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  1. Article ; Online: ICG-NIR-guided lymph node dissection during robotic subtotal gastrectomy for gastric cancer. A single-centre experience.

    Romanzi, Andrea / Mancini, Raffaello / Ioni, Luigi / Picconi, Tullio / Pernazza, Graziano

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

    2021  Volume 17, Issue 2, Page(s) e2213

    Abstract: Background: Near-infrared (NIR) fluorescence imaging with indocyanine green (ICG) allows intraoperative visualisation of the lymph nodes (LNs) draining the tumour.: Methods: We included in our study 20 patients who underwent robotic subtotal ... ...

    Abstract Background: Near-infrared (NIR) fluorescence imaging with indocyanine green (ICG) allows intraoperative visualisation of the lymph nodes (LNs) draining the tumour.
    Methods: We included in our study 20 patients who underwent robotic subtotal gastrectomy + D2 lymphadenectomy for gastric cancer. In 10 cases, intraoperative ICG-guided lymphography has been used (Group A). We compared the number of LNs retrieved with the use of NIR imaging and the number of LNs retrieved without the use of this technique (Group B, historical group).
    Results: No complications related to ICG injection or near-infrared imaging were observed. The mean number of overall LNs retrieved was significantly greater in Group A than in group B (40 vs. 24). No statistically significant difference in operative time was observed.
    Conclusions: ICG-guided fluorescent lymphography can help in performing a more accurate locoregional lymphadenectomy during robotic subtotal gastrectomy for gastric cancer. This technique represents a precious contribution to gastric cancer surgery.
    MeSH term(s) Gastrectomy ; Humans ; Indocyanine Green ; Lymph Node Excision ; Lymph Nodes/diagnostic imaging ; Lymph Nodes/surgery ; Robotic Surgical Procedures ; Stomach Neoplasms/surgery
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2021-01-15
    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.2213
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  2. Article ; Online: The role of telemedicine in the postoperative home monitoring after robotic colo-rectal cancer surgery: a preliminary single center experience.

    Mancini, Raffaello / Bartolo, Michelangelo / Pattaro, Giada / Ioni, Luigi / Picconi, Tullio / Pernazza, Graziano

    Updates in surgery

    2021  Volume 74, Issue 1, Page(s) 171–178

    Abstract: The telemedicine studies, takes care and prevents diseases at distance basing on the interaction among physicians and patients remotely. Few data are available on its application to early postoperative after surgery. The endpoints of our preliminary ... ...

    Abstract The telemedicine studies, takes care and prevents diseases at distance basing on the interaction among physicians and patients remotely. Few data are available on its application to early postoperative after surgery. The endpoints of our preliminary experience were the detection, as primary, of feasibility and safety of home telemonitoring after robotic colo-rectal resection and, as secondary, perception and satisfaction of the patients. From December 2019 to March 2020, at the Division of Robotic Surgery of San Giovanni Hospital of Rome, 20 of 29 colorectal cancer patients, submitted to Robotic resection, were prospectively included in a program of postoperative home telemonitoring. Telemonitoring was considered feasible if at least 75% of data were available and safe if morbidity ≤ II by Clavien-Dindo classification. Perception and patients' satisfaction were evaluated through a dedicated questionnaire. Out of 20 patients, the median age was 68 years, overall postoperative morbidity was 30%, all events classified Clavien-Dindo Grade I or II. Only 2 patients were corresponded to surgical consult without readmission during home telemonitoring. Compliance of patients was > 80%, overall grade of satisfaction was very high: 4.2 as median (range 0-5). In this preliminary study, the procedures of postoperative home telemonitoring were feasible and safe and high rate of patients' satisfaction was observed. The telemedicine could enhance the role of robotic technique in decrease the hospital stay and improving postoperative recovery after surgery. Further structured prospective trial are needed to validate the routine application of telemedicine in healthcare.
    MeSH term(s) Aged ; Humans ; Length of Stay ; Prospective Studies ; Rectal Neoplasms ; Robotic Surgical Procedures ; Telemedicine ; Treatment Outcome
    Language English
    Publishing date 2021-07-27
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-021-01132-1
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  3. Article: Laparoscopic splenectomy for ruptured spleen: lessons learned from a case.

    Basso, Nicola / Silecchia, Gianfranco / Raparelli, Luigi / Pizzuto, Gennaro / Picconi, Tullio

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2003  Volume 13, Issue 2, Page(s) 109–112

    Abstract: Splenic rupture is a frequent consequence of blunt abdominal trauma. When nonsurgical management is not indicated, splenic rupture is usually an emergency requiring surgery. Removal of the spleen (splenectomy) or alternative conservative procedures ( ... ...

    Abstract Splenic rupture is a frequent consequence of blunt abdominal trauma. When nonsurgical management is not indicated, splenic rupture is usually an emergency requiring surgery. Removal of the spleen (splenectomy) or alternative conservative procedures (splenorraphy, partial splenectomy, and hemostatic collagen application) are surgical treatment options. Recently, laparoscopic conservative techniques have been proposed. Laparoscopic splenectomy for a ruptured spleen has been reported only in a single case, in which a hand-assisted technique was used. We present the first reported case, to our knowledge, of successful removal of a ruptured spleen by means of a totally laparoscopic technique. Adequate technical instrumentation, such as the endostapler, harmonic scalpel, and red cell-saving machine, in addition to extensive experience with routine splenectomy, were essential factors to ensure a safe and effective procedure.
    MeSH term(s) Accidents, Traffic ; Adult ; Humans ; Laparoscopy/methods ; Male ; Splenectomy/methods ; Splenic Rupture/diagnostic imaging ; Splenic Rupture/surgery ; Tomography, X-Ray Computed ; Wounds, Nonpenetrating/diagnostic imaging ; Wounds, Nonpenetrating/surgery
    Language English
    Publishing date 2003-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1381909-4
    ISSN 1092-6429
    ISSN 1092-6429
    DOI 10.1089/109264203764654740
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    Zs.A 3246: Show issues Location:
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