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  1. Article ; Online: Robotic versus laparoscopic distal pancreatectomy: A comparative study of clinical outcomes and costs analysis.

    Ielpo, Benedetto / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Caruso, Riccardo / Malavé, Luis / Ferri, Valentina / Nuñez, J / Ruiz-Ocaña, A / Jorge, E / Lazzaro, Sara / Kalivaci, Denis / Quijano, Yolanda / Vicente, Emilio

    International journal of surgery (London, England)

    2017  Volume 48, Page(s) 300–304

    Abstract: Background: The robotic surgery cost presents a critical issue which has not been well addressed yet. This study aims to compare the clinical outcomes and cost differences of robotic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy ( ...

    Abstract Background: The robotic surgery cost presents a critical issue which has not been well addressed yet. This study aims to compare the clinical outcomes and cost differences of robotic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy (LDP).
    Methods: Data were abstracted prospectively from 2011 to 2017. An independent company performed the financial analysis.
    Results: A total of 28 RDP and 26 LDP were included. The mean operative time was significantly lower in the LDP (294 vs 241 min; p = 0.02). The main intra and post-operative data were similar, except for the conversion rate (RDP: 3.6% vs LDP: 19.2%; p = 0.04) and hospital stay (RDP: 8.9 vs LDP 13.1 days; p = 0.04). The mean total costs were similar in both groups (RDP: 9198.64 € vs LDP: 9399.74 €; p > 0.5).
    Conclusions: RDP showed lower conversion rate and shorter hospital stay than LDP at the price of longer operative time. RDP is financially comparable to LDP.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Laparoscopy/economics ; Length of Stay/economics ; Male ; Middle Aged ; Operative Time ; Pancreatectomy/economics ; Pancreatic Neoplasms/surgery ; Pancreatitis, Chronic/surgery ; Reoperation ; Retrospective Studies ; Robotic Surgical Procedures/economics ; Spain
    Keywords covid19
    Language English
    Publishing date 2017-12
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2017.10.075
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Ex Situ Hepatectomy and Liver Autotransplantation for Cholangiocarcinoma.

    Vicente, Emilio / Quijano, Yolanda / Ielpo, Benedetto / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Malavé, Luis / Ferri, Valentina / Lazzaro, Sara / Kalivaci, Denis / Caruso, Riccardo

    Annals of surgical oncology

    2017  Volume 24, Issue 13, Page(s) 3990

    Abstract: Background: Hepatic resection of tumors invading the retrohepatic vena cava and hepatic veins are a challenge for surgeons, who consider them unresectable most of the time.1 : Results: The patient underwent biliary decompression through a ... ...

    Abstract Background: Hepatic resection of tumors invading the retrohepatic vena cava and hepatic veins are a challenge for surgeons, who consider them unresectable most of the time.1
    Results: The patient underwent biliary decompression through a percutaneous transhepatic catheter and right portal vein embolization for left lobe hypertrophy. During the surgery, the liver was removed with the retrohepatic vena cava, which was replaced by a prosthetic graft without a veno-venous bypass. Ex vivo extended right hepatectomy was performed, and a prosthetic graft was used to replace the vena cava where the remaining left hepatic vein was anastomosed. The surgery duration was 9 h, and the anhepatic time was 4.5 h. The postoperative hospital stay was 19 days, and at this writing, 3 years later, the patient is disease-free.
    Conclusion: Ex vivo hepatectomy without veno-venous bypass should be considered a valid therapeutic option for selected patients with cholangiocarcinoma invading the retrohepatic vena cava.
    MeSH term(s) Bile Duct Neoplasms/pathology ; Bile Duct Neoplasms/surgery ; Cholangiocarcinoma/pathology ; Cholangiocarcinoma/surgery ; Hepatectomy ; Humans ; Liver Neoplasms/pathology ; Liver Neoplasms/surgery ; Liver Transplantation ; Male ; Middle Aged ; Prognosis ; Transplantation, Autologous
    Language English
    Publishing date 2017-12
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-017-6104-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A prospective randomized study comparing laparoscopic transabdominal preperitoneal (TAPP) versus Lichtenstein repair for bilateral inguinal hernias.

    Ielpo, Benedetto / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Caruso, Riccardo / Malavé, Luis / Ferri, Valentina / Lazzaro, Sara / Kalivaci, Denis / Quijano, Yolanda / Vicente, Emilio

    American journal of surgery

    2017  Volume 216, Issue 1, Page(s) 78–83

    Abstract: Background: In literature, only a few studies have prospectively compared the results of laparoscopic with open inguinal hernia repair yet none have compared bilateral inguinal hernia repair. The aim of this study is to compare the open Lichtenstein ... ...

    Abstract Background: In literature, only a few studies have prospectively compared the results of laparoscopic with open inguinal hernia repair yet none have compared bilateral inguinal hernia repair. The aim of this study is to compare the open Lichtenstein repair (OLR) with laparoscopic trans-abdominal preperitoneal (TAPP) repair in patients undergoing surgery for bilateral inguinal hernia.
    Methods: Patients were prospectively randomized between March 2013 and March 2015. Outcome parameters included hospital stay, operation time, postoperative complications, immediate postoperative pain and chronic pain, recurrence and quality of life.
    Results: Sixty-one patients underwent TAPP repair and 73 underwent OLR. TAPP procedure had less early post-operative pain up to 7 days from surgery (p = 0.003), a shorter length of hospital stay (p = 0.001), less postoperative complications (p = 0.012) and less chronic pain (0.04) when compared with the OLR approach.
    Conclusions: TAPP procedure for bilateral inguinal hernia effectively reduces early postoperative pain, hospital stay and postoperative complications.
    MeSH term(s) Abdominal Wall/surgery ; Adult ; Aged ; Female ; Follow-Up Studies ; Hernia, Inguinal/surgery ; Herniorrhaphy/methods ; Humans ; Incidence ; Laparoscopy/methods ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Peritoneum/surgery ; Postoperative Complications/epidemiology ; Prospective Studies ; Recurrence ; Spain/epidemiology ; Surgical Mesh ; Treatment Outcome
    Language English
    Publishing date 2017-07-19
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2017.07.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A comparative study of neoadjuvant treatment with gemcitabine plus nab-paclitaxel versus surgery first for pancreatic adenocarcinoma.

    Ielpo, Benedetto / Caruso, Riccardo / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Malavé, Luis / Ferri, Valentina / Alvarez, Rafael / Cubillo, Antonio / Plaza, Carlos / Lazzaro, Sara / Kalivaci, Denis / Quijano, Yolanda / Vicente, Emilio

    Surgical oncology

    2017  Volume 26, Issue 4, Page(s) 402–410

    Abstract: Introduction: Neoadjuvant treatment has been reported to prolong survival in patients with potentially resectable pancreatic adenocarcinoma (PA). However, there are currently limited clinical results available using nab-paclitaxel and gemcitabine in PA. ...

    Abstract Introduction: Neoadjuvant treatment has been reported to prolong survival in patients with potentially resectable pancreatic adenocarcinoma (PA). However, there are currently limited clinical results available using nab-paclitaxel and gemcitabine in PA. This paper compares the oncological results of patients affected by potentially resectable PA who underwent surgery first (SF) versus surgery following neoadjuvant treatment (NAT).
    Methods: This is an observational, comparative study whereby data were abstracted from a prospective database of patients affected by PA from 2007 to 2016.
    Results: We included a total of 81 patients (36 SF and 45 NAT) which resulted in being preoperatively similar. Among the NAT patients, treatment was well tolerated and the resection rate was 68.8% (31/45 patients). There was a trend towards a higher R1 resection rate in the SF group compared with the NAT (13.8% vs 3.2%; p = 0.1). Median overall survival in the resected NAT group was higher (30.6 vs 22.1 months; p = 0.04). In the borderline resectable group, overall survival was found to be four times higher compared with SF (43.6 versus 13.5 months; p = 0.001).
    Conclusions: These data suggest that neoadjuvant treatment with gemcitabine/nab-paclitaxel is a safe and effective option for potentially resectable PA compared with the SF approach.
    MeSH term(s) Adenocarcinoma/drug therapy ; Adenocarcinoma/mortality ; Adenocarcinoma/secondary ; Adenocarcinoma/surgery ; Adult ; Aged ; Aged, 80 and over ; Albumins/administration & dosage ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Deoxycytidine/administration & dosage ; Deoxycytidine/analogs & derivatives ; Female ; Follow-Up Studies ; Humans ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoadjuvant Therapy/mortality ; Paclitaxel/administration & dosage ; Pancreatectomy/mortality ; Pancreatic Neoplasms/drug therapy ; Pancreatic Neoplasms/mortality ; Pancreatic Neoplasms/pathology ; Pancreatic Neoplasms/surgery ; Prognosis ; Prospective Studies ; Survival Rate ; Gemcitabine ; Pancreatic Neoplasms
    Chemical Substances 130-nm albumin-bound paclitaxel ; Albumins ; Deoxycytidine (0W860991D6) ; Paclitaxel (P88XT4IS4D) ; Gemcitabine
    Language English
    Publishing date 2017-08-24
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 1107810-8
    ISSN 1879-3320 ; 0960-7404
    ISSN (online) 1879-3320
    ISSN 0960-7404
    DOI 10.1016/j.suronc.2017.08.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Global attitudes in the management of acute appendicitis during COVID-19 pandemic

    B, Ielpo / M, Podda / G, Pellino / F, Pata / R, Caruso / G, Gravante / Saverio, Di / Orengia, Adam / Chowdary, Aditya / Kulkarni, Aditya / Kuvvetli, Adnan / Navarro, Adolfo / Pisanu, Adolfo / Smith, Adrian / Cavero Ibiricu, Adriana / Nacion, Aeris Jane D. / Alsaleh, Ahmad / Alhazmi, Ahmad / Elmabri, Ahmad /
    Wani, Ajaz / Rencuzogullari, Ahmet / Sarriugarte Lasarte, Aingeru / Valle Rubio, Ainhoa / Bavikatte, Akshay / Kumar, Akshay / Jamiri, Al-radjid / Michel Alvarado Padilla, Alain / Cacurri, Alban / de San Ildefonso, Alberto / Porcu, Alberto / Sartori, Alberto / Rocca, Aldo / Paz Yáñez, Alejandro / Becaria, Alejandro / Solís-Peña, Alejandro / Sretenović, Aleksandar / Urbistondo, Alex / Bandin, Alfonso / Najar, Alfonso / De Luca, Alessandro / Boddy, Alex / Charalabopoulos, Alexandros / Tzivanakis, Alexios / Amendola, Alfonso / Ramirez-Gutierrez de Velasco, Alfredo / Cihat Yildirim, Ali / Frontali, Alice / Oumar Toure, Alpha / García-Granero, Alvaro / Martínez Roldan, Amaia / Sanz Larrainzar, Amaia / Sanjiva Ratnayake, Amila / María Gonzalez-Ganso, Ana / Minaya-Bravo, Ana M. / Das, Andre / Bondurri, Andrea / Costanzi, Andrea / Lucchi, Andrea / Mazzari, Andrea / Musig, Andrea / Peloso, Andrea / Piano, Andrea / Police, Andrea / Mihailescu, Andrei / Pouy, Andrés / Romano, Angela / Iossa, Angelo / Carmen Leonetti, Anna / Guariniello, Anna / Isaac, Anna / Pia Delli Bovi, Anna / Chessa, Antonella / Tromba, Antonella / Álvarez Martínez, Antonio / Brillantino, Antonio / Caira, Antonio / Castaldi, Antonio / Ferronetti, Antonio / Giuliani, Antonio / Prestera, Antonio / Ramos-De la Medina, Antonio / Tarasconi, Antonio / Tornambè, Antonino / Picciariello, Arcangelo / Ioannidis, Argyrios / Leppäniemi, Ari / Khan, Arshad / Rashid, Arshad / Luis Eduardo Pérez-Sánchez, Arteaga / Mittal, Ashok / Rahman Mitul, Ashrarur / Mehraj, Asif / Laharwal, Asim / Dorismé, Asnel / Marinis, Athanasios / Iqbal, Atif / Moncada, Augusto / Braccio, Bartolomeo / Alkhafaji, Basim / de Andrés Asenjo, Beatriz / Martin-Perez, Beatriz / De Simone, Belinda / Sánchez Pérez, Belinda / Creavin, Ben / Calì, Benedetto / Cali, Benedetto / Pascotto, Beniamino / Stubbs, Benjamin / Zavala Retes, Benjamin / Jovanovic, Branislav / KP Goh, Brian / Sensi, Bruno / Biddau, Carlo / Gazia, Carlo / Vallicelli, Carlo / Alberto Fagundes, Carlos / Cerdán Santacruz, Carlos / Chirico, Carlos / Javier Gómez Díaz, Carlos / Petrola, Carlos / Sánchez Rodriguez, Carlos / Yánez Benítez, Carlos / Dammaro, Carmelisa / Lo Faro, Carmelo / Reinke, Caroline / Dominguez Paez, Casandra / Oliva, Catalina / Paranjape, Charudutt / Thomas, Charlotte / Fung Chia, Chi / Kwan Kong, Chi / De Lucia, Chiara / Ovalle Chao, Christian / Arcudi, Claudio / Guerci, Claudio / Chia, Clement / Parise, Cristiano / Folliero, Cristina / Varela, Cristopher / Ferguson, Dalya M. / Camacho, Daniel / Popowich, Daniel / Souza Lima, Daniel / Rega, Daniela / Delogu, Daniele / Zigiotto, Daniele / Vinci, Danilo / D’Antonio, Dario / Parini, Dario / Alessio Merlini, David / DE Zimmerman, David / Moro-Valdezate, David / Pertile, Davide / Maria Giusti, Deborah / Keller, Deborah S. / Tarik, Delko / Kalivaçi, Denis / Mazingi, Dennis / Gabriela Maldonado-Pintado, Diana / Sasia, Diego / Linardoutsos, Dimitrios / Osilli, Dixon / Murrone, Domenico / Russello, Domenico / Rodas, Edgar / Alberto Acuña Roa, Edisson / Ricciardi, Edoardo / Rosso, Edoardo / Saladino, Edoardo / Flores-Villalba, Eduardo / Ruiz Ajs, Eduardo / Smith-Singares, Eduardo / Baili, Efstratia / Kouroumpas, Efstratios / Bourmpouteli, Eirini / Douka, Eleftheria / Martin-Perez, Elena / Guaitoli, Eleonora / Samadov, Elgun / Francone, Elisa / Vaterlini, Elisa / Morales, Emilio / Peña, Emilio / Zhao, Enhao / Del Pozo Andres, Eneko / Benzoni, Enrico / Erdas, Enrico / Pinotti, Enrico / Colás-Ruiz, Enrique / Aytac, Erman / Laterza, Ernesto / Agastra, Ervis / Foianini, Esteban / Moscoso, Esteban / Laviano, Estefania / Marra, Ester / Cardamone, Eugenia / Licardie, Eugenio / Mpaili, Eustratia / Pinna, Eva / Varo, Evaristo / Martín Navarro, Fabian / Marino, Fabio / Medas, Fabio / Romano, Fabio / Maraska, Fatlum / Saliu, Fatmir / Madrid, Fausto / Rosa, Fausto / Mastella, Federica / Gheza, Federico / Luvisetto, Federico / Alconchel, Felipe / Monge Vieira, Felipe / Pareja, Felipe / Agresta, Ferdinando / Luna, Fernanda / Bonilla, Fernando / Cordera, Fernando / Burdió, Fernando / Mendoza-Moreno, Fernando / Muñoz Flores, Fernando / Pardo Aranda, Fernando / Taylor, Fiona / Ramos, Flavia L. / Fernandes, Flavio / Paola Tropeano, Francesca / Balestra, Francesco / Bianco, Francesco / Ceci, Francesco / Colombo, Francesco / Di Marzo, Francesco / Ferrara, Francesco / Lancellotti, Francesco / Lazzarin, Francesco / Litta, Francesco / Martini, Francesco / Pizza, Francesco / Roscio, Francesco / Virdis, Francesco / Blanco Antona, Francisco / Cervantes Ramírez, Francisco / Miguel Fernandez, Francisco / Oliver Llinares, Francisco / Quezada, Francisco / Schlottmann, Francisco / Quezada, Fransisco / Herrera-Almario, Gabriel / Massaferro, Gabriel / Bislenghi, Gabriele / van Ramshorst, Gabrielle / Gallo, Gaetano / Luglio, Gaetano / Bointas, Georgios / Kampouroglou, Georgios / Papadopoulos, Georgios / Arredondo Manrique, Gerardo / Calini, Giacomo / Nastri, Giacomo / Formisano, Giampaolo / Galiffa, Giampaolo / Marco Palini, Gian / Colucci, Gianluca / Pagano, Gianluca / Pellino, Gianluca / Vanni, Gianluca / Casoni Pattacini, Gianmaria / Gravante, Gianpiero / De Paola, Gilda / Lisi, Giorgio / Partida, Giovanna / Bellanova, Giovanni / De Nobili, Giovanni / Sammy Necchi, Giovanni / Sinibaldi, Giovanni / Tebala, Giovanni / Bagaglini, Giulia / Izzo, Giuliano / Argenio, Giulio / Brisinda, Giuseppe / Candilio, Giuseppe / Di Grezia, Giuseppe / Esposito, Giuseppe / Faillace, Giuseppe / Frazzetta, Giuseppe / La Gumina, Giuseppe / Nigri, Giuseppe / Romeo, Giuseppe / Chocarro Amatriaín, Gloria / Ortega, Gloria / Martin-Martin, Gonzalo / Stavrou, Gregor A. / Gunadi, / Armand Ugon, Gustavo / Machain, Gustavo / Marcucci, Gustavo / Martínez-Mier, Gustavo / Miguel Machain, Gustavo / Nari, Gustavo / Calvo, Haydée / Fathy, Hamada / Hamilto, / Ahmed, Hazem / Faraj, Hazem / Nava, Hector / Ordas Macias, Hector / Nikaj, Herald / Solano, Heriberto / Ahmed Khan, Huma / Sánchez Alarcón, Humberto / Ebied, Husam / Giani, Iacopo / Villalabeitia Ateca, Ibabe / Neri, Ignacio / Alberdi San Roman, Igor / Fidoshev, Iliya / Martinez Rodriguez, Iñaki / Negoi, Ionut / Ortega, Irene / Bernescu, Irina / Shari Russo, Iris / Vincente Rodríguez, Irune / Palomares, Irving / Baltazar, Isaac / Jaén Torrejimeno, Isabel / María Cornejo Jurado, Isabel / Reccia, Isabella / Hussain, Ishtiyaq / Brito Toledo, Ismael / Mora-Guzmán, Ismael / al-Najami, Issam / Dogaru, Iulia / Romic, Ivan / Balciscueta, Izaskun / Cleo Kenington, J / Sagolsem, Jackison / Y Jang, Jae / Olivier, James / Lammel-Lindemann, Jan / Dziakova, Jana / Ismael Roldán Villavicencio, Javier / Salinas, Javier / Pejanovic Jose Gustavo Parreira, Jelena / Jovanovic, / Rincón Pérez, Jeny / AS Reyes, Jeryl / Antonio Medina Luque, Jesus / Mak, Joanna / Salas Rodriguez, Joanne / Henry Herrera Kok, Johnn / Krook, Jon / Antonio Diaz-Elizondo, Jose / Castell, Jose / Eduardo García-Flores, José / María Jover Navalón, José / Mauro Silva Rodrigues, Jose / Pereira Pinto, José / Tomas Castell Gómez, José / Bellido Luque, Juan / Carlos Martín del Olmo, Juan / Carlos Salamea, Juan / Francisco Coronel Olivier, Juan / Luis Blas Laina, Juan / Maria Ordoñez, Juliana / Gutierrez, Julieta / Abba, Julio / Ahmad Sofi, Junaid / Sherafgan, Kashaf / Sahnan, Kapil / Yanaga, Katsuhiko / Beatson, Kevin / Asim, Laharwal / Alvarez, Laura / Siragusa, Leandro / Farber, Lee / Ong, Lester / Athanasios, Liarakos / García-Bruña, Lorena / De Martino, Luca / Ferrario, Luca / Giordano, Luca / Gordini, Luca / Pio, Luca / Ponchietti, Luca / Moletta, Lucia / Curella, Luciano / Poggi, Luciano / Taglietti, Lucio / Bonavina, Luigi / Conti, Luigi / Goffredi, Luigi / Angel Garcia Ruiz, Luis / Barrionuevo, Luis / Enrique Fregoso, Luis / Cabrera, Luis F. / G Rodriguez, Luis / Grande, Luis / Gregorio Osoria, Luis / Javier Kantun Gonzalez, Luis / Sánchez-Guillén, Luis / Tallon-Aguilar, Luis / Tresierra, Luis / Giavarini, Luisa / Hasabelnabi, Mahmoud / Odovic, Maja / Uemura, Mamoru / Khan, Mansoor / Artiles-Armas, Manuel / David, Mara / Di Martino, Marcello / Giuseppe Spampinato, Marcello / Ribeiro Jr, Marcelo A. F. / Viola, Marcelo / Angrisani, Marco / Calussi, Marco / Cannistrà, Marco / Catarci, Marco / Cereda, Marco / Conte, Marco / Giordano, Marco / Pellicciaro, Marco / Vito Marino, Marco / E Vaterlini, Maria / Jiménez, María F. / Giulia Lolli, María / Irene Bellini, Maria / Lemma, Maria / Michela Chiarello, Maria / Nicola, Maria / Arrigo, Mario / Caneda Mejia, Mario / Montes Manrique, Mario / Rodriguez-Lopez, Mario / Serradilla-Martín, Mario / Zambrano Lara, Mario / Martínez, Marisa / Bagnall, Mark / Peter, Mark / Cañón Lara, Marta / Jimenez Gomez, Marta / Paniagua-Garcia-Señorans, Marta / Perez Gonzalez, Marta / Rutegård, Martin / Salö, Martin / Franceschilli, Marzia / Silveri, Massimiliano / Veroux, Massimiliano / Pezzulo, Massimo / Nardi, Matteo / Rottoli, Matteo / Tolonen, Matti / Pedraza Ciro, Mauricio / Zuluagua, Mauricio / Cannavò, Maurizio / Cervellera, Maurizio / Iacobone, Maurizio / Montuori, Mauro / Podda, Mauro / García Domínguez, Melody / Bingol-Kologlu, Meltem / Tahir, Mian / Lim, Michael / Sj Wilson, Michael / Wilson, Michael / Campanelli, Michela / Bisaccia, Michele / De Rosa, Michele / Maruccia, Michele / Paterno, Michele / Pisano, Michele / Torre, Michele / Treviño, Michelle / Zuolo, Michele / Hernandez Bartolome, Miguel A. / Farina, Miguel / Pera, Miguel / Prieto Calvo, Mikel / Sotelo, Milagros / Myat Thway, Min / Hassan, Mohamed / Salah Eldin Hassan, Mohamed / Azfar, Mohammad / Bouhuwaish, Mohammad / Taha, Mohammad / Zaieem, Mohammad / Korkoman, Mohammed / Guraieb, Montserrat / Shalaby, Mostafa / Asif Raza, Muhammad / Umar Younis, Muhammad / Elhadi, Muhammed / Zulfiqar Ali, Mujahid / Quazi, Nadeem / Dudi-Venkata, Nagendra N. / Alselaim, Nahar / Loria, Natasha / Villan Ramírez, Nathalie / Win Than, Nay / Smart, Neil / Trelles, Nelson / Pinto, Nicanor / Allievi, Niccolò / Petrucciani, Niccolo / Antonacci, Nicola / Cillara, Nicola / de'Angelis, Nicola / Gica, Nicolae / Diana Cristiana, Nicolaescu / Krystek, Nicolás / Falco, Nicolò / Pecorelli, Nicolò / Tamini, Nicolò / Andreas Dallas, Nikolaos / Machairas, Nikolaos / Brito, Noelia / Ahmed Fieturi, Nura / Ortega, Nuria / Avila Mercado, Octavio / Irkorucu, Oktay / Alsherif, Omar / Valles, Orestes / Ioannidis, Orestis / Hernández Palmas, Oscar / Isaac Hernandez Palmas, Oscar / Sanz Guadarrama, Oscar / Bozbiyik, Osman / Omelanczuk, Pablo / Ottolino, Pablo / Rodrigues, Pablo / Ruiz, Pablo / Campenni, Paola / Chiarade, Paola / Prieto Olivares, Paola / Baroffio, Paolo / Panaccio, Paolo / Wintringer, Pascal / Di Fronzo, Pasquale / Talento, Pasquale / Favoriti, Pasqualino / Sendino, Patricia / Marsanic, Patrizia / Mifsut, Patricia / Andrade, Paúl / Ajawin, Pawel / Abadía-Barnó, Pedro / Alfonso Najar Castañeda, Pedro / Omar Sillas Arevalos, Pedro / Palazón Bellver, Pedro / Soon Koh, Peng / Souza, Petry / Major, Piotr / Singh Bali, Rajandeep / Mohan Khattar, Rakesh / Bessa Melo, Renato / Ebrahiminia, Reza / Azar, Ricardo / López Murga, Ricardo / Caruso, Riccardo / Pirolo, Riccardo / Brady, Richard / Justin Davies, Richard / Dholakia, Rishi / Rattan, Rishi / Singhal, Rishi / Lim, Robert / Angelico, Roberta / Maria Isernia, Roberta / Tutino, Roberta / Faccincani, Roberto / Peltrini, Roberto / Carrera-Ceron, Rocio / Tejos, Rodrigo / Kashyap, Rohit / Fajardo, Roosevelt / Lozito, Rosa / Madariaga Pareja, Royer / Garbarino, Sabrina / Di Saverio, Salomone / Morales-Conde, Salvador / Benli, Sami / Mansour, Sami / Flores, Samir / Limon Suarez, Samuel / Lopez Ben, Santiago / Fuentes, Sara / Gortazar de las Casas, Sara / Napetti, Sara / Ortiz de Guzmán, Sara / Awad, Selmy / Weckmann Luján, Sergio A. / Gentilli, Sergio / Grimaldi, Sergio / Olivares Pizarro, Sergio / Tayar, Serkan / Nabi, Shakeeb / M Chan, Shannon / Junaid, Sheikh / Rojas, Sidney / Monetti, Silvana / García, Silvia / Salvans, Silvia / Tenconi, Silvia / Shaw, Simon / Santoni, Simone / Andrea Parra, Sofia / Cárdenas, Sofía / Pérez-Bertólez, Sonia / Chiappetta, Sonja / Dessureault, Sophie / Delis, Spiros / Amore Bonapasta, Stefano / Rausei, Stefano / Scaringi, Stefano / Keswani, Sundeep / Muhammad Ali, Syed / Cetinkunar, Süleyman / Lit Derek Fung, Tak / Rawashdeh, Tariq / Nicolás López, Tatiana / De Campos, Tercio / Calderon Duque, Teresa / Perra, Teresa / Liakakos, Theodore / Daskalakis, Theodoros / Liakakos, Theodoros / Barnes, Thomas / Koëter, Tijmen / Zalla, Tiku / González, Tomás E. / Elosua, Tomás / Campagnaro, Tommaso / Brown, Tommy / Luoto, Topi / Alpha Oumar, Touré / Giustizieri, Ugo / Grossi, Ugo / Bracale, Umberto / Rivas, Uriel / Sosa, Valentina / Testa, Valentina / Andriola, Valeria / Tonini, Valeria / Balassone, Valerio / Celentano, Valerio / Progno, Valerio / Raju, Varun / Carroni, Vanessa / Cavallaro, Venera / Rao Katta, Venkateswara / De Simone, Veronica / Primo Romaguera, Vicent / Hugo García Orozco, Victor / Luraschi, Victor / Rachkov, Victor / Turrado-L, Victor / Visag-Castillo, Victor / Dowling, Victoria / Graham, Victoria / Papagni, Vincenzo / Vigorita, Vincenzo / Cordeiro Fonseca, Vinicius / Jimenez Carneros, Virginia / Bellato, Vittoria / Gonçalves, Walyson / Powers, William F. / Grigg, William / Bechstein, Wolf O. / Bing Lim, Yu / Altinel, Yuksel / Golubović, Zoran / Balciscueta, Zutoia

    ACIE Appy Study

    2020  

    Abstract: Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a ... ...

    Abstract Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.
    Keywords covid19
    Subject code 610
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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