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  1. Article ; Online: Does robotic distal pancreatectomy surgery offer similar results as laparoscopic and open approach? A comparative study from a single medical center.

    Duran, Hipolito / Ielpo, Benedetto / Caruso, Riccardo / Ferri, Valentina / Quijano, Yolanda / Diaz, Eduardo / Fabra, Isabel / Oliva, Catalina / Olivares, Sergio / Vicente, Emilio

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

    2014  Volume 10, Issue 3, Page(s) 280–285

    Abstract: Introduction: In the field of pancreatic surgery, robotic surgery has yet to be evaluated against open and laparoscopic approaches. The outcomes of robotic surgery for distal pancreatectomy were analysed and the results compared with those of ... ...

    Abstract Introduction: In the field of pancreatic surgery, robotic surgery has yet to be evaluated against open and laparoscopic approaches. The outcomes of robotic surgery for distal pancreatectomy were analysed and the results compared with those of laparoscopic and open procedures.
    Methods: Retrospective reviews were made of 47 patients who underwent distal pancreatectomy at our institution between 2008 and 2013 with three different approaches: 16 robotic, 18 laparoscopic and 13 open surgeries.
    Results: A significant difference was observed in blood loss in the open group (mean 3.44 units) compared with the robotic (mean 0.5 units) and laparoscopic (0 units) technique (P  = 0.046). A shorter hospital stay was observed for the robotic group (8.87 days) compared with the laparoscopic (19.16 days) and open groups (20.44 days) (P = 0.035). Morbidity was lower in the robotic group (0%) compared with the Laparoscopic (44%) and Open groups (46%) (P = 0.014).
    Conclusions: These findings support the proposition that robotic distal pancreatectomy is as safe as the laparoscopic approach.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Laparoscopy/methods ; Length of Stay ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Pancreas/surgery ; Pancreatectomy/methods ; Pancreatic Neoplasms/surgery ; Retrospective Studies ; Robotic Surgical Procedures
    Language English
    Publishing date 2014-09
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 2151860-9
    ISSN 1478-596X ; 1478-5951
    ISSN (online) 1478-596X
    ISSN 1478-5951
    DOI 10.1002/rcs.1569
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  2. Article ; Online: Alternative arterial reconstruction after extended pancreatectomy. Case report and some considerations of locally advanced pancreatic cancer.

    Ielpo, Benedetto / Ferri, Valentina / Caruso, Riccardo / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Oliva, Catalina / Olivares, Sergio / Quijano, Yolanda / Vicente, Emilio

    JOP : Journal of the pancreas

    2013  Volume 14, Issue 4, Page(s) 432–437

    Abstract: Context: The clinical benefits of distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer remains controversial and, therefore, declared unresectable in most cases. Appleby first described extended distal ... ...

    Abstract Context: The clinical benefits of distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer remains controversial and, therefore, declared unresectable in most cases. Appleby first described extended distal pancreatectomy with celiac axis resection for locally advanced gastric cancer.
    Case report: We report a case of a 65-year-old female who presented a locally advanced pancreatic carcinoma with infiltration of celiac axis. After radio-chemo neoadjuvant treatment, the patient underwent exploratory laparoscopy and subsequent distal pancreatectomy with en bloc resection of celiac axis. Arterial reconstruction was necessary as hepatic flow was not adequate, determined by intraoperative Doppler ultrasonography. It consisted of end to end anastomosis with prosthetic graft between hepatic artery directly to the aorta, as an atheromatous plaque was at the origin of the celiac axis. The postoperative course was uneventful with a perfect relief of pain. She presents a long term survival of 36 months, very exceptional for this type of disease.
    Conclusion: The particularity of this case is not only the surgical treatment, rarely offered to these patients, but also and especially the subsequent vascular reconstruction. To our knowledge, this is the first report of this type of arterial reconstruction. Besides, we briefly discuss the recent advances in results of extended distal pancreatectomy with arterial resection for locally advanced pancreatic carcinoma.
    MeSH term(s) Aged ; Arteries/surgery ; Celiac Artery/surgery ; Female ; Hepatic Artery/surgery ; Humans ; Pancreatectomy/methods ; Pancreatic Neoplasms/pathology ; Pancreatic Neoplasms/surgery ; Reconstructive Surgical Procedures/methods ; Treatment Outcome
    Language English
    Publishing date 2013-07-10
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 2039637-5
    ISSN 1590-8577 ; 1590-8577
    ISSN (online) 1590-8577
    ISSN 1590-8577
    DOI 10.6092/1590-8577/1468
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  3. Article ; Online: Is arterial infiltration still a criterion for unresectability in pancreatic adenocarcinoma?

    Vicente, Emilio / Quijano, Yolanda / Ielpo, Benedetto / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Oliva, Catalina / Olivares, Sergio / Caruso, Riccardo / Ferri, Valentina / Ceron, Ricardo / Moreno, Almudena

    Cirugia espanola

    2014  Volume 92, Issue 5, Page(s) 305–315

    Abstract: As surgical resection remains the only hope for cure in pancreatic cancer (PC), more aggressive surgical approaches have been advocated to increase resection rates. Venous resection demonstrated to be a feasible technique in experienced centers, ... ...

    Abstract As surgical resection remains the only hope for cure in pancreatic cancer (PC), more aggressive surgical approaches have been advocated to increase resection rates. Venous resection demonstrated to be a feasible technique in experienced centers, increasing survival. In contrast, arterial resection is still an issue of debate, continuing to be considered a general contraindication to resection. In the last years there have been significant advances in surgical techniques and postoperative management which have dramatically reduced mortality and morbidity of major pancreatic resections. Furthermore, advances in multimodal neo-adjuvant and adjuvant treatments, as well as the better understanding of tumor biology and new diagnostic options have increased overall survival. In this article we highlight some of the important points that a modern pancreatic surgeon should take into account in the management of PC with arterial involvement in light of the recent advances.
    MeSH term(s) Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Arteries ; Celiac Artery ; Hepatic Artery ; Humans ; Mesenteric Artery, Superior ; Neoplasm Invasiveness ; Pancreatectomy/methods ; Pancreatic Neoplasms/pathology ; Pancreatic Neoplasms/surgery ; Vascular Neoplasms/pathology
    Language English
    Publishing date 2014-05
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2013.11.001
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  4. Article ; Online: Robotic versus laparoscopic rectal resection: is there any real difference? A comparative single center study.

    Ielpo, Benedetto / Caruso, Riccardo / Quijano, Yolanda / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Oliva, Catalina / Olivares, Sergio / Ferri, Valentina / Ceron, Ricardo / Plaza, Carlos / Vicente, Emilio

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

    2014  Volume 10, Issue 3, Page(s) 300–305

    Abstract: Introduction: Robotic surgery has gained worldwide acceptance in the past decade, and several studies have shown that this technique is safe and feasible. The aim of this study is to compare main outcomes of laparoscopic and robotic rectal resection.: ...

    Abstract Introduction: Robotic surgery has gained worldwide acceptance in the past decade, and several studies have shown that this technique is safe and feasible. The aim of this study is to compare main outcomes of laparoscopic and robotic rectal resection.
    Methods: In total, 143 consecutive patients treated for rectal cancer in our department with laparoscopic or robotic-assisted surgery from October 2010 to July 2013 were retrospectively analyzed.
    Results: A total of 87 patients underwent laparoscopic rectal resection, and 56 patients were treated using a robotic approach. The conversion rate was 11.5% in the laparoscopic group and 3.5% in the robotics group (P =  0.09). The low rectal cancer conversion rate was significantly lower in the robotic group (1.8%) than in the laparoscopy group (9.2%) (P = 0.04). Mean operation time was 252 min in the laparoscopic group and 309 min in the robotic group (P =  0.023).
    Conclusions: The robotic approach shows a lower conversion rate in low rectal cancer but with a longer operative time compared with the laparoscopic technique.
    MeSH term(s) Adult ; Aged ; Biopsy ; Female ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Operative Time ; Postoperative Complications ; Rectal Neoplasms/surgery ; Rectum/surgery ; Retrospective Studies ; Robotic Surgical Procedures/methods ; Treatment Outcome
    Language English
    Publishing date 2014-09
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 2151860-9
    ISSN 1478-596X ; 1478-5951
    ISSN (online) 1478-596X
    ISSN 1478-5951
    DOI 10.1002/rcs.1583
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  5. Article: ALPPS procedure: our experience and state of the art.

    Ielpo, Benedetto / Caruso, Riccardo / Ferri, Valentina / Quijano, Yolanda / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Oliva, Catalina / Olivares, Sergio / Plaza, José Carlos / Vicente, Emilio

    Hepato-gastroenterology

    2013  Volume 60, Issue 128, Page(s) 2069–2075

    Abstract: Background/aims: The majority of the time extended liver resections cannot be realized because of an insufficient future remnant liver. Baumgart suggests recently combining liver partition and portal vein section for staged hepatectomy, named ALPPS ... ...

    Abstract Background/aims: The majority of the time extended liver resections cannot be realized because of an insufficient future remnant liver. Baumgart suggests recently combining liver partition and portal vein section for staged hepatectomy, named ALPPS procedure. Our aim is to share our initial experience with ALPPS procedure and to perform the first comprehensive English literature review.
    Methodology: From January 2011 until June 2013, 6 patients underwent ALPPS, performing 6 extended right hepatectomies (one with concomitant right colectomy, one with main biliary duct resection).
    Results: The present series showed a mean of 110% volume hypertrophy of the future remnant liver achieved with a mean of 15.3 days after ALPPS. One patient experienced severe liver failure, one had biliary leak and one died for postoperative respiratory distress syndrome. After a mean followup of 16.2 months (range 2-30 months) one patient had liver recurrence. In an English literature search, we identified 18 publications describing a mean hypertrophy rate of 85%, a mean morbidity and mortality rate of 35% and 6%, respectively.
    Conclusions: ALPPS is an effective technique used to induce an increased and rapid growth of the future remnant liver, but at the price of a higher morbidity and mortality compared with other conventional procedures.
    MeSH term(s) Bile Duct Neoplasms/pathology ; Bile Duct Neoplasms/surgery ; Cholangiocarcinoma/pathology ; Cholangiocarcinoma/surgery ; Colorectal Neoplasms/pathology ; Common Bile Duct/pathology ; Common Bile Duct/surgery ; Fatal Outcome ; Female ; Hepatectomy/adverse effects ; Hepatectomy/methods ; Humans ; Hypertrophy ; Ligation ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Liver Regeneration ; Male ; Middle Aged ; Neoplasm Recurrence, Local ; Portal Vein/surgery ; Postoperative Complications/etiology ; Risk Factors ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome
    Language English
    Publishing date 2013-11
    Publishing country Greece
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 801013-4
    ISSN 0172-6390
    ISSN 0172-6390
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  6. Article: Giant pancreatic insulinoma. The bigger the worse? Report of two cases and literature review.

    Ielpo, Benedetto / Caruso, Riccardo / Ferri, Valentina / Quijano, Yolanda / Duran, Hipolito / Diaz, Eduardo / Fabra, Isabel / Puga, Ramon / Oliva, Catalina / Olivares, Sergio / Vicente, Emilio

    International journal of surgery case reports

    2012  Volume 4, Issue 3, Page(s) 265–268

    Abstract: Introduction: Giant pancreatic insulinomas are rare endocrine tumors. We describe 2 cases reviewing the current literature.: Presentation of case: We report herein 2 female patients affected by giant insulinomas of 14cm and 6cm, respectively. ... ...

    Abstract Introduction: Giant pancreatic insulinomas are rare endocrine tumors. We describe 2 cases reviewing the current literature.
    Presentation of case: We report herein 2 female patients affected by giant insulinomas of 14cm and 6cm, respectively. Symptomatic hypoglycemia episodes occurred during 4 months in first case and 3 years in the second one until diagnosis. Both patients were successfully treated performing a distal pancreatectomy with splenic preservation in the first case and a Whipple's procedure in the second one.
    Discussion: Up to now only 7 cases have been reported previously. Insulinomas larger than 3cm accounts for less than 5% of all. This literature review shows that despite the size hypoglycemic symptoms varies from 1 day to 3 years and only 1 out of 9 cases reported presented lymph nodes metastases. No recurrences have been described.
    Conclusion: One of the cases here described (14cm) is the largest presented in the literature. Despite the size, giant insulinoma is related apparently neither to metastases nor to the recurrences.
    Language English
    Publishing date 2012-12-11
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2012.11.019
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  7. 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, 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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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