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Article: Laparoscopic adjustable gastric banding, the past, the present and the future.

Furbetta, Niccolò / Cervelli, Rosa / Furbetta, Francesco

2020 Volume 8, Issue Suppl 1, Page(s) S4

Abstract: The laparoscopic implantation of an adjustable gastric banding (LAGB) was first described in 1993. Thereafter, the LAGB underwent to a lot of modifications, revision and refinements to become as it is currently defined. This procedure quickly became one ... ...

Abstract	The laparoscopic implantation of an adjustable gastric banding (LAGB) was first described in 1993. Thereafter, the LAGB underwent to a lot of modifications, revision and refinements to become as it is currently defined. This procedure quickly became one of the most common bariatric surgical operations in the world in the first decade of the 2000s but, over the last few years, it has turned into the fourth more common procedure. A series of more or less clear reasons, led to this decrease of LAGB. The knowledge of the history of the LAGB, of its evolution over the years and its limitations can be the key-point to recognize the reasons that are leading to its decline. The adjustability and the absolute reversibility characteristic of LAGB, make this surgical procedure a "bridge treatment" to allow the specific goal of eradicating obesity.
Language	English
Publishing date	2020-03-30
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2893931-1
ISSN	2305-5847 ; 2305-5839
ISSN (online)	2305-5847
ISSN	2305-5839
DOI	10.21037/atm.2019.09.17
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Article ; Online: Robotic Right Colectomy With the Use of Integrated Table Motion.

Morelli, Luca / Furbetta, Niccolò / Bianchini, Matteo

Diseases of the colon and rectum

2020 Volume 64, Issue 1, Page(s) e7–e8

MeSH term(s)	Colectomy/instrumentation ; Colectomy/methods ; Humans ; Motion ; Operating Tables ; Patient Positioning/instrumentation ; Patient Positioning/methods ; Robotic Surgical Procedures/instrumentation ; Robotic Surgical Procedures/methods
Language	English
Publishing date	2020-12-11
Publishing country	United States
Document type	Journal Article ; Video-Audio Media
ZDB-ID	212581-x
ISSN	1530-0358 ; 0012-3706
ISSN (online)	1530-0358
ISSN	0012-3706
DOI	10.1097/DCR.0000000000001877
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Article ; Online: Minimally Invasive Surgery for the Treatment of Moderate to Critical Acute Pancreatitis: A Case-matched Comparison With the Traditional Open Approach Over 10 years.

Morelli, Luca / Guadagni, Simone / Palmeri, Matteo / Bechini, Bianca / Gianardi, Desirée / Furbetta, Niccolò / Di Franco, Gregorio / Di Candio, Giulio

Surgical laparoscopy, endoscopy & percutaneous techniques

2023 Volume 33, Issue 2, Page(s) 191–197

Abstract: Purpose: The purpose of this study is to compare short-term and midterm outcomes between patients with acute pancreatitis (AP) treated with minimally invasive surgery (MIS) and patients treated with open necrosectomy (ON).: Materials and methods: We ... ...

Abstract	Purpose: The purpose of this study is to compare short-term and midterm outcomes between patients with acute pancreatitis (AP) treated with minimally invasive surgery (MIS) and patients treated with open necrosectomy (ON). Materials and methods: We compared data of all patients who had undergone MIS for AP with a similar group of patients with ON patients between January 2012 and June 2021 using a case-matched methodology based on AP severity and patient characteristics. Inhospital and midterm follow-up variables, including quality-of-life assessment, were evaluated. Results: Starting from a whole series of 79 patients with moderate to critical AP admitted to our referral center, the final study sample consisted of 24 patients (12 MIS and 12 ON). Postoperative (18.7±10.9 vs. 30.3±21.7 d; P =0.05) and overall hospitalization (56.3±17.4 vs. 76.9±39.4 d; P =0.05) were lower in the MIS group. Moreover, the Short-Form 36 scores in the ON group were statistically significantly lower in role limitations because of emotional problems ( P =0.002) and health changes ( P =0.03) at 3 and 6 months and because of emotional problems ( P =0.05), emotional well-being ( P =0.02), and general health ( P =0.007) at 1 year. Conclusions: MIS for the surgical management of moderate to critical AP seems to be a good option, as it could provide more chances for a better midterm quality of life compared with ON. Further studies are needed to confirm our findings.
MeSH term(s)	Humans ; Treatment Outcome ; Quality of Life ; Acute Disease ; Pancreatitis/surgery ; Minimally Invasive Surgical Procedures/methods ; Retrospective Studies
Language	English
Publishing date	2023-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1475108-2
ISSN	1534-4908 ; 1530-4515 ; 1051-7200
ISSN (online)	1534-4908
ISSN	1530-4515 ; 1051-7200
DOI	10.1097/SLE.0000000000001157
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Article ; Online: Is Extending Criteria for Pancreas Donor Programs the Best Way to Shorten Waiting Lists?

Gianardi, Desirée / Furbetta, Niccolò / Morelli, Luca

Progress in transplantation (Aliso Viejo, Calif.)

2019 Volume 29, Issue 3, Page(s) 293

MeSH term(s)	Age Factors ; Diabetes Mellitus, Type 1/surgery ; Donor Selection/standards ; Graft Survival ; Humans ; Pancreas Transplantation ; Survival Rate ; Waiting Lists
Language	English
Publishing date	2019-06-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	2864264-8
ISSN	2164-6708 ; 1526-9248
ISSN (online)	2164-6708
ISSN	1526-9248
DOI	10.1177/1526924819855368
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Article ; Online: A Color Doppler Ultrasound Surveillance Protocol Can Improve the Graft Survival After Pancreas Transplantation.

Furbetta, Niccolò / Gianardi, Desirée / Bianchini, Matteo / Guadagni, Simone

Progress in transplantation (Aliso Viejo, Calif.)

2019 Volume 30, Issue 1, Page(s) 69–70

MeSH term(s)	Diabetes Mellitus ; Graft Survival ; Humans ; Pancreas Transplantation ; Postoperative Complications/diagnostic imaging ; Ultrasonography, Doppler, Color
Language	English
Publishing date	2019-12-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2864264-8
ISSN	2164-6708 ; 1526-9248
ISSN (online)	2164-6708
ISSN	1526-9248
DOI	10.1177/1526924819893318
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Article ; Online: New perspectives about the role of robot-assisted surgery for the treatment of endometriosis.

Furbetta, Niccolò / Bianchini, Matteo / Palmeri, Matteo / Morelli, Luca

Journal of robotic surgery

2019 Volume 13, Issue 4, Page(s) 609–610

MeSH term(s)	Endometriosis/surgery ; Female ; Humans ; Laparoscopy ; Quality of Life ; Robotic Surgical Procedures ; Robotics
Language	English
Publishing date	2019-03-04
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	2268283-1
ISSN	1863-2491 ; 1863-2483
ISSN (online)	1863-2491
ISSN	1863-2483
DOI	10.1007/s11701-019-00947-w
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Article ; Online: Technical details for a robot-assisted hand-sewn esophago-gastric anastomosis during minimally invasive Ivor Lewis esophagectomy.

Peri, A / Furbetta, N / Viganò, J / Pugliese, L / Di Franco, G / Latteri, F S / Mineo, N / Bruno, F C / Gallo, V / Morelli, L / Pietrabissa, A

Surgical endoscopy

2021 Volume 36, Issue 2, Page(s) 1675–1682

Abstract: Background: Minimally invasive Ivor Lewis esophagectomy (MIILE) provides better outcomes than open techniques, particularly in terms of post-operative recovery and pulmonary complications. However, in addition to requiring advanced technical skills, ... ...

Abstract	Background: Minimally invasive Ivor Lewis esophagectomy (MIILE) provides better outcomes than open techniques, particularly in terms of post-operative recovery and pulmonary complications. However, in addition to requiring advanced technical skills, thoracoscopic access makes it hard to perform esophagogastric anastomosis safely, and the reported rates of anastomotic leak vary from 5 to 16%. Several minimally invasive esophago-gastric anastomotic techniques have been described, but to date strong evidence to support one technique over the others is still lacking. We herein report the technical details and preliminary results of a new robot-assisted hand-sewn esophago-gastric anastomosis technique. Methods: From January 2018 to December 2020, 12 cases of laparoscopic/thoracoscopic Ivor Lewis esophagectomy with robot-assisted hand-sewn esophago-gastric anastomosis were performed. The gastric conduit was prepared and tailored taking care of vascularization with a complete resection of the gastric fundus. The anastomosis consisted of a robot-assisted, hand-sewn four layers of absorbable monofilament running barbed suture (V-lock). The posterior outer layer incorporated the gastric and esophageal staple lines. Results: The post-operative course was uneventful in nine cases. Two patients developed chyloperitoneum, one patient a Sars-Cov-2 infection, and one patient a late anastomotic stricture. In all cases, there were no anastomotic leaks or delayed gastric conduit emptying. The median post-operative stay was 13 days (min 7, max 37 days); the longest in-hospital stay was recorded in patients who developed chyloperitoneum. Conclusion: Despite the small series, we believe that our technique looks to be promising, safe, and reproducible. Some key points may be useful to guarantee a low complications rate after MIILE, particularly regarding anastomotic leaks and delayed emptying: the resection of the gastric fundus, the use of robot assistance, the incorporation of the staple lines in the posterior aspect of the anastomosis, and the use of barbed suture. Further cases are needed to validate the preliminary, but very encouraging, results.
MeSH term(s)	Anastomosis, Surgical ; Anastomotic Leak/etiology ; COVID-19 ; Esophageal Neoplasms/surgery ; Esophagectomy ; Humans ; Retrospective Studies ; Robotics ; SARS-CoV-2
Language	English
Publishing date	2021-09-09
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/s00464-021-08715-4
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Article ; Online: Teenagers with obesity: Long-term results of laparoscopic adjustable gastric banding.

Furbetta, Niccolò / Gragnani, Francesca / Cervelli, Rosa / Guidi, Francesco / Furbetta, Francesco

Journal of pediatric surgery

2019 Volume 55, Issue 4, Page(s) 732–736

Abstract: Background: Obesity is a rapidly spreading chronic disease worldwide. Long-term results are critical to assess the effectiveness of a bariatric procedure, particularly in young patients who have long life expectancy.: Methods: A retrospective study ... ...

Abstract	Background: Obesity is a rapidly spreading chronic disease worldwide. Long-term results are critical to assess the effectiveness of a bariatric procedure, particularly in young patients who have long life expectancy. Methods: A retrospective study on adolescents with morbid obesity who underwent Laparoscopic Adjustable Gastric Banding (LAGB) at our institute from 1995 to 2018 was made. Primary endpoints were efficacy, in term of weight loss and comorbidity resolution, occurrence of complications and reoperations. Results: Fifty-nine patients underwent LAGB between 1995 and 2018. Intra- and post-operative mortality was absent. The patients' presence at follow-up at 5, 10 and 15 years was 38/50 (76%), 18/25 (72%) and 5/8 (63%), respectively. At those times the mean excess weight loss percentage was 61.7 ± 29.4, 48.1 ± 50.4 and 55.8 ± 51.2, respectively. Comorbidity resolution rates were 100% for patients with diabetes, 78% for patients with hypertension, 75% for joint pain suffers, 69% for patients with sleep apnea and 57% for patients with anxiety and depression. Total reoperation rate was 30.5%. The band was removed in 8 patients: 3 due to erosions, 3 by patients' choice and 2 conversions to other bariatric procedures. Conclusion: LAGB, in combination with the patients' close follow-up performed by an interdisciplinary team, can be an effective long-term surgical treatment for teenagers with morbid obesity. Level of evidence: Level IV.
MeSH term(s)	Adolescent ; Adult ; Anxiety/epidemiology ; Arthralgia/etiology ; Comorbidity ; Depression/epidemiology ; Diabetes Mellitus, Type 2/epidemiology ; Female ; Follow-Up Studies ; Gastroplasty/adverse effects ; Humans ; Hypertension/epidemiology ; Laparoscopy/methods ; Male ; Obesity, Morbid/epidemiology ; Obesity, Morbid/psychology ; Obesity, Morbid/surgery ; Pediatric Obesity/epidemiology ; Pediatric Obesity/surgery ; Postoperative Period ; Reoperation ; Retrospective Studies ; Sleep Apnea Syndromes/epidemiology ; Treatment Outcome ; Weight Loss ; Young Adult
Language	English
Publishing date	2019-08-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	80165-3
ISSN	1531-5037 ; 0022-3468
ISSN (online)	1531-5037
ISSN	0022-3468
DOI	10.1016/j.jpedsurg.2019.08.011
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Article ; Online: Technical Details and Result of a Minimally Invasive Management of Gastric Band Erosions: a Series of 47 Patients.

Furbetta, Niccolò / Gragnani, Francesca / Cervelli, Rosa / Guidi, Francesco / Furbetta, Francesco

Obesity surgery

2019 Volume 29, Issue 11, Page(s) 3754–3761

Abstract: Introduction: Laparoscopic adjustable gastric banding (LAGB) is proven to be a safe and effective treatment option for obesity in the long term. However, in recent decades, LAGB prevalence progressively decreased worldwide principally due to the ... ...

Abstract	Introduction: Laparoscopic adjustable gastric banding (LAGB) is proven to be a safe and effective treatment option for obesity in the long term. However, in recent decades, LAGB prevalence progressively decreased worldwide principally due to the incidence and the management of the complications. Understanding the optimal management of the complications becomes therefore of primary importance. The aim of this study is to describe a personal technical, laparoscopic solution of band erosion and to analyze outcomes in 47 patients. Methods: From October 1995 to January 2019, 3697 LAGB were performed at our institution. Since November 2011, an original laparoscopic gastric banding removal technique was introduced. All the bands placed in these patients were Lap-Band AP System (Allergan, Irvin, CA). The data of the patients who underwent gastric band removal because of band erosion were retrieved from a prospectively collected institutional database, and used for the present retrospective evaluation. Result: Ninety-four patients (2.5% of the entire casuistic) with eroded band were diagnosed and treated at our institution. Forty-seven patients were treated with the laparoscopic gastric banding removal technique introduced in November 2011. All the operations have been performed laparoscopically with no conversion or intraoperative complications. There were neither major complications nor peri-operative (30 days) mortality. Conclusion: Proper preoperative management and a standardized minimally invasive technique could help to cope with erosion, the most frightening complication of LAGB. Understanding the optimal management of complications and safe reoperation techniques can contribute to a rational use of the LAGB, reversing the current declining tendency.
MeSH term(s)	Bariatric Surgery/adverse effects ; Bariatric Surgery/methods ; Device Removal/statistics & numerical data ; Equipment Failure ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Obesity, Morbid/surgery ; Postoperative Complications ; Reoperation ; Retrospective Studies
Language	English
Publishing date	2019-09-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-019-04170-2
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Article: Robotic Hepatectomy plus Biliary Reconstruction for Bismuth Type III and Type IV Hilar Cholangiocarcinoma: State of the Art and Literature Review.

Guadagni, Simone / Comandatore, Annalisa / Furbetta, Niccolò / Di Franco, Gregorio / Carpenito, Cristina / Bechini, Bianca / Vagelli, Filippo / Ramacciotti, Niccolò / Palmeri, Matteo / Di Candio, Giulio / Morelli, Luca

Journal of personalized medicine

2023 Volume 14, Issue 1

Abstract: Background: In Bismuth type III and IV Hilar Cholangiocarcinoma (III-IV HC), surgical resection is the only chance for long-term survival. As the surgical procedure is complex and Robotic-Assisted Surgery (RAS) may be particularly suitable in this ... ...

Abstract	Background: In Bismuth type III and IV Hilar Cholangiocarcinoma (III-IV HC), surgical resection is the only chance for long-term survival. As the surgical procedure is complex and Robotic-Assisted Surgery (RAS) may be particularly suitable in this setting, the aim of this study is to evaluate the potential benefits of RAS in III-IV HC in terms of post-operative outcomes. Methods: We conducted a systematic review using the PRISMA checklist for article selection. We searched the PubMed database and included only studies with clinical data about the treatment of III-IV HC using RAS. Results: A total of 12 papers involving 50 patients were included. All cases were Bismuth IIIa ( Conclusions: RAS for III-IV HC is safe and feasible, at least if performed by experienced surgeons on selected cases. The oncological outcomes appear acceptable, given the aggressiveness of this pathology, but further studies are needed to fully elucidate the exact role of robotics in this setting.
Language	English
Publishing date	2023-12-21
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm14010012
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