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  1. Article: Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia.

    Petroncini, Matteo / Valentini, Leonardo / Solli, Piergiorgio / Bertoglio, Pietro

    Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace

    2023  

    Abstract: A 49-year-old Caucasian man was admitted to the Emergency Department for shortness of breath and cough. CT imaging showed bilateral a mild COVID-19 related pneumonia. He was hospitalized in the low-intensity COVID-19 unit where he received O2 therapy and ...

    Abstract A 49-year-old Caucasian man was admitted to the Emergency Department for shortness of breath and cough. CT imaging showed bilateral a mild COVID-19 related pneumonia. He was hospitalized in the low-intensity COVID-19 unit where he received O2 therapy and oral corticosteroids (CS). Three weeks after discharge a high-resolution computed tomography (HRCT) find a giant bulla of the inferior lobe. The bulla was resected by video-assisted thoracoscopic surgery (VATS) and the patient recovered completely. In our patient, it is reasonable to suspect that the development of the bulla is a result of SARS-CoV-2 infection, since no bulla was observed in the first HRCT two months before. SARS-CoV-2 related pneumonia may be responsible for lung remodeling due to diffuse alveolar damage and later interstitial myofibroblastic proliferation. Corticosteroids might have played a role in increasing SARS-CoV-2 dystrophic action. COVID-19 leads to pulmonary damages, which are still partially unknown and might result in development of bullae. In fit patient surgical treatment can be carried out safely.
    Language English
    Publishing date 2023-09-27
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1160940-0
    ISSN 1122-0643 ; 1120-0391
    ISSN 1122-0643 ; 1120-0391
    DOI 10.4081/monaldi.2023.2559
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The future of artificial intelligence in thoracic surgery for non-small cell lung cancer treatment a narrative review.

    Abbaker, Namariq / Minervini, Fabrizio / Guttadauro, Angelo / Solli, Piergiorgio / Cioffi, Ugo / Scarci, Marco

    Frontiers in oncology

    2024  Volume 14, Page(s) 1347464

    Abstract: Objectives: To present a comprehensive review of the current state of artificial intelligence (AI) applications in lung cancer management, spanning the preoperative, intraoperative, and postoperative phases.: Methods: A review of the literature was ... ...

    Abstract Objectives: To present a comprehensive review of the current state of artificial intelligence (AI) applications in lung cancer management, spanning the preoperative, intraoperative, and postoperative phases.
    Methods: A review of the literature was conducted using PubMed, EMBASE and Cochrane, including relevant studies between 2002 and 2023 to identify the latest research on artificial intelligence and lung cancer.
    Conclusion: While AI holds promise in managing lung cancer, challenges exist. In the preoperative phase, AI can improve diagnostics and predict biomarkers, particularly in cases with limited biopsy materials. During surgery, AI provides real-time guidance. Postoperatively, AI assists in pathology assessment and predictive modeling. Challenges include interpretability issues, training limitations affecting model use and AI's ineffectiveness beyond classification. Overfitting and global generalization, along with high computational costs and ethical frameworks, pose hurdles. Addressing these challenges requires a careful approach, considering ethical, technical, and regulatory factors. Rigorous analysis, external validation, and a robust regulatory framework are crucial for responsible AI implementation in lung surgery, reflecting the evolving synergy between human expertise and technology.
    Language English
    Publishing date 2024-02-13
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2024.1347464
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Modified surgical incision suturing technique in uniportal video-assisted thoracoscopic pulmonary resection.

    Pan, Liuying / Chen, Tengfei / Liang, Zhipan / Solli, Piergiorgio / Bedetti, Benedetta / Kim, Kyung Soo / She, Xiaowei

    Journal of thoracic disease

    2024  Volume 16, Issue 2, Page(s) 1388–1396

    Abstract: Background: In recent years, single-hole thoracoscopic surgery technology is widely used in major medical centers and chest-specialized hospitals for the treatment of lung diseases. However, the single-hole minimally invasive surgery method focuses on ... ...

    Abstract Background: In recent years, single-hole thoracoscopic surgery technology is widely used in major medical centers and chest-specialized hospitals for the treatment of lung diseases. However, the single-hole minimally invasive surgery method focuses on one incision, and all surgical instruments need to pass through the same hole, resulting in repeated extrusion and tissue damage of the surgical incision. Therefore, we have improved the suture method of conventional surgical incision in order to reduce the probability of wound infection and dehiscence, promote early healing, and reduce the severity of postoperative wound scar, thereby enhancing the postoperative rapid recovery of patients. The purpose of this study is to explore the clinical efficacy of a modified surgical incision suture technique applied to uniportal thoracoscopic pulmonary resection.
    Methods: This study retrospectively analyzed 151 patients who were admitted to the Department of Thoracic Surgery and underwent pulmonary resection from January 2019 to October 2021 in the North District of Suzhou Municipal Hospital. The patients were divided into two groups according to the different surgical incision suture methods: a modified group and a conventional group. The postoperative general clinical indexes, incision infection rate, secondary suture rate, postoperative incision pain score, and the severity of postoperative incision scar were compared and analyzed between the two groups.
    Results: There were no statistically significant differences between the two groups in terms of chest tube duration or postoperative drainage and postoperative incision pain scores; the incision infection rate (1.3%
    Conclusions: Our modified suture method reduces the chance of infection and splitting and the severity of postoperative incision scar formation, promoting early healing. It can be safely and effectively applied to the incision suture of uniportal thoracoscopic pulmonary resection, enhancing the rapid postoperative recovery of patients.
    Language English
    Publishing date 2024-02-26
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-23-1968
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The new frontier of hepatitis C virus (HCV)-mismatched heart and lung transplantation.

    Solli, Piergiorgio / Dolci, Giampiero / Ranieri, V Marco

    Annals of translational medicine

    2020  Volume 7, Issue Suppl 8, Page(s) S279

    Language English
    Publishing date 2020-01-03
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm.2019.11.123
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Posttraumatic transmediastinal pulmonary hernia: An extremely rare clinical entity.

    Brandolini, Jury / Bertoglio, Pietro / Kawamukai, Kenji / Bonfanti, Barbara / Forti Parri, Sergio Nicola / Garelli, Elena / Solli, Piergiorgio

    JTCVS techniques

    2023  Volume 18, Page(s) 168–170

    Language English
    Publishing date 2023-01-21
    Publishing country United States
    Document type Case Reports
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2023.01.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Surgery for Solitary Fibrous Tumors of the Pleura: A Review of the Available Evidence.

    Bertoglio, Pietro / Querzoli, Giulia / Kestenholz, Peter / Scarci, Marco / La Porta, Marilina / Solli, Piergiorgio / Minervini, Fabrizio

    Cancers

    2023  Volume 15, Issue 16

    Abstract: Solitary fibrous tumors of the pleura (pSFT) are a relatively rare neoplasms that can arise from either visceral or parietal pleura and may have different aggressive biological behaviors. Surgery is well known to be the cornerstone of the treatment for ... ...

    Abstract Solitary fibrous tumors of the pleura (pSFT) are a relatively rare neoplasms that can arise from either visceral or parietal pleura and may have different aggressive biological behaviors. Surgery is well known to be the cornerstone of the treatment for pSFT. We reviewed the existing literature, focusing on the role of surgery in the management and treatment of pSFT. All English-written literature has been reviewed, focusing on those reporting on the perioperative management and postoperative outcomes. Surgery for pSFT is feasible and safe in all experiences reported in the literature, but surgical approaches and techniques may vary according to the tumor dimensions, localization, and surgeons' skills. Long-term outcomes are good, with a 10-year overall survival rate of more than 70% in most of the reported experiences; on the other hand, recurrence may happen in up to 17% of cases, which occurs mainly in the first two years after surgery, but case reports suggest the need for a longer follow-up to assess the risk of late recurrence. Malignant histology and dimensions are the most recognized risk factors for recurrence. Recurrence might be operated on in select patients. Surgery is the treatment of choice in pSFT, but a radical resection and a careful postoperative follow-up should be carried out.
    Language English
    Publishing date 2023-08-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15164166
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: COUNTERPOINT: Should Segmentectomy Rather Than Lobectomy Be the Operation of Choice for Early-Stage Non-small Cell Lung Cancer? No.

    Bertolaccini, Luca / Solli, Piergiorgio

    Chest

    2017  Volume 153, Issue 3, Page(s) 592–595

    MeSH term(s) Carcinoma, Non-Small-Cell Lung/surgery ; Humans ; Lung Neoplasms/surgery ; Pneumonectomy ; Thoracic Surgery, Video-Assisted
    Language English
    Publishing date 2017-11-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2017.10.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Rebuttal From Drs Bertolaccini and Solli.

    Bertolaccini, Luca / Solli, Piergiorgio

    Chest

    2017  Volume 153, Issue 3, Page(s) 596–597

    MeSH term(s) Carcinoma, Non-Small-Cell Lung ; Humans ; Lung Neoplasms ; Mastectomy, Segmental ; Small Cell Lung Carcinoma
    Language English
    Publishing date 2017-11-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2017.10.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Lung Transplant Recipients and COVID-19: Report of Two Cases.

    Antonacci, Filippo / Petroncini, Matteo / Salvaterra, Elena / Bertoglio, Pietro / Daddi, Niccolò / Lai, Giulia / Brandolini, Jury / Solli, Piergiorgio / Dolci, Giampiero

    Journal of clinical medicine

    2023  Volume 12, Issue 13

    Abstract: Although the WHO has declared the end of the pandemic emergency, COVID-19 still poses a threat to immunocompromised patients. The COVID-19 pandemic has spread throughout the world over the last two years, causing a significant number of deaths. After ... ...

    Abstract Although the WHO has declared the end of the pandemic emergency, COVID-19 still poses a threat to immunocompromised patients. The COVID-19 pandemic has spread throughout the world over the last two years, causing a significant number of deaths. After three years, SARS-CoV-2 has lost its initial lethality but has shown a significantly worse prognosis for immunocompromised patients, especially those who have undergone lung transplantation, compared with the general population. This paper presents two compelling case studies that highlight the complex challenges of COVID-19 infection in lung transplant recipients. The first case involves a patient who received a bilateral lung transplant for pulmonary artery hypertension in 2009, followed by a kidney transplant in 2022. Surprisingly, despite an initially favorable clinical course after contracting COVID-19, the patient deteriorated rapidly and died within a few days due to extensive lung involvement. This case highlights the unpredictable nature of COVID-19 and its potentially devastating impact on lung transplant recipients. The second case involves a patient who underwent bilateral lung transplantation five years earlier for chronic obstructive pulmonary disease (COPD). This individual also contracted COVID-19 and had pre-existing complications, including chronic lung allograft rejection (CLAD) and diffuse bronchial stenosis. Following viral infection, the patient's clinical condition deteriorated rapidly, with worsening bronchial stenosis. This case highlights the ability of COVID-19 to exacerbate pre-existing pulmonary complications in transplant recipients. These cases highlight the urgent need for increased vigilance and tailored management strategies when dealing with COVID-19 in lung transplant recipients. The unpredictable and detrimental course of the disease observed in these patients highlights the importance of implementing stringent preventive measures, such as vaccination and strict adherence to infection control protocols, in this vulnerable population. Further research is essential to gain a full understanding of the unique dynamics of COVID-19 in lung transplant recipients and to develop targeted interventions to improve their outcomes.
    Language English
    Publishing date 2023-06-26
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12134287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Vascular injuries during VATS lobectomies: keep calm, compress and have a plan.

    Bertolaccini, Luca / Calabrese, Francesca / Brandolini, Jury / Solli, Piergiorgio

    Annals of translational medicine

    2019  Volume 7, Issue 1, Page(s) 19

    Language English
    Publishing date 2019-02-06
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm.2018.11.33
    Database MEDical Literature Analysis and Retrieval System OnLINE

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