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Your search keyword '"Barbieri, Im"' showing total 2 results
Start Over Author "Barbieri, Im" Topic laparoscopy
2 results on '"Barbieri, Im"'

1. The Italian Registry of Laparoscopic Surgery of the Spleen (IRLSS) A retrospective review of 379 patients undergoing laparoscopic splenectomy.

Author

Casaccia M, Torelli P, Squarcia S, Sormani MP, Savelli A, Troilo BM, Santori G, Valente U, Basso N, Silecchia G, Bresadola F, Terrosu G, Pietrabissa A, Valeri FM, Prosperi P, Saviano M, Gelmini R, Uggeri F, Caprotti R, Romano F, Logrieco G, Moraldini A, Dallatorre A, Rosati R, Bona S, Cavaliere P, Cavaliere D, Spinoglio G, Buccoliero F, Berta R, Pedrazzolir C, Bigi L, Barbieri IM, Donini I, Donini A, Colecchia G, Monteferrante E, Prete F, Memeo V, and Puglisi F

Subjects
Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Hematologic Diseases mortality, Hematologic Diseases pathology, Humans, Italy, Male, Medical Records, Middle Aged, Retrospective Studies, Surveys and Questionnaires, Survival Analysis, Treatment Outcome, Hematologic Diseases surgery, Laparoscopy, Splenectomy methods, Splenomegaly surgery
Abstract

In December 2000, the Italian Registry of Laparoscopic Surgery of the Spleen (IRLSS) was formally launched under the auspices of the Italian Society for Endoscopic Surgery and New Technologies (SICE). The aim of this multicentre study was to analyse various aspects of the treatment that are still under discussion, such as the extension of the laparoscopic indications in cases of malignancy, independently of the associated splenomegaly, patient selection and operative techniques. A retrospective review of 379 patients undergoing laparoscopic splenectomy for haematological diseases from February 1, 1993, to September 15, 2005, was conducted. Data were collected from the 18 italian centres participating in the IRLSS. The mean length of surgery was 140 minutes (range: 25-420). Conversion was necessary in 25 cases (6.6%), and at least one accessory spleen was found in 30 patients (8%). The mean spleen weight was 1200 g (range: 85-4500). Perioperative death occurred in two cases (0.5%). There were no complications in 312 patients (82.3%), with a mean hospital stay of 5.5 days (range: 2-30). Morbidity occurred in 67 patients (17.8%), mainly consisting in transient fever (n = 22), pleural effusions (n = 16), and actual or suspected haemorrhage (n = 14), requiring re-intervention in 7 patients. This first study carried out on the IRLSS data shows that laparoscopic splenectomy may constitute the gold standard for haematological diseases with a normal-sized spleen. The low morbidity and mortality rates suggest that laparoscopic splenectomy can be successfully proposed also for splenomegaly in haematological malignancies.

Published
2006

2. Putative Predictive Parameters for the Outcome of Laparoscopic Splenectomy

Author

Casaccia, M, Torelli, P, Pasa, A, Sormani, Mp, Rossi, E, Casaccia M, IRLSS C. e. n. t. e. r. s., Valente, U, Spinoglio, G, Prete, F, Logrieco, G, Buccoliero, F, Berta, R, Donini, I, Donini, Annibale, Valeri, A, Prosperi, P, Saviano, M, Gelmini, R, Uggeri, F, Caprotti, R, Romano, F, Colecchia, G, Monteferrante, E, Pedrazzoli, C, Bigi, L, Barbieri, Im, Moraldi, A, Dallatorre, A, Basso, N, Silecchia, G, Rosati, R, Bona, S, Cavaliere, P, Bresadola, F, Terrosu, G, Mosca, F, Pietrabissa, A, Memeo, V, Puglisi, F, Dionigi, R, Benevento, A, Boni, L, Liboni, A, Feo, C, Borghi, F, Geretto, P, Moroni, R, Sorrentino, M, di Sebastiano, P, Ambrosio, A, Verdecchia, Gm, Cavaliere, D., Casaccia, M, Torelli, P, Pasa, A, Sormani, Mp, Rossi, E, Rosati, R, Sormani, M, Valente, U, Spinoglio, G, Prete, F, Logrieco, G, Buccoliero, F, Berta, R, Donini, I, Donini, A, Valeri, A, Prosperi, P, Saviano, M, Gelmini, R, Uggeri, F, Caprotti, R, Romano, F, Colecchia, G, Monteferrante, E, Pedrazzoli, C, Bigi, L, Barbieri, I, Moraldi, A, Dallatorre, A, Basso, N, Silecchia, G, Bona, S, Cavaliere, P, Bresadola, F, Terrosu, G, Mosca, F, Pietrabissa, A, Memeo, V, Puglisi, F, Dionigi, R, Benevento, A, Boni, L, Liboni, A, Feo, C, Borghi, F, Geretto, P, Moroni, R, Sorrentino, M, di Sebastiano, P, Ambrosio, A, Verdecchia, G, and Cavaliere, D

Subjects
Registrie, Adult, Male, Laparoscopic surgery, medicine.medical_specialty, Multivariate analysis, Adolescent, medicine.medical_treatment, Splenectomy, Postoperative Complications, Retrospective Studie, Risk Factors, MED/18 - CHIRURGIA GENERALE, medicine, Humans, Registries, Aged, Child, Child, Female, Italy, Laparoscopy, Middle Aged, Multivariate Analysis, Retrospective Studies, Treatment Outcome, Child, Multivariate Analysi, LAPAROSCOPIC SPLENECTOMY, Aged, 80 and over, medicine.diagnostic_test, business.industry, Risk Factor, Gold standard, Retrospective cohort study, Perioperative, Surgery, Endoscopy, Child, Preschool, Postoperative Complication, business, Human
Abstract

OBJECTIVE: To identify predictive risk factors for conversion to open splenectomy and postoperative complications in patients undergoing elective laparoscopic splenectomy. BACKGROUND: The laparoscopic approach represents the "gold standard" for splenectomy, but its use in the treatment of splenomegaly and malignant disease is controversial. Factors that influence immediate outcome are clinical, anatomic, and pathologic. METHODS: Univariate and multivariate analyses of data from the Italian Registry of Laparoscopic Surgery of the Spleen, a multicenter database supported by 25 referral centers. Analysis of data (1993-2007) was performed on a series of patients (n = 676) undergoing elective laparoscopic splenectomy. Demographic data, the operative indications, the surgical technique applied, and any intra- and/or postoperative complications with respect to the patients were assessed. Records were analyzed retrospectively using the Student t test, the chi test, and logistic regression. RESULTS: Conversion to open splenectomy was necessary in 39 cases (5.8%). Perioperative deaths occurred in 3 cases (0.4%). There were no complications in 560 patients (82.8%), with a mean hospital stay of 5 days (range, 2-54). Overall, morbidity occurred in 116 patients (17.2%). Multivariate analysis found that the body mass index (P = 0.01) and the presence of hematologic malignancy (P < 0.001) were independent predictors for intraoperative complications and surgical conversion. Spleen longitudinal diameter (P = 0.001) and surgical conversion (P = 0.001) were independent predictors for the occurrence of postoperative complications. CONCLUSIONS: This large multicenter study provides evidence for the significance of predictive risk factors for intra- and postoperative complications in laparoscopic splenic surgery. Besides splenic dimensions, other factors like the patient's habitus and the specific underlying hematologic pathology should be recognized by the surgeon to reduce complications and initiate adequate treatment.

Published
2010
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