique and review the international literature on this minimally invasive approach. We report the case of a 66-year-old woman with a 1-year history of retrosternal pain, regurgitation and weight loss caused by an oesophageal epiphrenic diverticulum. The patient underwent barium oesophagography and oesophagogastroduodenoscopy. The oesophageal diverticulum measured 5 cm. We treated the condition with a laparoscopic oesophageal diverticulectomy, Heller myotomy and Dor fundoplication with intraoperative endoscopy. The operative time was 210 minutes. The postoperative course was complicated by a suspected leakage from the staple line, which was not subsequently confirmed. The patient is now totally asymptomatic after 3 months. Laparoscopy offers good access to the distal oesophagus and the inferior mediastinum. Resection of the diverticulum, treatment of the motor disorder and prevention of postoperative reflux can be obtained with this approach. It should be considered as an alternative to the traditional transthoracic approach and may eventually become the standard technique.
MeSH term(s)	Aged ; Diverticulum, Esophageal/surgery ; Female ; Humans ; Laparoscopy
Language	Italian
Publishing date	2005-03
Publishing country	Italy
Document type	Case Reports ; English Abstract ; Journal Article ; Review
ZDB-ID	603591-7
ISSN	0009-4773
ISSN	0009-4773
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Article ; Online: Long-term outcome of laparoscopic ablation therapies for unresectable hepatocellular carcinoma: a single European center experience of 426 patients.

Santambrogio, Roberto / Barabino, Matteo / Bruno, Savino / Costa, Mara / Ceretti, Andrea Pisani / Angiolini, Maria Rachele / Zuin, Massimo / Meloni, Franca / Opocher, Enrico

Surgical endoscopy

2016 Volume 30, Issue 5, Page(s) 2103–2113

Abstract: Background: Radiofrequency ablation (RFA) is widely used as a first-line option in patients with hepatocellular carcinoma (HCC). However, since percutaneous approach of RFA may be, in some cases, unfeasible by the tumor size and its location, ... ...

Abstract	Background: Radiofrequency ablation (RFA) is widely used as a first-line option in patients with hepatocellular carcinoma (HCC). However, since percutaneous approach of RFA may be, in some cases, unfeasible by the tumor size and its location, laparoscopic ablation therapies (LATs) were used as an alternative. Objective of the present study was to assess the efficacy of laparoscopic ultrasound examination in addition to LATs in the treatment of HCC in patients not eligible for percutaneous RFA or surgical resection. Methods: Four hundred and twenty-six patients who underwent LATs were analyzed. Laparoscopic approach was offered to patients fulfilling at least one of the following criteria: (a) patients with a single nodule or up to three nodules smaller than 3 cm not suitable for liver transplantation or not eligible for HR because of severe portal hypertension, impaired liver function, or coexistent comorbidities; (b) patients not suitable for percutaneous RFA because of inconvenient tumor location; and (c) short-term recurrence of HCC (<3 months). Results: Technical success was achieved in one session in 396 patients (93 %). One-month mortality and morbidity rates were 0.23 % (1 patient) and 25 % (106 patients), respectively. During a median follow-up of 37.2 months (range 2-193) in the remaining 425 patients, 276 (65 %) developed intra-hepatic recurrence: It appeared as a local tumor progression in 65 cases (15 %). Patients median survival was 39 months (95 % CI 34.8-47.2), while overall survivals at 1, 3, and 5 years were 88, 55, and 34 %, respectively. Conclusions: In the treatment of HCC, LATs proved to be a safe and effective technique, as they permit to treat with low-morbidity-rate lesions not manageable by percutaneous approach. Moreover, they allow achieving a more accurate staging of the disease in one-fifth of patients, thus better redefining the prognosis of such individuals.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Carcinoma, Hepatocellular/mortality ; Carcinoma, Hepatocellular/surgery ; Catheter Ablation/methods ; Female ; Hepatectomy/methods ; Hepatectomy/mortality ; Humans ; Laparoscopy/methods ; Liver Neoplasms/mortality ; Liver Neoplasms/surgery ; Male ; Middle Aged ; Neoplasm Recurrence, Local/etiology ; Neoplasm Recurrence, Local/surgery ; Prognosis ; Survival Rate ; Treatment Outcome
Language	English
Publishing date	2016-05
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-015-4468-3
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Article: Liver transplantation for spontaneous intrapartum rupture of a hepatic adenoma.

Santambrogio, Roberto / Marconi, Anna Maria / Ceretti, Andrea Pisani / Costa, Mara / Rossi, Giorgio / Opocher, Enrico

Obstetrics and gynecology

2009 Volume 113, Issue 2 Pt 2, Page(s) 508–510

Abstract: Background: Hepatocellular adenomas can rupture during pregnancy with high fetal and maternal associated mortality.: Case: A primipara underwent an emergency cesarean delivery at 37 weeks of gestation for abruptio placentae. A few hours later she ... ...

Abstract	Background: Hepatocellular adenomas can rupture during pregnancy with high fetal and maternal associated mortality. Case: A primipara underwent an emergency cesarean delivery at 37 weeks of gestation for abruptio placentae. A few hours later she developed hemorrhagic shock, and laparotomy revealed the rupture of the right lobe of the liver. Bleeding was controlled with perihepatic gauze packing and she was transferred to a transplant center for emergency orthotopic liver transplantation. Histologic examination revealed the presence of an intrahepatic hematoma caused by the rupture of a 12-cm hepatocellular adenoma. At 48 months after transplantation she and her infant were both in good condition. Conclusion: Emergency orthotopic liver transplantations performed for acute rupture of an hepatocellular adenoma represents a valid therapy provided that bleeding can be controlled long enough to locate a suitable donor.
MeSH term(s)	Abruptio Placentae/surgery ; Adenoma, Liver Cell/surgery ; Adult ; Cesarean Section ; Female ; Humans ; Infant, Newborn ; Liver Neoplasms/surgery ; Liver Transplantation ; Pregnancy ; Pregnancy Complications, Neoplastic/surgery
Language	English
Publishing date	2009-01-20
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	207330-4
ISSN	1873-233X ; 0029-7844
ISSN (online)	1873-233X
ISSN	0029-7844
DOI	10.1097/AOG.0b013e318187ff42
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Article ; Online: Technical quality of CT colonography in relation with diverticular disease.

Flor, Nicola / Rigamonti, Paolo / Di Leo, Giovanni / Ceretti, Andrea Pisani / Opocher, Enrico / Sardanelli, Francesco / Cornalba, Gian Paolo

European journal of radiology

2012 Volume 81, Issue 3, Page(s) e250–4

Abstract: Objective: The aim of the study is to explore how the technical quality of the examination was affected by diverticular disease.: Materials and methods: We retrospectively evaluated a consecutive series of 78 subjects who underwent CTC for screening ( ...

Abstract	Objective: The aim of the study is to explore how the technical quality of the examination was affected by diverticular disease. Materials and methods: We retrospectively evaluated a consecutive series of 78 subjects who underwent CTC for screening (n=58) or staging (n=20) colorectal cancer, 38 of them (49%) after an incomplete optical colonoscopy. Patients were administered a mild laxative and a iodinated contrast material for fecal tagging. We scored both the bowel preparation and the overall colon distension as poor, good, or optimal and measured the mean sigmoid colon diameter. We counted the number of diverticula and classified patients as having or not a severe diverticular disease (SDD). The number of the prompts of computer aided diagnosis (CAD) per patient was also considered. Mann-Whitney U and χ(2) tests were performed. Results: No CTC complications occurred. The bowel cleansing was poor in 8 (10%) patients, good in 29 (37%) and optimal in 41 (53%); colon distension was poor in 7 (9%) patients, good in 38 (49%), and optimal in 33 (42%). Fifty-four (69%) showed diverticula and 30 (38%) had an SDD. Bowel cleansing and distension were not significantly impaired by neither diverticula (p>0.590) nor the SDD (p>0.110). Mean sigmoid colon diameter was reduced in presence of diverticula (28 mm versus 23 mm, p=0.009) or SDD (26 mm versus 22 mm, p=0.016). The mean number of CAD prompts per patient was not significantly increased by the presence of SDD (p=0.829). Conclusions: Bowel cleansing and distension at CTC were not influenced by the presence of diverticular disease.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Chi-Square Distribution ; Colonography, Computed Tomographic ; Colorectal Neoplasms/diagnostic imaging ; Contrast Media ; Diverticulum, Colon/diagnostic imaging ; Female ; Humans ; Iopamidol/analogs & derivatives ; Male ; Middle Aged ; Retrospective Studies ; Statistics, Nonparametric
Chemical Substances	Contrast Media ; iomeprol (17E17JBP8L) ; Iopamidol (JR13W81H44)
Language	English
Publishing date	2012-03
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	138815-0
ISSN	1872-7727 ; 0720-048X
ISSN (online)	1872-7727
ISSN	0720-048X
DOI	10.1016/j.ejrad.2011.02.006
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Article: Identification of core items in the enhanced recovery pathway

European Society for Clinical Nutrition and Metabolism Clinical nutrition ESPEN. 2018 June, v. 25

2018

Abstract: The Enhanced Recovery After Surgery (ERAS) pathway represents an optimal approach in patients undergoing colorectal surgery but complexity in implementing its items could limit its application. The aim of this study is to identify possible core items ... ...

Institution	Perioperative Italian Society
Abstract	The Enhanced Recovery After Surgery (ERAS) pathway represents an optimal approach in patients undergoing colorectal surgery but complexity in implementing its items could limit its application. The aim of this study is to identify possible core items within an ERAS pathway following elective colorectal resection.This is a retrospective review of data prospectively collected between January 2014 and September 2015 by 14 Italian Hospitals in an electronic registry dedicated to an ERAS protocol. 722 patients undergoing elective colorectal surgery within an ERAS protocol have been included in the study. Adherence to ERAS items was assessed in all patients. A secondary analysis was restricted to pre- and intraoperative ERAS items. Time to readiness for discharge (TRD) was the primary endpoint of the study. Postoperative overall morbidity was the secondary endpoint.Multivariate analyses showed that active intraoperative warming (p = 0.008), early stop of intravenous fluids (p = 0.0001), and early removal of urinary catheter (p = 0.0001) were associated to a shorter TRD, while early stop of intravenous fluids (p < 0.001) also reduced morbidity. When the analysis was restricted to pre- and intraoperative items, removal of NGT at the end of surgery had an independent role to shorten TRD (p < 0.001) and to reduce overall morbidity (p = 0.019), while the absence of oral bowel preparation reduced postoperative overall morbidity (p = 0.021).In implementing an ERAS pathway, hospitals could initially focus on active intraoperative warming, early stop of intravenous fluids, early removal of urinary catheter, removal of NGT at the end of surgery, and absence of oral bowel preparation, keeping on continuous effort to apply the complete ERAS protocol.
Keywords	catheters ; hospitals ; intravenous injection ; morbidity ; patients ; surgery
Language	English
Dates of publication	2018-06
Size	p. 139-144.
Publishing place	Elsevier Ltd
Document type	Article
ISSN	2405-4577
DOI	10.1016/j.clnesp.2018.03.003
Database	NAL-Catalogue (AGRICOLA)

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