Pubblicazioni Dott. Alessandro Arturi chirurgo addominale a Roma Resp.le Unità Operativa Semplice (UOS) Chirurgia Oncologica Mininvasiva presso Ospedale S. Pietro Fatebenefratelli -Roma
Programma ERAS (Enhanced Recovery After Surgery) in pazienti ottuagenari: un’analisi di corrispondenza del punteggio di propensione sul database “Lazio Network” (Langenbeck’s Archives of Surgery https://doi.org/10.1007/s00423-022-02580-y) Michele Grieco1 · Giampaolo Galiffa1 · Laura Lorenzon2 · Giuseppe Marincola2 · Roberto Persiani2 ·Roberto Santoro3 · Graziano Pernazza4 · Antonio Brescia5 · Emanuele Santoro6 · Francesco Stipa7 · Antonio Crucitti8 · Stefano Mancini9 · Raffaele Macarone Palmieri10 · Massimiliano Di Paola11 · Marco Sacchi12 · Massimo Carlini1 · on behalf of Lazio Network study group Received: 18 November 2021 / Accepted: 1 June 2022© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022 Di seguito riportiamo l’Abstract di un importante studio in cui ho collaborato e a seguire l’articolo originale. Abstract Scopo Lo scopo di questo studio era di valutare la sicurezza e il rispetto del protocollo ERAS (Enhanced Recovery After Surgery) in pazienti ottuagenari sottoposti a chirurgia colorettale in 12 centri italiani ad alto volume. Metodi È stata condotta un’analisi retrospettiva in una serie consecutiva di pazienti sottoposti a chirurgia colorettale elettiva tra il 2016 e il 2018. I pazienti sono stati raggruppati per età (≥80 anni vs < 80 anni), è stata eseguita l’analisi di corrispondenza del […]
Role of radioisotopic lymphoscintigraphy in postphlebitic syndrome of the legs. Russo F, et al. Chir Ital. 2001 May-Jun. AuthorsRusso F1, Coscarella G, Giuliano G, De Lisa F, Spina C, Di Lorenzo N, Forlini A, Stolfi VM, Arturi A, Manzelli A, Gaspari A. Author information1 Cattedra di Chirurgia Generale, Università degli Studi di Tor Vergata, Roma. CitationChir Ital. 2001 May-Jun;53(3):355-63. Abstract La sindrome post-flebitica degli arti inferiori è un insieme di sintomi che seguono uno stato di flebostasi e flebolinfostasi con conseguente edema e distress tissutale. Sono stati sottoposti a linfoscintigrafia radioisotopica 36 pazienti con sindrome post-flebitica degli arti inferiori allo scopo di valutare la funzione vicariante del sistema linfatico e il possibile ruolo del sistema linfatico nella genesi delle anomalie dermo-epidermiche. L’età media dei pazienti era di 53,2 anni (range: 43-69 anni; rapporto M:F: 0,50). Il gruppo di controllo era composto da 6 soggetti sani. La durata media della sindrome post-flebite nei pazienti studiati è stata di 8,5 anni. Sono stati esclusi dallo studio i pazienti nei quali è stata individuata una causa centrale responsabile della patogenesi dell’edema degli arti inferiori. Inoltre, sono stati esclusi anche i pazienti con arteriopatia obliterante. La patologia venosa è stata prima valutata clinicamente e […]
Treatment of Choledocal Cyst after Laparoscopic Cholecistectomy PII: S1590-8658(00)80807-5 Giorgio Coscarella (I), Stefano Msnfroni (2), Francesca Lirosi (I), Agostino Suxzarro (3), Alberto Garavello (2), Nicola Di Lorenzo (l), Alessandro Antonellis (2), Arturi (I), Francesco De Lisa (I), Donato Antonellis Scuola di Specializzazione Digerente ed Endosoopia Digestiva Chirurgica Universitri di Roma 7or Vergata” (Dir. AL. Gaspari)Dipartimento di Chirurgia Generaie Ospedale di Marino- RomaServizio di Gastroenterologia ed Endoscopia Digestiva Ospedale di Marino-Roma. Congenital dilatation of the exta-hepatic duct system is a very uncommon condition (l/200000 ). it is more common in the far east and its incidence is higher in women than in men. Treatment of Choledocal Cyst after Laparoscopic Cholecistectomy We have observed a woman of 42 years old with symptoms of a classic biliary colic, without jaundice or fever. She referred a previous laparoscopic cholecistectomy and also that during the intervention the surgeons didn’t find tha stone in the gallbladder showed during a pre-op US. Post-operatively an US showsd a dilatation of the choledocus, with a biliary stone, nothing to the intra and extra+epatic ducts, nothing to the pancreas. The patient was admitted with a suspect of residual choledocic litiasis. The blood-test we in the range of normality. The patient […]
Dynamic Self-Regulating Prosthesis (Protesi Autoregolantesi Dinamica): The Long-Term Results in the Treatment of Primary Inguinal Hernias GABRIELE VALENTI, M.D./ EMANUELE BALDASSARRE, M.D./ AEESSANDRO TESTA, M.D./ ALESSANDRO ARTURI, M.D./ GIOVANNI TORINO, M.D.,* COSTANTINO CAMPISI, M.D.,+ GIORGIO CAPUANO, M.D.* From the “Department of General Surgery, San Pietro Hospital-Fatebenefratelli, Rome, Italy; and f National Research Council, Rome, Italy The dynamic self-regulating prosthesis (protesi autoregolantesi dinamica, PAD) is a double- layered prosthesi, in use since 1992 in inguinal hernia repair. In 1999, we published the short-term results on 500 patients and herein we report the long-term follow-up. Dynamic Self-Regulating Prosthesis Five hundred eighty-five PAD procedures were performed on 500 adult male, unselected patients. Hernias were unilateral in 415 patients, were bilateral in 85 patients, were direct in 197 patients (33.7%), were indirect in 269 patients (46.0%), and were combined in 119 patients (20.3%). Four hundred sixty-four patients were alive at the follow-up period of minimum 5 years, whereas 36 died (7.2%) of causes unrelated to the hernia. No information was available on 73 patients (14.6’%>). Therefore, the follow-up was consisted of 391 patients (78.2%) with 469 hernias. The recurrence and testicular atrophy rates were nil. Three patients (0.77%) presented chronic pain and 18 (4.6%) […]
Journal of Laparoendoscopic & Advanced surgical – Techinques The Role of Laparoscopy in the Diagnosis and the Treatment of Missed Diaphragmatic Hernia after Penetrating Trauma Journal of Laparoendoscopic & Advanced surgical Techniques Volume 17, Number 3, 2007© Mary Ann Liebert, Inc.DOI: 10.1089/lap.2005.0046 The Role of Laparoscopy in the Diagnosis and the Treatment of Missed Diaphragmatic Hernia after Penetrating Trauma EMANUELE BALDASSARRE, MD,1 GABRIELE VALENTI, MD,1 MARCO GAMBINO, MD,2 ALESSANDRO ARTURI, MD,1 GIOVANNI TORINO, MD,2ILARIA PROSPERI PORTA, MD,3 and MARCO BARONE, MD4 The Role of Laparoscopy in the Diagnosis and the Treatment of Missed Diaphragmatic Hernia after Penetrating Trauma ABSTRACT Background: The traumatic diaphragmatic hernia (TDH) may appear acutely after a blunt or penetrating trauma, or it can remain missed also for many years. The discussion about the utility of a laparoscopic repair in acute and chronic TDH is controversial. Methods: In this paper, we present two cases of chronic TDH that were successfully treated with laparoscopy. The first patient was treated 1 year after a stab wound and the second one 10 years after a firearm injury. Results: In both cases, the diaphragmatic defects were easily laparoscopically detected and treated. The defects were repaired with a direct running suture owing […]
The blind colonic J-pouch: an original technique to reduce the surgical risk in the treatment of extra-peritoneal rectal cancer (Int J Colorectal Dis (2007) 22:1361–1367 DOI 10.1007/s00384-007-0316-9) Gabriele Valenti & Costantino Campisi &Alessandro Testa & Alessandro Arturi & Giovanni Torin Accepted: 5 April 2007 / Published online: 6 June 2007 Copyright Springer-Verlag 2007 The blind colonic J-pouch: Abstract Background Low and ultra-low anterior resection with colo-rectal or colo-anal anastomosis is accompanied by high frequency of postoperative anastomotic leakage. The aim of this report is to describe a novel technical approach to colorectal reconstruction. Materials and methods The innovative procedure introdu- ces the principle of ‘no anastomosis–no leakage’, and it can be performed both laparascopically or by means of a laparotomy. It consists of a simple colo-rectal or colo-anal apposition with latero-terminal modality, with the creation of a colonic J-pouch called “blind” because it remains closed in the external site and the anus is sealed up. The surgery is completed with an exclusive derivative colosto- my, and the reconstruction of the intestinal continuity is postponed to a second operation. Within 4–6 weeks from the first, the blind pouch is opened, the communication between the anus and the colon is established, and […]
La pubblicazioni del Dr. Alessandro Arturi Responsabile UOS Chirurgia Oncologica Mininvasiva Ospedale San Pietro Fatebenefratelli a Roma ABSTRACTS The goitre and total thyroidectomy. Acts of XVIII National Congress S.I.E.C. 1998 pp. 357-61Re-operation in the benign tumours.1998S.I.E.C.XVIIINATIONALCONGRESS: pp 367-71Biliary prosthesis substitution in day-hospital: our experience. Ambulatorial endoscopic dilatation for oesophagus benign stenosis. Acts of IV National Congress S.I.C.A.D.S. 1999, pp. 447-49The breast cancer: our experience in day-surgery. Acts of V NationalCongress S.I.C.A.D.S. 2000 pp. 467-69Radiofrequency Thermal-ablation of extra-hepatic tumors. XIV National Congress S.P.I.G.C. Ann. Ital. Chir. LXXXII, suppl I, 2001The role of anti-oxidant enzymes and oligoelements in the pathogenesis of inammatory bowel disease (IBD). XIV National Congress S.P.I.G.C. Ann. Ital. Chir., LXXXII, suppl. I, 2001The micro-laparoscopy appendectomy National Congress S.I.C.E. 2001The role of ultrasound dissection in the endoscopic surgery VII National Congress S.I.C.E., Sept. 2001Splenic artery pseudo-aneurysm: case report and literature review. A.C.O.I. 2001 PUBBLICAZIONI Medullary carcinoma of the Thyroid. A report of 4 clinical cases and a rewiew of the literature. Minerva Chir. 1997; 52(4):475-84Clinico-pathological study of microcarcinoma of the Thyroid Minerva Chir. 1997;52(7-8):891-900Radiotherapy of cancer of the uterine cervix and successive appearance of new malignant growth in the irradiated eld. Minerva Ginecol. 1997 ;49(7- 8):345-54Thyroid surgery and the nervous […]