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Article ; Online: Current 'robotic surgery': a real breakthrough or a misleading definition of laparoscopy with remote control of mechatronic instrumentation?

Lirici, Marco Maria

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

2022 Volume 31, Issue 7, Page(s) 979–980

MeSH term(s)	Laparoscopy ; Robotic Surgical Procedures ; Surgery, Computer-Assisted
Language	English
Publishing date	2022-09-08
Publishing country	England
Document type	Editorial
ZDB-ID	1317160-4
ISSN	1365-2931 ; 1364-5706
ISSN (online)	1365-2931
ISSN	1364-5706
DOI	10.1080/13645706.2022.2119416
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Article ; Online: Laparoscopic right colectomy: correct technique based on key anatomical principles.

Lirici, Marco Maria / Dapri, Giovanni / Huescher, Cristiano G S / Marks, John

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

2024 , Page(s) 1–13

Abstract: Since the early1990s, laparoscopic right colon resections have been the most performed advanced laparoscopic procedures just after laparoscopic left colectomies and sigmoid resections. Indications for laparoscopic right colectomies are either benign or ... ...

Abstract	Since the early1990s, laparoscopic right colon resections have been the most performed advanced laparoscopic procedures just after laparoscopic left colectomies and sigmoid resections. Indications for laparoscopic right colectomies are either benign or malignant diseases. Despite its many indications, a laparoscopic right or extended right colectomy is mostly performed for cancer of the caecum, the ascending colon, the hepatic flexure or the proximal transverse colon. Worldwide, colorectal cancer is the third most diagnosed cancer: an estimated 1,880,725 people were diagnosed with colorectal cancer in 2020, out of which 1,148,515 were colon cancer cases and 40% were located in the right colon. These figures make an oncologic sound surgery for right colon cancer of the utmost relevance. More recently, complete mesocolic excision has been advocated as the optimal choice in term of radicality, especially in node-positive patients with right colon cancer. Laparoscopic standard right colectomy and extended right colectomy with or without CME should be performed according to defined principles based on a close knowledge of key anatomical landmarks. This knowledge will allow to trace anatomical structures and drive instruments along the correct surgical planes and has its foundations in teachings from surgeons and scientists of past and present time.
Language	English
Publishing date	2024-04-08
Publishing country	England
Document type	Journal Article
ZDB-ID	1317160-4
ISSN	1365-2931 ; 1364-5706
ISSN (online)	1365-2931
ISSN	1364-5706
DOI	10.1080/13645706.2024.2332880
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Article ; Online: Use of quantitative indocyanine green near-infrared fluorescence imaging in bariatric surgery: early results.

Biancucci, Andrea / Fassari, Alessia / Lucchese, Sara / Santoro, Emanuele / Lirici, Marco Maria

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

2023 Volume 32, Issue 5, Page(s) 249–255

Abstract: Introduction: Indocyanine green fluorescence angiography (ICG-FA) is commonly used in general surgery, but its use in bariatric surgery is still marginal. Moreover, post-operative leaks remain a dramatic complication after this surgery and the leak ... ...

Abstract	Introduction: Indocyanine green fluorescence angiography (ICG-FA) is commonly used in general surgery, but its use in bariatric surgery is still marginal. Moreover, post-operative leaks remain a dramatic complication after this surgery and the leak tests available have poor performance preventing them. The aim of the present paper is to assess the use and utility of a new innovative technology based on quantitative measures of fluorescence signal intensity. Material and methods: From January 2022 to June 2022, 40 consecutive patients with a median age of 51 years and a preoperative median body mass index of 45.2 kg/m Results: Thirteen patients underwent LSG and 27 patients underwent OAGB. ICG was performed in all patients with no adverse events. An adequate and satisfactory blood supply was assessed in each case. No case of post-operative leak was detected. Conclusions: The quantitative ICG-FA seems to be a useful and promising tool for the prevention of complications in bariatric surgery but further studies are mandatory.
MeSH term(s)	Humans ; Middle Aged ; Indocyanine Green ; Gastrectomy/adverse effects ; Gastrectomy/methods ; Bariatric Surgery/adverse effects ; Anastomosis, Surgical/methods ; Laparoscopy/methods ; Optical Imaging ; Retrospective Studies ; Obesity, Morbid/surgery
Chemical Substances	Indocyanine Green (IX6J1063HV)
Language	English
Publishing date	2023-04-11
Publishing country	England
Document type	Journal Article
ZDB-ID	1317160-4
ISSN	1365-2931 ; 1364-5706
ISSN (online)	1365-2931
ISSN	1364-5706
DOI	10.1080/13645706.2023.2197049
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Article ; Online: Fluorescence cholangiography for laparoscopic cholecystectomy: how, when, and why? A single-center preliminary study.

Fassari, Alessia / Bianucci, Andrea / Lucchese, Sara / Santoro, Emanuele / Lirici, Marco Maria

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

2023 Volume 32, Issue 5, Page(s) 264–272

Abstract: Introduction: Bile duct injuries avoidance is a key goal of biliary surgery. In this prospective study we evaluate the safety and feasibility of ICG fluorescent cholangiography during laparoscopic cholecystectomy (LC) focusing on the optimization of ... ...

Abstract	Introduction: Bile duct injuries avoidance is a key goal of biliary surgery. In this prospective study we evaluate the safety and feasibility of ICG fluorescent cholangiography during laparoscopic cholecystectomy (LC) focusing on the optimization of timing and dose administration. Material and methods: From February to December 2022 fifty-four LC were performed with fluorescence imaging in our surgical department. 2.5 mg ICG were administered intravenously between 5 h and 24 h before surgery. Near-infrared fluorescent cholangiography (NIRF-C) was performed. Adequate fluorescence was evaluated by comparing agent accumulation in the gallbladder and the extrahepatic duct and the background of liver parenchyma. Results: Biliary anatomy was identified in all cases. Median time of ICG administration was 11 h previous surgery and three groups of patients were identified: group A receiving ICG 5-9 h, group B 10-14 h, group C 15-24 h before surgery. Peak contrast was gained in group B, with minimal fluorescence of liver parenchyma and more intense visibility of the biliary tract. Intraoperative cholangiogram was unnecessary in all cases. Conclusion: Fluorescent cholangiography during LC is safe and feasible overcoming the limits of other techniques available. 2.5 mg ICG administered 10-14 h before surgery produces optimal outcomes for near-infrared (NIR) fluorescent cholangiography.
MeSH term(s)	Humans ; Cholecystectomy, Laparoscopic/methods ; Indocyanine Green ; Prospective Studies ; Cholangiography/methods ; Coloring Agents
Chemical Substances	Indocyanine Green (IX6J1063HV) ; Coloring Agents
Language	English
Publishing date	2023-11-06
Publishing country	England
Document type	Journal Article
ZDB-ID	1317160-4
ISSN	1365-2931 ; 1364-5706
ISSN (online)	1365-2931
ISSN	1364-5706
DOI	10.1080/13645706.2023.2265998
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Article ; Online: Trans-vaginal repair of recurrent rectovaginal fistula with interposition of BIO-A Tissue Reinforcement.

Fassari, Alessia / Santoro, Emanuele / Paolantonio, Pasquale / Lirici, Marco Maria

Updates in surgery

2021 Volume 73, Issue 6, Page(s) 2381–2384

Abstract: Rectovaginal fistulas (RVFs) represent the majority of all symptomatic leakages after anterior and low anterior resection in women. Conservative management is useful in paucisymptomatic patients with small fistulas but is usually unsuccessful in all ... ...

Abstract	Rectovaginal fistulas (RVFs) represent the majority of all symptomatic leakages after anterior and low anterior resection in women. Conservative management is useful in paucisymptomatic patients with small fistulas but is usually unsuccessful in all other cases. The surgical strategies are various and heavily dependent on the type and extent of anatomic involvement. We present a case of a 51-year-old female with a multi-recurrent rectovaginal fistula that occurred since a laparoscopic sigmoidectomy was performed for a complicated diverticular disease in May 2015. An attempt to close the fistula was undertaken three times. In July 2019, a transvaginal repair was performed with interposition in the rectovaginal septum of GORE
MeSH term(s)	Female ; Gynecologic Surgical Procedures ; Humans ; Middle Aged ; Rectovaginal Fistula/surgery ; Rectum ; Surgical Flaps ; Treatment Outcome
Language	English
Publishing date	2021-11-11
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-021-01179-0
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Article ; Online: Single site laparoscopic surgery: an intermediate step toward no (visible) scar surgery or the next gold standard in minimally invasive surgery?

Lirici, Marco Maria

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

2012 Volume 21, Issue 1, Page(s) 1–7

MeSH term(s)	Cicatrix/prevention & control ; Humans ; Laparoscopy/methods ; Laparoscopy/standards ; Minimally Invasive Surgical Procedures/methods ; Minimally Invasive Surgical Procedures/standards
Language	English
Publishing date	2012-01
Publishing country	England
Document type	Editorial
ZDB-ID	1317160-4
ISSN	1365-2931 ; 1364-5706
ISSN (online)	1365-2931
ISSN	1364-5706
DOI	10.3109/13645706.2011.631551
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Article ; Online: Surgeons, surgery, surgical skills.

Lirici, Marco Maria

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

2010 Volume 19, Issue 5, Page(s) 316–317

MeSH term(s)	Clinical Competence ; Humans ; Japan ; Minimally Invasive Surgical Procedures/education ; Minimally Invasive Surgical Procedures/standards ; Physicians/standards ; Specialties, Surgical/education ; Specialties, Surgical/standards ; Surgical Procedures, Operative/education ; Surgical Procedures, Operative/standards
Language	English
Publishing date	2010-10
Publishing country	England
Document type	Comment ; Letter
ZDB-ID	1317160-4
ISSN	1365-2931 ; 1364-5706
ISSN (online)	1365-2931
ISSN	1364-5706
DOI	10.3109/13645706.2010.507336
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Article ; Online: The Authors Reply.

Hüscher, Cristiano G S / Lirici, Marco Maria

Diseases of the colon and rectum

2018 Volume 61, Issue 4, Page(s) e30–e31

Language	English
Publishing date	2018
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	212581-x
ISSN	1530-0358 ; 0012-3706
ISSN (online)	1530-0358
ISSN	0012-3706
DOI	10.1097/DCR.0000000000001066
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Article ; Online: Surgical treatment of elastofibroma dorsi. Personal experience and a review of the literature.

Lucandri, Giorgio / Pende, Vito / Lucchese, Sara / Fassari, Alessia / Campagna, Domenico / Fiori, Giulia / Mazzocchi, Paolo / Lirici, Marco Maria / Santoro, Emanuele

Annali italiani di chirurgia

2022 Volume 94, Page(s) 99–105

Abstract: Aim: To report our experience in treating elastofibroma, an uncommon lesion, usually arising into subscapular area; it has been included between soft tissue tumors and is characterized by progressive growth and benign behavior METHODS: Patients with an ... ...

Abstract	Aim: To report our experience in treating elastofibroma, an uncommon lesion, usually arising into subscapular area; it has been included between soft tissue tumors and is characterized by progressive growth and benign behavior METHODS: Patients with an histologically proved elastofibroma, operated at our ward unit over a 3-year period, entered this study. Early results of surgical treatment have been analyzed and compared to those of Literature, focusing on selection criteria, hospital morbidity and relative risk factors RESULTS: Fourteen surgical procedures have been performed on 11 patients; EF presented as bilateral on 3 patients (27.3%) and these patients were treated with sequential 2-stages excision. All patients received complete surgical resection according to marginal excision technique; mean operative time was 75.8 ± 21.4 min. (range 55-135) while mean size of resected EF was 8.57 ± 2.2 cm. (range 5-12). Three patients developed significative postoperative seroma (21.4%), while neither hemorrhages nor recurrences have been observed. Increased B.M.I. was the only factor significantly related to hospital morbidity at univariate analysis (p = 0.0339) CONCLUSIONS: Patients carring elastofibroma larger than 5 cm. and symptomatic should undergo surgical treatment; marginal excision represents the standard technique; we recommend the use of ultrasound energy device for tissue dissection: its current use seems to prevent postoperative bleeding. Development of postoperative seroma seems related to increased patient's B.M.I. and to larger size of EF, rather than to different methods of dissection. Key words: Chest wall tumors, Elastofibroma dorsi, Elastin, Marginal resection, Soft-tissue tumors.
MeSH term(s)	Humans ; Seroma ; Fibroma/surgery ; Dissection ; Soft Tissue Neoplasms/surgery ; Thoracic Neoplasms/pathology ; Thoracic Neoplasms/surgery ; Postoperative Complications
Language	English
Publishing date	2022-11-09
Publishing country	Italy
Document type	Review ; Journal Article
ZDB-ID	418927-9
ISSN	2239-253X ; 0003-469X
ISSN (online)	2239-253X
ISSN	0003-469X
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Article ; Online: Transanal Total Mesorectal Excision: Pneumodissection of Retroperitoneal Structures Eases Laparoscopic Rectal Resection.

Hüscher, Cristiano G S / Lirici, Marco Maria

Diseases of the colon and rectum

2017 Volume 60, Issue 10, Page(s) 1109–1112

Abstract: Introduction: Laparoscopic total mesorectal excision is effective and safe but often technically challenging because of inadequate exposure. Transanal total mesorectal excision was introduced to mitigate this limitation and improve the quality of ... ...

Abstract	Introduction: Laparoscopic total mesorectal excision is effective and safe but often technically challenging because of inadequate exposure. Transanal total mesorectal excision was introduced to mitigate this limitation and improve the quality of mesorectal dissection in even the most challenging cases. Currently, the technique for transanal total mesorectal excision dissection is not standardized. Technique: The sequential approach to transanal total mesorectal excision mirrors the principles of the transanal abdominal transanal procedure. It begins with the transanal step, followed by the laparoscopic step, and then the transanal total mesorectal excision. The perirectal space is entered via a full-thickness dissection of the anterior rectal wall. Carbon dioxide is left flowing, widening the embryonic planes between the mesorectal and pelvic fascias, then moving upward through the retroperitoneal space. The surgeon switches to the abdominal field and begins laparoscopic dissection, consisting of inferior mesenteric artery dissection and division, inferior mesenteric vein dissection and division, and possible splenic flexure dissection. Pneumodissection facilitates this procedure by distancing the inferior mesenteric artery from the hypogastric nerves and opening the embryonic fusion plane between the Toldt and Gerota fascias to allow faster division of the left colon lateral attachments. The operation continues with a switch to the perineal field and mesorectal excision. Results: A total of 102 patients underwent transanal total mesorectal excision as described. Mean operative time was 185.0 + 87.5 minutes (range, 60-480 min), and there was no conversion to open surgery. Postoperative morbidity was 33.3%. Mortality rate at 30 days was 1.96% (2 cases). Quality of mesorectal excision according to Quirke was assessed in all of the specimens and found to be complete in 99 cases (97.1%) and nearly complete in 2.9% of cases. Conclusions: Transanal total mesorectal excision may benefit from pneumodissection, expedites the laparoscopic step, and the sequential approach facilitates the visualization of the correct dissection planes. The safety and cost-effectiveness of the procedure still warrant consideration. See Video at http://links.lww.com/DCR/A418.
MeSH term(s)	Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Aged ; Colectomy/adverse effects ; Colectomy/methods ; Comparative Effectiveness Research ; Conversion to Open Surgery/methods ; Conversion to Open Surgery/statistics & numerical data ; Female ; Humans ; Italy ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Male ; Middle Aged ; Neoplasm Staging ; Operative Time ; Outcome and Process Assessment (Health Care) ; Perineum/surgery ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery ; Rectum/surgery ; Transanal Endoscopic Surgery/adverse effects ; Transanal Endoscopic Surgery/methods
Language	English
Publishing date	2017-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	212581-x
ISSN	1530-0358 ; 0012-3706
ISSN (online)	1530-0358
ISSN	0012-3706
DOI	10.1097/DCR.0000000000000893
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