Search

Your search keyword '"Covotta L"' showing total 3 results
Start Over Author "Covotta L" Topic colectomy
3 results on '"Covotta L"'

1. Toward lowering morbidity, mortality, and stoma formation in emergency colorectal surgery: the role of specialization.

Author

Zorcolo L, Covotta L, Carlomagno N, and Bartolo DC

Subjects
Adult, Aged, Aged, 80 and over, Anastomosis, Surgical adverse effects, Anastomosis, Surgical methods, Colonic Diseases mortality, Colonic Diseases pathology, Colorectal Surgery adverse effects, Colorectal Surgery methods, Female, Humans, Male, Middle Aged, Morbidity, Patient Selection, Postoperative Complications, Rectal Diseases mortality, Rectal Diseases pathology, Retrospective Studies, Surgical Stomas statistics & numerical data, Survival Rate, Treatment Outcome, Colectomy methods, Colonic Diseases surgery, Colorectal Surgery mortality, Emergency Treatment methods, Rectal Diseases surgery
Abstract

Introduction: Surgical management of left-sided large bowel emergencies has been evolving toward single-staged procedures. Selection for single or staged resection remains the most controversial issue., Methods: The results from a series of 336 emergency colorectal procedures performed between January 1990 and December 2000 for cancer and diverticular disease by two different surgical units in one hospital are reported: one with a specific interest in colorectal surgery, and one specialized in upper gastrointestinal surgery., Results: A primary anastomosis was performed in 142 (64.3 percent) patients by colorectal surgeons and in 42 (36.5 percent) by noncolorectal surgeons (P < 0.0001). The overall morbidity and mortality rates were lower for colon and rectal surgeons (14.5 vs. 24.3 percent and 10.4 vs. 17.4 percent, respectively). Trainees were more likely to perform anastomoses when assisted by colorectal consultants (72.1 percent of cases) than when a noncolorectal consultant was present (47.5 percent of cases; P < 0.05). The 30-day mortality for patients with primary anastomosis was 6 percent, and anastomotic dehiscence occurred in nine (4.9 percent) patients. The mortality for patients undergoing staged resections (21.1 percent) was significantly higher than those who had primary resections performed (P < 0.001)., Conclusions: Primary anastomosis for left-sided colorectal diseases can be performed with low morbidity and mortality in selected patients. Specialization increased anastomotic rates and reduced morbidity. This study suggests that colon and rectal surgeons should manage colorectal emergencies, and trainees should not be left unsupervised.

Published
2003
Full Text
View/download PDF

2. Laparoscopic right hemicolectomy: the SICE (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie) network prospective trial on 1225 cases comparing intra corporeal versus extra corporeal ileo-colic side-to-side anastomosis

Author

Anania G., Agresta F., Artioli E., Rubino S., Resta G., Vettoretto N., Petz W. L., Bergamini C., Arezzo A., Valpiani G., Morotti C., Silecchia G., Adamo V., Agrusa A., Alemanno G., Allaix M. E., Alo A., Altamura A., Ambrosi A., Antoniutti M., Apa D., Arcuri G., Baiocchi G. L., Balani A., Baldazzi G., Basti M., Benvenuto C., Berti S., Boni L., Borghi F., Botteri E., Brachet Contul R., Brescia A., Budassi A., Cafagna L., Calgaro M., Calo P. G., Campagnacci R., Canova G., Canu G. L., Caracino V., Carcoforo P., Carlini M., Casali L., Cassetti D., Cassinotti E., Catarci M., Cesari M., Checcacci P., Ciano P., Clementi M., Cocorullo G., Colombo F., Concone G., Contine A., Coppola M., Coratti A., Corcione F., Corleone P., Covotta L., Cuccurullo D., Cumbo P., D'ambrosio G., De Angelis F., De Luca M., De Manzini N., De Nisco C., De Palma G. D., De Paolis P., Degiuli M., Delogu D., Delrio P., Deserra A., Donini A., Elmore U., Ercolani G., Erdas E., Fabris L., Ferrari G., Feo G., Fidanza F., Foschi D., Galleano R., Garulli G., Gatti F., Gattolin A., Gelati S., Gelmini R., Ghazouani O., Gioffre A., Gobbi S., Grammatico V., Guariniello A., Giannessi S., Guerrieri M., Guerriero L., Gullotta G., Impellizzeri H., Izzo M., Jovine E., Lezoche G., Lirusso C., Lombardi R., Longoni M., Lucchi A., Luzzi A. P., Marini P., Marrosu A. G., Martino A., Mazza R., Mazzoccato S., Medas F., Meloni A., Milone M., Minciotti E., Monari F., Moretto G., Muttillo I. A., Navarra G., Neri S., Oldani A., Olmi S., Opocher E., Osenda E., Ottonello R., Panebianco V., Pavanello M., Pecchini F., Pellegrino L., Pennisi D., Perrotta N., Pertile D., Petri R., Picchetto A., Piccoli M., Pirrera B., Pisani Ceretti A., Pisano M., Podda M., Portolani N., Presenti L., Puzziello A., Razzi S., Rega D., Restini E., Ricci G., Rigamonti M., Rivolta U., Robustelli V., Romairone E., Rosati R., Rosso E., Roviello F., Sala S., Santarelli M., Sarro G., Sartori A., Scabini S., Scognamillo F., Sechi R., Solaini L., Soliani G., Soliani P., Soligo E., Sorrentino M., Spinoglio G., Stratta E., Taddei A., Talamo G., Targa S., Tartaglia N., Testa S., Ubiali P., Valeri A., Vasta F., Verzelli A., Vicentini R., Viola G., Violi V., Zago M., Zampino L., Anania, G., Agresta, F., Artioli, E., Rubino, S., Resta, G., Vettoretto, N., Petz, W. L., Bergamini, C., Arezzo, A., Valpiani, G., Morotti, C., Silecchia, G., Adamo, V., Agrusa, A., Alemanno, G., Allaix, M. E., Alo, A., Altamura, A., Ambrosi, A., Antoniutti, M., Apa, D., Arcuri, G., Baiocchi, G. L., Balani, A., Baldazzi, G., Basti, M., Benvenuto, C., Berti, S., Boni, L., Borghi, F., Botteri, E., Brachet Contul, R., Brescia, A., Budassi, A., Cafagna, L., Calgaro, M., Calo, P. G., Campagnacci, R., Canova, G., Canu, G. L., Caracino, V., Carcoforo, P., Carlini, M., Casali, L., Cassetti, D., Cassinotti, E., Catarci, M., Cesari, M., Checcacci, P., Ciano, P., Clementi, M., Cocorullo, G., Colombo, F., Concone, G., Contine, A., Coppola, M., Coratti, A., Corcione, F., Corleone, P., Covotta, L., Cuccurullo, D., Cumbo, P., D'Ambrosio, G., De Angelis, F., De Luca, M., De Manzini, N., De Nisco, C., De Palma, G. D., De Paolis, P., Degiuli, M., Delogu, D., Delrio, P., Deserra, A., Donini, A., Elmore, U., Ercolani, G., Erdas, E., Fabris, L., Ferrari, G., Feo, G., Fidanza, F., Foschi, D., Galleano, R., Garulli, G., Gatti, F., Gattolin, A., Gelati, S., Gelmini, R., Ghazouani, O., Gioffre, A., Gobbi, S., Grammatico, V., Guariniello, A., Giannessi, S., Guerrieri, M., Guerriero, L., Gullotta, G., Impellizzeri, H., Izzo, M., Jovine, E., Lezoche, G., Lirusso, C., Lombardi, R., Longoni, M., Lucchi, A., Luzzi, A. P., Marini, P., Marrosu, A. G., Martino, A., Mazza, R., Mazzoccato, S., Medas, F., Meloni, A., Milone, M., Minciotti, E., Monari, F., Moretto, G., Muttillo, I. A., Navarra, G., Neri, S., Oldani, A., Olmi, S., Opocher, E., Osenda, E., Ottonello, R., Panebianco, V., Pavanello, M., Pecchini, F., Pellegrino, L., Pennisi, D., Perrotta, N., Pertile, D., Petri, R., Picchetto, A., Piccoli, M., Pirrera, B., Pisani Ceretti, A., Pisano, M., Podda, M., Portolani, N., Presenti, L., Puzziello, A., Razzi, S., Rega, D., Restini, E., Ricci, G., Rigamonti, M., Rivolta, U., Robustelli, V., Romairone, E., Rosati, R., Rosso, E., Roviello, F., Sala, S., Santarelli, M., Sarro, G., Sartori, A., Scabini, S., Scognamillo, F., Sechi, R., Solaini, L., Soliani, G., Soliani, P., Soligo, E., Sorrentino, M., Spinoglio, G., Stratta, E., Taddei, A., Talamo, G., Targa, S., Tartaglia, N., Testa, S., Ubiali, P., Valeri, A., Vasta, F., Verzelli, A., Vicentini, R., Viola, G., Violi, V., Zago, M., Zampino, L., Anania G., Agresta F., Artioli E., Rubino S., Resta G., Vettoretto N., Petz W.L., Bergamini C., Arezzo A., Valpiani G., Morotti C., Silecchia G, and Adamo V, Agrusa A, Alemanno G, Allaix ME, Alò A, Altamura A, Ambrosi A, Antoniutti M, Apa D, Arcuri G, Baiocchi GL, Balani A, Baldazzi G, Basti M, Benvenuto C, Berti S, Boni L, Borghi F, Botteri E, Brachet Contul R, Brescia A, Budassi A, Cafagna L, Calgaro M, Calò PG, Campagnacci R, Canova G, Canu GL, Caracino V, Carcoforo P, Carlini M, Casali L, Cassetti D, Cassinotti E, Catarci M, Cesari M, Checcacci P, Ciano P, Clementi M, Cocorullo G, Colombo F, Concone G, Contine A, Coppola M, Coratti A, Corcione F, Corleone P, Covotta L, Cuccurullo D, Cumbo P, D'Ambrosio G, De Angelis F, De Luca M, De Manzini N, De Nisco C, De Palma GD, De Paolis P, Degiuli M, Delogu D, Delrio P, Deserra A, Donini A, Elmore U, Ercolani G, Erdas E, Fabris L, Ferrari G, Feo C, Fidanza F, Foschi D, Galleano R, Garulli G, Gatti F, Gattolin A, Gelati S, Gelmini R, Ghazouani O, Gioffrè A, Gobbi S, Grammatico V, Guariniello A, Giannessi S, Guerrieri M, Guerriero L, Guerriero G, Impellizzeri H, Izzo M, Jovine E, Lezoche G, Lirusso C, Lombardi R, Longoni M, Lucchi A, Luzzi AP, Marini P, Marrosu AG, Martino A, Mazza R, Mazzoccato S, Medas F, Meloni A, Milone M, Minciotti E, Monari F, Moretto G, Muttillo IA, Navarra G, Neri S, Oldani A, Olmi S, Opocher E, Osenda E, Ottonello R, Panebianco V, Pavanello M, Pecchini F, Pellegrino L, Pennisi D, Perrotta N, Pertile D, Petri R, Picchetto A, Piccoli M, Pirrera B, Pisani Ceretti A, Pisano M, Podda M, Portolani N, Presenti L, Puzziello A, Razzi S, Rega D, Restini E, Ricci G, Rigamonti M, Rivolta U, Robustelli V, Romairone E, Rosati R, Rosso E, Roviello F, Sala S, Santarelli M, Sarro G, Sartori A, Scabini S, Scognamillo F, Sechi R, Solaini L, Soliani G, Soliani P, Soligo E, Sorrentino M, Spinoglio G, Stratta E, Taddei A, Talamo G, Targa S, Tartaglia N, Testa S, Ubiali P, Valeri A, Vasta F, Verzelli A, Vicentini R, Viola G, Violi V, Zago M, Zampino L.

Subjects
Male, medicine.medical_specialty, Anastomosis, Colon, Intracorporeal anastomosis, Outcomes, Laparoscopic colectomy, Article, Intracorporeal anastomosi, Ileo-colic anastomosis, Laparoscopy, Postoperative complications, Right hemicolectomy, Aged, Anastomosis, Surgical, Colectomy, Colonic Neoplasms, Female, Humans, Prospective Studies, Treatment Outcome, Economica, Surgical, medicine, LS7_1, LS7_4, Right hemicolectomy, Ileo-colic anastomosis, Laparoscopy, Postoperative complications, Intracorporeal anastomosis, Outcomes, Outcome, LS7_9, medicine.diagnostic_test, business.industry, General surgery, Right hemicolectomy · Ileo-colic anastomosis · Laparoscopy · Postoperative complications · Intracorporeal anastomosis · Outcomes, Correction, Postoperative complication, Ileo-colic anastomosi, Prospective trial, Surgery, Side to side anastomosis, business, Laparoscopic right hemicolectomy
Abstract

Background While laparoscopic approach for right hemicolectomy (LRH) is considered appropriate for the surgical treatment of both malignant and benign diseases of right colon, there is still debate about how to perform the ileo-colic anastomosis. The ColonDxItalianGroup (CoDIG) was designed as a cohort, observational, prospective, multi-center national study with the aims of evaluating the surgeons’ attitude regarding the intracorporeal (ICA) or extra-corporeal (ECA) anastomotic technique and the related surgical outcomes. Methods One hundred and twenty-five Surgical Units experienced in colorectal and advanced laparoscopic surgery were invited and 85 of them joined the study. Each center was asked not to change its surgical habits. Data about demographic characteristics, surgical technique and postoperative outcomes were collected through the official SICE website database. One thousand two hundred and twenty-five patients were enrolled between March 2018 and September 2018. Results ICA was performed in 70.4% of cases, ECA in 29.6%. Isoperistaltic anastomosis was completed in 85.6%, stapled in 87.9%. Hand-sewn enterotomy closure was adopted in 86%. Postoperative complications were reported in 35.4% for ICA and 50.7% for ECA; no significant difference was found according to patients’ characteristics and technologies used. Median hospital stay was significantly shorter for ICA (7.3 vs. 9 POD). Postoperative pain in patients not prescribed opioids was significantly lower in ICA group. Conclusions In our survey, a side-to-side isoperistaltic stapled ICA with hand-sewn enterotomy closure is the most frequently adopted technique to perform ileo-colic anastomosis after any indications for elective LRH. According to literature, our study confirmed better short-term outcomes for ICA, with reduction of hospital stay and postoperative pain. Trial registration Clinical trial (Identifier: NCT03934151).

Published
2020

3. SICE national survey: current status on the adoption of laparoscopic approach to the treatment of colorectal disease in italy

Author

Elmore, Ugo, Vignali, Andrea, Rosati, Riccardo, Valeri, Andrea, Silecchia, Gianfranco, Amisano, Marco, Anania, Gabriele, Andreone, Dario, Angelone, Giovanni, Baldazzi, Gianandrea, Bergamini, Carlo, Biondo, Francesco Giuseppe, Boni, Luigi, Brolese, Alberto, Brachet Contul, Riccardo, Campagnacci, Roberto, Campanile, Fabio, Cavicchi, Angelo, Carlini, Massimo, Cola, Bruno, Cesari, Maurizio, Covotta, Luca, Cumbo, Pietro, De Manzini, Nicolò, de Marchi, Francesco, de Paolis, Paolo, Ercolani, Giorgio, Fernando, Manes, Ferrero, Alessandro, Francioni, Gianfranco, Garulli, Gianluca, Genna, Michele, Gianesini, Raffaele, Gioffrè, Aldo, Guerrieri, Mario, Azzola Guicciardi, Marco, Jovine, Elio, Laterza, Ernesto, Merigliano, Stefano, Milone, Marco, Moretto, Gianluigi, Morpurgo, Emilio, Navarra, Giuseppe, Neri, Vincenzo, Ottonello, Roberto, Panebianco, Vincenzo, Pavanello, Maurizio, Personnettaz, Eraldo, Piccoli, Micaela, Priosa, Fabio, Rossi, Aldo, Sorrentino, Mario, Tedeschi, Umberto, Testa, Silvio, Verzelli, Augusto, Vettoretto, Nereo, Violi, Vincenzo, Zattini, Pier Sante, Elmore, Ugo, Vignali, Andrea, Rosati, Riccardo, Valeri, Andrea, Silecchia, Gianfranco, Ercolani Giorgio, Elmore, U., Vignali, A., Rosati, R., Valeri, A., Silecchia, G., Amisano, M., D'Anania, Olga, Andreone, D., Angelone, G., Baldazzi, G., Bergamini, Simone, Biondo, F. G., Boni, L., Brolese, A., Contul, R. B., Campagnacci, R., Campanile, F., Cavicchi, A., Carlini, M., Cola, B., Cesari, M., Covotta, L., Cumbo, P., De Manzini, N., de Marchi, F., de Paolis, V. P., Ercolani, G., Fernando, M., Ferrero, A., Francioni, G., Garulli, G., Genna, M., Gianesini, R., Gioffre, A., Guerrieri, M., Guicciardi, M. A., Jovine, E., Laterza, E., Merigliano, S., Milone, M., Moretto, G., Morpurgo, E., Navarra, G., Neri, V., Ottonello, R., Panebianco, V., Pavanello, M., Personnettaz, E., Piccoli, M., Priosa, F., Rossi, A., Sorrentino, M., Tedeschi, U., Testa, S., Verzelli, A., Vettoretto, Luciano, Violi, V., Zattini, P. S., Silecchia, Gianfranco, Amisano, Marco, Anania, Gabriele, Andreone, Dario, Angelone, Giovanni, Baldazzi, Gianandrea, Bergamini, Carlo, Biondo, Francesco Giuseppe, Boni, Luigi, Brolese, Alberto, Brachet Contul, Riccardo, Campagnacci, Roberto, Campanile, Fabio, Cavicchi, Angelo, Carlini, Massimo, Cola, Bruno, Cesari, Maurizio, Covotta, Luca, Cumbo, Pietro, De Manzini, Nicolò, de Marchi, Francesco, de Paolis, Paolo, Ercolani, Giorgio, Fernando, Mane, Ferrero, Alessandro, Francioni, Gianfranco, Garulli, Gianluca, Genna, Michele, Gianesini, Raffaele, Gioffrè, Aldo, Guerrieri, Mario, Azzola Guicciardi, Marco, Jovine, Elio, Laterza, Ernesto, Merigliano, Stefano, Milone, Marco, Moretto, Gianluigi, Morpurgo, Emilio, Navarra, Giuseppe, Neri, Vincenzo, Ottonello, Roberto, Panebianco, Vincenzo, Pavanello, Maurizio, Personnettaz, Eraldo, Piccoli, Micaela, Priosa, Fabio, Rossi, Aldo, Sorrentino, Mario, Tedeschi, Umberto, Testa, Silvio, Verzelli, Augusto, Vettoretto, Nereo, Violi, Vincenzo, and Zattini, Pier Sante

Subjects
Colorectal cancer, Endoscopic surgery, Colorectal Neoplasm, Endoscopy, Gastrointestinal, Imaging, Colonic Diseases, 0302 clinical medicine, Computer-Assisted, Surveys and Questionnaires, Laparoscopy, Survey, Societies, Medical, Colectomy, International market, medicine.diagnostic_test, Rectal Disease, 3D technology, Colorectal disease, Surgery, Colon, Colorectal Neoplasms, Humans, Imaging, Three-Dimensional, Italy, Procedures and Techniques Utilization, Rectal Diseases, Rectum, Surgery, Computer-Assisted, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Human, medicine.medical_specialty, Gastrointestinal, Colonic Disease, NO, 03 medical and health sciences, Medical, medicine, Rectal resection, Survey, Colorectal cancer, Surgery, Laparoscopy, 3D technology, Colorectal disease, 3D technology, Colorectal cancer, Colorectal disease, Laparoscopy, Surgery, Survey, Colectomy, Colon, Colonic Diseases, Colorectal Neoplasms, Endoscopy, Gastrointestinal, Humans, Imaging, Three-Dimensional, Italy, Laparoscopy, Procedures and Techniques Utilization, Rectal Diseases, Rectum, Societies, Medical, Surgery, Computer-Assisted, Surveys and Questionnaires, business.industry, General surgery, Left colectomy, Endoscopy, medicine.disease, Invasive surgery, Three-Dimensional, business, Societies
Abstract

The real diffusion of laparoscopy for the treatment of colorectal diseases in Italy is largely unknown. The main purpose of the present study is to investigate among surgeons dedicated to minimally invasive surgery, the volume of laparoscopic colorectal procedures, the type of operation performed in comparison to traditional approach, the indication for surgery (benign and malignant) and to evaluate the different types of technologies used. A structured questionnaire was developed in collaboration with an international market research institute and the survey was published online; invitation to participate to the survey was issued among the members of the Italian Society of Endoscopic Surgery (SICE). 211 surgeons working in 57 surgical departments in Italy fulfilled and answered the online survey. A total of 6357 colorectal procedures were recorded during the year 2015 of which 4104 (64.1%) were performed using a minimally invasive approach. Colon and rectal cancer were the most common indications for laparoscopic approach (83.1%). Left colectomy was the operation most commonly performed (41.8%), while rectal resection accounted for 23.5% of the cases. Overall conversion rate was 5.9% (242/4104). Full HD standard technology was available and routinely used in all the responders' centers. The proportion of colorectal resections that are carried out laparoscopically in dedicated centers has now reached valuable levels with a low conversion rate.

Published
2019

Catalog

Books, media, physical & digital resources
See catalog results