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21 results on '"Bianchi, Lorenzo"'

2. Microwave versus cryoablation and radiofrequency ablation for small renal mass: a multicenter comparative analysis

Author

PANDOLFO, Savio D., primary, CARBONARA, Umberto, additional, BEKSAC, Alp T., additional, DERWEESH, Ithaar, additional, CELIA, Antonio, additional, SCHIAVINA, Riccardo, additional, ELBICH, Jeffrey, additional, BASILE, Giuseppe, additional, HAMPTON, Lance J., additional, CERRATO, Clara, additional, COSTA, Giovanni, additional, BIANCHI, Lorenzo, additional, LUCARELLI, Giuseppe, additional, MIRONE, Vincenzo, additional, IMBIMBO, Ciro, additional, KIM, Fernando J., additional, DEL GIUDICE, Francesco, additional, CAPITANIO, Umberto, additional, KAOUK, Jihad, additional, and AUTORINO, Riccardo, additional

Published
2022
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3. Comparison of prostate cancer detection rate at targeted biopsy of hub and spoke centers mpMRI: experience matters

Author

DROGHETTI, Matteo, primary, BIANCHI, Lorenzo, additional, GAUDIANO, Caterina, additional, CORCIONI, Beniamino, additional, RUSTICI, Arianna, additional, PIAZZA, Pietro, additional, BERETTA, Carlo, additional, BALESTRAZZI, Eleonora, additional, COSTA, Francesco, additional, FERUZZI, Alberto, additional, SALVADOR, Marco, additional, GIUNCHI, Francesca, additional, FIORENTINO, Michelangelo, additional, GOLFIERI, Rita, additional, SCHIAVINA, Riccardo, additional, and BRUNOCILLA, Eugenio, additional

Published
2022
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4. Postoperative outcomes of Fast-Track-enhanced recovery protocol in open radical cystectomy: comparison with standard management in a high-volume center and Trifecta proposal

Author

ERCOLINO, Amelio, primary, DROGHETTI, Matteo, additional, SCHIAVINA, Riccardo, additional, BIANCHI, Lorenzo, additional, CHESSA, Francesco, additional, MINEO BIANCHI, Federico, additional, BARBARESI, Umberto, additional, ANGIOLINI, Andrea, additional, CASABLANCA, Carlo, additional, MOTTARAN, Angelo, additional, MOLINAROLI, Enrico, additional, PULTRONE, Cristian, additional, DABABNEH, Hussam, additional, BERTACCINI, Alessandro, additional, and BRUNOCILLA, Eugenio, additional

Published
2022
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5. Microwave versus cryoablation and radiofrequency ablation for small renal mass: a multicenter comparative analysis.

Author

PANDOLFO, Savio D., CARBONARA, Umberto, BEKSAC, Alp T., DERWEESH, Ithaar, CELIA, Antonio, SCHIAVINA, Riccardo, ELBICH, Jeffrey, BASILE, Giuseppe, HAMPTON, Lance J., CERRATO, Clara, COSTA, Giovanni, BIANCHI, Lorenzo, LUCARELLI, Giuseppe, MIRONE, Vincenzo, IMBIMBO, Ciro, KIM, Fernando J., DEL GIUDICE, Francesco, CAPITANIO, Umberto, KAOUK, Jihad, and AUTORINO, Riccardo

Published
2023
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7. Percutaneous tumor ablation versus partial nephrectomy for small renal mass: the impact of histologic variant and tumor size

Author

BIANCHI, Lorenzo, primary, MINEO BIANCHI, Federico, additional, CHESSA, Francesco, additional, BARBARESI, Umberto, additional, CASABLANCA, Carlo, additional, PIAZZA, Pietro, additional, MOTTARAN, Angelo, additional, DROGHETTI, Matteo, additional, ROVERONI, Carlo, additional, BALESTRAZZI, Eleonora, additional, GENTILE, Giorgio, additional, GAUDIANO, Caterina, additional, BERTACCINI, Alessandro, additional, MARCELLI, Emanuela, additional, PORRECA, Angelo, additional, DE CONCILIO, Bernardino, additional, SERRA, Carla, additional, CELIA, Antonio, additional, BRUNOCILLA, Eugenio, additional, and SCHIAVINA, Riccardo, additional

Published
2021
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8. Diagnostic performance of MRI/TRUS fusion-guided biopsies vs. systematic prostate biopsies in biopsy-naïve, previous negative biopsy patients and men undergoing active surveillance

Author

BORGHESI, Marco, primary, BIANCHI, Lorenzo, additional, BARBARESI, Umberto, additional, VAGNONI, Valerio, additional, CORCIONI, Beniamino, additional, GAUDIANO, Caterina, additional, FIORENTINO, Michelangelo, additional, GIUNCHI, Francesca, additional, CHESSA, Francesco, additional, GAROFALO, Marco, additional, BERTACCINI, Alessandro, additional, ANGELINI, Stefano, additional, ERCOLINO, Amelio, additional, CASABLANCA, Carlo, additional, DROGHETTI, Matteo, additional, GOLFIERI, Rita, additional, and SCHIAVINA, Riccardo, additional

Published
2021
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10. Postoperative outcomes of Fast Track enhanced recovery protocol in open radical cystectomy: comparison with standard management in a high-volume center and Trifecta proposal

Author

ERCOLINO, Amelio, primary, DROGHETTI, Matteo, additional, SCHIAVINA, Riccardo, additional, BIANCHI, Lorenzo, additional, CHESSA, Francesco, additional, MINEO BIANCHI, Federico, additional, BARBARESI, Umberto, additional, ANGIOLINI, Andrea, additional, CASABLANCA, Carlo, additional, MOTTARAN, Angelo, additional, MOLINAROLI, Enrico, additional, PULTRONE, Cristian, additional, DABABNEH, Hussam, additional, BERTACCINI, Alessandro, additional, and BRUNOCILLA, Eugenio, additional

Published
2020
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11. Patterns of positive surgical margins after open radical prostatectomy and their association with clinical recurrence

Author

Bianchi, Lorenzo, primary, Schiavina, Riccardo, additional, Borghesi, Marco, additional, Casablanca, Carlo, additional, Chessa, Francesco, additional, Mineo Bianchi, Federico, additional, Pultrone, Cristian, additional, Vagnoni, Valerio, additional, Ercolino, Amelio, additional, Dababneh, Hussam, additional, Fiorentino, Michelangelo, additional, and Brunocilla, Eugenio, additional

Published
2020
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12. Which patients with clinical localized renal mass would achieve the trifecta after partial nephrectomy? The impact of surgical technique

Author

Bianchi, Lorenzo, primary, Schiavina, Riccardo, additional, Borghesi, Marco, additional, Chessa, Francesco, additional, Casablanca, Carlo, additional, Angiolini, Andrea, additional, Ercolino, Amelio, additional, Pultrone, Cristian V., additional, Mineo Bianchi, Federico, additional, Barbaresi, Umberto, additional, Piazza, Pietro, additional, Manferrari, Fabio, additional, Bertaccini, Alessandro, additional, Fiorentino, Michelangelo, additional, Ferro, Matteo, additional, Porreca, Angelo, additional, Marcelli, Emanuela, additional, and Brunocilla, Eugenio, additional

Published
2020
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13. Postoperative outcomes of Fast-Track-enhanced recovery protocol in open radical cystectomy: comparison with standard management in a high-volume center and Trifecta proposal.

Author

Ercolino, Amelio, Droghetti, Matteo, Schiavina, Riccardo, Bianchi, Lorenzo, Chessa, Francesco, Bianchi, Federico Mineo, Barbaresi, Umberto, Angiolini, Andrea, Casablanca, Carlo, Mottaran, Angelo, Molinaroli, Enrico, Pultrone, Cristian, Dababneh, Hussam, Bertaccini, Alessandro, and Brunocilla, Eugenio

Published
2021
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14. Can preoperative multiparametric MRI avoid unnecessary prostate biopsies before holmium laser enucleation of the prostate? Preliminary results of a multicentric cohort of patients

Author

Giampaoli, Marco, primary, Bianchi, Lorenzo, additional, D'agostino, Daniele, additional, Corsi, Paolo, additional, Romagnoli, Daniele, additional, Mineo Bianchi, Federico, additional, Del Rosso, Alessandro, additional, Schiavina, Riccardo, additional, Brunocilla, Eugenio, additional, Artibani, Walter, additional, and Porreca, Angelo, additional

Published
2019
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15. Oncologic outcomes in prostate cancer patients treated with robot-assisted radical prostatectomy: results from a single institution series with more than 10 years follow up

Author

Bianchi, Lorenzo, primary, Gandaglia, Giorgio, additional, Fossati, Nicola, additional, Larcher, Alessandro, additional, Pultrone, Cristian, additional, Turri, Filippo, additional, Selli, Cesare, additional, de Groote, Ruben, additional, de Naeyer, Geert, additional, Borghesi, Marco, additional, Schiavina, Riccardo, additional, Brunocilla, Eugenio, additional, Briganti, Alberto, additional, Montorsi, Francesco, additional, and Mottrie, Alexandre, additional

Published
2019
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16. Bidirectional barbed suture for posterior musculofascial reconstruction and knotless vesicourethral anastomosis during robot-assisted radical prostatectomy

Author

Porreca, Angelo, primary, D'''''Agostino, Daniele, additional, Dandrea, Matteo, additional, Salvaggio, Antonio, additional, Del Rosso, Alessandro, additional, Cappa, Emanuele, additional, Zuccalà, Alessio, additional, Romagnoli, Daniele, additional, Bianchi, Lorenzo, additional, and Schiavina, Riccardo, additional

Published
2018
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17. Robot assisted radical cystectomy with totally intracorporeal urinary diversion: initial, single-surgeon's experience after a modified modular training

Author

Porreca, Angelo, primary, Chessa, Francesco, additional, Romagnoli, Daniele, additional, Salvaggio, Antonio, additional, Cafarelli, Angelo, additional, Borghesi, Marco, additional, Bianchi, Lorenzo, additional, Dandrea, Matteo, additional, D'''''Agostino, Daniele, additional, Dente, Donato, additional, Cappa, Emanuele, additional, Wiklund, Peter, additional, Brunocilla, Eugenio, additional, and Schiavina, Riccardo, additional

Published
2018
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18. Postoperative outcomes of Fast Track enhanced recovery protocol in open radical cystectomy: comparison with standard management in a high-volume center and Trifecta proposal

Author

Lorenzo Bianchi, Cristian Vincenzo Pultrone, E. Molinaroli, A. Ercolino, Francesco Chessa, Federico Mineo Bianchi, Riccardo Schiavina, Andrea Angiolini, Alessandro Bertaccini, Matteo Droghetti, Carlo Casablanca, A. Mottaran, Hussam Dababneh, Eugenio Brunocilla, U. Barbaresi, Ercolino, Amelio, Droghetti, Matteo, Schiavina, Riccardo, Bianchi, Lorenzo, Chessa, Francesco, Mineo Bianchi, Federico, Barbaresi, Umberto, Angiolini, Andrea, Casablanca, Carlo, Mottaran, Angelo, Molinaroli, Enrico, Pultrone, Cristian, Dababneh, Hussam, Bertaccini, Alessandro, and Brunocilla, Eugenio

Subjects
medicine.medical_specialty, business.industry, Urology, medicine.medical_treatment, Bladder cancer, 030232 urology & nephrology, Perioperative, Readmission rate, Early complication, Surgery, Cystectomy, Radical cystectomy, 03 medical and health sciences, 0302 clinical medicine, Enhanced recovery, Nephrology, 030220 oncology & carcinogenesis, medicine, Defecation, In patient, Fast track, Enhanced recovery after surgery, Trifecta, business
Abstract

BACKGROUND: We aimed at comparing perioperative outcomes in patients submitted to radical cystectomy followed by Fast Track (FT) protocol or standard management, and propose a definition of Trifecta, to improve standardized quality assessment for RC.METHODS: We considered 191 patients submitted to RC between January 2017 and January 2019. Patients followed FT or standard management according to surgeon's preference. Preoperative and intraoperative characteristics, alongside with postoperative outcomes were compared between the two groups. Trifecta was defined as follows: inhospital stay (HS) ≤ 10 days, time to defecation (TtD) below the overall mean and no major (≥ Clavien-Dindo grade III) complications. Finally, Trifecta achievement rates were assessed in both groups.RESULTS: 75 patients (39%) followed the FT protocol and 116 (61%) standard management. The two groups were homogeneous for preoperative, intraoperative and pathological characteristics. Patients in the FT group had shorter TtD (5 vs. 6 days p=0.006), HS (12 vs. 14 days p=0.008) and lower readmission rate (8% vs. 19% p=0.04). Early complication rates and grades were similar, while less late complications were found in FT group (6.7% vs. 21.6% p=0,006). Trifecta achievement rate was higher for FT group (31% vs. 8% p

Published
2020

19. Oncologic outcomes in prostate cancer patients treated with robot-assisted radical prostatectomy: results from a single institution series with more than 10 years follow up

Author

Riccardo Schiavina, Nicola Fossati, Giorgio Gandaglia, Alessandro Larcher, Ruben De Groote, Cristian Vincenzo Pultrone, Geert De Naeyer, Eugenio Brunocilla, Marco Borghesi, Filippo Turri, Alexandre Mottrie, Lorenzo Bianchi, Francesco Montorsi, Cesare Selli, Alberto Briganti, Bianchi, Lorenzo, Gandaglia, Giorgio, Fossati, Nicola, Larcher, Alessandro, Pultrone, Cristian, Turri, Filippo, Selli, Cesare, de Groote, Ruben, de Naeyer, Geert, Borghesi, Marco, Schiavina, Riccardo, Brunocilla, Eugenio, Briganti, Alberto, Montorsi, Francesco, Mottrie, Alex, and Bianchi L, Gandaglia G, Fossati N, Larcher A, Pultrone C, Turri F, Selli C, de Groote R, de Naeyer G, Borghesi M, Schiavina R, Brunocilla E, Briganti A, Montorsi F, Mottrie A

Subjects
Male, Biochemical recurrence, medicine.medical_specialty, Urology, medicine.medical_treatment, Population, 030232 urology & nephrology, Androgen deprivation therapy, 03 medical and health sciences, Prostate cancer, 0302 clinical medicine, Robotic Surgical Procedures, Oncologic outcomes, prostate cancer, robot-assisted radical prostatectomy, 10 years follow up, Adjuvant therapy, medicine, Humans, Progression-free survival, education, Aged, Retrospective Studies, Prostatectomy, education.field_of_study, business.industry, Hazard ratio, Prostatic Neoplasms, Middle Aged, medicine.disease, Progression-Free Survival, Treatment Outcome, Nephrology, 030220 oncology & carcinogenesis, Neoplasm Grading, business, Follow-Up Studies
Abstract

Background Robot-assisted radical prostatectomy (RARP) has gained increasing diffusion as standard of care in the surgical treatment of prostate cancer (PCa) patients, even in the absence of robust long-term oncologic comparative data. This article is a report of oncologic outcomes of RARP at more than 10 years follow-up. Methods We retrospectively evaluated 173 consecutive PCa patients underwent RARP between 2002 and 2005 at a single European center with complete clinic and pathologic data and potential follow-up of at least 10 years. Kaplan-Meier analyses assessed biochemical recurrence free survival (BCR-FS), clinical recurrence free survival (CR-FS), cancer specific mortality free survival (CSM-FS), other causes mortality free survival (OCM-FS) in the overall population and CR-FS after stratification according to pathologic stage and Gleason score. Multi-variable Cox regression analyses were performed to assess the predictors of BCR and CR. Results Median follow-up (Interquatile Range [IQR]) was 133 (123-145) months. The BCR-FS, CR-FS, CSM-FS and OCM-FS rates at median follow-up were 73.4%, 81.1%, 95.7%, and 68.6%, respectively. Patients staged as pT3b-T4 and men with Gleason score 8-10 experienced significantly lower CR-FS rates as compared to those with less aggressive pathologic features (all P≤0.001). At multivariable analysis, pathologic Gleason score 8-10 (Hazard Ratio [HR]: 2.85), pathologic stage pT3b-pT4 (HR: 2.76) and adjuvant therapy (HR: 2.09 for radiotherapy [RT] and HR: 13.66 for androgen deprivation therapy [ADT]) were independent predictors of BCR (all p≤0.02). While, pathologic Gleason score 8-10 (HR: 4.05) and pathologic stage pT3b-pT4 (HR: 6.78) were found to be independently related to higher risk of CR (all P≤0.03). Retrospective data and limited number of patients included could have affected our analyses. Conclusions In experienced centers, RARP allows optimal oncologic outcomes at long term follow-up. Adverse pathologic characteristics are independent predictors of BCR and CR.

Published
2019

20. Bidirectional barbed suture for posterior musculofascial reconstruction and knotless vesicourethral anastomosis during robot-assisted radical prostatectomy.

Author

Porreca A, D'agostino D, Dandrea M, Salvaggio A, Del Rosso A, Cappa E, Zuccalà A, Romagnoli D, Bianchi L, and Schiavina R

Subjects
Aged, Humans, Male, Middle Aged, Plastic Surgery Procedures, Suture Techniques, Treatment Outcome, Anastomosis, Surgical methods, Prostatectomy methods, Robotic Surgical Procedures methods, Sutures, Urethra surgery, Urinary Bladder surgery
Abstract

Background: The aim of the work is to describe an original technique of posterior musculofascial reconstruction (PMFR) during robot-assisted radical prostatectomy (RARP)., Methods: From January 2015 to June 2016, 121 consecutives patients underwent RARP and were submitted to a novel technique of PMFR, using a single 3/0 barbed bidirectional (Filblock®, Assut Europe) suture. The first step of this new technique of PMFR, is to approximate the posterior layer of Denonvilliers fascia (DF) to the posterior part of the sphincteric apparatus. Then, the second step consists in the anastomosis of the posterior blabber neck edge with the posterior urethra edge. We realize the completion of anastomosis clockwise from 7 to 12 o'clock and anticlockwise from 5 to 12 o'clock., Results: No leakage of anastomosis was observed and the catheter was removed in the 5th day after surgery. After catheter removal, the urinary recovery of early continence at 3 days was 45% and at 7 days was 75%, while the urinary continence recovery at 1 month was 88% and at 3 months was 94%., Conclusions: In our experience this novel approach results feasible in all patient, without extending the operation time and gives a good safety in terms of reduction of bleeding and leakage with shorter urinary continence recovery's time. The aim of the combination of the PMFR and the vesicourethral anastomosis with one bidirectional barbed suture is to have all the advantages of both techniques plus the stability of a single running suture.

Published
2018
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21. Robot assisted radical cystectomy with totally intracorporeal urinary diversion: initial, single-surgeon's experience after a modified modular training.

Author

Porreca A, Chessa F, Romagnoli D, Salvaggio A, Cafarelli A, Borghesi M, Bianchi L, Dandrea M, D'Agostino D, Dente D, Cappa E, Wiklund P, Brunocilla E, and Schiavina R

Subjects
Aged, Clinical Competence, Female, Humans, Learning Curve, Male, Middle Aged, Prospective Studies, Surgeons, Treatment Outcome, Cystectomy methods, Robotic Surgical Procedures methods, Urinary Diversion methods, Urologic Surgical Procedures education, Urologic Surgical Procedures methods, Urology education
Abstract

Background: To report the perioperative and early functional outcomes of patients undergoing Robot-assisted radical cystectomy (RARC) with totally intracorporeal urinary diversion performed by a single surgeon after a modified modular training., Methods: The surgeon (A.P.) attained a 30-days modified modular training at a referring Center mentored by a worldwide-recognized robotic surgeon (P.W.). The training program consisted of: 1) e-learning based on 10 hours of theoretical lessons made by the mentor; 2) video-session concerning the different steps of the procedure, 3) step-by-step in vivo modular training. Demographics, intraoperative data and post-operative complications were recorded for each patient., Results: Twenty-four consecutive patients were prospectively evaluated. Median age was 68.5 years (IQR 59-75). Thirteen (54.2%) and 11 (45.8%) patients received RARC with orthotopic neobladder (ONB) and ileal conduit (IC), respectively. Overall mean (±SD) operative time was 392 (± 34.8) minutes. The median number of lymph node retrieved was 30 (IQR 24-42), the mean intraoperative estimated blood loss (EBL) was 403 mL (±60) with average hospitalization of 7.8 days (±2.2). All procedures were completed successfully without open conversion. A statistically significant difference in terms of overall operative time (OT) and urinary diversion operative time (UDOT) was found in favor of IC group compared to ONB group (P=0.002). Overall complication rate was 33%, 7 out of 9 (88%) were graded as minor (Clavien 1-2). Two (22%) major complications (Clavien 3-5) occurred solely on ONB group., Conclusions: Robot-assisted radical cystectomy with totally intracorporeal urinary diversion is a challenging procedure with a steep learning curve. An adequate modular training with an experienced mentor and a skilled robotic team could be essential to reach these optimal results. Further studies investigating the impact of modular learning curve and a dedicated menthorship on operative and functional outcomes after RARC are needed.

Published
2018
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