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  1. Article ; Online: Combined Resections for Synchronous Colorectal Liver Metastases: Are Two Teams Better than One?

    Fusai, Giuseppe

    World journal of surgery

    2021  Volume 45, Issue 11, Page(s) 3436–3437

    MeSH term(s) Colectomy ; Colorectal Neoplasms/surgery ; Hepatectomy ; Humans ; Liver Neoplasms/surgery ; Retrospective Studies
    Language English
    Publishing date 2021-08-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-021-06291-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Should we consider pancreaticogastrostomy the best method of reconstruction after pancreaticoduodenectomy?

    Guerrini, Gian Piero / Fusai, Giuseppe

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

    2016  Volume 42, Issue 2, Page(s) 315–316

    MeSH term(s) Ampulla of Vater ; Common Bile Duct Neoplasms/surgery ; Humans ; Pancreatic Ducts/surgery ; Pancreatic Fistula/epidemiology ; Pancreatic Neoplasms/surgery ; Pancreaticoduodenectomy/methods ; Pancreaticojejunostomy/methods ; Postoperative Complications/epidemiology ; Stomach/surgery
    Language English
    Publishing date 2016-02
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 632519-1
    ISSN 1532-2157 ; 0748-7983
    ISSN (online) 1532-2157
    ISSN 0748-7983
    DOI 10.1016/j.ejso.2015.11.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Biliary Strictures and Cholangiocarcinoma - Untangling a Diagnostic Conundrum.

    Ney, Alexander / Garcia-Sampedro, Andres / Goodchild, George / Acedo, Pilar / Fusai, Giuseppe / Pereira, Stephen P

    Frontiers in oncology

    2021  Volume 11, Page(s) 699401

    Abstract: Cholangiocarcinoma is an uncommon and highly aggressive biliary tract malignancy with few manifestations until late disease stages. Diagnosis is currently achieved through a combination of clinical, biochemical, radiological and histological techniques. ... ...

    Abstract Cholangiocarcinoma is an uncommon and highly aggressive biliary tract malignancy with few manifestations until late disease stages. Diagnosis is currently achieved through a combination of clinical, biochemical, radiological and histological techniques. A number of reported cancer biomarkers have the potential to be incorporated into diagnostic pathways, but all lack sufficient sensitivity and specificity limiting their possible use in screening and early diagnosis. The limitations of standard serum markers such as CA19-9, CA125 and CEA have driven researchers to identify multiple novel biomarkers, yet their clinical translation has been slow with a general requirement for further validation in larger patient cohorts. We review recent advances in the diagnostic pathway for suspected CCA as well as emerging diagnostic biomarkers for early detection, with a particular focus on non-invasive approaches.
    Language English
    Publishing date 2021-09-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2021.699401
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Preoperative Gemcitabine-based Chemoradiation Therapy for Resectable and Borderline Resectable Pancreatic Cancer.

    Ravikumar, Reena / Fusai, Giuseppe

    Annals of surgery

    2015  Volume 262, Issue 6, Page(s) e103

    MeSH term(s) Antimetabolites, Antineoplastic/therapeutic use ; Chemoradiotherapy ; Deoxycytidine/analogs & derivatives ; Female ; Humans ; Male ; Pancreatic Neoplasms/therapy ; Preoperative Care
    Chemical Substances Antimetabolites, Antineoplastic ; Deoxycytidine (0W860991D6)
    Language English
    Publishing date 2015-12
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000000685
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Systematic review of surgical management of synchronous colorectal liver metastases.

    Lykoudis, P M / O'Reilly, D / Nastos, K / Fusai, G

    The British journal of surgery

    2014  Volume 101, Issue 6, Page(s) 605–612

    Abstract: Background: The optimal management of colorectal cancer with synchronous liver metastases has not yet been elucidated. The aim of the present study was systematically to review current evidence concerning the timing and sequence of surgical ... ...

    Abstract Background: The optimal management of colorectal cancer with synchronous liver metastases has not yet been elucidated. The aim of the present study was systematically to review current evidence concerning the timing and sequence of surgical interventions: colon first, liver first or simultaneous.
    Methods: A systematic literature review was performed of clinical studies comparing the timing and sequence of surgical interventions in patients with synchronous liver metastases. Retrospective studies were included but case reports and small case series were excluded. Preoperative and intraoperative data, length of hospital stay, perioperative mortality and morbidity, and 1-, 3- and 5-year survival rates were compared. The studies were evaluated according to a modification of the methodological index for non-randomized studies (MINORS) criteria.
    Results: Eighteen papers were included and 21 entries analysed. Five entries favoured the simultaneous approach regarding duration of procedure, whereas three showed no difference; five entries favoured simultaneous treatment in terms of blood loss, whereas in four there was no difference; and all studies comparing length of hospital stay favoured the simultaneous approach. Five studies favoured the simultaneous approach in terms of morbidity and eight found no difference, and no study demonstrated a difference in perioperative mortality. One study suggested a better 5-year survival rate after staged procedures, and another suggested worse 1-year but better 3- and 5-year survival rates following the simultaneous approach. The median MINORS score was 10, with incomplete follow-up and outcome reporting accounting primarily for low scores.
    Conclusion: None of the three surgical strategies for synchronous colorectal liver metastases appeared inferior to the others.
    MeSH term(s) Blood Loss, Surgical/statistics & numerical data ; Blood Transfusion/statistics & numerical data ; Colorectal Neoplasms/mortality ; Colorectal Neoplasms/surgery ; Epidemiologic Methods ; Humans ; Length of Stay ; Liver Neoplasms/mortality ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Operative Time ; Survival Analysis ; Time-to-Treatment
    Language English
    Publishing date 2014-05
    Publishing country England
    Document type Comparative Study ; Journal Article ; Review
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.9449
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Is laparoscopic cholecystectomy safe for acute cholecystitis in the presence of ventriculo-peritoneal shunt?

    Damrah, O / Naik, P / Fusai, G / Sharma, D

    International journal of surgery case reports

    2011  Volume 2, Issue 6, Page(s) 157–158

    Abstract: Introduction: In patients with ventriculo-peritoneal shunts, laparoscopic procedures were previously contraindicated for the potential risks of elevating intra-cranial pressure resulting from increased intra-abdominal pressure and shunt malfunction/ ... ...

    Abstract Introduction: In patients with ventriculo-peritoneal shunts, laparoscopic procedures were previously contraindicated for the potential risks of elevating intra-cranial pressure resulting from increased intra-abdominal pressure and shunt malfunction/infection.
    Presentation of case: Here we present a case of a patient with ventriculo-peritoneal shunt who successfully and uneventfully underwent laparoscopic cholecystectomy for acute cholecystitis without any shunt manipulation or intra-cranial pressure monitoring.
    Discussion: Several methods have been suggested to decrease the risks of increased intra-cranial pressure during laparoscopic cholecystectomy in patients with ventriculo-peritoneal shunts, but have not been routinely used.
    Conclusion: Standard technique laparoscopic cholecystectomy can be safely used to manage patients with VP shunts presenting with acute gall bladder disease.
    Language English
    Publishing date 2011-05-17
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN (online) 2210-2612
    DOI 10.1016/j.ijscr.2011.04.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Spitzer identity, Wiener-Hopf factorization and pricing of discretely monitored exotic options

    Fusai, Gianluca / Germano, Guido / Marazzina, Daniele

    European journal of operational research : EJOR Vol. 251, No. 1 , p. 124-134

    2016  Volume 251, Issue 1, Page(s) 124–134

    Author's details Gianluca Fusai, Guido Germano, Daniele Marazzina
    Keywords Path-dependent options ; Hilbert transform ; Lévy process ; Spitzer identity ; Wiener-Hopf factorization
    Language English
    Publisher Elsevier$h1977-
    Publishing place Amsterdam ; Boston, Mass ; London ; New York, NY ; Oxford ; Paris ; Philadelphia ; San Diego ; St. Louis
    Document type Article
    ZDB-ID 243003-4
    ISSN 0377-2217
    Database ECONomics Information System

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  8. Article ; Online: Oncological outcomes after pancreatoduodenectomy for pancreatic ductal adenocarcinoma in octogenarians: case-control study.

    Pande, Rupaly / Attard, Joseph A / Al-Sarireh, Bilal / Bhogal, Ricky Harminder / Farrugia, Alexia / Fusai, Giuseppe / Harper, Simon / Hidalgo-Salinas, Camila / Jah, Asif / Marangoni, Gabriele / Mortimer, Matthew / Pizanias, Michail / Prachialias, Andreas / Roberts, Keith J / Hee, Chloe Sew / Soggiu, Fiammetta / Srinivasan, Parthi / Chatzizacharias, Nikolaos A

    BJS open

    2023  Volume 7, Issue 4

    Abstract: Background: By the end of this decade, 70 per cent of all diagnosed pancreatic ductal adenocarcinomas will be in the elderly. Surgical resection is the only curative option. In the elderly perioperative mortality is higher, while controversy still ... ...

    Abstract Background: By the end of this decade, 70 per cent of all diagnosed pancreatic ductal adenocarcinomas will be in the elderly. Surgical resection is the only curative option. In the elderly perioperative mortality is higher, while controversy still exists as to whether aggressive treatment offers any survival benefit. This study aimed to assess the oncological benefit of pancreatoduodenectomy in octogenarians with pancreatic ductal adenocarcinoma.
    Method: Retrospective multicentre case-control study of octogenarians and younger controls who underwent pancreatoduodenectomy for pancreatic ductal adenocarcinoma between 2008 and 2017. The primary endpoint was overall survival and the secondary endpoint was disease-free survival.
    Results: Overall, 220 patients were included. Although the Charlson co-morbidity index was higher in octogenerians, Eastern Cooperative Oncology Group performance status, ASA and pathological parameters were comparable. Adjuvant therapy was more frequently delivered in the younger group (n = 80, 73 per cent versus n = 58, 53 per cent, P = 0.006). There was no significant difference between octogenarians and controls in overall survival (20 versus 29 months, P = 0.095) or disease-free survival (19 versus 22 months, P = 0.742). On multivariable analysis, age was not an independent predictor of either oncological outcome measured.
    Conclusion: Octogenarians with pancreatic ductal adenocarcinoma of the head and uncinate process may benefit from comparable oncological outcomes to younger patients with surgical treatment. Due to the age- and disease-related frailty and co-morbidities, careful preoperative assessment and patient selection is of paramount importance.
    MeSH term(s) Aged ; Aged, 80 and over ; Humans ; Case-Control Studies ; Pancreaticoduodenectomy ; Octogenarians ; Pancreatic Neoplasms/surgery ; Carcinoma, Pancreatic Ductal/surgery ; Pancreatic Neoplasms
    Language English
    Publishing date 2023-07-11
    Publishing country England
    Document type Multicenter Study ; Journal Article
    ISSN 2474-9842
    ISSN (online) 2474-9842
    DOI 10.1093/bjsopen/zrad053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Pro-fibrogenic role of alarmin high mobility group box 1 in HIV-hepatitis B virus coinfection.

    Singh, Kasha P / Pallett, Laura J / Singh, Harsimran / Chen, Antony / Otano, Itziar / Duriez, Marion / Rombouts, Krista / Pinzani, Massimo / Crane, Megan / Fusai, Giuseppe / Avihingsanon, Anchalee / Lewin, Sharon R / Maini, Mala K

    AIDS (London, England)

    2022  Volume 37, Issue 3, Page(s) 401–411

    Abstract: Objective: Liver disease is accelerated in people with HIV (PWH) with hepatitis B virus (HBV) coinfection. We hypothesized that liver fibrosis in HIV-HBV is triggered by increased hepatocyte apoptosis, microbial translocation and/or HIV/HBV viral ... ...

    Abstract Objective: Liver disease is accelerated in people with HIV (PWH) with hepatitis B virus (HBV) coinfection. We hypothesized that liver fibrosis in HIV-HBV is triggered by increased hepatocyte apoptosis, microbial translocation and/or HIV/HBV viral products.
    Design: Sera from PWH with HBV coinfection versus from those with HBV only or putative mediators were used to examine the pathogenesis of liver disease in HIV-HBV.
    Methods: We applied sera from PWH and HBV coinfection versus HBV alone, or putative mediators (including HMGB1), to primary human hepatic stellate cells (hHSC) and examined pro-fibrogenic changes at the single cell level using flow cytometry. High mobility group box 1 (HMGB1) levels in the applied sera were assessed according to donor fibrosis stage.
    Results: Quantitative flow cytometric assessment of pro-fibrogenic and inflammatory changes at the single cell level revealed an enhanced capacity for sera from PWH with HBV coinfection to activate hHSC. This effect was recapitulated by lipopolysaccharide, HIV-gp120, hepatocyte conditioned-media and the alarmin HMGB1. Induction of hepatocyte cell death increased their pro-fibrogenic potential, an effect blocked by HMGB1 antagonist glycyrrhizic acid. Consistent with a role for this alarmin, HMGB1 levels were elevated in sera from PWH and hepatitis B coinfection compared to HBV alone and higher in those with HIV-HBV with liver fibrosis compared to those without.
    Conclusions: Sera from PWH and HBV coinfection have an enhanced capacity to activate primary hHSC. We identified an increase in circulating HMGB1 which, in addition to HIV-gp120 and translocated microbial products, drove pro-fibrogenic changes in hHSC, as mechanisms contributing to accelerated liver disease in HIV-HBV.
    MeSH term(s) Humans ; Hepatitis B virus ; HIV Infections ; Alarmins ; Coinfection ; HMGB1 Protein ; Hepatitis B/complications ; Liver Cirrhosis/pathology
    Chemical Substances Alarmins ; HMGB1 Protein
    Language English
    Publishing date 2022-11-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639076-6
    ISSN 1473-5571 ; 0269-9370 ; 1350-2840
    ISSN (online) 1473-5571
    ISSN 0269-9370 ; 1350-2840
    DOI 10.1097/QAD.0000000000003435
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Strategies to increase the resectability of liver metastases from colorectal cancer.

    Fusai, G / Davidson, B R

    Digestive surgery

    2003  Volume 20, Issue 6, Page(s) 481–496

    Abstract: Liver resection can provide long-term survival and cure for patients with colorectal liver metastases but is feasible in only 15-25% of patients. In the last few years several major developments have contributed to increase this resectability rate. Neo- ... ...

    Abstract Liver resection can provide long-term survival and cure for patients with colorectal liver metastases but is feasible in only 15-25% of patients. In the last few years several major developments have contributed to increase this resectability rate. Neo-adjuvant chemotherapy can provide response rates as high as 50%, allowing surgery in about 10-15% of patients initially deemed unresectable. Patients requiring extensive liver resections with an anticipated small residual liver volume can undergo portal vein embolization to reduce the risk of postoperative liver failure by inducing hypertrophy of the remnant liver. Extensive bilobar disease can be treated by two-stage hepatectomy, with an interval to allow liver regeneration. Ablation techniques can be combined with hepatic resection to reduce local recurrence from incomplete surgical resection margins or to destroy contralateral tumor deposits. Finally, for patients with tumors involving the inferior vena cava or the hepatic veins, in which conventional resection is not feasible, in situ hypothermia or bench resection with reimplantation are suitable for very selected patients. Downstaging strategies may increase the resectability rate of colorectal liver metastases by over 20%.
    MeSH term(s) Catheter Ablation/methods ; Colorectal Neoplasms/pathology ; Colorectal Neoplasms/therapy ; Combined Modality Therapy ; Cryotherapy/methods ; Embolization, Therapeutic/methods ; Hepatectomy/methods ; Humans ; Laser Coagulation/methods ; Liver Neoplasms/pathology ; Liver Neoplasms/secondary ; Liver Neoplasms/therapy ; Neoplasm Staging ; Portal Vein
    Language English
    Publishing date 2003
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 605888-7
    ISSN 1421-9883 ; 0253-4886
    ISSN (online) 1421-9883
    ISSN 0253-4886
    DOI 10.1159/000073535
    Database MEDical Literature Analysis and Retrieval System OnLINE

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