|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Advances in laparoscopy for acute care surgery and trauma显示文摘The greatest advantages of laparoscopy when compared to open surgery include the faster recovery times, shorter hospital stays, decreased postoperative pain, earlier return to work and resumption of normal daily activity as well as cosmetic benefits. Laparoscopy today is considered the gold standard of care in the treatment of cholecystitis and appendicitis worldwide. Laparoscopy has even been adopted in colorectal surgery with good results. The technological improvements in this surgical field along with the development of modern techniques and the acquisition of specific laparoscopic skills have allowed for its utilization in operations with fully intracorporeal anastomoses. Further progress in laparoscopy has included single-incision laparoscopic surgery and natural orifice trans-luminal endoscopic surgery. Nevertheless, laparoscopy for emergency surgery is still considered challenging and is usually not recommended due to the lack of adequate experience in this area. The technical difficulties of operating in the presence of diffuse peritonitis or large purulent collections and diffuse adhesions are also given as reasons. However, the potential advantages of laparoscopy, both in terms of diagnosis and therapy, are clear. Major advantages may be observed in cases with diffuse peritonitis secondary to perforated peptic ulcers,for example, where laparoscopy allows the confirmation of the diagnosis, the identification of the position of the ulcer and a laparoscopic repair with effective peritoneal washout. Laparoscopy has also revolutionized the approach to complicated diverticulitis even when intestinal perforation is present. Many other emergency conditions can be effectively managed laparoscopically, including trauma in select hemodynamically-stable patients. We have therefore reviewed the most recent scientific literature on advances in laparoscopy for acute care surgery and trauma in order to demonstrate the current indications and outcomes associated with a laparoscopic approach to the treatment of the most common emergency surgical conditions. | Matteo Mandrioli Kenji Inaba Alice Piccinini Andrea Biscardi Massimo Sartelli Ferdinando Agresta Fausto Catena Roberto Cirocchi Elio Jovine Gregorio Tugnoli Salomone Di Saverio | 2016 | World Journal of Gastroenterology2016，22，2： | 11 |
| 2 | Liver resection versus radiofrequency ablation in the treatment of cirrhotic patients with hepatocellular carcinoma显示文摘BACKGROUND: Hepatocellular carcinoma is the most common type of primary liver tumor and its incidence is increasing worldwide. The study aimed to compare patients subjected to liver resection or radiofrequency ablation. METHODS: One hundred and forty cirrhotic patients in stage A or B of Child-Pugh with single nodular or multinodular hepatocellular carcinoma were included in this retrospective study. Among them, 87 underwent surgical resection, and 53 underwent percutaneous radiofrequency ablation. Patient charac-teristics, survival, and recurrence-free survival were analyzed. RESULTS: Recurrence-free survival was longer in the resection group in comparison to the radiofrequency group with a median recurrence-free time of 36 versus 26 months, respectively (P=0.01, HR=1.52, 95% CI: 1.05-2.25). In the resection group, median survival was 46 months, with the 1-, 3- and 5-year survival rates of 89.7%, 72.4% and 40.2%. In the radiofrequency group, median survival was 32 months, with the 1-, 3- and 5-year survival rates of 83.0%, 43.4% and 22.6% (P<0.01). CONCLUSIONS: Surgical resection improves the overall survival and recurrence-free survival in comparison with radiofrequency ablation. New evidences are needed to define the real role of the percutaneous technique as an alternative to surgery. | Amilcare Parisi Jacopo Desiderio Stefano Trastulli Elisa Castellani Rosario Pasquale Roberto Cirocchi Carlo Boselli Giuseppe Noya | 2013 | Hepatobiliary & Pancreatic Diseases International2013，12，3： | 8 |
| 3 | Safety and efficacy of endoscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer: A systematic review and meta-analysis显示文摘 | Roberto Cirocchi Eriberto Farinella Stefano Trastulli Jacopo Desiderio Chiara Listorti Carlo Boselli Amilcare Parisi Giuseppe Noya Jayesh Sagar | 2012 | Surgical Oncology2012，，： | 4 |
| 4 | New totally intracorporeal reconstructive approach after robotic total gastrectomy: Technical details and short-term outcomes显示文摘AIM To show outcomes of our series of patients that underwent a total gastrectomy with a robotic approach and highlight the technical details of a proposed solution for the reconstruction phase.METHODS Data of gastrectomies performed from May 2014 to October 2016, were extracted and analyzed. Basic characteristics of patients, surgical and clinical outcomes were reported. The technique for reconstruction(Parisi Technique) consists on a loop of bowel shifted up antecolic to directly perform the esophago-enteric anastomosis followed by a second loop, measured up to 40 cm starting from the esojejunostomy, fixed to the biliary limb to create an enteroenteric anastomosis. The continuity between the two anastomoses is interrupted just firing a linear stapler, so obtaining the Roux-en-Y by avoiding to interrupt the mesentery.RESULTS Fifty-five patients were considered in the present analysis. Estimated blood loss was 126.55 ± 73 m L, no conversions to open surgery occurred, R0 resections were obtained in all cases. Hospital stay was 5(3-17) d, no anastomotic leakage occurred. Overall, a fast functional recovery was shown with a median of 3(3-6) d in starting a solid diet.CONCLUSION Robotic surgery and the adoption of a tailored reconstruction technique have increased the feasibility and safety of a minimally invasive approach for total gastrectomy. The present series of patients shows its implementation in a western center with satisfying short-term outcomes. | Amilcare Parisi Francesco Ricci Alessandro Gemini Stefano Trastulli Roberto Cirocchi Giorgio Palazzini Vito D'Andrea Jacopo Desiderio | 2017 | World Journal of Gastroenterology2017，23，23： | 4 |
| 5 | Current status of robotic distal pancreatectomy: A systematic review显示文摘 | Roberto Cirocchi Stefano Partelli Andrea Coratti Jacopo Desiderio Amilcare Parisi Massimo Falconi | 2013 | Surgical Oncology2013，，： | 2 |
| 6 | High tie versus low tie of the inferior mesenteric artery in colorectal cancer: A RCT is needed显示文摘 | Roberto Cirocchi Stefano Trastulli Eriberto Farinella Jacopo Desiderio Nereo Vettoretto Amilcare Parisi Carlo Boselli Giuseppe Noya | 2012 | Surgical Oncology2012，，3： | 2 |
| 7 | Surgery in asymptomatic patients with colorectal cancer and unresectable liver metastases: the authors’ experience显示文摘 | Claudio Renzi Castellani Francesco Barberini Roberto Cirocchi Gemini Noya Boselli Parisi Corsi Desiderio Adriano Redler Trastulli Alberto Santoro | 2013 | 2013 (defa)2013，，： | 2 |
| 8 | Laparoscopic Peritoneal Lavage: A Definitive Treatment for Diverticular Peritonitis or a “Bridge” to Elective Laparoscopic Sigmoidectomy?: A Systematic Review显示文摘 | Roberto Cirocchi Stefano Trastulli Nereo Vettoretto Diego Milani Davide Cavaliere Claudio Renzi Olga Adamenko Jacopo Desiderio Maria Federica Burattini Amilcare Parisi Alberto Arezzo Abe Fingerhut | 2015 | Medicine2015，，： | 1 |
| 9 | Safety and efficacy of endoscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer: A systematic review and meta-analysis显示文摘 | Roberto Cirocchi Eriberto Farinella Stefano Trastulli Jacopo Desiderio Chiara Listorti Carlo Boselli Amilcare Parisi Giuseppe Noya Jayesh Sagar | 2012 | Surgical Oncology2012，，： | 1 |
| 10 | Safety and efficacy of endoscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer: A systematic review and meta-analysis显示文摘 | Roberto Cirocchi Eriberto Farinella Stefano Trastulli Jacopo Desiderio Chiara Listorti Carlo Boselli Amilcare Parisi Giuseppe Noya Jayesh Sagar | 2012 | Surgical Oncology2012，，： | 1 |
| 11 | Requirement for a standardised definition of advanced gastric cancer显示文摘 | Angelo De Sol Stefano Trastulli Veronica Grassi Alessia Corsi Ivan Barillaro Andrea Boccolini Micol Di Patrizi Giorgio Di Rocco Alberto Santoro Roberto Cirocchi Carlo Boselli Adriano Redler Giuseppe Noya Seong-Ho Kong | 2014 | Oncology Letters2014，，1： | 1 |
| 12 | Intracorporeal versus extracorporeal anastomosis during laparoscopic right hemicolectomy – Systematic review and meta-analysis显示文摘 | Roberto Cirocchi Stefano Trastulli Eriberto Farinella Salvatore Guarino Jacopo Desiderio Carlo Boselli Amilcare Parisi Giuseppe Noya Karem Slim | 2012 | Surgical Oncology2012，，： | 1 |
| 13 | Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution显示文摘 | Stefano Trastulli Jacopo Desiderio Federico Farinacci Francesco Ricci Chiara Listorti Roberto Cirocchi Carlo Boselli Giuseppe Noya Amilcare Parisi | 2013 | International Journal of Colorectal Disease2013，，6： | 1 |
| 14 | A severe case of hemobilia and biliary fistula following an open urgent cholecystectomy显示文摘 | Vincenzo Napolitano Roberto Cirocchi Alessandro Spizzirri | 2009 | World J Emerg Surg2009，37，4： | 1 |
| 15 | Laparoscopic appendectomy,stump closure and endoloops:A meta-analysis显示文摘BACKGROUND Acute appendicitis(AA)is one of the main indications for urgent surgery.Laparoscopic appendectomy(LA)has shown advantages in terms of clinical results and cost-effectiveness,even if there is still controversy about different devices to utilize,especially with regards to the endoloop(EL)vs endostapler(ES)when it comes to stump closure.AIM To compare safety and cost-effectiveness of EL vs ES.METHODS From a prospectively maintained database,data of 996 consecutive patients treated by LA with a 3 years-follow up in the department of Emergency General Surgery-St Orsola University Hospital,Bologna(Italy)were retrieved.A metaanalysis was performed in terms of surgical complications,in comparison to the international literature published from 1995 to 2021.RESULTS The meta-analysis showed no evidence regarding wound infections,abdominal abscesses,and total post-operative complications,in terms of superiority of a surgical technique for the stump closure in LA.CONCLUSION Even when AA is complicated,the routine use of EL is safe in most patients. | Noemi Zorzetti Augusto Lauro Maria Irene Bellini Samuele Vaccari Barbara Dalla Via Maurizio Cervellera Roberto Cirocchi Salvatore Sorrenti Vito D’Andrea Valeria Tonini | 2022 | World Journal of Gastrointestinal Surgery2022，14，9： | 1 |
| 16 | Role of Damage Control Surgery in the Treatment of Hinchey III and IV Sigmoid Diverticulitis: A Tailored Strategy显示文摘 | Roberto Cirocchi Alberto Arezzo Nereo Vettoretto Davide Cavaliere Eriberto Farinella Claudio Renzi Gaspare Cannata Jacopo Desiderio Federico Farinacci Francesco Barberini Stefano Trastulli Amilcare Parisi Abe Fingerhut | 2014 | Medicine2014，，25： | 1 |
| 17 | Current status of robotic distal pancreatectomy: A systematic review显示文摘 | Roberto Cirocchi Stefano Partelli Andrea Coratti Jacopo Desiderio Amilcare Parisi Massimo Falconi | 2013 | Surgical Oncology2013，，： | 1 |
| 18 | Splanchnicectomy for Pancreatic Cancer Pain显示文摘 | Toshiro Masuda Masafumi Kuramoto Shinya Shimada Satoshi Ikeshima Kenichiro Yamamoto Kenichi Nakamura Hideo Baba Roberto Cirocchi | 2014 | BioMed Research International2014，，： | 1 |
| 19 | Right sided diverticulitis in western countries:A review显示文摘BACKGROUND Although the treatment guidelines for left sided diverticulitis are clear,the management of right colonic diverticulitis is not well established.This disease can no longer be ignored due to significant spread throughout Asia.AIM To analyse epidemiology,diagnosis and treatment of right-sided diverticulitis in western countries.METHODS MEDLINE and PubMed searches were performed using the key words 'rightsided diverticulitis','right colon diverticulitis','caecal diverticulitis','ascending colon diverticulitis' and 'caecum diverticula' in order to find relevant articles published until 2021.RESULTS A total of 18 studies with 422 patients were found.Correct diagnosis was made only in 32.2%,mostly intraoperatively or via CT scan.The main reason for misdiagnosis was a suspected acute appendicitis(56.8%).The treatment was a nonoperative management(NOM)in 184 patients(43.6%)and surgical in 238 patients(56.4%),seven of which after NOM failure.Recurrence rate was low(5.45%),similar to eastern studies and inferior to left-sided diverticulitis.Recurrent patients were successfully conservatively retreated in most cases.CONCLUSION The management of right-sided diverticulitis is not well clarified in the western world and no selective guidelines have been considered even if principles are similar to those with left-sided diverticulitis.Wrong diagnosis is one of the most important problems and CT scan seems to be the best imaging modality.NOM offers a safe and effective treatment;surgery should be considered only in cases of complicated diverticulitis or if malignancy cannot be excluded.Further studies are needed to clarify the correct treatment. | Angelo Gabriele Epifani Diletta Cassini Roberto Cirocchi Caterina Accardo Francesca Di Candido Massimiliano Ardu Gianandrea Baldazzi | 2021 | World Journal of Gastrointestinal Surgery2021，13，12： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员