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  1. Article ; Online: Robotic splenic flexure cancer resection with vessel skeletonization - a video vignette.

    Monsellato, Igor / Gatto, Teresa / Lodin, Marco / Panaro, Fabrizio

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2024  

    Language English
    Publishing date 2024-04-02
    Publishing country England
    Document type Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16972
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    Zs.A 5799: Show issues Location:
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  2. Article: Robotic right colectomy in a patient with ventriculoperitoneal shunt. Report of a case.

    Monsellato, Igor / Lodin, Marco / Priora, Fabio

    International journal of surgery case reports

    2019  Volume 59, Page(s) 58–62

    Abstract: Introduction: Ventriculoperitoneal shunt procedure has become the most common neurosurgical method for hydrocephalus because it considerably improves patients prognosis. Pneumoperitoneum has been considered a contraindication to laparoscopic surgery ... ...

    Abstract Introduction: Ventriculoperitoneal shunt procedure has become the most common neurosurgical method for hydrocephalus because it considerably improves patients prognosis. Pneumoperitoneum has been considered a contraindication to laparoscopic surgery because of risk for increased intracranial pressure during pneumoperitoneum and/or malfunction/infection of the VP shunt itself. Laparoscopic resection of the cecum and of the rectum for cancer has been reported.
    Presentation of case: A 74-year old man with ventriculoperitoneal shunt for normal pressure hydrocephalus referred to the emergency medicine ward for COPD, lower limb oedema and severe anemia. CT Scan showed a substenotic tumor of the right colon and non-specific enlarged regional lymph nodes, with no distant metastases. Colonoscopy confirmed the presence of an ulcerated tumor of the right colon involving half of the colic lumen. A right colectomy with CME was carried out, with a stapled intracorporeal ileocolic side-to-side isoperistaltic anastomosis and without manipulating the VPS catheter.
    Discussion: Laparoscopic surgery in patients with VPS tubes was previously contraindicated because of the possibility of shunt-associated complications, that may include shunt malfunction due to increased intra-abdominal pressure, damage or infection of the catheter. Some authors reported that intracranial pressure increased up to 25 mmHg at a pneumoperitoneum pressure of 12 mmHgHerein we report, to our knowledge, the first case report of robotic assisted right colectomy for cancer in a patient with a VP shunt.
    Conclusion: Robotic assistance may allow to perform colorectal resection safely and with low risk also in patients with ventriculoperitoneal shunt.
    Language English
    Publishing date 2019-05-11
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2019.05.018
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  3. Article: Robotic transanal total mesorectal excision: A new perspective for low rectal cancer treatment. A case series.

    Monsellato, Igor / Morello, Alessia / Prati, Marta / Argenio, Giulio / Piscioneri, Domenico / Lenti, Luca Matteo / Priora, Fabio

    International journal of surgery case reports

    2019  Volume 61, Page(s) 86–90

    Abstract: Background: Rectal cancer treatment is still a challenging frontier in general surgery, as there is no general agreement on which surgical approach is best for its management. Total mesorectal excision (TME), influenced the practical approach to rectal ... ...

    Abstract Background: Rectal cancer treatment is still a challenging frontier in general surgery, as there is no general agreement on which surgical approach is best for its management. Total mesorectal excision (TME), influenced the practical approach to rectal cancer, and brought a significant improvement on tumor recurrence and patients survival. Robotic transanal surgery is a newer approach to rectal dissection whose purpose is to overcome the limits of the traditional transabdominal approach, improving accuracy of distal dissection and preservation of hypogastric innervation. An increasing interest on this new technique has raised, thanks to the excellent pathological and acceptable short-term clinical outcomes reported.
    Materials and methods: Three consecutive cases of robotic transanal TME were prospectically performed between May 2017 and October 2017.
    Results: TME quality was Quirke 3 grade in all cases. Mean operative time was 530 min. None of the patients had intra-operatively or post-operatively complications.
    Conclusions: Robotic transanal TME is a very recent procedure. Acclaimed greatest advantage of robotic transanal TME is the facilitation of dissection with an in-line view, which translates in an improved surgical field exposure and visualization. Further investigations are needed to assure the actual value of robotic transanal approach.
    Language English
    Publishing date 2019-07-19
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2019.07.034
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  4. Article ; Online: Fully robotic treatment of an epiphrenic diverticulum: report of a case.

    Pernazza, Graziano / Monsellato, Igor / Pende, Vito / Alfano, Giovanni / Mazzocchi, Paolo / D'Annibale, Annibale

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

    2012  Volume 21, Issue 2, Page(s) 96–100

    Abstract: Epiphrenic diverticula are rare protrusions of the distal esophagus attributed to esophageal motility disorders or obstructive diseases. In presence of a relevant symptomatology, surgery is mandatory. Although many reports confirm the feasibility of the ... ...

    Abstract Epiphrenic diverticula are rare protrusions of the distal esophagus attributed to esophageal motility disorders or obstructive diseases. In presence of a relevant symptomatology, surgery is mandatory. Although many reports confirm the feasibility of the laparoscopic transhiatal approach, the mobilization of the esophagus and the myotomy appear challenging. The intrinsic characteristics of the da Vinci Robotic System could facilitate the approach to the esophagogastric junction and an extended mobilization of the esophagus. We describe a robotic transhiatal surgical treatment of an epiphrenic diverticulum with a Dor antireflux procedure. Robotic-assisted diverticulectomy appears feasible and safe with a low risk of esophageal perforation and pleura damage.
    MeSH term(s) Diverticulum, Esophageal/surgery ; Esophagogastric Junction ; Feasibility Studies ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Robotics ; Treatment Outcome
    Language English
    Publishing date 2012-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1317160-4
    ISSN 1365-2931 ; 1364-5706
    ISSN (online) 1365-2931
    ISSN 1364-5706
    DOI 10.3109/13645706.2011.560608
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    Zs.A 3467: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  5. Article ; Online: Total mesorectal excision: a comparison of oncological and functional outcomes between robotic and laparoscopic surgery for rectal cancer.

    D'Annibale, Annibale / Pernazza, Graziano / Monsellato, Igor / Pende, Vito / Lucandri, Giorgio / Mazzocchi, Paolo / Alfano, Giovanni

    Surgical endoscopy

    2013  Volume 27, Issue 6, Page(s) 1887–1895

    Abstract: Background: Long-term data from the CLASICC study demonstrated the oncologic equivalence of laparoscopic and open rectal cancer surgery despite an increased circumferential resection margin involvement in the laparoscopic group in the initial report. ... ...

    Abstract Background: Long-term data from the CLASICC study demonstrated the oncologic equivalence of laparoscopic and open rectal cancer surgery despite an increased circumferential resection margin involvement in the laparoscopic group in the initial report. Moreover, laparoscopic total mesorectal excision (TME) may be associated with increased rates of male sexual dysfunction compared to conventional open TME. Robotic surgery could potentially obtain better results than laparoscopy. The aim of this study was to compare the clinical and functional outcomes of robotic and laparoscopic surgery in a single-center experience.
    Methods: This study was based on 100 patients who underwent minimally invasive anterior rectal resection with TME. Fifty consecutive robotic rectal anterior resections with TME (R-TME) were compared to the first 50 consecutive laparoscopic rectal resections with TME (L-TME).
    Results: Median operative time was 270 min in R-TME and 275 min in L-TME. No conversions occurred in the R-TME group whereas six conversions occurred in the L-TME group. The mean number of harvested lymph nodes was 16.5 ± 7.1 for R-TME and 13.8 ± 6.7 for L-TME. The circumferential margin (CRM) was <2 mm in six L-TME patients, whereas no one in R-TME group had a CRM <2 mm. The International Prostate Symptom Score (IPSS) scores were significantly increased 1 month after surgery in both the L-TME and R-TME groups, but they normalized 1 year after surgery. Erectile function worsened significantly 1 month after surgery in both the groups but it was restored completely 1 year after surgery in the R-TME group and partially in the L-TME group.
    Conclusions: Robotic TME is oncologically safe and adequate for rectal cancer treatment, showing better results than laparoscopic TME in terms of CRM, conversions, and hospital length of stay. Better recovery in voiding and sexual function is achieved with the robotic technique.
    MeSH term(s) Aged ; Anastomotic Leak/etiology ; Erectile Dysfunction/etiology ; Female ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Learning Curve ; Length of Stay ; Male ; Operative Time ; Prospective Studies ; Rectal Neoplasms/surgery ; Respiratory Tract Infections/etiology ; Retrospective Studies ; Robotics/methods ; Surgical Wound Infection/etiology ; Treatment Outcome
    Language English
    Publishing date 2013-01-05
    Publishing country Germany
    Document type Comparative Study ; Evaluation Study ; Journal Article
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-012-2731-4
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    Zs.A 2214: Show issues Location:
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  6. Article ; Online: Dealing with robot-assisted surgery for rectal cancer: Current status and perspectives.

    Biffi, Roberto / Luca, Fabrizio / Bianchi, Paolo Pietro / Cenciarelli, Sabina / Petz, Wanda / Monsellato, Igor / Valvo, Manuela / Cossu, Maria Laura / Ghezzi, Tiago Leal / Shmaissany, Kassem

    World journal of gastroenterology

    2016  Volume 22, Issue 2, Page(s) 546–556

    Abstract: The laparoscopic approach for treatment of rectal cancer has been proven feasible and oncologically safe, and is able to offer better short-term outcomes than traditional open procedures, mainly in terms of reduced length of hospital stay and time to ... ...

    Abstract The laparoscopic approach for treatment of rectal cancer has been proven feasible and oncologically safe, and is able to offer better short-term outcomes than traditional open procedures, mainly in terms of reduced length of hospital stay and time to return to working activity. In spite of this, the laparoscopic technique is usually practised only in high-volume experienced centres, mainly because it requires a prolonged and demanding learning curve. It has been estimated that over 50 operations are required for an experienced colorectal surgeon to achieve proficiency with this technique. Robotic surgery enables the surgeon to perform minimally invasive operations with better vision and more intuitive and precise control of the operating instruments, thus promising to overcome some of the technical difficulties associated with standard laparoscopy. It has high-definition three-dimensional vision, it translates the surgeon's hand movements into precise movements of the instruments inside the patient, the camera is held and moved by the first surgeon, and a fourth robotic arm is available as a fixed retractor. The aim of this review is to summarise the current data on clinical and oncologic outcomes of robot-assisted surgery in rectal cancer, focusing on short- and long-term results, and providing original data from the authors' centre.
    MeSH term(s) Clinical Competence ; Cost-Benefit Analysis ; Digestive System Surgical Procedures/adverse effects ; Digestive System Surgical Procedures/economics ; Digestive System Surgical Procedures/methods ; Health Care Costs ; Humans ; Learning Curve ; Postoperative Complications/etiology ; Psychomotor Performance ; Rectal Neoplasms/economics ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/economics ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2016-01-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2185929-2
    ISSN 2219-2840 ; 1007-9327
    ISSN (online) 2219-2840
    ISSN 1007-9327
    DOI 10.3748/wjg.v22.i2.546
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    Zs.A 6039: Show issues Location:
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  7. Article: Functional evaluation at 1-year follow-up of laparoscopic Nissen-Rossetti fundoplication.

    Tosato, Filippo / Monsellato, Igor / Marano, Salvatore / Leonardo, Giacomo / Portale, Giuseppe / Bezzi, Marcello

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2009  Volume 19, Issue 3, Page(s) 351–354

    Abstract: Laparoscopic Nissen fundoplication is currently the gold standard for surgical treatment of gastroesophageal reflux disease. The aim of this study was to present our experience with this procedure at 1 year of follow-up. Forty patients were operated on ... ...

    Abstract Laparoscopic Nissen fundoplication is currently the gold standard for surgical treatment of gastroesophageal reflux disease. The aim of this study was to present our experience with this procedure at 1 year of follow-up. Forty patients were operated on between January 2006 and July 2007, and 30 underwent a 24-hour postoperative pH-metry study. Ninety-two percent of the patients were asymptomatic at a follow-up of 12 months. All pH-metric parameters improved. DeMeester and Johnson's score was reduced from 44.7 to 7.75; endoscopy with histologic samples revealed the healing of esophagitis in all patients; 4 (13%) patients complained of dysphagia, which resolved within 1 month after surgery. Twenty-seven (90%) patients were completely satisfied by their surgical results. One year after surgery, 24-hour ph-metric results show that laparoscopic Nissen fundoplication can completely control acid reflux with relatively few complications and a high degree of patient satisfaction.
    MeSH term(s) Adult ; Aged ; Esophageal pH Monitoring ; Female ; Follow-Up Studies ; Fundoplication/methods ; Gastroesophageal Reflux/physiopathology ; Gastroesophageal Reflux/surgery ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Statistics, Nonparametric ; Surveys and Questionnaires ; Treatment Outcome
    Language English
    Publishing date 2009-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1381909-4
    ISSN 1092-6429
    ISSN 1092-6429
    DOI 10.1089/lap.2008.0373
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    Zs.A 3246: Show issues Location:
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  8. Article ; Online: Robotic adrenalectomy: technical aspects, early results and learning curve.

    D'Annibale, Annibale / Lucandri, Giorgio / Monsellato, Igor / De Angelis, Monica / Pernazza, Graziano / Alfano, Giovanni / Mazzocchi, Paolo / Pende, Vito

    The international journal of medical robotics + computer assisted surgery : MRCAS

    2012  Volume 8, Issue 4, Page(s) 483–490

    Abstract: Background: Adrenal surgery is undergoing continuous evolution, and robotic technology may extend indications for a minimally invasive approach to adrenalectomy.: Methods: Thirty robot-assisted unilateral transperitoneal adrenalectomy procedures have ...

    Abstract Background: Adrenal surgery is undergoing continuous evolution, and robotic technology may extend indications for a minimally invasive approach to adrenalectomy.
    Methods: Thirty robot-assisted unilateral transperitoneal adrenalectomy procedures have been performed at our Department over the last 5 years. The presence of bilateral lesions and vascular involvement were the only contra-indications for a minimally invasive approach. Several patients presented with significant co-morbidities: BMI > 35 kg/m(2) (20%); ASA score III-IV (58.7%); and moderate to severe impaired respiratory function (36.6%). In addition, 40% of patients had undergone previous abdominal surgery.
    Results: Two patients presented with intra-operative complications (6.6%) and only one patient required conversion to an open procedure (3.3%). None of the patients required intraoperative transfusions. Hospital morbidity was 10% but no mortality was recorded. The mean hospital stay was 5.2 ± 2.2 days. The mean size of the resected adrenal mass was 5.1 ± 2.4 cm. A significant reduction in operative times was found with gaining experience.
    Conclusions: Thanks to robotic technology, some subpopulations of patients with clinical or oncological contra-indications to laparoscopic treatment may be addressed with minimally invasive treatment.
    MeSH term(s) Adrenal Gland Neoplasms/surgery ; Adrenalectomy/adverse effects ; Adrenalectomy/education ; Adrenalectomy/methods ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Intraoperative Complications/etiology ; Learning Curve ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/adverse effects ; Minimally Invasive Surgical Procedures/education ; Minimally Invasive Surgical Procedures/methods ; Operative Time ; Robotics/education ; Robotics/methods ; Surgery, Computer-Assisted/adverse effects ; Surgery, Computer-Assisted/education ; Surgery, Computer-Assisted/methods ; Treatment Outcome
    Language English
    Publishing date 2012-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2151860-9
    ISSN 1478-596X ; 1478-5951
    ISSN (online) 1478-596X
    ISSN 1478-5951
    DOI 10.1002/rcs.1454
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    Zs.A 6382: Show issues Location:
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  9. Article: Robotic right colon resection: evaluation of first 50 consecutive cases for malignant disease.

    D'Annibale, Annibale / Pernazza, Graziano / Morpurgo, Emilio / Monsellato, Igor / Pende, Vito / Lucandri, Giorgio / Termini, Barbara / Orsini, Camillo / Sovernigo, Gianna

    Indian journal of surgical oncology

    2012  Volume 3, Issue 4, Page(s) 279–285

    Language English
    Publishing date 2012-07-18
    Publishing country India
    Document type Journal Article
    ZDB-ID 2568289-1
    ISSN 0976-6952 ; 0975-7651
    ISSN (online) 0976-6952
    ISSN 0975-7651
    DOI 10.1007/s13193-012-0193-8
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  10. Article ; Online: Correction to: Standard (8 weeks) vs long (12 weeks) timing to minimally-invasive surgery after NeoAdjuvant Chemoradiotherapy for rectal cancer: a multicenter randomized controlled parallel group trial (TiMiSNAR).

    Monsellato, Igor / Alongi, Filippo / Bertocchi, Elisa / Gori, Stefania / Ruffo, Giacomo / Cassinotti, Elisa / Baldari, Ludovica / Boni, Luigi / Pernazza, Graziano / Pulighe, Fabio / De Nisco, Carlo / Perinotti, Roberto / Morpurgo, Emilio / Contardo, Tania / Mammano, Enzo / Elmore, Ugo / Delpini, Roberto / Rosati, Riccardo / Perna, Federico /
    Coratti, Andrea / Menegatti, Benedetta / Gentilli, Sergio / Baroffio, Paolo / Buccianti, Piero / Balestri, Riccardo / Ceccarelli, Cristina / Torri, Valter / Cavaliere, Davide / Solaini, Leonardo / Ercolani, Giorgio / Traverso, Elena / Fusco, Vittorio / Rossi, Maura / Priora, Fabio / Numico, G / Franzone, Paola / Orecchia, Sara

    BMC cancer

    2020  Volume 20, Issue 1, Page(s) 128

    Abstract: Following publication of the original article [1], the authors reported that the family name of the author, Ludovica Baldari, was misspelled. ...

    Abstract Following publication of the original article [1], the authors reported that the family name of the author, Ludovica Baldari, was misspelled.
    Language English
    Publishing date 2020-02-17
    Publishing country England
    Document type Journal Article ; Published Erratum
    ISSN 1471-2407
    ISSN (online) 1471-2407
    DOI 10.1186/s12885-020-6632-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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