7 results on '"Gourgiotis, Stavro"'
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2. Risk factors associated with pancreatic fistula after distal pancreatectomy, which technique of pancreatic stump closure is more beneficial?
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Pericoli Ridolfini, Marco, Alfieri, Sergio, Gourgiotis, Stavro, Di Miceli, Dario, Rotondi, Fabio, Quero, Giuseppe, Manghi, Roberta, Doglietto, Giovanni Battista, Ridolfini, Marco Pericoli, Alfieri, Sergio (ORCID:0000-0002-0404-724X), Quero, Giuseppe (ORCID:0000-0002-0001-9479), Pericoli Ridolfini, Marco, Alfieri, Sergio, Gourgiotis, Stavro, Di Miceli, Dario, Rotondi, Fabio, Quero, Giuseppe, Manghi, Roberta, Doglietto, Giovanni Battista, Ridolfini, Marco Pericoli, Alfieri, Sergio (ORCID:0000-0002-0404-724X), and Quero, Giuseppe (ORCID:0000-0002-0001-9479)
- Abstract
AIM: To identify risk factors related to pancreatic fistula in patients undergoing distal pancreatectomy (DP) and to determine the effectiveness of using a stapled and a sutured closed of pancreatic stump.METHODS: Sixty-four patients underwent DP during a 10-year period. Information regarding diagnosis, operative details, and perioperative morbidity or mortality was collected. Eight risk factors were examined.RESULTS: Indications for DP included primary pancreatic disease (n = 38, 59%) and non-pancreatic malignancy (n = 26, 41%). Postoperative mortality and morbidity rates were 1.5% and 37% respectively; one patient died due to sepsis and two patients required a reoperation due to postoperative bleeding. Pancreatic fistula was developed in 14 patients (22%); 4 of fistulas were classified as Grade A, 9 as Grade B and only 1 as Grade C. Incidence of pancreatic fistula rate was significantly associated with four risk factors: pathology, use of prophylactic octreotide therapy, concomitant splenectomy, and texture of pancreatic parenchyma. The role that technique (either stapler or suture) of pancreatic stump closure plays in the development of pancreatic leak remains unclear.CONCLUSION: The pancreatic fistula rate after DP is 22%. This is reduced for patients with non-pancreatic malignancy, fibrotic pancreatic tissue, postoperative prophylactic octreoticle therapy and concomitant splenectomy. (c) 2007 WJG. All rights reserved.
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- 2007
3. The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?
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Belinda De Simone, Fikri M. Abu-Zidan, Elie Chouillard, Salomone Di Saverio, Massimo Sartelli, Mauro Podda, Carlos Augusto Gomes, Ernest E. Moore, Susan J. Moug, Luca Ansaloni, Yoram Kluger, Federico Coccolini, Aitor Landaluce-Olavarria, Begoña Estraviz-Mateos, Ana Uriguen-Etxeberria, Alessio Giordano, Alfonso Palmieri Luna, Luz Adriana Hernández Amín, Adriana María Palmieri Hernández, Amanda Shabana, Zakaria Andee Dzulkarnaen, Muhammad Asyraf Othman, Mohamad Ikhwan Sani, Andrea Balla, Rosa Scaramuzzo, Pasquale Lepiane, Andrea Bottari, Fabio Staderini, Fabio Cianchi, Andrea Cavallaro, Antonio Zanghì, Alessandro Cappellani, Roberto Campagnacci, Angela Maurizi, Mario Martinotti, Annamaria Ruggieri, Asri Che Jusoh, Karim Abdul Rahman, Anis Suraya M. Zulkifli, Barbara Petronio, Belén Matías-García, Ana Quiroga-Valcárcel, Fernando Mendoza-Moreno, Boyko Atanasov, Fabio Cesare Campanile, Ilaria Vecchioni, Luca Cardinali, Grazia Travaglini, Elisa Sebastiani, Serge Chooklin, Serhii Chuklin, Pasquale Cianci, Enrico Restini, Sabino Capuzzolo, Giuseppe Currò, Rosalinda Filippo, Michele Rispoli, Daniel Aparicio-Sánchez, Virginia Durán Muñóz-Cruzado, Sandra Dios Barbeito, Samir Delibegovic, Amar Kesetovic, Diego Sasia, Felice Borghi, Giorgio Giraudo, Diego Visconti, Emanuele Doria, Mauro Santarelli, Davide Luppi, Stefano Bonilauri, Ugo Grossi, Giacomo Zanus, Alberto Sartori, Giacomo Piatto, Maurizio De Luca, Domenico Vita, Luigi Conti, Patrizio Capelli, Gaetano Maria Cattaneo, Athanasios Marinis, Styliani-Aikaterini Vederaki, Mehmet Bayrak, Yasemin Altıntas, Mustafa Yener Uzunoglu, Iskender Eren Demirbas, Yuksel Altinel, Serhat Meric, Yunus Emre Aktimur, Derya Salim Uymaz, Nail Omarov, Ibrahim Azamat, Eftychios Lostoridis, Eleni-Aikaterini Nagorni, Antonio Pujante, Gabriele Anania, Cristina Bombardini, Francesco Bagolini, Emre Gonullu, Baris Mantoglu, Recayi Capoglu, Stefano Cappato, Elena Muzio, Elif Colak, Suleyman Polat, Zehra Alan Koylu, Fatih Altintoprak, Zülfü Bayhan, Emrah Akin, Enrico Andolfi, Sulce Rezart, Jae Il Kim, Sung Won Jung, Yong Chan Shin, Octavian Enciu, Elena Adelina Toma, Fabio Medas, Gian Luigi Canu, Federico Cappellacci, Fabrizio D’Acapito, Giorgio Ercolani, Leonardo Solaini, Francesco Roscio, Federico Clerici, Roberta Gelmini, Francesco Serra, Elena Giulia Rossi, Francesco Fleres, Guglielmo Clarizia, Alessandro Spolini, Francesco Ferrara, Gabriela Nita, Jlenia Sarnari, Mahir Gachabayov, Abakar Abdullaev, Gaetano Poillucci, Gian Marco Palini, Simone Veneroni, Gianluca Garulli, Micaela Piccoli, Gianmaria Casoni Pattacini, Francesca Pecchini, Giulio Argenio, Mariano Fortunato Armellino, Giuseppe Brisinda, Silvia Tedesco, Pietro Fransvea, Giuseppe Ietto, Caterina Franchi, Giulio Carcano, Gennaro Martines, Giuseppe Trigiante, Giulia Negro, Gustavo Machain Vega, Agustín Rodríguez González, Leonardo Ojeda, Gaetano Piccolo, Andrea Bondurri, Anna Maffioli, Claudio Guerci, Boo Han Sin, Zamri Zuhdi, Azlanudin Azman, Hussam Mousa, Shadi al Bahri, Goran Augustin, Ivan Romic, Trpimir Moric, Ioannis Nikolopoulos, Jacopo Andreuccetti, Giusto Pignata, Rossella D’Alessio, Jakub Kenig, Urszula Skorus, Gustavo Pereira Fraga, Elcio Shiyoiti Hirano, Jackson Vinícius de Lima Bertuol, Arda Isik, Eray Kurnaz, Mohammad Sohail Asghar, Ameer Afzal, Ali Akbar, Taxiarchis Konstantinos Nikolouzakis, Konstantinos Lasithiotakis, Emmanuel Chrysos, Koray Das, Nazmi Özer, Ahmet Seker, Mohamed Ibrahim, Hytham K. S. Hamid, Ahmed Babiker, Konstantinos Bouliaris, George Koukoulis, Chrysoula-Christina Kolla, Andrea Lucchi, Laura Agostinelli, Antonio Taddei, Laura Fortuna, Carlotta Agostini, Leo Licari, Simona Viola, Cosimo Callari, Letizia Laface, Emmanuele Abate, Massimiliano Casati, Alessandro Anastasi, Giuseppe Canonico, Linda Gabellini, Lorenzo Tosi, Anna Guariniello, Federico Zanzi, Lovenish Bains, Larysa Sydorchuk, Oksana Iftoda, Andrii Sydorchuk, Michele Malerba, Federico Costanzo, Raffaele Galleano, Michela Monteleone, Andrea Costanzi, Carlo Riva, Maciej Walędziak, Andrzej Kwiatkowski, Łukasz Czyżykowski, Piotr Major, Marcin Strzałka, Maciej Matyja, Michal Natkaniec, Maria Rosaria Valenti, Maria Domenica Pia Di Vita, Maria Sotiropoulou, Stylianos Kapiris, Damien Massalou, Massimiliano Veroux, Alessio Volpicelli, Rossella Gioco, Matteo Uccelli, Marta Bonaldi, Stefano Olmi, Matteo Nardi, Giada Livadoti, Cristian Mesina, Theodor Viorel Dumitrescu, Mihai Calin Ciorbagiu, Michele Ammendola, Giorgio Ammerata, Roberto Romano, Mihail Slavchev, Evangelos P. Misiakos, Emmanouil Pikoulis, Dimitrios Papaconstantinou, Mohamed Elbahnasawy, Sherief Abdel-elsalam, Daniel M. Felsenreich, Julia Jedamzik, Nikolaos V. Michalopoulos, Theodoros A. Sidiropoulos, Maria Papadoliopoulou, Nicola Cillara, Antonello Deserra, Alessandro Cannavera, Ionuţ Negoi, Dimitrios Schizas, Athanasios Syllaios, Ilias Vagios, Stavros Gourgiotis, Nick Dai, Rekha Gurung, Marcus Norrey, Antonio Pesce, Carlo Vittorio Feo, Nicolo’ Fabbri, Nikolaos Machairas, Panagiotis Dorovinis, Myrto D. Keramida, Francesk Mulita, Georgios Ioannis Verras, Michail Vailas, Omer Yalkin, Nidal Iflazoglu, Direnc Yigit, Oussama Baraket, Karim Ayed, Mohamed hedi Ghalloussi, Parmenion Patias, Georgios Ntokos, Razrim Rahim, Miklosh Bala, Asaf Kedar, Robert G. Sawyer, Anna Trinh, Kelsey Miller, Ruslan Sydorchuk, Ruslan Knut, Oleksandr Plehutsa, Rumeysa Kevser Liman, Zeynep Ozkan, Saleh Abdel Kader, Sanjay Gupta, Monika Gureh, Sara Saeidi, Mohsen Aliakbarian, Amin Dalili, Tomohisa Shoko, Mitsuaki Kojima, Raira Nakamoto, Semra Demirli Atici, Gizem Kilinc Tuncer, Tayfun Kaya, Spiros G. Delis, Stefano Rossi, Biagio Picardi, Simone Rossi del Monte, Tania Triantafyllou, Dimitrios Theodorou, Tadeja Pintar, Jure Salobir, Dimitrios K. Manatakis, Nikolaos Tasis, Vasileios Acheimastos, Orestis Ioannidis, Lydia Loutzidou, Savvas Symeonidis, Tiago Correia de Sá, Mónica Rocha, Tommaso Guagni, Desiré Pantalone, Gherardo Maltinti, Vladimir Khokha, Wafaa Abdel-elsalam, Basma Ghoneim, José Antonio López-Ruiz, Yasin Kara, Syaza Zainudin, Firdaus Hayati, Nornazirah Azizan, Victoria Tan Phooi Khei, Rebecca Choy Xin Yi, Harivinthan Sellappan, Zaza Demetrashvili, Nika Lekiashvili, Ana Tvaladze, Caterina Froiio, Daniele Bernardi, Luigi Bonavina, Angeles Gil-Olarte, Sebastiano Grassia, Estela Romero-Vargas, Francesco Bianco, Andrew A. Gumbs, Agron Dogjani, Ferdinando Agresta, Andrey Litvin, Zsolt J. Balogh, George Gendrikson, Costanza Martino, Dimitrios Damaskos, Nikolaos Pararas, Andrew Kirkpatrick, Mikhail Kurtenkov, Felipe Couto Gomes, Adolfo Pisanu, Oreste Nardello, Fabrizio Gambarini, Hager Aref, Nicola de’ Angelis, Vanni Agnoletti, Antonio Biondi, Marco Vacante, Giulia Griggio, Roberta Tutino, Marco Massani, Giovanni Bisetto, Savino Occhionorelli, Dario Andreotti, Domenico Lacavalla, Walter L. Biffl, Fausto Catena, De Simone, Belinda, Abu-Zidan, Fikri M, Chouillard, Elie, Di Saverio, Salomone, Sartelli, Massimo, Podda, Mauro, Gomes, Carlos Augusto, Moore, Ernest E, Moug, Susan J, Ansaloni, Luca, Kluger, Yoram, Coccolini, Federico, Landaluce-Olavarria, Aitor, Estraviz-Mateos, Begoña, Uriguen-Etxeberria, Ana, Giordano, Alessio, Luna, Alfonso Palmieri, Amín, Luz Adriana Hernández, Hernández, Adriana María Palmieri, Shabana, Amanda, Dzulkarnaen, Zakaria Andee, Othman, Muhammad Asyraf, Sani, Mohamad Ikhwan, Balla, Andrea, Scaramuzzo, Rosa, Lepiane, Pasquale, Bottari, Andrea, Staderini, Fabio, Cianchi, Fabio, Cavallaro, Andrea, Zanghì, Antonio, Cappellani, Alessandro, Campagnacci, Roberto, Maurizi, Angela, Martinotti, Mario, Ruggieri, Annamaria, Jusoh, Asri Che, Rahman, Karim Abdul, Zulkifli, Anis Suraya M, Petronio, Barbara, Matías-García, Belén, Quiroga-Valcárcel, Ana, Mendoza-Moreno, Fernando, Atanasov, Boyko, Campanile, Fabio Cesare, Vecchioni, Ilaria, Cardinali, Luca, Travaglini, Grazia, Sebastiani, Elisa, Chooklin, Serge, Chuklin, Serhii, Cianci, Pasquale, Restini, Enrico, Capuzzolo, Sabino, Currò, Giuseppe, Filippo, Rosalinda, Rispoli, Michele, Aparicio-Sánchez, Daniel, Muñóz-Cruzado, Virginia Durán, Barbeito, Sandra Dio, Delibegovic, Samir, Kesetovic, Amar, Sasia, Diego, Borghi, Felice, Giraudo, Giorgio, Visconti, Diego, Doria, Emanuele, Santarelli, Mauro, Luppi, Davide, Bonilauri, Stefano, Grossi, Ugo, Zanus, Giacomo, Sartori, Alberto, Piatto, Giacomo, De Luca, Maurizio, Vita, Domenico, Conti, Luigi, Capelli, Patrizio, Cattaneo, Gaetano Maria, Marinis, Athanasio, Vederaki, Styliani-Aikaterini, Bayrak, Mehmet, Altıntas, Yasemin, Uzunoglu, Mustafa Yener, Demirbas, Iskender Eren, Altinel, Yuksel, Meric, Serhat, Aktimur, Yunus Emre, Uymaz, Derya Salim, Omarov, Nail, Azamat, Ibrahim, Lostoridis, Eftychio, Nagorni, Eleni-Aikaterini, Pujante, Antonio, Anania, Gabriele, Bombardini, Cristina, Bagolini, Francesco, Gonullu, Emre, Mantoglu, Bari, Capoglu, Recayi, Cappato, Stefano, Muzio, Elena, Colak, Elif, Polat, Suleyman, Koylu, Zehra Alan, Altintoprak, Fatih, Bayhan, Zülfü, Akin, Emrah, Andolfi, Enrico, Rezart, Sulce, Kim, Jae Il, Jung, Sung Won, Shin, Yong Chan, Enciu, Octavian, Toma, Elena Adelina, Medas, Fabio, Canu, Gian Luigi, Cappellacci, Federico, D'Acapito, Fabrizio, Ercolani, Giorgio, Solaini, Leonardo, Roscio, Francesco, Clerici, Federico, Gelmini, Roberta, Serra, Francesco, Rossi, Elena Giulia, Fleres, Francesco, Clarizia, Guglielmo, Spolini, Alessandro, Ferrara, Francesco, Nita, Gabriela, Sarnari, Jlenia, Gachabayov, Mahir, Abdullaev, Abakar, Poillucci, Gaetano, Palini, Gian Marco, Veneroni, Simone, Garulli, Gianluca, Piccoli, Micaela, Pattacini, Gianmaria Casoni, Pecchini, Francesca, Argenio, Giulio, Armellino, Mariano Fortunato, Brisinda, Giuseppe, Tedesco, Silvia, Fransvea, Pietro, Ietto, Giuseppe, Franchi, Caterina, Carcano, Giulio, Martines, Gennaro, Trigiante, Giuseppe, Negro, Giulia, Vega, Gustavo Machain, González, Agustín Rodríguez, Ojeda, Leonardo, Piccolo, Gaetano, Bondurri, Andrea, Maffioli, Anna, Guerci, Claudio, Sin, Boo Han, Zuhdi, Zamri, Azman, Azlanudin, Mousa, Hussam, Al Bahri, Shadi, Augustin, Goran, Romic, Ivan, Moric, Trpimir, Nikolopoulos, Ioanni, Andreuccetti, Jacopo, Pignata, Giusto, D'Alessio, Rossella, Kenig, Jakub, Skorus, Urszula, Fraga, Gustavo Pereira, Hirano, Elcio Shiyoiti, de Lima Bertuol, Jackson Viníciu, Isik, Arda, Kurnaz, Eray, Asghar, Mohammad Sohail, Afzal, Ameer, Akbar, Ali, Nikolouzakis, Taxiarchis Konstantino, Lasithiotakis, Konstantino, Chrysos, Emmanuel, Das, Koray, Özer, Nazmi, Seker, Ahmet, Ibrahim, Mohamed, Hamid, Hytham K S, Babiker, Ahmed, Bouliaris, Konstantino, Koukoulis, George, Kolla, Chrysoula-Christina, Lucchi, Andrea, Agostinelli, Laura, Taddei, Antonio, Fortuna, Laura, Agostini, Carlotta, Licari, Leo, Viola, Simona, Callari, Cosimo, Laface, Letizia, Abate, Emmanuele, Casati, Massimiliano, Anastasi, Alessandro, Canonico, Giuseppe, Gabellini, Linda, Tosi, Lorenzo, Guariniello, Anna, Zanzi, Federico, Bains, Lovenish, Sydorchuk, Larysa, Iftoda, Oksana, Sydorchuk, Andrii, Malerba, Michele, Costanzo, Federico, Galleano, Raffaele, Monteleone, Michela, Costanzi, Andrea, Riva, Carlo, Walędziak, Maciej, Kwiatkowski, Andrzej, Czyżykowski, Łukasz, Major, Piotr, Strzałka, Marcin, Matyja, Maciej, Natkaniec, Michal, Valenti, Maria Rosaria, Di Vita, Maria Domenica Pia, Sotiropoulou, Maria, Kapiris, Styliano, Massalou, Damien, Veroux, Massimiliano, Volpicelli, Alessio, Gioco, Rossella, Uccelli, Matteo, Bonaldi, Marta, Olmi, Stefano, Nardi, Matteo, Livadoti, Giada, Mesina, Cristian, Dumitrescu, Theodor Viorel, Ciorbagiu, Mihai Calin, Ammendola, Michele, Ammerata, Giorgio, Romano, Roberto, Slavchev, Mihail, Misiakos, Evangelos P, Pikoulis, Emmanouil, Papaconstantinou, Dimitrio, Elbahnasawy, Mohamed, Abdel-Elsalam, Sherief, Felsenreich, Daniel M, Jedamzik, Julia, Michalopoulos, Nikolaos V, Sidiropoulos, Theodoros A, Papadoliopoulou, Maria, Cillara, Nicola, Deserra, Antonello, Cannavera, Alessandro, Negoi, Ionuţ, Schizas, Dimitrio, Syllaios, Athanasio, Vagios, Ilia, Gourgiotis, Stavro, Dai, Nick, Gurung, Rekha, Norrey, Marcu, Pesce, Antonio, Feo, Carlo Vittorio, Fabbri, Nicolo', Machairas, Nikolao, Dorovinis, Panagioti, Keramida, Myrto D, Mulita, Francesk, Verras, Georgios Ioanni, Vailas, Michail, Yalkin, Omer, Iflazoglu, Nidal, Yigit, Direnc, Baraket, Oussama, Ayed, Karim, Ghalloussi, Mohamed Hedi, Patias, Parmenion, Ntokos, Georgio, Rahim, Razrim, Bala, Miklosh, Kedar, Asaf, Sawyer, Robert G, Trinh, Anna, Miller, Kelsey, Sydorchuk, Ruslan, Knut, Ruslan, Plehutsa, Oleksandr, Liman, Rumeysa Kevser, Ozkan, Zeynep, Kader, Saleh Abdel, Gupta, Sanjay, Gureh, Monika, Saeidi, Sara, Aliakbarian, Mohsen, Dalili, Amin, Shoko, Tomohisa, Kojima, Mitsuaki, Nakamoto, Raira, Atici, Semra Demirli, Tuncer, Gizem Kilinc, Kaya, Tayfun, Delis, Spiros G, Rossi, Stefano, Picardi, Biagio, Del Monte, Simone Rossi, Triantafyllou, Tania, Theodorou, Dimitrio, Pintar, Tadeja, Salobir, Jure, Manatakis, Dimitrios K, Tasis, Nikolao, Acheimastos, Vasileio, Ioannidis, Oresti, Loutzidou, Lydia, Symeonidis, Savva, de Sá, Tiago Correia, Rocha, Mónica, Guagni, Tommaso, Pantalone, Desiré, Maltinti, Gherardo, Khokha, Vladimir, Abdel-Elsalam, Wafaa, Ghoneim, Basma, López-Ruiz, José Antonio, Kara, Yasin, Zainudin, Syaza, Hayati, Firdau, Azizan, Nornazirah, Khei, Victoria Tan Phooi, Yi, Rebecca Choy Xin, Sellappan, Harivinthan, Demetrashvili, Zaza, Lekiashvili, Nika, Tvaladze, Ana, Froiio, Caterina, Bernardi, Daniele, Bonavina, Luigi, Gil-Olarte, Angele, Grassia, Sebastiano, Romero-Vargas, Estela, Bianco, Francesco, Gumbs, Andrew A, Dogjani, Agron, Agresta, Ferdinando, Litvin, Andrey, Balogh, Zsolt J, Gendrikson, George, Martino, Costanza, Damaskos, Dimitrio, Pararas, Nikolao, Kirkpatrick, Andrew, Kurtenkov, Mikhail, Gomes, Felipe Couto, Pisanu, Adolfo, Nardello, Oreste, Gambarini, Fabrizio, Aref, Hager, Angelis, Nicola De', Agnoletti, Vanni, Biondi, Antonio, Vacante, Marco, Griggio, Giulia, Tutino, Roberta, Massani, Marco, Bisetto, Giovanni, Occhionorelli, Savino, Andreotti, Dario, Lacavalla, Domenico, Biffl, Walter L, Catena, Fausto, and Apollo - University of Cambridge Repository
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Male ,Cholecystitis, Acute ,Acute cholecystitis ,Cholecystectomy ,COVID-19 ,Gangrene ,Gangrenous cholecystitis ,Laparoscopy ,Pandemic ,SARS-CoV-2 ,Surgery ,Cholecystitis, Acute / epidemiology ,Acute cholecystiti ,COVID-19 / epidemiology ,Postoperative Complications ,Sepsis ,Cholecystitis ,Humans ,Cholecystitis, Acute / surgery ,Pandemics ,Cholecystitis / surgery ,Gangrenous cholecystiti ,Middle Aged ,Postoperative Complications / epidemiology ,Emergency Medicine ,Female ,Cholecystitis / epidemiology - Abstract
Background The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not. Methods Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not. Results A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p p p = 0.005) were significantly more frequent in the COVID-19 group. Markers of sepsis severity including ARDS (p p p p p p p p p Conclusions The incidence of gangrenous cholecystitis is higher in COVID patients compared with non-COVID patients admitted to the emergency department with acute cholecystitis. Gangrenous cholecystitis in COVID patients is associated with high-grade Clavien-Dindo postoperative complications, longer hospital stay and higher mortality rate. The open cholecystectomy rate is higher in COVID compared with non -COVID patients. It is recommended to delay the surgical treatment in COVID patients, when it is possible, to decrease morbidity and mortality rates. COVID-19 infection and gangrenous cholecystistis are not absolute contraindications to perform laparoscopic cholecystectomy, in a case by case evaluation, in expert hands. Graphical abstract
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- 2022
4. Compliance with evidence-based clinical guidelines in the management of acute biliary pancreatitis: the MANCTRA-1 study protocol
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Gianluca Pellino, Gaetano Poillucci, Benedetto Ielpo, Francesco Virdis, Daniela Pacella, Chiara Gerardi, Ari Leppäniemi, Francesco Pata, Kumar Jayant, Salomone Di Saverio, Adolfo Pisanu, Fausto Catena, Massimo Sartelli, Ferdinando Agresta, Mauro Podda, Stavros Gourgiotis, Dimitrios Damaskos, Yoram Kluger, Federico Coccolini, Podda, Mauro [0000-0001-9941-0883], Apollo - University of Cambridge Repository, Podda, Mauro, Pellino, Gianluca, Coccolini, Federico, Gerardi, Chiara, Di Saverio, Salomone, Pata, Francesco, Ielpo, Benedetto, Virdis, Francesco, Damaskos, Dimitrio, Gourgiotis, Stavro, Poillucci, Gaetano, Pacella, Daniela, Jayant, Kumar, Agresta, Ferdinando, Sartelli, Massimo, Leppaniemi, Ari, Kluger, Yoram, Catena, Fausto, and Pisanu, Adolfo
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medicine.medical_specialty ,Evidence-based practice ,Quality management ,Audit ,Disease ,tomography ,Guidelines compliance ,Compliance (psychology) ,03 medical and health sciences ,0302 clinical medicine ,Retrospective Studie ,Study protocol ,medicine ,Humans ,Multicenter Studies as Topic ,Sub-optimal care ,Acute pancreatiti ,Intensive care medicine ,Retrospective Studies ,Protocol (science) ,business.industry ,Retrospective cohort study ,medicine.disease ,Quality Improvement ,Surgery ,Acute pancreatitis ,Biliary pancreatitis ,Global surgery ,acute pancreatitis ,biliary pancreatitis ,global surgery ,guidelines compliance ,study protocol ,sub-optimal care ,acute disease ,humans ,multicenter studies as topic ,quality improvement ,retrospective studies ,X-Ray computed ,pancreatitis ,Pancreatitis ,030220 oncology & carcinogenesis ,Acute Disease ,Biliary pancreatiti ,030211 gastroenterology & hepatology ,Original Article ,business ,Tomography, X-Ray Computed ,Human - Abstract
Despite existing evidence-based practice guidelines for the management of biliary acute pancreatitis (AP), the clinical compliance with recommendations is overall poor. Studies in this field have identified significant discrepancies between evidence-based recommendations and daily clinical practice. The most commonly reported gaps between clinical practice and AP guidelines include the indications for CT scan, need and timing of artificial nutritional support, indications for antibiotics, and surgical/endoscopic management of biliary AP. The MANCTRA-1 (coMpliAnce with evideNce-based cliniCal guidelines in the managemenT of acute biliaRy pancreAtitis) study is aiming to identify the areas for quality improvement that will require new implementation strategies. The study primary objective is to evaluate which items of the current AP guidelines are commonly disregarded and if they correlate with negative clinical outcomes according to the different clinical presentations of the disease. We attempt to summarize the main areas of sub-optimal care due to the lack of compliance with current guidelines to provide the basis for introducing a number of bundles in AP patients’ management to be implemented during the next years. The MANCTRA-1 study is an international multicenter, retrospective cohort study with the purpose to assess the outcomes of patients admitted to hospital with a diagnosis of biliary AP and the compliance of surgeons worldwide to the most up-to-dated international guidelines on biliary AP. ClinicalTrials.Gov ID Number: NCT04747990, Date: February 23, 2021. Protocol Version V2.2. Supplementary Information The online version contains supplementary material available at 10.1007/s13304-021-01118-z.
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- 2021
5. Gallbladder cancer
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Stavros Gourgiotis, Hemant M. Kocher, Leonardo Solaini, Arvin Yarollahi, Evangelos Tsiambas, Nikolaos S. Salemis, Gourgiotis, Stavro, Kocher, Hemant M, Solaini, Leonardo, Yarollahi, Arvin, Tsiambas, Evangelo, and Salemis, Nikolaos S
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Diagnostic Imaging ,Prognosi ,Chemotherapy, Adjuvant ,Risk Factors ,Gallbladder Neoplasms ,Laparoscopy ,Radiotherapy, Adjuvant ,Surgery ,General Medicine ,Prognosis ,Gallbladder Neoplasm ,Cholangiography ,Neoplasm Staging - Abstract
Gallbladder cancer (GC) is a relatively rare but highly lethal neoplasm. We review the epidemiology, etiology, pathology, symptoms, diagnosis, staging, treatment, and prognosis of GC.A Pubmed database search between 1971 and February 2007 was performed. All abstracts were reviewed and articles with GC obtained; further references were extracted by hand-searching the bibliography. The database search was done in the English language.The accurate etiology of GC remains unclear, while the symptoms associated with primary GC are not specific. Treatment with radical cholecystectomy is curative but possible in only 10% to 30% of patients. For patients whose cancer is an incidental finding on pathologic review, re-resection is indicated, where feasible, for all disease except T1a. Patients with advanced disease should receive palliative treatment. Laparoscopic cholecystectomy is contraindicated in the presence of GC.Prognosis generally is extremely poor. Improvements in the outcome of surgical resection have caused this approach to be re-evaluated, while the role of chemotherapy and radiotherapy remains controversial.
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- 2008
6. Bilateral pneumothorax, lung cavitations, and pleural empyema in a cocaine addict
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SOLAINI, LEONARDO, Solini, Leonardo, Gourgiotis, Stavros, Salemis, Nikolaos S, Koukis, Ioannis, Solaini, Leonardo, Solini, Leonardo, Gourgiotis, Stavro, Salemis, Nikolaos S, and Koukis, Ioannis
- Subjects
Pulmonary and Respiratory Medicine ,Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Thoracostomy ,Cocaine-Related Disorders ,Pneumonectomy ,Bronchiectasi ,Cocaine ,Administration, Inhalation ,medicine ,Humans ,Vasoconstrictor Agents ,Thoracotomy ,Diffuse alveolar damage ,Empyema, Pleural ,Pulmonary Infarction ,business.industry ,Thoracic Surgery, Video-Assisted ,Pleural empyema ,Pneumothorax ,Central Nervous System Stimulant ,General Medicine ,respiratory system ,medicine.disease ,Bronchiectasis ,Surgery ,respiratory tract diseases ,Pneumonia ,Treatment Outcome ,Cocaine-Related Disorder ,Central Nervous System Stimulants ,business ,Cardiology and Cardiovascular Medicine ,Tomography, X-Ray Computed ,Human - Abstract
A case of bilateral pneumothorax, lung cavitations, and pleural empyema in a cocaine user is described. The patient was treated by left tube thoracostomy and right lower lobectomy. The postoperative course was uneventful. Six months later, the patient remains asymptomatic. The pathology examination of the specimen revealed infected bronchiectasis, interstitial desquamative pneumonia, diffuse alveolar damage, subsegmental arterial thrombosis, and consequent areas of pulmonary infarction.
- Published
- 2008
7. A case of human pulmonary dirofilariasis
- Author
-
Leonardo Solaini, Nikolaos S. Salemis, Luciano Solaini, Stavros Gourgiotis, Solaini, Leonardo, Gourgiotis, Stavro, Salemis, Nikolaos S, and Solaini, Luciano
- Subjects
Male ,Microbiology (medical) ,Pathology ,medicine.medical_specialty ,Lung Diseases, Parasitic ,Dirofilaria immitis ,Dirofilariasi ,Dirofilariasis ,medicine ,Dirofilaria immiti ,Lung ,Aged, 80 and over ,biology ,Animal ,business.industry ,General Medicine ,biology.organism_classification ,medicine.disease ,Infectious Diseases ,Tomography x ray computed ,medicine.anatomical_structure ,Pulmonary dirofilariasis ,Tomography, X-Ray Computed ,business ,Human - Abstract
a case of human pulmonary dirofilariasis
- Published
- 2008
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