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2 results on '"T. Zanarini"'

1. Bile duct injuries during laparoscopic cholecystectomy: a 1994–2001 audit on 13,718 operations in the area of Rome

Author

C. De Stefano, Gianfranco Silecchia, E. Nanni, Francesco Gossetti, M. Di Paola, G. Montalto, L. Alessandroni, F. Cristini, A. Gatto, M. Valle, B. Benini, Riccardo Angeloni, D. Polito, E. Puce, A. Terenzi, A. Dalla Torre, S. Manfroni, L. Montemurro, P. Mascagni, Sandro de Vita, Paolo Gentileschi, Luigi Masoni, T. Zanarini, Massimo Carlini, E. Santoro, and Marco Catarci

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Rome, cholecystectomy, laparoscopic/adverse effects, bile duct/injuries, multicenter studies, Aged, Bile Ducts, Cholecystectomy, Cholecystectomy, Laparoscopic, Cholelithiasis, Female, Follow-Up Studies, Humans, Incidence, Intraoperative Complications, Jejunum, Liver, Medical Audit, Middle Aged, Prospective Studies, Retrospective Studies, Surveys and Questionnaires, Laparoscopic, Medicine, Laparoscopy, medicine.diagnostic_test, business.industry, Bile duct, General surgery, Gallbladder, Incidence (epidemiology), Retrospective cohort study, Settore MED/18, Surgery, medicine.anatomical_structure, Biliary tract, business, Abdominal surgery
Abstract

Bile duct injuries (BDIs) during laparoscopic cholecystectomy (LC) still are reported with greater frequency than during open cholecystectomy (OC). In 1999, a retrospective study evaluating the incidence of BDIs during LC in the area of Rome from 1994 to 1998 (group A) was performed. In addition, a prospective audit was started, ending in December 2001 (group B). In group A, 6,419 LCs were performed (222 were converted to OC; 3.4%). In group B, 7,299 LCs were performed (225 were converted to OC; 3.1%). Seventeen BDIs (0.26%) occurred in group A and 16 (0.22%) in group B. Overall, mortality and major morbidity rates were 12.1% and 30.3%, respectively, without significant differences between the two groups. The incidence and clinical relevance of BDIs during LC in the area of Rome appeared to be stable over the past 8 years and were not influenced by the use of a prospective audit, as compared with a retrospective survey.

Published
2003
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2. Early gastric cancer: total gastrectomy vs. distal resection. Results of a study of 271 cases. The Italian Stomach Cancer Group (A.C.O.I.-I.S.C.G.)

Author

E, Santoro, A, Garofalo, F, Scutari, T, Zanarini, and M, Carlini

Subjects
Adult, Male, Survival Rate, Time Factors, Italy, Gastrectomy, Stomach Neoplasms, Humans, Female, Middle Aged, Retrospective Studies
Abstract

Two hundred and seventy-one (271) patients with early gastric cancer from 26 different hospitals were examined in a retrospective study conducted by the I.S.C.G. (Italian Stomach Cancer Group). The patients were divided into two series: the first, comprising 234 patients with negative lymph nodes (Stage ITNM-UICC), had 5-year survival rates of 85%. The second group comprised 37 patients with positive lymph nodes (Stage III TNM-UICC) with a 72% five-year survival rate. Both results appear to be of great significance when compared with the five-year survival rate for advanced gastric cancer, namely 29.3%. As far as the difference between the late results of total gastrectomy and subtotal distal resection are concerned, the latter was associated with a higher five-year survival rate in the case of tumors located in the lower third and in the middle third of the stomach.

Published
1991

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