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Your search keyword '"Alessio Pini-Prato"' showing total 3 results
Start Over Author "Alessio Pini-Prato" Journal journal of laparoendoscopicadvanced surgical techniques. part a
3 results on '"Alessio Pini-Prato"'

1. Minimally Invasive Redo Pull-Throughs in Hirschsprung Disease

Author

Alessio Pini Prato, Narciso Mariani, Maria Grazia Faticato, Enrico Felici, Rossella Arnoldi, Paolo Nozza, Maria Pia Dusio, and Augusta Tentori

Subjects
Male, Reoperation, congenital, hereditary, and neonatal diseases and abnormalities, medicine.medical_specialty, Adolescent, medicine.medical_treatment, Disease, Postoperative Complications, Robotic Surgical Procedures, Laparotomy, medicine, Humans, Robotic surgery, Hirschsprung Disease, Postoperative Period, Laparoscopy, Child, Digestive System Surgical Procedures, medicine.diagnostic_test, business.industry, Enterocolitis, fungi, food and beverages, Infant, digestive system diseases, Surgery, Treatment Outcome, Child, Preschool, Female, business, human activities
Abstract

Introduction: To reoperate a patient with Hirschsprung disease (HSCR) can be technically demanding and most surgeons would resort to conventional laparotomy. This article describes a series of pati...

Published
2020

2. Robotic-Assisted Minimally Invasive Total Esophagogastric Dissociation for Children with Severe Neurodisability

Author

Lorenzo Leonelli, Mario Messina, Adrian Bianchi, Irene Paraboschi, Rossella Angotti, Francesco Molinaro, Cinzia Mazzola, Margherita Mancardi, Girolamo Mattioli, Alessio Pini Prato, and Serena Arrigo

Subjects
Male, medicine.medical_specialty, Adolescent, Robotic assisted, Pharmacological management, Pilot Projects, 03 medical and health sciences, 0302 clinical medicine, Robotic-assisted minimally invasive total esophagogastric dissociation, Robotic Surgical Procedures, 030225 pediatrics, otorhinolaryngologic diseases, medicine, Neurodisability, Humans, Gastroesophageal reflux, Severe neurodisability, Surgery, Child, Digestive System Surgical Procedures, Antireflux surgery, Medical treatment, business.industry, digestive, oral, and skin physiology, Infant, Severe gastroesophageal reflux, digestive system diseases, 030220 oncology & carcinogenesis, Gastroesophageal Reflux, Female, Nervous System Diseases, business
Abstract

Background: Around 70% of children with neurodisability (ND) present pharyngeal neuromuscular incoordination and severe gastroesophageal reflux disease (GORD). Methods: This is a pilot study with the Robotic-assisted minimally invasive total esophagogastric dissociation (TOGD). Results: We included 4 patients, 2 males and 2 females, with ND and severe GORD refractory to medical treatment. Conclusions: Pharmacological management of GORD is often unsuccessful and antireflux surgery is common, but it has a high failure rate with symptom recurrence, requiring re-do surgery. TOGD is a good option for these patients.

Published
2017

3. Spleen surgery in pediatric age: seven-year unicentric experience

Author

Stefano Avanzini, Valentina Rossi, Angela Basile, Elio Boeri, Vincenzo Jasonni, G. Bisio, Giovanni Montobbio, Sara Costanzo, Caterina Asquasciati, Giovanni Rapuzzi, Alessio Pini Prato, and Girolamo Mattioli

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Splenectomy, Spleen, Single Center, Statistics, Nonparametric, Quality of life, Surveys and Questionnaires, medicine, International literature, Humans, Child, Splenic Diseases, business.industry, Pediatric age, Length of Stay, Surgery, Partial splenectomy, medicine.anatomical_structure, Treatment Outcome, Quality of Life, Female, Laparoscopy, business, Hospital stay, Follow-Up Studies
Abstract

Either "open" and laparoscopic spleen surgery in pediatric age are well known and performed with ease in children. Yet, few data regarding follow-up and outcome are discussed in the international literature.Clinical notes of all patient who underwent spleen surgery in a single center between 2000 and 2007 were reviewed and a specific follow-up questionnaire was administered, aiming to evaluate pre- and postoperative data, especially considering underlying disease, cosmetic results, and quality of life after surgery.Fifty-one patients underwent spleen surgery in our series, 33 of whom returned a complete follow-up questionnaire and were included in the study. Splenectomy was performed in 26 patients, whereas 7 patients underwent a partial splenectomy; 19 cases (57.6%) were approached laparoscopically. A total of 4 complications (12%) occurred in our series, none of them being intraoperative. Hospital stay resulted as significantly shorter in laparoscopic cases (5.5 +/- 2.9 vs. 8.7 +/- 4.8 days; P0.01), with better results in terms of cosmetics. Quality of life is strictly related to underlying disease, as well as long-term survival.Whatever surgical approach is adopted, spleen surgery is safe, effective, and reproducible. When feasible, the laparoscopic approach should be preferred to the traditional open approach, as far as efficacy and safety are similar, in order to reduce hospital stay, abdominal wall traumatism, and consequently, improve postoperative pain control and cosmetic results.

Published
2009

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