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  1. Article ; Online: 'Reply to: Exploring the potential appropriateness of high ligation for a specific demographic'.

    Crippa, Jacopo / Santambrogio, Gaia / Spinelli, Antonino / Montroni, Isacco / Cirocchi, Roberto / Fingerhut, Abe / Mari, Giulio M

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

    2023  Volume 49, Issue 9, Page(s) 106998

    MeSH term(s) Humans ; Ligation ; Demography
    Language English
    Publishing date 2023-07-29
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 632519-1
    ISSN 1532-2157 ; 0748-7983
    ISSN (online) 1532-2157
    ISSN 0748-7983
    DOI 10.1016/j.ejso.2023.106998
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  2. Article ; Online: A 10-step guide to convert a surgical unit into a COVID-19 unit during the COVID-19 pandemic.

    Mari, Giulio M / Crippa, Jacopo / Casciaro, Franco / Maggioni, Dario

    International journal of surgery (London, England)

    2020  Volume 78, Page(s) 113–114

    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Humans ; Italy/epidemiology ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Surgery Department, Hospital/organization & administration
    Keywords covid19
    Language English
    Publishing date 2020-04-27
    Publishing country United States
    Document type Letter
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2020.04.052
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  3. Article ; Online: The Message of the COVID Pandemic.

    Mari, Giulio M / Fossali, Tommaso / Ugolini, Giampaolo / Maltoni, Marco / Cesana, Giancarlo

    Journal of palliative medicine

    2020  Volume 23, Issue 11, Page(s) 1422–1423

    MeSH term(s) COVID-19 ; Humans ; Pandemics ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-09
    Publishing country United States
    Document type Letter
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2020.0348
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  4. Article: A 10-step guide to convert a surgical unit into a COVID-19 unit during the COVID-19 pandemic

    Mari, Giulio M / Crippa, Jacopo / Casciaro, Franco / Maggioni, Dario

    Int J Surg

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #125205
    Database COVID19

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  5. Article ; Online: A 10-step guide to convert a surgical unit into a COVID-19 unit during the COVID-19 pandemic

    Mari, Giulio M. / Crippa, Jacopo / Casciaro, Franco / Maggioni, Dario

    International Journal of Surgery

    2020  Volume 78, Page(s) 113–114

    Keywords Surgery ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2212038-5
    ISSN 1743-9191
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2020.04.052
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  7. Article ; Online: Surgical Approach to Transverse Colon Cancer: Analysis of Current Practice and Oncological Outcomes Using the National Cancer Database.

    Crippa, Jacopo / Grass, Fabian / Achilli, Pietro / Behm, Kevin T / Mathis, Kellie L / Day, Courtney N / Harmsen, William S / Mari, Giulio M / Larson, David W

    Diseases of the colon and rectum

    2021  Volume 64, Issue 3, Page(s) 284–292

    Abstract: Background: Surgical treatment for transverse colon cancer involves either extended colectomy or segmental resection, depending on the location of the tumor and surgeon perspective. However, the oncological safety of segmental resection has not yet been ...

    Abstract Background: Surgical treatment for transverse colon cancer involves either extended colectomy or segmental resection, depending on the location of the tumor and surgeon perspective. However, the oncological safety of segmental resection has not yet been established in large cohort studies.
    Objective: This study aims to compare segmental resection versus extended colectomy for transverse colon cancer in terms of oncological outcomes.
    Design: This was a retrospective cohort study.
    Settings: This study was conducted using a nationwide cohort.
    Patients: A total of 66,062 patients who underwent colectomy with curative intent for transverse stage I to III adenocarcinoma were identified in the National Cancer Database (2004-2015).
    Main outcome measures: Patients were divided in 2 groups based on the type of surgery received (extended versus segmental resection). The primary outcome was overall survival. Secondary outcomes were 30- and 90-day mortality, length of hospital stay, and readmission rate within 30 days of surgical discharge.
    Results: Extended colectomy was performed in 44,417 (67.2%) patients, whereas 21,645 (32.8%) patients underwent segmental resection. Extended colectomy was associated with lower survival at multivariate analysis (HR, 1.07; 95% CI, 1.04-1.10; p < 0.001). The subgroup analysis showed that extended resection was independently associated with poorer survival in mid transverse colon cancers (HR, 1.08; 95% CI, 1.04-1.12; p < 0.001) and in stage III tumors (HR, 1.11; 95% CI, 1.04-1.18; p < 0.001). The number of at least 12 harvested lymph nodes was an independent predictor of improved survival in both overall and subgroup analyses.
    Limitations: This study was limited by its retrospective design.
    Conclusion: Extended colectomy was not associated with a survival advantage compared with segmental resection. On the contrary, extended colectomy was associated with slightly poorer survival in mid transverse cancers and locally advanced tumors. Segmental resection was found to be safe when appropriate margins and adequate lymph node harvest were achieved. See Video Abstract at http://links.lww.com/DCR/B454.
    Abordaje quirrgico del cncer de colon transverso anlisis de la prctica actual y los resultados oncolgicos utilizando la base de datos nacional de cncer: ANTECEDENTES:El tratamiento quirúrgico para el cáncer de colon transverso implica colectomía extendida o resección segmentaria, según la ubicación del tumor y la perspectiva del cirujano. Sin embargo, la seguridad oncológica de la resección segmentaria aún no se ha establecido en estudios de cohortes grandes.OBJETIVO:Este estudio tiene como objetivo comparar la resección segmentaria versus la colectomía extendida para el cáncer de colon transverso en términos de resultados oncológicos.DISEÑO:Este fue un estudio de cohorte retrospectivo.ESCENARIO:Este estudio se realizó utilizando una cohorte a nivel nacional.PACIENTES:Un total de 66,062 pacientes que se sometieron a colectomía con intención curativa por adenocarcinoma de colon transverso en estadio I-III fueron identificados en la Base de Datos Nacional del Cáncer (2004-2015).PRINCIPALES MEDIDAS DE RESULTADO:Los pacientes se dividieron en dos grupos según el tipo de cirugía recibida (resección extendida versus resección segmentaria). El resultado primario fue la supervivencia global. Los resultados secundarios fueron la mortalidad a los 30 y 90 días, la duración de la estancia hospitalaria y la tasa de reingreso dentro de los 30 días posteriores al alta quirúrgica.RESULTADOS:Se realizó colectomía extendida en 44,417 (67.2%) casos, mientras que 21,645 (32.8%) pacientes fueron sometidos a resección segmentaria. La colectomía extendida se asoció con una menor supervivencia en el análisis multivariado (HR 1.07 IC 95% 1.04-1.10; p <0.001). El análisis de subgrupos mostró que la resección extendida se asoció de forma independiente con una menor supervivencia en los cánceres de colon transverso medio (HR 1.08 IC 95% 1.04-1.12; p <0.001) y en tumores en estadio III (HR 1.11 IC 95% 1.04-1.18; p <0.001). Un número de al menos 12 ganglios linfáticos cosechados fue un predictor independiente de una mejor supervivencia en los análisis general y de subgrupos.LIMITACIONES:Este estudio estuvo limitado por su diseño retrospectivo.CONCLUSIÓN:La colectomía extendida no se asoció con una ventaja de supervivencia en comparación con la resección segmentaria. Por el contrario, la colectomía extendida se asoció con una supervivencia levemente menor en cánceres de colon transverso medio y tumores localmente avanzados. Se encontró que la resección segmentaria es segura cuando se logran los márgenes apropiados y la cosecha adecuada de ganglios linfáticos. Consulte Video Resumen en http://links.lww.com/DCR/B454.
    MeSH term(s) Adenocarcinoma/diagnosis ; Adenocarcinoma/surgery ; Aged ; Aged, 80 and over ; Case-Control Studies ; Colectomy/methods ; Colectomy/trends ; Colon, Transverse/pathology ; Colonic Neoplasms/mortality ; Colonic Neoplasms/surgery ; Databases, Factual ; Female ; Humans ; Length of Stay/statistics & numerical data ; Male ; Margins of Excision ; Middle Aged ; Neoplasm Staging/methods ; Patient Readmission/statistics & numerical data ; Postoperative Period ; Practice Patterns, Physicians'/statistics & numerical data ; Practice Patterns, Physicians'/trends ; Retrospective Studies ; Survival Rate/trends ; Treatment Outcome
    Language English
    Publishing date 2021-01-27
    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.0000000000001887
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    Uk I Zs.237: Show issues Location:
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  8. Article ; Online: Intracorporeal Anastomosis Reduces Surgical Stress Response in Laparoscopic Right Hemicolectomy: A Prospective Randomized Trial.

    Mari, Giulio M / Crippa, Jacopo / Costanzi, Andrea T M / Pellegrino, Roberta / Siracusa, Claudia / Berardi, Valter / Maggioni, Dario

    Surgical laparoscopy, endoscopy & percutaneous techniques

    2018  Volume 28, Issue 2, Page(s) 77–81

    Abstract: Total laparoscopic right hemicolectomy is a procedure that involves an intracorporeal anastomosis. This approach may reduce tissue injury resulting in a significant lower surgical stress response (SSR) compared with the same procedure performed with an ... ...

    Abstract Total laparoscopic right hemicolectomy is a procedure that involves an intracorporeal anastomosis. This approach may reduce tissue injury resulting in a significant lower surgical stress response (SSR) compared with the same procedure performed with an extracorporeal anastomosis. The purpose of this study was to compare the SSR level between 2 groups of patients undergoing laparoscopic right hemicolectomy with intracorporeal or extracorporeal anastomosis. From June 2015 to December 2016, 60 patients were enrolled and randomized. Interleukin-6, C-reactive protein, procalcitonin, white blood cell count, cortisol, prolactin, prealbumin, albumin, triglycerides, and transferrin were analyzed preoperatively and at 1, 3, and 5 days postoperatively. Interleukin-6 and C-reactive protein levels were significantly lower in the intracorporeal group on days 1, 3, and 5 postoperatively compared with the extracorporeal group. Gastrointestinal recovery was significantly earlier in the intracorporeal group. The intracorporeal anastomosis in laparoscopic right hemicolectomy reduces SSR, which may play a role in bowel recovery.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical/methods ; C-Reactive Protein/metabolism ; Colectomy/adverse effects ; Colon/physiopathology ; Colon/surgery ; Colonic Neoplasms/blood ; Colonic Neoplasms/surgery ; Female ; Humans ; Ileum/physiopathology ; Ileum/surgery ; Interleukin-6/blood ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Male ; Middle Aged ; Operative Time ; Postoperative Period ; Prognosis ; Prospective Studies ; Recovery of Function ; Stress, Physiological/physiology ; Treatment Outcome ; Young Adult
    Chemical Substances Interleukin-6 ; C-Reactive Protein (9007-41-4)
    Language English
    Publishing date 2018-01-23
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1475108-2
    ISSN 1534-4908 ; 1530-4515 ; 1051-7200
    ISSN (online) 1534-4908
    ISSN 1530-4515 ; 1051-7200
    DOI 10.1097/SLE.0000000000000506
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  9. Article ; Online: 4K ultra HD technology reduces operative time and intraoperative blood loss in colorectal laparoscopic surgery.

    Mari, Giulio M / Crippa, Jacopo / Achilli, Pietro / Miranda, Angelo / Santurro, Letizia / Riggio, Valentina / Gerosa, Martino / Ascheri, Pietro / Cordaro, Giuseppe / Costanzi, Andrea T M / Maggioni, Dario

    F1000Research

    2020  Volume 9, Page(s) 106

    Abstract: ... ...

    Abstract Background
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Blood Loss, Surgical ; Colorectal Neoplasms/surgery ; Female ; Humans ; Laparoscopy/instrumentation ; Male ; Middle Aged ; Operative Time ; Retrospective Studies
    Language English
    Publishing date 2020-02-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2699932-8
    ISSN 2046-1402 ; 2046-1402
    ISSN (online) 2046-1402
    ISSN 2046-1402
    DOI 10.12688/f1000research.21297.1
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  10. Article: Is BMI a Factor in Compliance to Adjuvant Chemotherapy for Locally Advanced Rectal Cancer?

    Mari, Giulio M / Crippa, Jacopo / Pietro, Achilli / Maggioni, Dario / Costanzi, Andrea / Scotti, Mauro A / Braga, Marco / Cocozza, Eugenio / Borroni, Giacomo / Benzoni, Ilaria / Totaro, Luigi / Origi, Matteo / Ferrari, Giovanni / Ziccarelli, Antonio / Petri, Roberto / Bagnardi, Vincenzo

    Chirurgia (Bucharest, Romania : 1990)

    2021  Volume 116, Issue 1, Page(s) 51–59

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Antineoplastic Agents/administration & dosage ; Antineoplastic Agents/therapeutic use ; Body Mass Index ; Chemotherapy, Adjuvant ; Humans ; Medication Adherence ; Obesity/complications ; Obesity/psychology ; Rectal Neoplasms/complications ; Rectal Neoplasms/drug therapy ; Rectal Neoplasms/surgery ; Retrospective Studies ; Treatment Outcome
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2021-03-06
    Publishing country Romania
    Document type Journal Article ; Multicenter Study
    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.116.1.51
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