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  1. Article ; Online: Continent ileostomy and S-pouch technique after ileal pouch-anal anastomosis failure: video correspondence of a case report and surgical details-a video vignette.

    Colletti, Gaia / Möslein, Gabriela

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2023  Volume 25, Issue 9, Page(s) 1934–1935

    MeSH term(s) Humans ; Ileostomy ; Colonic Pouches ; Anastomosis, Surgical
    Language English
    Publishing date 2023-07-21
    Publishing country England
    Document type Video-Audio Media ; Case Reports ; Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16684
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5799: Show issues Location:
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  2. Article ; Online: Extraperitoneal lateral pelvic sidewall excision: a novel rectal-sparing approach for lateral locally recurrent rectal cancer.

    Sorrentino, Luca / Colletti, Gaia / Belli, Filiberto / Gronchi, Alessandro

    Updates in surgery

    2024  

    Abstract: Locally recurrent rectal cancer (LRRC) involving the lateral pelvic sidewall requires a complex approach to maximize the likelihood of R0 resection, which is the only predictor of survival. The purpose of this report is to describe a novel technique to ... ...

    Abstract Locally recurrent rectal cancer (LRRC) involving the lateral pelvic sidewall requires a complex approach to maximize the likelihood of R0 resection, which is the only predictor of survival. The purpose of this report is to describe a novel technique to resect a localized lateral pelvic sidewall LRRC. A 63-year-old male patient was referred for a 15-mm LRRC near the right internal iliac vessels. Endoscopic ultrasound and magnetic resonance imaging excluded any involvement of the pelvic colon or residual rectum. A combined extraperitoneal antero-lateral approach and gluteal access were used to optimize vascular control on the internal iliac vessels, to promptly identify the ureter and to achieve a better posterior exposition of the sciatic notch. This technique allowed a controlled and tailored resection of pelvic sidewall without entering into the abdominal cavity. The postoperative course was uneventful. The pathologic report confirmed clear margins (R0), with one involving obturator lymph node. At 3 months, the patient is alive and free from local re-relapse. A right lung metastasis has occurred, and it was treated by stereotactic radiotherapy. The present report proposes a novel extraperitoneal pelvic sidewall excision to resect lateral LRRC with a colorectal-sparing approach, thus minimizing the risk of exenterative surgery-related complications. A proper selection of patients is mandatory, as the proposed technique could not be generalized as the standard of care in all lateral LRRCs.
    Language English
    Publishing date 2024-04-06
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-024-01834-2
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  3. Article ; Online: Indocyanine green-guided lymphadenectomy of the inferior mesenteric artery in laparoscopic total mesorectal excision for low rectal cancer after neoadjuvant chemoradiotherapy - A Video Vignette.

    Colletti, Gaia / Battaglia, Luigi / Sorrentino, Luca / Guaglio, Marcello / Cosimelli, Maurizio

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2022  Volume 24, Issue 4, Page(s) 547

    MeSH term(s) Chemoradiotherapy ; Humans ; Indocyanine Green ; Laparoscopy ; Lymph Node Excision ; Mesenteric Artery, Inferior/surgery ; Neoadjuvant Therapy ; Rectal Neoplasms/surgery ; Treatment Outcome
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2022-01-06
    Publishing country England
    Document type Letter ; Video-Audio Media
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16031
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    Zs.A 5799: Show issues Location:
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  4. Article ; Online: Multimodal treatment of rectal cancer with resectable synchronous liver metastases: A systematic review.

    Colletti, Gaia / Ciniselli, Chiara Maura / Sorrentino, Luca / Bagatin, Clara / Verderio, Paolo / Cosimelli, Maurizio

    Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

    2023  Volume 55, Issue 12, Page(s) 1602–1610

    Abstract: Background: Specific studies on stage IV rectal cancer are lacking. The aim of this study is to describe the current status of rectum-first approach (RFA), liver-first approach (LFA) and simultaneous approach (SA) in these patients.: Methods: A ... ...

    Abstract Background: Specific studies on stage IV rectal cancer are lacking. The aim of this study is to describe the current status of rectum-first approach (RFA), liver-first approach (LFA) and simultaneous approach (SA) in these patients.
    Methods: A systematic review was performed on PubMed, EMBASE and Cochrane including studies published from January 2005 to January 2021. Studies on colon cancer only, colon and rectal cancer without distinction, extrahepatic metastases at diagnosis, or case reports/letters were excluded. Main outcomes were 5-yr overall survival (OS) and treatment completion rates.
    Results: 22 studies were included for a total of 1,653 patients. 77% of the studies were retrospective and mainly (59%) reported one treatment approach. The primary endpoint was declared in 27% of the studies. Irrespective of treatment approaches, the 5-yr OS rate was reported in 72% of the studies. The 5-yr OS rates ranged from 38.5% to 75% for LFA, from 28% and 80% for RFA and from 28.2% to 77.3% for SA. Treatment completion rates ranged from 50% to 100% for LFA, from 37% to 100% for RFA, and from 66% to 100% for SA.
    Conclusion: The wide heterogeneity of the results reflects that the therapeutic strategy in this setting is a case-by-case multidisciplinary decision and depends on several patient-specific features.
    MeSH term(s) Humans ; Retrospective Studies ; Rectal Neoplasms/surgery ; Combined Modality Therapy ; Colonic Neoplasms/pathology ; Liver Neoplasms/surgery ; Liver Neoplasms/drug therapy
    Language English
    Publishing date 2023-06-04
    Publishing country Netherlands
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1459373-7
    ISSN 1878-3562 ; 1125-8055
    ISSN (online) 1878-3562
    ISSN 1125-8055
    DOI 10.1016/j.dld.2023.05.023
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    Zs.A 1134: Show issues Location:
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  5. Article: Late Bowel Iischemia and Colovaginal Fistula after Low Anterior Resection in a COVID-19 Patient.

    Costanzi, Andrea / Monteleone, Michela / Confalonieri, Marco / Colletti, Gaia / Frattaruolo, Colomba / Fingerhut, Abe

    Chirurgia (Bucharest, Romania : 1990)

    2020  Volume 115, Issue 5, Page(s) 677–680

    Abstract: The spread of SARS-CoV-2 in Italy has been rapid, with over 230.000 infections and 33.000 deaths (May 31st, 2020). The full impact of COVID19 on surgery is still unknown, as its effects on healthcare strategy, hospital infrastructure, staff, regional ... ...

    Abstract The spread of SARS-CoV-2 in Italy has been rapid, with over 230.000 infections and 33.000 deaths (May 31st, 2020). The full impact of COVID19 on surgery is still unknown, as its effects on healthcare strategy, hospital infrastructure, staff, regional economy and colorectal disease progression, may not be evident before several months. No systematic reports are available about a higher incidence of COVID19 infections in patients with cancer. However, available data indicate that older people are more vulnerable, particularly when there are underlying health conditions such as chemotherapy or active cancer. Herein, we present the case of a patient with rectal cancer treated with pull-through technique low anterior rectal resection and coloanal anastomosis with protective loop ileostomy, complicated with Sars-CoV-2 infection and late (31st post-operative day) colic ischemia with colo-vaginal fistula. Late intestinal ischemia is a rare complication and can be secondary to several traditional factors, but certainly small vessel thrombosis related to Coronavirus disease must be taken into consideration.
    MeSH term(s) Aged ; Betacoronavirus ; COVID-19 ; Colon/pathology ; Colon/surgery ; Coronavirus Infections/complications ; Female ; Humans ; Ischemia/complications ; Ischemia/surgery ; Italy ; Pandemics ; Pneumonia, Viral/complications ; SARS-CoV-2 ; Treatment Outcome ; Vaginal Fistula/complications ; Vaginal Fistula/surgery
    Keywords covid19
    Language English
    Publishing date 2020-09-17
    Publishing country Romania
    Document type Case Reports ; Journal Article
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.115.5.677
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Reply to Serrano et al. Comment on "Colletti et al. Prevalence and Management of Cancer of the Rectal Stump after Total Colectomy and Rectal Sparing in Patients with Familial Polyposis: Results from a Registry-Based Study.

    Colletti, Gaia / Ciniselli, Chiara Maura / Rausa, Emanuele / Signoroni, Stefano / Cocco, Ivana Maria Francesca / Magarotto, Andrea / Ricci, Maria Teresa / Brignola, Clorinda / Mancini, Andrea / Cavalcoli, Federica / Cattaneo, Laura / Milione, Massimo / Verderio, Paolo / Vitellaro, Marco

    Cancers

    2022  Volume 14, Issue 13

    Abstract: We carefully read the comment by Serrano et al. [ ... ]. ...

    Abstract We carefully read the comment by Serrano et al. [...].
    Language English
    Publishing date 2022-07-01
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers14133241
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  7. Article: Prevalence and Management of Cancer of the Rectal Stump after Total Colectomy and Rectal Sparing in Patients with Familial Polyposis: Results from a Registry-Based Study.

    Colletti, Gaia / Ciniselli, Chiara Maura / Signoroni, Stefano / Cocco, Ivana Maria Francesca / Magarotto, Andrea / Ricci, Maria Teresa / Brignola, Clorinda / Bagatin, Clara / Cattaneo, Laura / Mancini, Andrea / Cavalcoli, Federica / Milione, Massimo / Verderio, Paolo / Vitellaro, Marco

    Cancers

    2022  Volume 14, Issue 2

    Abstract: Background: The balance between quality of life and colorectal cancer risk in familial adenomatous polyposis (FAP) patients is of primary importance. A cut-off of less than 30 polyps under 1 cm of diameter in the rectum has been used as an indication ... ...

    Abstract Background: The balance between quality of life and colorectal cancer risk in familial adenomatous polyposis (FAP) patients is of primary importance. A cut-off of less than 30 polyps under 1 cm of diameter in the rectum has been used as an indication for performing ileo-rectal anastomosis (IRA) in terms of lower rectal cancer risk. This study aimed to assess clinical and surgical features of FAP patients who developed cancer of the rectal stump.
    Methods: This retrospective study included all FAP patients who underwent total colectomy/IRA from 1977 to 2021 and developed subsequent rectal cancer. Patients' features were reported using descriptive statistics by considering the overall case series and within pre-specified classes of age (<20, 20-30, and >30 years) at first surgery.
    Results: Among the 715 FAP patients, 47 (6.57%, 95% confidence interval: 4.87; 8.65) developed cancer in the rectal stump during follow-up. In total, 57.45% of the population were male and 38.30% were proband. The median interval between surgery and the occurrence of rectal cancer was 13 years. This interval was wider in the youngest group (
    Conclusions: There is a definite risk of rectal cancer after total colectomy/IRA; however, the time interval from the index procedure to cancer developing is long. Minimally invasive and endoscopic treatments should be the procedures of choice in patients with early stage cancers.
    Language English
    Publishing date 2022-01-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers14020298
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  8. Article ; Online: COVID-19 and acute perforated diverticulitis: management and surgical timing.

    Costanzi, Andrea / Monteleone, Michela / Confalonieri, Marco / Colletti, Gaia / Frattaruolo, Colomba / Magni, Carla / Corizia, Lucia / Fingerhut, Abe

    Minerva chirurgica

    2020  Volume 75, Issue 6, Page(s) 468–470

    MeSH term(s) COVID-19/complications ; COVID-19/diagnostic imaging ; Diverticulitis, Colonic/complications ; Diverticulitis, Colonic/diagnostic imaging ; Diverticulitis, Colonic/surgery ; Humans ; Hypertension/drug therapy ; Intestinal Perforation/complications ; Intestinal Perforation/diagnostic imaging ; Intestinal Perforation/surgery ; Male ; Middle Aged ; Respiratory Distress Syndrome/etiology ; SARS-CoV-2 ; Tomography, X-Ray Computed
    Keywords covid19
    Language English
    Publishing date 2020-09-25
    Publishing country Italy
    Document type Case Reports ; Letter
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
    DOI 10.23736/S0026-4733.20.08487-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Late Bowel Iischemia and Colovaginal Fistula after Low Anterior Resection in a COVID-19 Patient

    Costanzi, Andrea / Monteleone, Michela / Confalonieri, Marco / Colletti, Gaia / Frattaruolo, Colomba / Fingerhut, Abe

    Chirurgia (Bucur)

    Abstract: The spread of SARS-CoV-2 in Italy has been rapid, with over 230.000 infections and 33.000 deaths (May 31st, 2020). The full impact of COVID19 on surgery is still unknown, as its effects on healthcare strategy, hospital infrastructure, staff, regional ... ...

    Abstract The spread of SARS-CoV-2 in Italy has been rapid, with over 230.000 infections and 33.000 deaths (May 31st, 2020). The full impact of COVID19 on surgery is still unknown, as its effects on healthcare strategy, hospital infrastructure, staff, regional economy and colorectal disease progression, may not be evident before several months. No systematic reports are available about a higher incidence of COVID19 infections in patients with cancer. However, available data indicate that older people are more vulnerable, particularly when there are underlying health conditions such as chemotherapy or active cancer. Herein, we present the case of a patient with rectal cancer treated with pull-through technique low anterior rectal resection and coloanal anastomosis with protective loop ileostomy, complicated with Sars-CoV-2 infection and late (31st post-operative day) colic ischemia with colo-vaginal fistula. Late intestinal ischemia is a rare complication and can be secondary to several traditional factors, but certainly small vessel thrombosis related to Coronavirus disease must be taken into consideration.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #903188
    Database COVID19

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  10. Article: Do We Really Know How Much the Covid-19 Pandemic Affected the Surgical Practice in Northern Italy? A Multi-Center Comparative Study and Cost Analysis.

    Mari, Giulio / Giordano, Rosario / Uccelli, Matteo / Cesana, Giovanni / Olmi, Stefano / Ferrari, Giovanni Carlo / Origi, Matteo / Maggioni, Dario / Colletti, Gaia / Costanzi, Andrea / On behalf of AIMS Academy Clinical Research Network

    Chirurgia (Bucharest, Romania : 1990)

    2020  Volume 115, Issue 4, Page(s) 469–475

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; General Surgery/trends ; Humans ; Italy ; Pandemics ; Pneumonia, Viral/epidemiology ; Retrospective Studies ; SARS-CoV-2 ; Surgical Procedures, Operative/statistics & numerical data ; Treatment Outcome
    Keywords covid19
    Language English
    Publishing date 2020-08-26
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.115.4.469
    Database MEDical Literature Analysis and Retrieval System OnLINE

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