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279 results on '"Pecorelli, N."'

1. Are enhanced recovery protocols after pancreatoduodenectomy still efficient when applied in elderly patients? A systematic review and individual patient data meta-analysis

Author: Kuemmerli, C, Balzano, G, Bouwense, S, Braga, M, Coolsen, M, Daniel, S, Dervenis, C, Falconi, M, Hwang, D, Kagedan, D, Kim, S, Lavu, H, Nussbaum, D, Partelli, S, Passeri, M, Pecorelli, N, Pillarisetty, V, Pucci, M, Sutcliffe, R, Tingstedt, B, van der Kolk, M, Vrochides, D, Armstrong, M, Wei, A, Williamsson, C, Yeo, C, Zani, S, Zouros, E, Rozzini, R, Abuhilal, M, Kuemmerli C., Balzano G., Bouwense S. A., Braga M., Coolsen M., Daniel S. K., Dervenis C., Falconi M., Hwang D. W., Kagedan D. J., Kim S. C., Lavu H., Nussbaum D., Partelli S., Passeri M. J., Pecorelli N., Pillarisetty V. G., Pucci M. J., Sutcliffe R. P., Tingstedt B., van der Kolk M., Vrochides D., Armstrong M., Wei A., Williamsson C., Yeo C. J., Zani S., Zouros E., Rozzini R., AbuHilal M., Kuemmerli, C, Balzano, G, Bouwense, S, Braga, M, Coolsen, M, Daniel, S, Dervenis, C, Falconi, M, Hwang, D, Kagedan, D, Kim, S, Lavu, H, Nussbaum, D, Partelli, S, Passeri, M, Pecorelli, N, Pillarisetty, V, Pucci, M, Sutcliffe, R, Tingstedt, B, van der Kolk, M, Vrochides, D, Armstrong, M, Wei, A, Williamsson, C, Yeo, C, Zani, S, Zouros, E, Rozzini, R, Abuhilal, M, Kuemmerli C., Balzano G., Bouwense S. A., Braga M., Coolsen M., Daniel S. K., Dervenis C., Falconi M., Hwang D. W., Kagedan D. J., Kim S. C., Lavu H., Nussbaum D., Partelli S., Passeri M. J., Pecorelli N., Pillarisetty V. G., Pucci M. J., Sutcliffe R. P., Tingstedt B., van der Kolk M., Vrochides D., Armstrong M., Wei A., Williamsson C., Yeo C. J., Zani S., Zouros E., Rozzini R., and AbuHilal M.
Abstract: Background: This meta-analysis investigated the effects of enhanced recovery after surgery (ERAS) protocols compared to conventional care on postoperative outcomes in patients aged 70 years or older undergoing pancreatoduodenectomy (PD). Methods: Five databases were systematically searched. Comparative studies with available individual patient data (IPD) were included. The main outcomes were postoperative morbidity, length of stay, readmission and postoperative functional recovery elements. To assess an age-dependent effect, the group was divided in septuagenarians (70–79 years) and older patients (≥80 years). Results: IPD were obtained from 15 of 31 eligible studies comprising 1109 patients. The overall complication and major complication rates were comparable in both groups (OR 0.92 [95% CI: 0.65–1.29], p =.596 and OR 1.22 [95% CI: 0.61–2.46], p =.508). Length of hospital stay tended to be shorter in the ERAS group compared to the conventional care group (−0.14 days [95% CI: −0.29 to 0.01], p =.071) while readmission rates were comparable and the total length of stay including days in hospital after readmission tended to be shorter in the ERAS group (−0.28 days [95% CI: −0.62 to 0.05], p =.069). In the subgroups, the length of stay was shorter in octogenarians treated with ERAS (−0.36 days [95% CI: −0.71 to −0.004], p =.048). The readmission rate increased slightly but not significantly while the total length of stay was not longer in the ERAS group. Conclusion: ERAS in the elderly is safe and its benefits are preserved in the care of even in patients older than 80 years. Standardized care protocol should be encouraged in all pancreatic centers.
Published: 2024

2. Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

Author: Podda, M, Di Martino, M, Pata, F, Nigri, G, Pisanu, A, Di Saverio, S, Pellino, G, Ielpo, B, Null, N, Tolla, A, Abdelkhalek, M, Emile, S, Dinagde, T, Bouzid, C, Mansour, A, Garzali, I, Aregawi, A, Zaghloul, T, Kchaou, A, Awad, S, Souadka, A, Ted, T, Saumtally, M, Ahmed, B, Bayileyegn, N, Nunziante, M, Shalaby, M, Debena, D, Zena, A, Adewunmi, O, Negasa, T, Bourguiba, M, Feituri, N, Kebede, K, Elfeki, H, Anas, A, Awad, A, Ermias, N, Hailemariam, D, Bejiga, G, Imana, R, Taffese, A, Feleke, T, Elghadban, H, Debela, B, Shiferaw, D, Tadesse, R, Chukwu, I, Mohammed, A, Hassen, K, Obiagwu, N, Tense, T, Taeme, M, Biniam, E, Tesfay, G, Tegegn, A, Teddy, T, Bekana, B, Nidaw, M, Ali, M, Gonfa, K, Kiros, S, Belay, T, Yallew, G, Wassie, C, Ayalew, A, Asfaw, F, Aimal, A, Casas, M, Madrid, F, Diaz-Elizondo, J, Merlo, I, De Campos, T, Schlottmann, F, Gomes, C, Hernández, E, Moncada-Ortega, A, Ramos-De la Medina, A, Vanerio, P, Morales, E, Stringfield, S, Gallardo, C, Fonseca, V, Muriel, M, Cantarino, F, Fichera, A, Rodriguez, A, Salinas, R, Crosbie, G, Menegozzo, C, Avellaneda, N, Briones, C, Varela, C, Lichliter, W, Koppel, D, Lenz, J, Pascual, F, Sibaja-Matamoros, D, Johnson, B, Mercado, O, Tita, A, Mukherjee, I, Lorenzo, I, Rueda, E, Rico, D, Terwes, N, Visag-Castillo, V, Escalante, K, Salvador, A, Pio, L, Rodas, E, Aguilar, J, Neri, I, Barzola, E, Barba, L, Zuchini, A, Acevedo, A, Gachabayov, M, Gonsaga, R, Bonilla, F, Knickerbocker, C, Tsouknidas, I, Salamea, J, Travers, L, Nari, G, Pachajoa, D, Valadez, M, Hale, L, Perez, G, Choudhry, A, Foreman, M, Brito, I, Ciro, M, Newton, C, Souza, H, Davis, D, Ferreira, R, Keller, D, Miguel, G, Singh-Ranger, G, Linares, N, Singares, E, Valdivieso, X, Teran, A, Vargas, L, Valinoti, A, Milne, D, Fleming, A, Quiroga-Garza, A, Espino, E, Bedros, N, Funk, G, Neves, F, Supit, T, Baba, A, Chalkoo, M, Kucuk, G, Sarmiento, R, Galeev, S, Korkoman, M, Yang, W, Medappil, N, Athar, R, Subramaniam, R, Chia, C, Alhazmi, A, Halder, S, Rusli, S, Rashid, A, Gülcü, B, Nagarajan, P, Rida, K, Jamiri, A, Batıkan, O, Khan, H, Mitul, A, Efetov, S, Junior, M, Gulcu, B, Farooqui, M, Mulpuri, V, Bagaria, D, Yusoff, A, Wani, R, Younis, M, Khobragade, K, Marwat, M, Bains, L, Kobe, Y, Koh, P, Tantravahi, U, Mohamad Mohamad, I, Abu-Arish, H, Yildirim, A, Ibrahim, A, Tan, J, Siagian, D, Bhattacharya, N, Chiu, J, Paramasvaran, G, Voon, K, Göktepe, B, Lee, L, Gupta, A, Rasheed, F, Al-Shehari, M, Syed, S, Bhat, P, Erdoğan, E, Roat, R, Nacion, A, Saraiya, S, Afolabi, A, Chai, F, Ghannam, W, Bhattacharya, K, Nl, H, Aloun, A, Bhatti, H, Koneti, A, Klib, M, Qureshi, A, Syn, N, Wani, A, Saeidi, S, Zeb, M, Bandaru, K, Menna, M, Morales-Conde, S, Gessa, E, Sánchez-Cabús, S, Spartalis, E, Antropoli, C, Manigrasso, M, Sica, G, Ercolani, G, Chitul, A, Bacchiocchi, G, Azevedo, J, Karamarkovic, A, Bonavina, L, Piozzi, G, Migueláñez, I, Merlini, D, Major, P, Grimaldi, L, Calu, V, Curro, G, Cotsoglou, C, Baldini, E, Delis, S, Kovacevic, B, Masetti, M, Selvaggi, F, Scabini, S, Reiti, A, Zullo, A, Giuliani, A, Alesina, P, Massey, L, Slesser, A, Neary, P, Sahnan, K, Colucci, G, Brady, R, Mihailescu, A, Adamina, M, Gerogiannis, I, van Ramshorst, G, Paradiso, G, Poto, G, Massaro, D, Nazir, F, Stubbs, B, Tasselli, F, Muñoz-Cruzado, V, Sabia, D, Vannelli, A, Marsella, V, Tomada, E, Giambusso, M, Davies, J, Uzzau, A, Balla, A, Scaringi, S, Lancellotti, F, Douka, E, Argenio, G, Cassese, G, Ammendola, M, Morelli, L, Francone, E, Bala, M, Thambi, P, Iacobone, M, Campisi, A, Tejedor, P, Spoletini, G, Mascherini, M, Belia, F, Idiz, U, Colak, E, Peters, P, Ros, E, Aytac, E, Vilallonga, R, Serrablo, A, Muttillo, E, Di Franco, G, Vanni, G, Isik, A, Sbacco, V, Tropeano, F, Porcellini, I, Butler, R, Fernandez, C, Papadopoulos, A, Salvans, S, Khan, J, Bellver, P, Mc Farlane, S, Apostolou, K, Tur-Martinez, J, Castellano, J, Santoliquido, M, Tallon-Aguilar, L, Celentano, V, Aliyev, V, al-Najami, I, Grama, F, Masior, Ł, Ciesielski, W, Luberto, A, Sparavigna, M, Klimczak, T, Negoi, I, Serradilla-Martín, M, Marinis, A, Cammarat, R, Bellido-luque, J, Manzo, C, Milana, F, Luglio, G, Zarnescu, N, Martínez, I, Olmi, S, Costea, R, Cerdán-Santacruz, C, Gica, N, Rompianesi, G, Gallo, G, Ridolfi, C, Sahid, S, Cc, T, López-Soler, G, Díaz, C, Mccawley, N, Luzzi, A, Abelló, D, Bonito, A, Ntomi, V, Gourgiotis, S, Pazos, N, Toscano, M, Zafra, D, Beisani, M, Oliva, A, Guler, M, Gómez, M, Oddis, L, Montcusí, B, Delgado, A, Lasarte, M, Antonacci, N, Sartori, A, Taylor, J, de Santos Iglesias, F, Mastronardi, M, Gunay, E, Yiu, A, Cano-Valderrama, O, Costantini, G, Digne-Malcolm, H, Petropoulou, T, Horesh, N, Kelly, M, Ahmed, N, Wyroslak-Najs, J, Naik, P, Vigorita, V, Michael, M, Castro, E, Paspala, A, D'Ambrosio, M, Pangeni, A, Dziakova, J, Terés, L, Lorente-Poch, L, Di Carlo, I, Spartalis, M, Moro-Valdezate, D, Davey, M, Turrado-Rodriguez, V, Tryliskyy, Y, Calussi, M, Farré, S, Labat, M, Marafante, C, Takkenberg, M, Brookes, C, Soares, A, Gialamas, E, Caputo, D, Corrons, L, Capitano, S, Charalabopoulos, A, Don, C, Marrano, E, Giuffrida, M, Tomasicchio, G, Bellato, V, Stijns, J, Creavin, B, Schizas, D, Blanco-Antona, F, Kykalos, S, Tartaglia, N, Pelegrina, A, Barranquero, A, Schena, C, Cremona, S, Baili, E, Cianci, P, Di Bella, A, Forcignanò, E, Fabbrizio, T, Salvetti, F, Inama, M, Campagnaro, T, Deerenberg, E, Reccia, I, Rocca, A, Fazio, F, Tampakis, A, Tepelenis, K, Di Meo, G, Konstantoudakis, G, Manatakis, D, Mineccia, M, Delvecchio, A, Faro, C, Rosso, E, Bandyopadhyay, S, Queffurus, M, Marin, J, Corvasce, A, Chillarge, G, Mohammed, M, Reid, R, Gherardi, D, Naeem, A, Pandanaboyana, S, Tayeh, S, Chevallay, M, Sergeant, G, Cuccomarino, S, Salimian, N, Kapsampelis, P, Ferretti, C, Glasbey, J, Harvitkar, R, Iqbal, M, de Oliveira, G, Pérez-Bertólez, S, Bergna, A, Brisinda, G, Rottoli, M, Roscio, F, Pedrazzani, C, Meyer, J, Marino, M, Brasset, C, Daniel, C, Devriendt, S, Soldini, G, Pennisi, D, Richards, C, Fiore, F, Bocchino, A, Au, S, Hernandez-Garcia, M, Frontali, A, Grossi, U, Lolis, E, Miotto, M, Di Filippo, G, Seretis, C, Barberis, A, De Luca, R, Levi Sandri, G, Reitano, E, Mattioli, M, Sciaudone, G, Fuschillo, G, Schiltz, B, Low, J, Bointas, G, Cozza, V, Delaune, V, Vescio, F, Curcio, S, Sevik, H, Santocchi, P, Stecca, T, Balaphas, A, Chessa, A, Leo, C, di Mola, F, Tarallo, M, Martini, F, Lisi, G, Khan, M, Nicolazzi, M, Pinotti, E, Morini, A, Esposito, G, Buonomo, O, Corallino, D, Demir, A, Roesel, R, De Lucia, C, Maruccia, M, Tekin, O, Pavone, G, Pradelle, I, Chrysikos, M, Farrukh, M, Baiocchi, G, Piras, C, Abellán, A, Olivieri, L, Materazzo, M, Carbone, L, Dulskas, A, Mulita, F, Corronca, F, Cappuccio, M, Smerieri, E, Sotiropoulu, M, Violante, T, Moletta, L, Rutegård, M, Brillantino, A, Landaluce-Olavarria, A, Ossola, P, Bono, D, Rosés, H, Perez-Sanchez, L, Sabbatini, S, Scotti, M, Cammarata, R, Ibáñez, N, Marano, A, Palmisano, S, Cascales-Sanchez, P, Mosca, V, Ballester, C, Iordache-Petrescu, M, Pozza, G, Akay, O, Bollino, R, Toti, J, Mascianà, G, Pach, R, Sensi, B, Natalia, S, Coppola, A, Altinel, Y, Brucchi, F, Guitart, M, Salido, A, Tamini, N, Garoufalia, Z, Mifsut, P, Wilkins, A, Navarro-Sánchez, A, Cestaro, G, Conti, L, Carvas, J, Gazia, C, Alonso, P, Spiezio, G, Maggi, G, Juloski, J, Braccio, B, Pañella, C, Freixa, C, Petrakis, G, Folliero, C, De Andrés-Asenjo, B, Iodice, A, Jansson, H, González, T, Ortega, I, Castro, M, Fernicola, A, Aparicio, A, Ortega, N, Chouliaras, C, Tura, M, Sidiropoulou, Z, Gonzalez, A, Augustin, G, Segura-Sampedro, J, Cuk, V, Piccolo, G, Ingallinella, S, Ortenzi, M, Uggeri, F, Carrabetta, S, Tolonen, M, Formisano, G, Manfredelli, S, Perra, T, Esposito, F, Perrone, G, Zacharis, G, Menéndez, J, Bottcher, S, Ioannidis, O, Borges, N, Sousa, X, Colombari, R, Tellez, C, Capolupo, G, Giuliani, G, Mastella, F, González, L, Merlini, I, Ghignone, F, de Sa, T, Mangana, O, Rodriguez-Lopez, M, Alvarez-Gallego, M, Chowdhury, A, Di Lascio, P, Carneros, V, Angrisani, M, Conte, L, Montiel, C, Ascari, F, Dajti, I, Lapolla, P, Sperotto, B, Mazzarella, G, Capuano, M, Lopez, M, Ferrario, L, Bulte, J, López, M, Guerci, C, Marra, A, Belkacem, A, Pérez, R, Panyko, A, Dimitrov, E, Luque, E, Manrique, M, Paranyak, M, Kaur, M, Barugola, G, Farazi-Chongouki, C, Estaire-Gómez, M, del Olmo, J, Nardo, B, Mutlu, A, Rubio, A, Marchegiani, F, Cereda, M, Vinci, D, Komaei, I, Petrucciani, N, Seyfried, S, Krsicka, P, Medas, F, Lesko, D, Murzi, V, Siragusa, L, Guerrero, M, Iranzo, M, Cestino, L, Pasculli, A, Smerieri, N, Benzoni, I, Festa, F, Jordão, D, Licardie, E, Nicolaescu, D, Balassone, V, La Vaccara, V, Romano, F, Adamovich, D, Papatheodorou, P, Maroni, N, Colás-Ruiz, E, Melberga, L, Chimenti, F, Ferrari, D, Arcudi, C, Police, A, De Simone, B, Sánchez-Guillén, L, Parreño-Manchado, F, Rachadell, J, Coletta, D, Saroglu, A, Pattacini, G, Antonelli, A, Anania, M, Litta, F, Lafranceschina, S, Bottari, A, Pavlovic, M, Rojas-Bonet, N, Tampaki, E, Kosir, J, Anelli, F, de las Casas, S, Kucukarslan, R, Pierobon, E, Milanesi, M, Drogouti, M, Sotiropoulou, M, Di Marco, F, Bannone, E, Sliwinski, S, Yildiz, I, Pellicciaro, M, Celotti, A, Malerba, M, Marino, F, Bourmpouteli, E, Bianco, G, Charitaki, E, Pascale, M, Ioannidis, A, Maraska, F, Petagna, L, Turri, G, Vailas, M, Romanzi, A, Pouwels, S, Rosa, F, Clocchiatti, L, Andreuccetti, J, Machairas, N, Frountzas, M, Lasithiotakis, K, Barone, M, Christodoulou, P, Potkonjak, D, Aiolfi, A, de Vries, H, Napetti, S, Castaldi, A, Botelho, P, Marziali, I, Uccelli, M, Pisano, M, Veroux, M, Locci, E, Romano, A, Cero, M, Cicerchia, P, Baldi, C, Russo, I, Tenconi, S, Saliu, F, Bondurri, A, Cardinali, L, Laracca, G, Martín-Pérez, B, Felsenreich, D, Cunha, M, Zerbo, D, Clementi, M, Delogu, D, Iossa, A, Bavikatte, A, Saracoglu, C, Pecorelli, N, Tufo, A, Biloslavo, A, Lianos, G, Carannante, F, Costanzo, A, Montuori, M, Cigognini, M, Silvestro, R, Atici, S, Milito, P, Ferronetti, A, Güngör, M, Di Venere, B, Puccioni, C, De Nobili, G, Selvaggi, L, Farolfi, T, Aeschbacher, P, Olivier, J, Frazzetta, G, Andriola, V, Giordano, A, De Luca, A, Ferrara, F, Casagranda, B, Sammartano, F, Russo, A, Rossi, S, Pacilli, M, Synekidou, E, Tutino, R, Ceresoli, M, De Rosa, M, Di Santo Albini, A, Vincenzi, P, Vellei, S, Benzoni, E, Murillo, G, Izzo, G, Scotto, B, Caruso, R, Colombo, F, D'Acapito, F, Lostoridis, E, Saladino, E, Poillucci, G, Moeckli, B, Manto, O, Kara, Y, Tatar, C, Cioffi, S, Mambrilla, S, Bianchi, V, Scopelliti, M, Agresta, F, Nava, A, Franchi, E, Fransvea, P, Prieto, M, Picardi, B, Rizzuto, A, Panaccio, P, Gussago, S, Marra, E, Addeo, P, Fernández Fernández, J, Gulmez, M, Pisaniello, D, Cannavo, M, López-López, V, Avella, P, Peloso, A, Bellanova, G, Candilio, G, Perotti, B, Granata, R, Florio, G, Ioia, G, Iannone, I, Ammerata, G, Zambon, M, Del Monte, S, Sasia, D, Fortuna, L, Litvin, A, Cannistra, M, De Padua, C, Sánchez, T, Paniagua-Garcia-Señorans, M, Guevara, J, Perfecto, A, Alconchel, F, Campanelli, M, Keci, L, Cricrì, M, Kampouroglou, G, Bagaglini, G, Farrarons, S, Greco, A, Walędziak, M, Serrano-Navidad, M, Van Doorn, B, Schiavo, C, Fabbri, N, Wani, I, Mondi, I, Anestiadou, E, Mendes, B, Verdi, D, Dorovinis, P, Cacciaguerra, A, Caldeira, B, Canonico, G, Dardanov, D, D'Ugo, S, Francis, F, Meneghini, S, Pesce, A, Puglisi, S, Bellini, M, Giordano, M, Fleres, F, Campus, F, Cillara, N, Moggia, E, Ciarleglio, F, Calini, G, Gravante, G, De Carlis, R, Altomare, M, Martines, G, Miggino, M, Marano, L, Stocco, A, Porcu, A, Pham, T, Gervasi, M, Pilia, T, Palomba, G, Picchetto, A, Spampinato, M, Tandoi, F, Piccoli, M, Gall, M, Santos, B, Agastra, E, Koëter, T, Samadov, E, Marsanic, P, Serena, D, Uzunoglu, M, Zanus, G, Braholli, E, Giovine, G, Galiffa, G, Lauricella, S, Lukmonov, S, Leventoglu, S, Chooklin, S, Dudi-Venkata, N, Gauci, C, Podda, Mauro, Di Martino, Marcello, Pata, Francesco, Nigri, Giuseppe, Pisanu, Adolfo, Di Saverio, Salomone, Pellino, Gianluca, Ielpo, Benedetto, null, null, Tolla, Ashenafi Negash, Abdelkhalek, Mohamed, Emile, Sameh, Dinagde, Tesfaye Aga, Bouzid, Chafik, Mansour, Ahmed Mohammed Farid Mahmoud, Garzali, Ibrahim Umar, Aregawi, Alazar Berhe, Zaghloul, Tarek M., Kchaou, Ali, Awad, Selmy S., Souadka, Amine, Ted, Tedla Gebretsadik, Saumtally, Mohammad Saad, Ahmed, Bensaad, Bayileyegn, Nebiyou Simegnew, Nunziante, Marco, Shalaby, Mostafa, Debena, Dawit Gebregiorgis, Zena, Alemayehu Shanko, Adewunmi, Olayinka Lukman, Negasa, Tolera A., Bourguiba, Mohamed Aboulkacem, Feituri, Nura, Kebede, Kirubel Abebe, Elfeki, Hossam, Anas, Abdelhmed, Awad, Ahmed K., Ermias, Nebiyou, Hailemariam, Dagnachew H., Bejiga, Gosa Hundie, Imana, Ruhama Yoseph, Taffese, Abebe, Feleke, Tsega Terefe, Elghadban, Hosam Mohamed, Debela, Bizuneh Sime, Shiferaw, Desta, Tadesse, Robel, Chukwu, Isaac Sunday, Mohammed, Abdullahi Ibrahim, Hassen, Khalid Arebo, Obiagwu, Ndubuisi K., Tense, Tadesse H., Taeme, Mulugeta, Biniam, Ewnte, Tesfay, Goytom Knfe, Tegegn, Ayenachew Getachew, Teddy, Tewodros Abule Bilata, Bekana, Bekana L., Nidaw, Melkamu Kibret, Ali, Mahmoud Ibrahim, Gonfa, Kebebe Bekele, Kiros, Samuel, Belay, Tatek, Yallew, Gebeyaw Mengist, Wassie, Chekol, Ayalew, Alem Mekete, Asfaw, Fitsum Terefe, Aimal, Aimal Khan, Casas, Maria Agustina, Madrid, Fausto A., Diaz-Elizondo, Jose Antonio, Merlo, Ignacio Guillermo, De Campos, Tercio, Schlottmann, Francisco, Gomes, Carlos Augusto, Hernández, Edgard Efrén Lozada, Moncada-Ortega, Augusto, Ramos-De la Medina, Antonio, Vanerio, Patricio, Morales, Emilio J., Stringfield, Sarah Beth, Gallardo, Cristian, Fonseca, Vinicius Cordeiro, Muriel, Maria Emilia, Cantarino, Frederico, Fichera, Alessandro, Rodriguez, Agustin E., Salinas, Roberto Paúl Andrade, Crosbie, Gonzalo Gabriel, Menegozzo, Carlos Augusto Metidieri, Avellaneda, Nicolas, Briones, Cristhian Gonzalo Aspiazu, Varela, Cristopher, Lichliter, Warren E., Varela, Cristopher L., Koppel, Darren, Lenz, Jorge Godoy, Pascual, Franco, Sibaja-Matamoros, Dauber A., Johnson, Benjamin E., Mercado, Octavio Avila, Tita, Agustín, Mukherjee, Indraneil, Lorenzo, Irving, Rueda, Erick, Rico, Douglas, Terwes, Natasha Loria, Visag-Castillo, Victor, Escalante, Karol S., Salvador, Alan Francisco Alfaro, Pio, Luca, Rodas, Edgar B., Aguilar, Juan Carlos Cardozo, Neri, Ignacio, Barzola, Ernesto J., Barba, Leonardo A., Zuchini, Andrés Mendoza, Acevedo, Ana Karen Radilla, Gachabayov, Mahir, Gonsaga, Ricardo Alessandro Teixeira, Bonilla, Fernando, Knickerbocker, Chase Barrett, Tsouknidas, Ioannis, Salamea, Juan C., Travers, Lawrence Albert Salter, Nari, Gustavo Adrian, Pachajoa, Diana Alejandra Pantoja, Valadez, Michel Hernandez, Hale, Lyman Lansing, Perez, Guillermo, Choudhry, Asad, Foreman, Michaael L., Brito, Ismael, Ciro, Mauricio Pedraza, Newton, Carla Joyce, Souza, Hamilton Petry, Davis, Daniel G., Ferreira, Rodrigo Vaz, Keller, Deborah S., Miguel, Gustavo Machain, Singh-Ranger, Gurpreet, Linares, Neiling Massiel Oviedo, Singares, Eduardo Smith, Valdivieso, Xavier HGarcía, Teran, Alfonso Ivan Sanchez, Vargas, Luis Felipe Cabrera, Valinoti, Agustín, Milne, David M., Fleming, Andrew Martin, Quiroga-Garza, Alejandro, Espino, Eduardo Morales, Bedros, Nicole Mary, Funk, Geoffrey A., Neves, Fernanda V. S., Supit, Tommy, Baba, Arshad Ahmed, Chalkoo, Mushtaq A., Kucuk, Gultekin Ozan, Sarmiento, Ray Inocencio, Galeev, Shamil I., Korkoman, Mohammed J., Yang, Wah, Medappil, Noushif, Athar, Rahmatullah, Subramaniam, Ravichandran, Chia, Chi Fung, Alhazmi, Ahmad, Halder, Subhadip, Rusli, Siti Mayuha, Rashid, Arshad, Gülcü, Barış, Nagarajan, Prasanth, Rida, Khaled, Jamiri, Al-Radjid, Batıkan, Oğuzkağan, Khan, Huma Ahmed, Mitul, Ashrarur Rahman, Efetov, Sergey, Junior, Marcelo A. F. Ribeiro, Gulcu, Baris, Farooqui, Marryam Riaz, Mulpuri, Venu Bhargava, Bagaria, Dinesh, Yusoff, Ahmad Ramzi, Wani, Rauf, Younis, Muhammad Umar, Khobragade, Krunal H., Marwat, Muhammad Ibrahim, Bains, Lovenish, Kobe, Yoshiro, Koh, Peng Soon, Tantravahi, Umasankar, Mohamad Mohamad, Ikhwan Sani, Abu-Arish, Hamdoon, Yildirim, Ali Cihat, Ibrahim, Aini Fahriza, Tan, Jih Huei, Siagian, Dumaria Ketty, Bhattacharya, Neela, Chiu, Jennifer H. F., Paramasvaran, Ganendra, Voon, Kelvin, Göktepe, Berk, Lee, Lee Yeong Sing, Gupta, Amit, Rasheed, Faaiz, Al-Shehari, Mohammed, Syed, Syed Muhammad Ali, Bhat, Pawan Singh, Erdoğan, Emre, Roat, Rajesh, Nacion, Aeris Jane D., Saraiya, Swapnil Mukesh, Afolabi, Akinwale Ibrahim, Chai, Feng Yih, Ghannam, Wagih, Bhattacharya, Kaushik, NL, Harish, Aloun, Ali, Bhatti, Hamza Waqar, Koneti, Akshadhar J., Klib, Mohamad, Qureshi, Ahmad Uzair, Syn, Nicholas L., Wani, Ajaz, Saeidi, Sara, Zeb, Muhammad, Bandaru, Kalyan Vijay Kumar, Menna, Maria Paola, Morales-Conde, Salvador, Gessa, Emanuela, Sánchez-Cabús, Santiago, Spartalis, Eleftherios, Antropoli, Carmine, Manigrasso, Michele, Sica, Giuseppe S., Ercolani, Giorgio, Chitul, Andrei, Bacchiocchi, Giulia, Azevedo, José, Karamarkovic, Aleksandar, Bonavina, Luigi, Piozzi, Guglielmo N., Migueláñez, Isabel Pascual, Merlini, David, Major, Piotr, Grimaldi, Luciano, Calu, Valentin, Curro, Giuseppe, Cotsoglou, Christian, Baldini, Edoardo, Delis, Spiros, Kovacevic, Bojan, Masetti, Michele, Selvaggi, Francesco, Scabini, Stefano, Reiti, Andrian, Zullo, Alessia, Giuliani, Antonio, Alesina, Pier Francesco, Massey, Lisa H., Slesser, Alistair A. P., Neary, Peter M., Sahnan, Kapil, Tan, Jessica J., Colucci, Gianluca, Brady, Richard R. W., Mihailescu, Andrei, Adamina, Michel, Gerogiannis, Ioannis, van Ramshorst, Gabrielle, Paradiso, Giulia, Poto, Gianmario Edoardo, Massaro, Daniele, Nazir, Fozia, Stubbs, Benjamin M., Tasselli, Francesco Menegon, Muñoz-Cruzado, Virginia Durán, Sabia, Domenico, Vannelli, Alberto, Marsella, Valentina Enrica, Tomada, Elisa Paoluzzi, Giambusso, Mauro, Davies, Justin, Uzzau, Alessandro, Balla, Andrea, Scaringi, Stefano, Lancellotti, Francesco, Douka, Eleftheria, Argenio, Giulio, Cassese, Gianluca, Ammendola, Michele, Morelli, Luca, Francone, Elisa, Bala, Miklosh, Thambi, Prem, Iacobone, Maurizio, Campisi, Andrea, Tejedor, Patricia, Spoletini, Gabriele, Mascherini, Matteo, Belia, Francesco, Idiz, Ufuk Oguz, Colak, Elif, Peters, Paul Adewunmi, Ros, Emilio Peña, Aytac, Erman, Vilallonga, Ramon, Serrablo, Alejandro, Muttillo, Edoardo Maria, Di Franco, Gregorio, Vanni, Gianluca, Isik, Arda, Sbacco, Valentina, Tropeano, Francesca Paola, Porcellini, Iride, Butler, Rebecca Jayne, Fernandez, Carmen Cagigas, Papadopoulos, Aristeidis, Salvans, Silvia, Khan, Jan Sher, Bellver, Pedro Palazón, Mc Farlane, Sebastian Jeri, Apostolou, Konstantinos, Tur-Martinez, Jaume, Castellano, Javier Rivera, Santoliquido, Matteo, Tallon-Aguilar, Luis, Celentano, Valerio, Aliyev, Vusal, al-Najami, Issam, Grama, Florin A., Masior, Łukasz, Ciesielski, Wojciech J., Luberto, Antonio, Sparavigna, Marco, Klimczak, Tomasz Jerzy, Negoi, Ionut, Serradilla-Martín, Mario, Marinis, Athanasios, Cammarat, Roberto, Bellido-luque, Juan, Manzo, Carlo Alberto, Milana, Flavio, Luglio, Gaetano, Zarnescu, Narcis Octavian, Martínez, Isidro, Olmi, Stefano, Costea, Radu V., Cerdán-Santacruz, Carlos, Gica, Nicolae, Rompianesi, Gianluca, Gallo, Gaetano, Ridolfi, Cristina, Sahid, Saidah, CC, Tommaso, López-Soler, Guillermo, Díaz, Carlos JGómez, Mccawley, Niamh, Luzzi, Andrea Pierre, Abelló, David, Bonito, Alba Correa, Ntomi, Vasileia, Gourgiotis, Stavros, Pazos, Natalia Suárez, Toscano, Marta Jiménez, Zafra, David Ambrona, Beisani, Marc, Oliva, Alba, Guler, Mert, Gómez, Marta Jiménez, Oddis, Lidia, Montcusí, Blanca, Delgado, Ander Timoteo, Lasarte, Mateusz PJęckowski Aingeru Sarriuga, Antonacci, Nicola, Sartori, Alberto, Taylor, John Vincent, de Santos Iglesias, Francisco Juan, Mastronardi, Manuela, Gunay, Emre, Yiu, Andrew, Cano-Valderrama, Oscar, Costantini, Giulia, Digne-Malcolm, Holly Jane, Petropoulou, Thalia, Horesh, Nir, Kelly, Michael E., Ahmed, Nauman, Wyroslak-Najs, Justyna, Naik, Prashant, Vigorita, Vincenzo, Michael, Michael, Castro, Ernest, Paspala, Anna, D'Ambrosio, Marco, Pangeni, Anang, Dziakova, Jana, Terés, Lara Blanco, Lorente-Poch, Leyre, Di Carlo, Isidoro, Spartalis, Michael, Moro-Valdezate, David, Davey, Matthew G., Turrado-Rodriguez, Victor, Tryliskyy, Yegor, Calussi, Marco, Farré, Silvia Pérez, Labat, Miriam Cazador, Marafante, Chiara, Takkenberg, Marijn, Brookes, Charlotte Elisabeth, Soares, Antonio S., Gialamas, Eleftherios, Caputo, Damiano, Corrons, Laia Codina, Capitano, Sante, Charalabopoulos, Alexandros, Don, Cristine Brooke Pathirannehalage, Marrano, Enrico, Giuffrida, Maria Carmela, Tomasicchio, Giovanni, Bellato, Vittoria, Stijns, Jasper, Creavin, Ben, Schizas, Dimitrios, Blanco-Antona, Francisco, Kykalos, Stylianos, Tartaglia, Nicola, Pelegrina, Amalia, Barranquero, Alberto G., Schena, Carlo Alberto, Cremona, Simone, Baili, Efstratia, Cianci, Pasquale, Di Bella, Annamaria, Forcignanò, Edoardo, Fabbrizio, Tiziana, Salvetti, Francesco, Inama, Marco, Campagnaro, Tommaso, Deerenberg, Eva B., Reccia, Isabella, Rocca, Aldo, Fazio, Federico, Tampakis, Athanasios, Tepelenis, Kostas, Di Meo, Giovanna, Konstantoudakis, Georgios, Manatakis, Dimitrios K., Mineccia, Michela, Delvecchio, Antonella, Faro, Carmelo Lo, Rosso, Edoardo, Bandyopadhyay, Samik K., Queffurus, Michael, Marin, Jacopo Nicolò, Corvasce, Arianna, Chillarge, Gauri, Mohammed, Mohammed Mustafa, Reid, Rebecca, Gherardi, Dario, Naeem, Awais, Pandanaboyana, Sanjay, Tayeh, Salim, Chevallay, Mickael, Sergeant, Gregory, Cuccomarino, Salvatore, Salimian, Nick, Kapsampelis, Panagiotis, Ferretti, Carlotta, Glasbey, James, Harvitkar, Rafique Umer, Iqbal, Muhammad Rafaih, de Oliveira, Gabriel Paiva, Pérez-Bertólez, Sonia, Bergna, Alessandro, Brisinda, Giuseppe, Rottoli, Matteo, Roscio, Francesco, Pedrazzani, Corrado, Meyer, Jeremy, Marino, Marco V., Brasset, Camille, Daniel, Clerc, Devriendt, Stefanie, Soldini, Gabriele, Pennisi, Damiano, Richards, Chris B., Fiore, Felicia, Bocchino, Antonio, Au, Stephanie, Hernandez-Garcia, Miguel, Frontali, Alice, Grossi, Ugo, Lolis, Evangelos, Miotto, Marco, Di Filippo, Giacomo, Seretis, Charalampos, Barberis, Andrea, De Luca, Raffaele, Levi Sandri, Giovanni Battista, Reitano, Elisa, Mattioli, Marco, Sciaudone, Guido, Fuschillo, Giacomo, Schiltz, Boris, Low, Juin, Bointas, Georgios, Cozza, Valerio, Delaune, Vaihere, Vescio, Francesca, Curcio, Silvia, Sevik, Husnu, Santocchi, Pietro, Stecca, Tommaso, Balaphas, Alexandre, Chessa, Antonella, Leo, Cosimo Alex, di Mola, Fabio F., Tarallo, Mariarita, Martini, Francesco, Lisi, Giorgio, Khan, Mansoor, Nicolazzi, Marco, Pinotti, Enrico, Morini, Andrea, Esposito, Giuseppe, Buonomo, Oreste Claudio, Corallino, Diletta, Demir, Anıl, Roesel, Raffaello, De Lucia, Chiara, Maruccia, Michele, Tekin, Oguzhan, Pavone, Giovanna, Gupta, Ashish, Pradelle, Irene, Chrysikos, Michael, Farrukh, Maira, Baiocchi, Gian Luca, Piras, Carla, Abellán, Antonio Melero, Olivieri, Laura, Materazzo, Marco, Carbone, Ludovico, Dulskas, Audrius, Mulita, Francesk, Corronca, Federico, Cappuccio, Micaela, Smerieri, Elia, Sotiropoulu, Maria, Violante, Tommaso, Moletta, Lucia, Rutegård, Martin, Brillantino, Antonio, Landaluce-Olavarria, Aitor, Ossola, Paolo, Bono, Dario, Rosés, Helena Salvador, Perez-Sanchez, Luis E., Sabbatini, Sonia, Scotti, Mauro Alessandro, Cammarata, Roberto, Ibáñez, Noelia, Marano, Alessandra, Palmisano, Silvia, Cascales-Sanchez, Pedro, Mosca, Vinicio, Ballester, Cristina, Iordache-Petrescu, Madalina Ionela, Pozza, Gioia, Akay, Omer, Bollino, Ruggero, Toti, Johannes M. A., Mascianà, Gianluca, Pach, Radoslaw, Sensi, Bruno, Natalia, Savvala N., Coppola, Alessandro, Altinel, Yuksel, Brucchi, Francesco, Guitart, Marc Pérez, Salido, Andrea Jiménez, Tamini, Nicolò, Garoufalia, Zoe, Mifsut, Patricia, Wilkins, Alex, Navarro-Sánchez, Antonio, Cestaro, Giovanni, Conti, Luigi, Carvas, João M. B., Gazia, Carlo, Alonso, Patricia, Spiezio, Giovanni, Maggi, Giulia, Juloski, Jovan, Braccio, Bartolomeo, Pañella, Clara, Freixa, Celia Caula, Petrakis, Georgios, Folliero, Cristina, De Andrés-Asenjo, Beatriz, Iodice, Alessandra, Jansson, Hannes, González, Tomas Elosua, Ortega, Irene, Castro, Maria J., Fernicola, Agostino, Aparicio, Antonio Carlos Maya, Ortega, Nuria, Chouliaras, Christos, Tura, Marina Vila, Sidiropoulou, Zacharoula, Gonzalez, Ana, Augustin, Goran, Segura-Sampedro, Juan J., Cuk, Vladica, Piccolo, Gaetano, Ingallinella, Sara, Ortenzi, Monica, Uggeri, Fabio, Carrabetta, Salvatore, Tolonen, Matti, Formisano, Giampaolo, Manfredelli, Simone, Perra, Teresa, Esposito, Francesco, Perrone, Gennaro, Zacharis, Georgios, Menéndez, Jaime Iturbe, Bottcher, Sofia Maria Jaume, Ioannidis, Orestis, Borges, Nuno, Sousa, Xavier, Colombari, Renan C., Tellez, Clara, Capolupo, Gabriella Teresa, Giuliani, Giuseppe, Mastella, Federica, González, Lluis García, Merlini, Ilenia, Ghignone, Federico, de Sa, Tiago Correia, Mangana, Orsalia, Rodriguez-Lopez, Mario, Alvarez-Gallego, Mario, Chowdhury, Ashim, Di Lascio, Pierpaolo, Carneros, Virginia Jiménez, Angrisani, Marco, Conte, Luigi E., Montiel, Carmen Galiana, Ascari, Francesca, Dajti, Irida, Lapolla, Pierfrancesco, Sperotto, Beatrice, Mazzarella, Gennaro, Capuano, Marianna, Lopez, Maria Martinez, Ferrario, Luca, Bulte, Joris P., López, María Martínez, Guerci, Claudio, Marra, Angelo Alessandro, Belkacem, Acidi, Pérez, Raquel Escalera, Panyko, Arpád, Dimitrov, Evgeni, Luque, Eduardo J., Manrique, Mario Montes, Paranyak, Mykola, Kaur, Mandeep, Barugola, Giuliano, Farazi-Chongouki, Christos, Estaire-Gómez, Mercedes, del Olmo, Juan Carlos Martín, Nardo, Bruno, Mutlu, Arda Ulaş, Rubio, Ainhoa Valle, Merlini, David A., Marchegiani, Francesco, Cereda, Marco Angelo, Vinci, Danilo, Komaei, Iman, Petrucciani, Niccolo, Seyfried, Steffen, Krsicka, Petr, Medas, Fabio, Lesko, Dusan, Murzi, Valentina, Siragusa, Leandro, Guerrero, María Alejandra, Iranzo, Marina Alarcón, Cestino, Luca, Pasculli, Alessandro, Smerieri, Nazareno, Benzoni, Ilaria, Festa, Federico, Jordão, Daniel Filipe Martins, Licardie, Eugenio, Nicolaescu, Diana C., Balassone, Valerio, La Vaccara, Vincenzo, Romano, Fabrizio, Adamovich, Dmitry Mikhailovich, Papatheodorou, Panayiotis, Maroni, Norvana, Colás-Ruiz, Enrique, Melberga, Liene, Chimenti, Federica, Ferrari, Davide, Arcudi, Claudio, Police, Andrea, De Simone, Belinda, Sánchez-Guillén, Luis, Parreño-Manchado, Felipe Carlos, Rachadell, Juan José, Coletta, Diego, Saroglu, Azize, Pattacini, Gianmaria Casoni, Antonelli, Amedeo, Anania, Marco, Litta, Francesco, Lafranceschina, Stefano, Bottari, Andrea, Pavlovic, Mladen, Rojas-Bonet, Noel, Tampaki, Ekaterini Christina, Kosir, Jurij A., Anelli, Ferdinando M., de las Casas, Sara Gortázar, Kucukarslan, Rabia, Pierobon, Elisa Sefora, Milanesi, Maria, Drogouti, Maria, Sotiropoulou, Maria, Di Marco, Federica, Bannone, Elisa, Sliwinski, Svenja Christin, Yildiz, Ishak, Pellicciaro, Marco, Celotti, Andrea, Malerba, Michele, Marino, Fabio, Bourmpouteli, Eirini, Bianco, Giuseppe, Charitaki, Evgenia, Pascale, Marco Maria, Ioannidis, Argyrios, Maraska, Fatlum, Petagna, Lorenzo, Turri, Giulia, Vailas, Michail, Romanzi, Andrea, Pouwels, Sjaak, Rosa, Fausto, Clocchiatti, Lucrezia, Andreuccetti, Jacopo, Machairas, Nikolaos, Frountzas, Maximos, Lasithiotakis, Konstantinos, Barone, Mirko, Christodoulou, Prokopis, Potkonjak, Dario, Aiolfi, Alberto, de Vries, Hilbert S., Napetti, Sara, Castaldi, Antonio, Botelho, Pedro, Marziali, Irene, Uccelli, Matteo, Pisano, Michele, Veroux, Massimiliano, Locci, Eleonora, Romano, Angela, Cero, Mariagiulia Dal, Cicerchia, Pierfranco Maria, Baldi, Caterina, Russo, Iris Shari, Tenconi, Silvia Maria, Saliu, Fatmir, Bondurri, Andrea, Cardinali, Luca, Laracca, Giovanni Guglielmo, Martín-Pérez, Beatriz, Felsenreich, Daniel M., Cunha, Miguel, Zerbo, Domenico, Clementi, Marco, Delogu, Daniele, Iossa, Angelo, Bavikatte, Akshay Prasannakumar, Saracoglu, Can, Pecorelli, Nicolò, Tufo, Andrea, Biloslavo, Alan, Lianos, Georgios D., Carannante, Filippo, Costanzo, Antonio, Montuori, Mauro, Cigognini, Maria, Silvestro, Roberto, Atici, Semra Demirli, Milito, Pamela, Ferronetti, Antonio, Güngör, Mert, Di Venere, Beatrice, Puccioni, Caterina, De Nobili, Giovanni, Selvaggi, Lucio, Farolfi, Tommaso, Aeschbacher, Pauline, Olivier, James B., Frazzetta, Giuseppe, Andriola, Valeria, Giordano, Alessio, De Luca, Alessandro, Ferrara, Francesco, Casagranda, Biagio, Sammartano, Fabrizio, Russo, Alfio Alessandro, Rossi, Stefano, Pacilli, Mario, Synekidou, Eirini, Tutino, Roberta, Ceresoli, Marco, De Rosa, Michele, Di Santo Albini, Andrea G., Vincenzi, Paolo, Vellei, Samantha, Benzoni, Enrico, Murillo, Gabriela Aracelly Arroyo, Izzo, Giuliano, Scotto, Bruno, Caruso, Riccardo, Colombo, Francesco, D'Acapito, Fabrizio, Lostoridis, Eftychios, Saladino, Edoardo, Poillucci, Gaetano, Moeckli, Beat, Manto, Ottavia, Kara, Yasin, Tatar, Cihad, Cioffi, Stefano Piero Bernardo, Mambrilla, Sara, Bianchi, Valentina, Scopelliti, Michele, Agresta, Ferdinando, Nava, Andrea Kazemi, Franchi, Eloisa, Fransvea, Pietro, Prieto, Mikel, Picardi, Biagio, Rizzuto, Antonia, Panaccio, Paolo, Gussago, Stefano, Marra, Ester, Addeo, Pietro, Fernández Fernández, June, Gulmez, Mehmet, Pisaniello, Donatella, Cannavo, Maurizio, López-López, Victor, Avella, Pasquale, Peloso, Andrea, Bellanova, Giovanni, Candilio, Giuseppe, Perotti, Bruno, Granata, Roberta, Florio, Gaetano, Ioia, Giovanna, Iannone, Immacolata, Ammerata, Giorgio, Zambon, Martina, Romano, Francesco Maria, Del Monte, Simone Rossi, Sasia, Diego, Fortuna, Laura, Giuffrida, Mario, Litvin, Andrey, Cannistra, Marco, De Padua, Cristina, Sánchez, Tatiana Gómez, Paniagua-Garcia-Señorans, Marta, Guevara, Jenny, Perfecto, Arkaitz, Alconchel, Felipe, Campanelli, Michela, Keci, Laura, Cricrì, Michele, Kampouroglou, Georgios, Bagaglini, Giulia, Farrarons, Sara Sentí, Greco, Antonio, Walędziak, Maciej, Carvas, João M., Serrano-Navidad, Monica, Van Doorn, Berend, Schiavo, Ciro, Fabbri, Nicolò, Wani, Ishfaq Ahmad, Mondi, Isabella, Anestiadou, Elissavet, Mendes, Beatriz ISilva, Verdi, Daunia, Dorovinis, Panagiotis, Cacciaguerra, Andrea Benedetti, Caldeira, Beatriz, Canonico, Giuseppe, Dardanov, Dragomir, D'Ugo, Stefano, Francis, Fayez Maged, Meneghini, Simona, Pesce, Antonio, Puglisi, Silvana Bernadetta, Bellini, Maria Irene, Pisano, Marcello, Giordano, Marco, Fleres, Francesco, Campus, Federica, Cillara, Nicola, Moggia, Elisabetta, Ciarleglio, Francesco A., Calini, Giacomo, Gravante, Gianpiero, De Carlis, Riccardo, Altomare, Michele, Martines, Gennaro, Miggino, Marco, Marano, Luigi, Stocco, Alberto, Porcu, Alberto, Pham, Thuy Vy, Gervasi, Maria Clelia, Pilia, Tiziana, Palomba, Giuseppe, Picchetto, Andrea, Spampinato, Marcello Giuseppe, Tandoi, Francesco, Piccoli, Micaela, Gall, Malina ECaraiman, Santos, Bárbara Ribeiro, Agastra, Ervis, Koëter, Tijmen, Samadov, Elgun, Marsanic, Patrizia, Serena, De Fatico Gilda, Uzunoglu, Mustafa Yener, Zanus, Giacomo, Braholli, Eriol, Giovine, Gennaro, Galiffa, Giampaolo, Lauricella, Sara, Lukmonov, Saidrakhim, Leventoglu, Sezai, Chooklin, Serge, Dudi-Venkata, Nagendra N., Gauci, Chahaya M., Podda, M, Di Martino, M, Pata, F, Nigri, G, Pisanu, A, Di Saverio, S, Pellino, G, Ielpo, B, Null, N, Tolla, A, Abdelkhalek, M, Emile, S, Dinagde, T, Bouzid, C, Mansour, A, Garzali, I, Aregawi, A, Zaghloul, T, Kchaou, A, Awad, S, Souadka, A, Ted, T, Saumtally, M, Ahmed, B, Bayileyegn, N, Nunziante, M, Shalaby, M, Debena, D, Zena, A, Adewunmi, O, Negasa, T, Bourguiba, M, Feituri, N, Kebede, K, Elfeki, H, Anas, A, Awad, A, Ermias, N, Hailemariam, D, Bejiga, G, Imana, R, Taffese, A, Feleke, T, Elghadban, H, Debela, B, Shiferaw, D, Tadesse, R, Chukwu, I, Mohammed, A, Hassen, K, Obiagwu, N, Tense, T, Taeme, M, Biniam, E, Tesfay, G, Tegegn, A, Teddy, T, Bekana, B, Nidaw, M, Ali, M, Gonfa, K, Kiros, S, Belay, T, Yallew, G, Wassie, C, Ayalew, A, Asfaw, F, Aimal, A, Casas, M, Madrid, F, Diaz-Elizondo, J, Merlo, I, De Campos, T, Schlottmann, F, Gomes, C, Hernández, E, Moncada-Ortega, A, Ramos-De la Medina, A, Vanerio, P, Morales, E, Stringfield, S, Gallardo, C, Fonseca, V, Muriel, M, Cantarino, F, Fichera, A, Rodriguez, A, Salinas, R, Crosbie, G, Menegozzo, C, Avellaneda, N, Briones, C, Varela, C, Lichliter, W, Koppel, D, Lenz, J, Pascual, F, Sibaja-Matamoros, D, Johnson, B, Mercado, O, Tita, A, Mukherjee, I, Lorenzo, I, Rueda, E, Rico, D, Terwes, N, Visag-Castillo, V, Escalante, K, Salvador, A, Pio, L, Rodas, E, Aguilar, J, Neri, I, Barzola, E, Barba, L, Zuchini, A, Acevedo, A, Gachabayov, M, Gonsaga, R, Bonilla, F, Knickerbocker, C, Tsouknidas, I, Salamea, J, Travers, L, Nari, G, Pachajoa, D, Valadez, M, Hale, L, Perez, G, Choudhry, A, Foreman, M, Brito, I, Ciro, M, Newton, C, Souza, H, Davis, D, Ferreira, R, Keller, D, Miguel, G, Singh-Ranger, G, Linares, N, Singares, E, Valdivieso, X, Teran, A, Vargas, L, Valinoti, A, Milne, D, Fleming, A, Quiroga-Garza, A, Espino, E, Bedros, N, Funk, G, Neves, F, Supit, T, Baba, A, Chalkoo, M, Kucuk, G, Sarmiento, R, Galeev, S, Korkoman, M, Yang, W, Medappil, N, Athar, R, Subramaniam, R, Chia, C, Alhazmi, A, Halder, S, Rusli, S, Rashid, A, Gülcü, B, Nagarajan, P, Rida, K, Jamiri, A, Batıkan, O, Khan, H, Mitul, A, Efetov, S, Junior, M, Gulcu, B, Farooqui, M, Mulpuri, V, Bagaria, D, Yusoff, A, Wani, R, Younis, M, Khobragade, K, Marwat, M, Bains, L, Kobe, Y, Koh, P, Tantravahi, U, Mohamad Mohamad, I, Abu-Arish, H, Yildirim, A, Ibrahim, A, Tan, J, Siagian, D, Bhattacharya, N, Chiu, J, Paramasvaran, G, Voon, K, Göktepe, B, Lee, L, Gupta, A, Rasheed, F, Al-Shehari, M, Syed, S, Bhat, P, Erdoğan, E, Roat, R, Nacion, A, Saraiya, S, Afolabi, A, Chai, F, Ghannam, W, Bhattacharya, K, Nl, H, Aloun, A, Bhatti, H, Koneti, A, Klib, M, Qureshi, A, Syn, N, Wani, A, Saeidi, S, Zeb, M, Bandaru, K, Menna, M, Morales-Conde, S, Gessa, E, Sánchez-Cabús, S, Spartalis, E, Antropoli, C, Manigrasso, M, Sica, G, Ercolani, G, Chitul, A, Bacchiocchi, G, Azevedo, J, Karamarkovic, A, Bonavina, L, Piozzi, G, Migueláñez, I, Merlini, D, Major, P, Grimaldi, L, Calu, V, Curro, G, Cotsoglou, C, Baldini, E, Delis, S, Kovacevic, B, Masetti, M, Selvaggi, F, Scabini, S, Reiti, A, Zullo, A, Giuliani, A, Alesina, P, Massey, L, Slesser, A, Neary, P, Sahnan, K, Colucci, G, Brady, R, Mihailescu, A, Adamina, M, Gerogiannis, I, van Ramshorst, G, Paradiso, G, Poto, G, Massaro, D, Nazir, F, Stubbs, B, Tasselli, F, Muñoz-Cruzado, V, Sabia, D, Vannelli, A, Marsella, V, Tomada, E, Giambusso, M, Davies, J, Uzzau, A, Balla, A, Scaringi, S, Lancellotti, F, Douka, E, Argenio, G, Cassese, G, Ammendola, M, Morelli, L, Francone, E, Bala, M, Thambi, P, Iacobone, M, Campisi, A, Tejedor, P, Spoletini, G, Mascherini, M, Belia, F, Idiz, U, Colak, E, Peters, P, Ros, E, Aytac, E, Vilallonga, R, Serrablo, A, Muttillo, E, Di Franco, G, Vanni, G, Isik, A, Sbacco, V, Tropeano, F, Porcellini, I, Butler, R, Fernandez, C, Papadopoulos, A, Salvans, S, Khan, J, Bellver, P, Mc Farlane, S, Apostolou, K, Tur-Martinez, J, Castellano, J, Santoliquido, M, Tallon-Aguilar, L, Celentano, V, Aliyev, V, al-Najami, I, Grama, F, Masior, Ł, Ciesielski, W, Luberto, A, Sparavigna, M, Klimczak, T, Negoi, I, Serradilla-Martín, M, Marinis, A, Cammarat, R, Bellido-luque, J, Manzo, C, Milana, F, Luglio, G, Zarnescu, N, Martínez, I, Olmi, S, Costea, R, Cerdán-Santacruz, C, Gica, N, Rompianesi, G, Gallo, G, Ridolfi, C, Sahid, S, Cc, T, López-Soler, G, Díaz, C, Mccawley, N, Luzzi, A, Abelló, D, Bonito, A, Ntomi, V, Gourgiotis, S, Pazos, N, Toscano, M, Zafra, D, Beisani, M, Oliva, A, Guler, M, Gómez, M, Oddis, L, Montcusí, B, Delgado, A, Lasarte, M, Antonacci, N, Sartori, A, Taylor, J, de Santos Iglesias, F, Mastronardi, M, Gunay, E, Yiu, A, Cano-Valderrama, O, Costantini, G, Digne-Malcolm, H, Petropoulou, T, Horesh, N, Kelly, M, Ahmed, N, Wyroslak-Najs, J, Naik, P, Vigorita, V, Michael, M, Castro, E, Paspala, A, D'Ambrosio, M, Pangeni, A, Dziakova, J, Terés, L, Lorente-Poch, L, Di Carlo, I, Spartalis, M, Moro-Valdezate, D, Davey, M, Turrado-Rodriguez, V, Tryliskyy, Y, Calussi, M, Farré, S, Labat, M, Marafante, C, Takkenberg, M, Brookes, C, Soares, A, Gialamas, E, Caputo, D, Corrons, L, Capitano, S, Charalabopoulos, A, Don, C, Marrano, E, Giuffrida, M, Tomasicchio, G, Bellato, V, Stijns, J, Creavin, B, Schizas, D, Blanco-Antona, F, Kykalos, S, Tartaglia, N, Pelegrina, A, Barranquero, A, Schena, C, Cremona, S, Baili, E, Cianci, P, Di Bella, A, Forcignanò, E, Fabbrizio, T, Salvetti, F, Inama, M, Campagnaro, T, Deerenberg, E, Reccia, I, Rocca, A, Fazio, F, Tampakis, A, Tepelenis, K, Di Meo, G, Konstantoudakis, G, Manatakis, D, Mineccia, M, Delvecchio, A, Faro, C, Rosso, E, Bandyopadhyay, S, Queffurus, M, Marin, J, Corvasce, A, Chillarge, G, Mohammed, M, Reid, R, Gherardi, D, Naeem, A, Pandanaboyana, S, Tayeh, S, Chevallay, M, Sergeant, G, Cuccomarino, S, Salimian, N, Kapsampelis, P, Ferretti, C, Glasbey, J, Harvitkar, R, Iqbal, M, de Oliveira, G, Pérez-Bertólez, S, Bergna, A, Brisinda, G, Rottoli, M, Roscio, F, Pedrazzani, C, Meyer, J, Marino, M, Brasset, C, Daniel, C, Devriendt, S, Soldini, G, Pennisi, D, Richards, C, Fiore, F, Bocchino, A, Au, S, Hernandez-Garcia, M, Frontali, A, Grossi, U, Lolis, E, Miotto, M, Di Filippo, G, Seretis, C, Barberis, A, De Luca, R, Levi Sandri, G, Reitano, E, Mattioli, M, Sciaudone, G, Fuschillo, G, Schiltz, B, Low, J, Bointas, G, Cozza, V, Delaune, V, Vescio, F, Curcio, S, Sevik, H, Santocchi, P, Stecca, T, Balaphas, A, Chessa, A, Leo, C, di Mola, F, Tarallo, M, Martini, F, Lisi, G, Khan, M, Nicolazzi, M, Pinotti, E, Morini, A, Esposito, G, Buonomo, O, Corallino, D, Demir, A, Roesel, R, De Lucia, C, Maruccia, M, Tekin, O, Pavone, G, Pradelle, I, Chrysikos, M, Farrukh, M, Baiocchi, G, Piras, C, Abellán, A, Olivieri, L, Materazzo, M, Carbone, L, Dulskas, A, Mulita, F, Corronca, F, Cappuccio, M, Smerieri, E, Sotiropoulu, M, Violante, T, Moletta, L, Rutegård, M, Brillantino, A, Landaluce-Olavarria, A, Ossola, P, Bono, D, Rosés, H, Perez-Sanchez, L, Sabbatini, S, Scotti, M, Cammarata, R, Ibáñez, N, Marano, A, Palmisano, S, Cascales-Sanchez, P, Mosca, V, Ballester, C, Iordache-Petrescu, M, Pozza, G, Akay, O, Bollino, R, Toti, J, Mascianà, G, Pach, R, Sensi, B, Natalia, S, Coppola, A, Altinel, Y, Brucchi, F, Guitart, M, Salido, A, Tamini, N, Garoufalia, Z, Mifsut, P, Wilkins, A, Navarro-Sánchez, A, Cestaro, G, Conti, L, Carvas, J, Gazia, C, Alonso, P, Spiezio, G, Maggi, G, Juloski, J, Braccio, B, Pañella, C, Freixa, C, Petrakis, G, Folliero, C, De Andrés-Asenjo, B, Iodice, A, Jansson, H, González, T, Ortega, I, Castro, M, Fernicola, A, Aparicio, A, Ortega, N, Chouliaras, C, Tura, M, Sidiropoulou, Z, Gonzalez, A, Augustin, G, Segura-Sampedro, J, Cuk, V, Piccolo, G, Ingallinella, S, Ortenzi, M, Uggeri, F, Carrabetta, S, Tolonen, M, Formisano, G, Manfredelli, S, Perra, T, Esposito, F, Perrone, G, Zacharis, G, Menéndez, J, Bottcher, S, Ioannidis, O, Borges, N, Sousa, X, Colombari, R, Tellez, C, Capolupo, G, Giuliani, G, Mastella, F, González, L, Merlini, I, Ghignone, F, de Sa, T, Mangana, O, Rodriguez-Lopez, M, Alvarez-Gallego, M, Chowdhury, A, Di Lascio, P, Carneros, V, Angrisani, M, Conte, L, Montiel, C, Ascari, F, Dajti, I, Lapolla, P, Sperotto, B, Mazzarella, G, Capuano, M, Lopez, M, Ferrario, L, Bulte, J, López, M, Guerci, C, Marra, A, Belkacem, A, Pérez, R, Panyko, A, Dimitrov, E, Luque, E, Manrique, M, Paranyak, M, Kaur, M, Barugola, G, Farazi-Chongouki, C, Estaire-Gómez, M, del Olmo, J, Nardo, B, Mutlu, A, Rubio, A, Marchegiani, F, Cereda, M, Vinci, D, Komaei, I, Petrucciani, N, Seyfried, S, Krsicka, P, Medas, F, Lesko, D, Murzi, V, Siragusa, L, Guerrero, M, Iranzo, M, Cestino, L, Pasculli, A, Smerieri, N, Benzoni, I, Festa, F, Jordão, D, Licardie, E, Nicolaescu, D, Balassone, V, La Vaccara, V, Romano, F, Adamovich, D, Papatheodorou, P, Maroni, N, Colás-Ruiz, E, Melberga, L, Chimenti, F, Ferrari, D, Arcudi, C, Police, A, De Simone, B, Sánchez-Guillén, L, Parreño-Manchado, F, Rachadell, J, Coletta, D, Saroglu, A, Pattacini, G, Antonelli, A, Anania, M, Litta, F, Lafranceschina, S, Bottari, A, Pavlovic, M, Rojas-Bonet, N, Tampaki, E, Kosir, J, Anelli, F, de las Casas, S, Kucukarslan, R, Pierobon, E, Milanesi, M, Drogouti, M, Sotiropoulou, M, Di Marco, F, Bannone, E, Sliwinski, S, Yildiz, I, Pellicciaro, M, Celotti, A, Malerba, M, Marino, F, Bourmpouteli, E, Bianco, G, Charitaki, E, Pascale, M, Ioannidis, A, Maraska, F, Petagna, L, Turri, G, Vailas, M, Romanzi, A, Pouwels, S, Rosa, F, Clocchiatti, L, Andreuccetti, J, Machairas, N, Frountzas, M, Lasithiotakis, K, Barone, M, Christodoulou, P, Potkonjak, D, Aiolfi, A, de Vries, H, Napetti, S, Castaldi, A, Botelho, P, Marziali, I, Uccelli, M, Pisano, M, Veroux, M, Locci, E, Romano, A, Cero, M, Cicerchia, P, Baldi, C, Russo, I, Tenconi, S, Saliu, F, Bondurri, A, Cardinali, L, Laracca, G, Martín-Pérez, B, Felsenreich, D, Cunha, M, Zerbo, D, Clementi, M, Delogu, D, Iossa, A, Bavikatte, A, Saracoglu, C, Pecorelli, N, Tufo, A, Biloslavo, A, Lianos, G, Carannante, F, Costanzo, A, Montuori, M, Cigognini, M, Silvestro, R, Atici, S, Milito, P, Ferronetti, A, Güngör, M, Di Venere, B, Puccioni, C, De Nobili, G, Selvaggi, L, Farolfi, T, Aeschbacher, P, Olivier, J, Frazzetta, G, Andriola, V, Giordano, A, De Luca, A, Ferrara, F, Casagranda, B, Sammartano, F, Russo, A, Rossi, S, Pacilli, M, Synekidou, E, Tutino, R, Ceresoli, M, De Rosa, M, Di Santo Albini, A, Vincenzi, P, Vellei, S, Benzoni, E, Murillo, G, Izzo, G, Scotto, B, Caruso, R, Colombo, F, D'Acapito, F, Lostoridis, E, Saladino, E, Poillucci, G, Moeckli, B, Manto, O, Kara, Y, Tatar, C, Cioffi, S, Mambrilla, S, Bianchi, V, Scopelliti, M, Agresta, F, Nava, A, Franchi, E, Fransvea, P, Prieto, M, Picardi, B, Rizzuto, A, Panaccio, P, Gussago, S, Marra, E, Addeo, P, Fernández Fernández, J, Gulmez, M, Pisaniello, D, Cannavo, M, López-López, V, Avella, P, Peloso, A, Bellanova, G, Candilio, G, Perotti, B, Granata, R, Florio, G, Ioia, G, Iannone, I, Ammerata, G, Zambon, M, Del Monte, S, Sasia, D, Fortuna, L, Litvin, A, Cannistra, M, De Padua, C, Sánchez, T, Paniagua-Garcia-Señorans, M, Guevara, J, Perfecto, A, Alconchel, F, Campanelli, M, Keci, L, Cricrì, M, Kampouroglou, G, Bagaglini, G, Farrarons, S, Greco, A, Walędziak, M, Serrano-Navidad, M, Van Doorn, B, Schiavo, C, Fabbri, N, Wani, I, Mondi, I, Anestiadou, E, Mendes, B, Verdi, D, Dorovinis, P, Cacciaguerra, A, Caldeira, B, Canonico, G, Dardanov, D, D'Ugo, S, Francis, F, Meneghini, S, Pesce, A, Puglisi, S, Bellini, M, Giordano, M, Fleres, F, Campus, F, Cillara, N, Moggia, E, Ciarleglio, F, Calini, G, Gravante, G, De Carlis, R, Altomare, M, Martines, G, Miggino, M, Marano, L, Stocco, A, Porcu, A, Pham, T, Gervasi, M, Pilia, T, Palomba, G, Picchetto, A, Spampinato, M, Tandoi, F, Piccoli, M, Gall, M, Santos, B, Agastra, E, Koëter, T, Samadov, E, Marsanic, P, Serena, D, Uzunoglu, M, Zanus, G, Braholli, E, Giovine, G, Galiffa, G, Lauricella, S, Lukmonov, S, Leventoglu, S, Chooklin, S, Dudi-Venkata, N, Gauci, C, Podda, Mauro, Di Martino, Marcello, Pata, Francesco, Nigri, Giuseppe, Pisanu, Adolfo, Di Saverio, Salomone, Pellino, Gianluca, Ielpo, Benedetto, null, null, Tolla, Ashenafi Negash, Abdelkhalek, Mohamed, Emile, Sameh, Dinagde, Tesfaye Aga, Bouzid, Chafik, Mansour, Ahmed Mohammed Farid Mahmoud, Garzali, Ibrahim Umar, Aregawi, Alazar Berhe, Zaghloul, Tarek M., Kchaou, Ali, Awad, Selmy S., Souadka, Amine, Ted, Tedla Gebretsadik, Saumtally, Mohammad Saad, Ahmed, Bensaad, Bayileyegn, Nebiyou Simegnew, Nunziante, Marco, Shalaby, Mostafa, Debena, Dawit Gebregiorgis, Zena, Alemayehu Shanko, Adewunmi, Olayinka Lukman, Negasa, Tolera A., Bourguiba, Mohamed Aboulkacem, Feituri, Nura, Kebede, Kirubel Abebe, Elfeki, Hossam, Anas, Abdelhmed, Awad, Ahmed K., Ermias, Nebiyou, Hailemariam, Dagnachew H., Bejiga, Gosa Hundie, Imana, Ruhama Yoseph, Taffese, Abebe, Feleke, Tsega Terefe, Elghadban, Hosam Mohamed, Debela, Bizuneh Sime, Shiferaw, Desta, Tadesse, Robel, Chukwu, Isaac Sunday, Mohammed, Abdullahi Ibrahim, Hassen, Khalid Arebo, Obiagwu, Ndubuisi K., Tense, Tadesse H., Taeme, Mulugeta, Biniam, Ewnte, Tesfay, Goytom Knfe, Tegegn, Ayenachew Getachew, Teddy, Tewodros Abule Bilata, Bekana, Bekana L., Nidaw, Melkamu Kibret, Ali, Mahmoud Ibrahim, Gonfa, Kebebe Bekele, Kiros, Samuel, Belay, Tatek, Yallew, Gebeyaw Mengist, Wassie, Chekol, Ayalew, Alem Mekete, Asfaw, Fitsum Terefe, Aimal, Aimal Khan, Casas, Maria Agustina, Madrid, Fausto A., Diaz-Elizondo, Jose Antonio, Merlo, Ignacio Guillermo, De Campos, Tercio, Schlottmann, Francisco, Gomes, Carlos Augusto, Hernández, Edgard Efrén Lozada, Moncada-Ortega, Augusto, Ramos-De la Medina, Antonio, Vanerio, Patricio, Morales, Emilio J., Stringfield, Sarah Beth, Gallardo, Cristian, Fonseca, Vinicius Cordeiro, Muriel, Maria Emilia, Cantarino, Frederico, Fichera, Alessandro, Rodriguez, Agustin E., Salinas, Roberto Paúl Andrade, Crosbie, Gonzalo Gabriel, Menegozzo, Carlos Augusto Metidieri, Avellaneda, Nicolas, Briones, Cristhian Gonzalo Aspiazu, Varela, Cristopher, Lichliter, Warren E., Varela, Cristopher L., Koppel, Darren, Lenz, Jorge Godoy, Pascual, Franco, Sibaja-Matamoros, Dauber A., Johnson, Benjamin E., Mercado, Octavio Avila, Tita, Agustín, Mukherjee, Indraneil, Lorenzo, Irving, Rueda, Erick, Rico, Douglas, Terwes, Natasha Loria, Visag-Castillo, Victor, Escalante, Karol S., Salvador, Alan Francisco Alfaro, Pio, Luca, Rodas, Edgar B., Aguilar, Juan Carlos Cardozo, Neri, Ignacio, Barzola, Ernesto J., Barba, Leonardo A., Zuchini, Andrés Mendoza, Acevedo, Ana Karen Radilla, Gachabayov, Mahir, Gonsaga, Ricardo Alessandro Teixeira, Bonilla, Fernando, Knickerbocker, Chase Barrett, Tsouknidas, Ioannis, Salamea, Juan C., Travers, Lawrence Albert Salter, Nari, Gustavo Adrian, Pachajoa, Diana Alejandra Pantoja, Valadez, Michel Hernandez, Hale, Lyman Lansing, Perez, Guillermo, Choudhry, Asad, Foreman, Michaael L., Brito, Ismael, Ciro, Mauricio Pedraza, Newton, Carla Joyce, Souza, Hamilton Petry, Davis, Daniel G., Ferreira, Rodrigo Vaz, Keller, Deborah S., Miguel, Gustavo Machain, Singh-Ranger, Gurpreet, Linares, Neiling Massiel Oviedo, Singares, Eduardo Smith, Valdivieso, Xavier HGarcía, Teran, Alfonso Ivan Sanchez, Vargas, Luis Felipe Cabrera, Valinoti, Agustín, Milne, David M., Fleming, Andrew Martin, Quiroga-Garza, Alejandro, Espino, Eduardo Morales, Bedros, Nicole Mary, Funk, Geoffrey A., Neves, Fernanda V. S., Supit, Tommy, Baba, Arshad Ahmed, Chalkoo, Mushtaq A., Kucuk, Gultekin Ozan, Sarmiento, Ray Inocencio, Galeev, Shamil I., Korkoman, Mohammed J., Yang, Wah, Medappil, Noushif, Athar, Rahmatullah, Subramaniam, Ravichandran, Chia, Chi Fung, Alhazmi, Ahmad, Halder, Subhadip, Rusli, Siti Mayuha, Rashid, Arshad, Gülcü, Barış, Nagarajan, Prasanth, Rida, Khaled, Jamiri, Al-Radjid, Batıkan, Oğuzkağan, Khan, Huma Ahmed, Mitul, Ashrarur Rahman, Efetov, Sergey, Junior, Marcelo A. F. Ribeiro, Gulcu, Baris, Farooqui, Marryam Riaz, Mulpuri, Venu Bhargava, Bagaria, Dinesh, Yusoff, Ahmad Ramzi, Wani, Rauf, Younis, Muhammad Umar, Khobragade, Krunal H., Marwat, Muhammad Ibrahim, Bains, Lovenish, Kobe, Yoshiro, Koh, Peng Soon, Tantravahi, Umasankar, Mohamad Mohamad, Ikhwan Sani, Abu-Arish, Hamdoon, Yildirim, Ali Cihat, Ibrahim, Aini Fahriza, Tan, Jih Huei, Siagian, Dumaria Ketty, Bhattacharya, Neela, Chiu, Jennifer H. F., Paramasvaran, Ganendra, Voon, Kelvin, Göktepe, Berk, Lee, Lee Yeong Sing, Gupta, Amit, Rasheed, Faaiz, Al-Shehari, Mohammed, Syed, Syed Muhammad Ali, Bhat, Pawan Singh, Erdoğan, Emre, Roat, Rajesh, Nacion, Aeris Jane D., Saraiya, Swapnil Mukesh, Afolabi, Akinwale Ibrahim, Chai, Feng Yih, Ghannam, Wagih, Bhattacharya, Kaushik, NL, Harish, Aloun, Ali, Bhatti, Hamza Waqar, Koneti, Akshadhar J., Klib, Mohamad, Qureshi, Ahmad Uzair, Syn, Nicholas L., Wani, Ajaz, Saeidi, Sara, Zeb, Muhammad, Bandaru, Kalyan Vijay Kumar, Menna, Maria Paola, Morales-Conde, Salvador, Gessa, Emanuela, Sánchez-Cabús, Santiago, Spartalis, Eleftherios, Antropoli, Carmine, Manigrasso, Michele, Sica, Giuseppe S., Ercolani, Giorgio, Chitul, Andrei, Bacchiocchi, Giulia, Azevedo, José, Karamarkovic, Aleksandar, Bonavina, Luigi, Piozzi, Guglielmo N., Migueláñez, Isabel Pascual, Merlini, David, Major, Piotr, Grimaldi, Luciano, Calu, Valentin, Curro, Giuseppe, Cotsoglou, Christian, Baldini, Edoardo, Delis, Spiros, Kovacevic, Bojan, Masetti, Michele, Selvaggi, Francesco, Scabini, Stefano, Reiti, Andrian, Zullo, Alessia, Giuliani, Antonio, Alesina, Pier Francesco, Massey, Lisa H., Slesser, Alistair A. P., Neary, Peter M., Sahnan, Kapil, Tan, Jessica J., Colucci, Gianluca, Brady, Richard R. W., Mihailescu, Andrei, Adamina, Michel, Gerogiannis, Ioannis, van Ramshorst, Gabrielle, Paradiso, Giulia, Poto, Gianmario Edoardo, Massaro, Daniele, Nazir, Fozia, Stubbs, Benjamin M., Tasselli, Francesco Menegon, Muñoz-Cruzado, Virginia Durán, Sabia, Domenico, Vannelli, Alberto, Marsella, Valentina Enrica, Tomada, Elisa Paoluzzi, Giambusso, Mauro, Davies, Justin, Uzzau, Alessandro, Balla, Andrea, Scaringi, Stefano, Lancellotti, Francesco, Douka, Eleftheria, Argenio, Giulio, Cassese, Gianluca, Ammendola, Michele, Morelli, Luca, Francone, Elisa, Bala, Miklosh, Thambi, Prem, Iacobone, Maurizio, Campisi, Andrea, Tejedor, Patricia, Spoletini, Gabriele, Mascherini, Matteo, Belia, Francesco, Idiz, Ufuk Oguz, Colak, Elif, Peters, Paul Adewunmi, Ros, Emilio Peña, Aytac, Erman, Vilallonga, Ramon, Serrablo, Alejandro, Muttillo, Edoardo Maria, Di Franco, Gregorio, Vanni, Gianluca, Isik, Arda, Sbacco, Valentina, Tropeano, Francesca Paola, Porcellini, Iride, Butler, Rebecca Jayne, Fernandez, Carmen Cagigas, Papadopoulos, Aristeidis, Salvans, Silvia, Khan, Jan Sher, Bellver, Pedro Palazón, Mc Farlane, Sebastian Jeri, Apostolou, Konstantinos, Tur-Martinez, Jaume, Castellano, Javier Rivera, Santoliquido, Matteo, Tallon-Aguilar, Luis, Celentano, Valerio, Aliyev, Vusal, al-Najami, Issam, Grama, Florin A., Masior, Łukasz, Ciesielski, Wojciech J., Luberto, Antonio, Sparavigna, Marco, Klimczak, Tomasz Jerzy, Negoi, Ionut, Serradilla-Martín, Mario, Marinis, Athanasios, Cammarat, Roberto, Bellido-luque, Juan, Manzo, Carlo Alberto, Milana, Flavio, Luglio, Gaetano, Zarnescu, Narcis Octavian, Martínez, Isidro, Olmi, Stefano, Costea, Radu V., Cerdán-Santacruz, Carlos, Gica, Nicolae, Rompianesi, Gianluca, Gallo, Gaetano, Ridolfi, Cristina, Sahid, Saidah, CC, Tommaso, López-Soler, Guillermo, Díaz, Carlos JGómez, Mccawley, Niamh, Luzzi, Andrea Pierre, Abelló, David, Bonito, Alba Correa, Ntomi, Vasileia, Gourgiotis, Stavros, Pazos, Natalia Suárez, Toscano, Marta Jiménez, Zafra, David Ambrona, Beisani, Marc, Oliva, Alba, Guler, Mert, Gómez, Marta Jiménez, Oddis, Lidia, Montcusí, Blanca, Delgado, Ander Timoteo, Lasarte, Mateusz PJęckowski Aingeru Sarriuga, Antonacci, Nicola, Sartori, Alberto, Taylor, John Vincent, de Santos Iglesias, Francisco Juan, Mastronardi, Manuela, Gunay, Emre, Yiu, Andrew, Cano-Valderrama, Oscar, Costantini, Giulia, Digne-Malcolm, Holly Jane, Petropoulou, Thalia, Horesh, Nir, Kelly, Michael E., Ahmed, Nauman, Wyroslak-Najs, Justyna, Naik, Prashant, Vigorita, Vincenzo, Michael, Michael, Castro, Ernest, Paspala, Anna, D'Ambrosio, Marco, Pangeni, Anang, Dziakova, Jana, Terés, Lara Blanco, Lorente-Poch, Leyre, Di Carlo, Isidoro, Spartalis, Michael, Moro-Valdezate, David, Davey, Matthew G., Turrado-Rodriguez, Victor, Tryliskyy, Yegor, Calussi, Marco, Farré, Silvia Pérez, Labat, Miriam Cazador, Marafante, Chiara, Takkenberg, Marijn, Brookes, Charlotte Elisabeth, Soares, Antonio S., Gialamas, Eleftherios, Caputo, Damiano, Corrons, Laia Codina, Capitano, Sante, Charalabopoulos, Alexandros, Don, Cristine Brooke Pathirannehalage, Marrano, Enrico, Giuffrida, Maria Carmela, Tomasicchio, Giovanni, Bellato, Vittoria, Stijns, Jasper, Creavin, Ben, Schizas, Dimitrios, Blanco-Antona, Francisco, Kykalos, Stylianos, Tartaglia, Nicola, Pelegrina, Amalia, Barranquero, Alberto G., Schena, Carlo Alberto, Cremona, Simone, Baili, Efstratia, Cianci, Pasquale, Di Bella, Annamaria, Forcignanò, Edoardo, Fabbrizio, Tiziana, Salvetti, Francesco, Inama, Marco, Campagnaro, Tommaso, Deerenberg, Eva B., Reccia, Isabella, Rocca, Aldo, Fazio, Federico, Tampakis, Athanasios, Tepelenis, Kostas, Di Meo, Giovanna, Konstantoudakis, Georgios, Manatakis, Dimitrios K., Mineccia, Michela, Delvecchio, Antonella, Faro, Carmelo Lo, Rosso, Edoardo, Bandyopadhyay, Samik K., Queffurus, Michael, Marin, Jacopo Nicolò, Corvasce, Arianna, Chillarge, Gauri, Mohammed, Mohammed Mustafa, Reid, Rebecca, Gherardi, Dario, Naeem, Awais, Pandanaboyana, Sanjay, Tayeh, Salim, Chevallay, Mickael, Sergeant, Gregory, Cuccomarino, Salvatore, Salimian, Nick, Kapsampelis, Panagiotis, Ferretti, Carlotta, Glasbey, James, Harvitkar, Rafique Umer, Iqbal, Muhammad Rafaih, de Oliveira, Gabriel Paiva, Pérez-Bertólez, Sonia, Bergna, Alessandro, Brisinda, Giuseppe, Rottoli, Matteo, Roscio, Francesco, Pedrazzani, Corrado, Meyer, Jeremy, Marino, Marco V., Brasset, Camille, Daniel, Clerc, Devriendt, Stefanie, Soldini, Gabriele, Pennisi, Damiano, Richards, Chris B., Fiore, Felicia, Bocchino, Antonio, Au, Stephanie, Hernandez-Garcia, Miguel, Frontali, Alice, Grossi, Ugo, Lolis, Evangelos, Miotto, Marco, Di Filippo, Giacomo, Seretis, Charalampos, Barberis, Andrea, De Luca, Raffaele, Levi Sandri, Giovanni Battista, Reitano, Elisa, Mattioli, Marco, Sciaudone, Guido, Fuschillo, Giacomo, Schiltz, Boris, Low, Juin, Bointas, Georgios, Cozza, Valerio, Delaune, Vaihere, Vescio, Francesca, Curcio, Silvia, Sevik, Husnu, Santocchi, Pietro, Stecca, Tommaso, Balaphas, Alexandre, Chessa, Antonella, Leo, Cosimo Alex, di Mola, Fabio F., Tarallo, Mariarita, Martini, Francesco, Lisi, Giorgio, Khan, Mansoor, Nicolazzi, Marco, Pinotti, Enrico, Morini, Andrea, Esposito, Giuseppe, Buonomo, Oreste Claudio, Corallino, Diletta, Demir, Anıl, Roesel, Raffaello, De Lucia, Chiara, Maruccia, Michele, Tekin, Oguzhan, Pavone, Giovanna, Gupta, Ashish, Pradelle, Irene, Chrysikos, Michael, Farrukh, Maira, Baiocchi, Gian Luca, Piras, Carla, Abellán, Antonio Melero, Olivieri, Laura, Materazzo, Marco, Carbone, Ludovico, Dulskas, Audrius, Mulita, Francesk, Corronca, Federico, Cappuccio, Micaela, Smerieri, Elia, Sotiropoulu, Maria, Violante, Tommaso, Moletta, Lucia, Rutegård, Martin, Brillantino, Antonio, Landaluce-Olavarria, Aitor, Ossola, Paolo, Bono, Dario, Rosés, Helena Salvador, Perez-Sanchez, Luis E., Sabbatini, Sonia, Scotti, Mauro Alessandro, Cammarata, Roberto, Ibáñez, Noelia, Marano, Alessandra, Palmisano, Silvia, Cascales-Sanchez, Pedro, Mosca, Vinicio, Ballester, Cristina, Iordache-Petrescu, Madalina Ionela, Pozza, Gioia, Akay, Omer, Bollino, Ruggero, Toti, Johannes M. A., Mascianà, Gianluca, Pach, Radoslaw, Sensi, Bruno, Natalia, Savvala N., Coppola, Alessandro, Altinel, Yuksel, Brucchi, Francesco, Guitart, Marc Pérez, Salido, Andrea Jiménez, Tamini, Nicolò, Garoufalia, Zoe, Mifsut, Patricia, Wilkins, Alex, Navarro-Sánchez, Antonio, Cestaro, Giovanni, Conti, Luigi, Carvas, João M. B., Gazia, Carlo, Alonso, Patricia, Spiezio, Giovanni, Maggi, Giulia, Juloski, Jovan, Braccio, Bartolomeo, Pañella, Clara, Freixa, Celia Caula, Petrakis, Georgios, Folliero, Cristina, De Andrés-Asenjo, Beatriz, Iodice, Alessandra, Jansson, Hannes, González, Tomas Elosua, Ortega, Irene, Castro, Maria J., Fernicola, Agostino, Aparicio, Antonio Carlos Maya, Ortega, Nuria, Chouliaras, Christos, Tura, Marina Vila, Sidiropoulou, Zacharoula, Gonzalez, Ana, Augustin, Goran, Segura-Sampedro, Juan J., Cuk, Vladica, Piccolo, Gaetano, Ingallinella, Sara, Ortenzi, Monica, Uggeri, Fabio, Carrabetta, Salvatore, Tolonen, Matti, Formisano, Giampaolo, Manfredelli, Simone, Perra, Teresa, Esposito, Francesco, Perrone, Gennaro, Zacharis, Georgios, Menéndez, Jaime Iturbe, Bottcher, Sofia Maria Jaume, Ioannidis, Orestis, Borges, Nuno, Sousa, Xavier, Colombari, Renan C., Tellez, Clara, Capolupo, Gabriella Teresa, Giuliani, Giuseppe, Mastella, Federica, González, Lluis García, Merlini, Ilenia, Ghignone, Federico, de Sa, Tiago Correia, Mangana, Orsalia, Rodriguez-Lopez, Mario, Alvarez-Gallego, Mario, Chowdhury, Ashim, Di Lascio, Pierpaolo, Carneros, Virginia Jiménez, Angrisani, Marco, Conte, Luigi E., Montiel, Carmen Galiana, Ascari, Francesca, Dajti, Irida, Lapolla, Pierfrancesco, Sperotto, Beatrice, Mazzarella, Gennaro, Capuano, Marianna, Lopez, Maria Martinez, Ferrario, Luca, Bulte, Joris P., López, María Martínez, Guerci, Claudio, Marra, Angelo Alessandro, Belkacem, Acidi, Pérez, Raquel Escalera, Panyko, Arpád, Dimitrov, Evgeni, Luque, Eduardo J., Manrique, Mario Montes, Paranyak, Mykola, Kaur, Mandeep, Barugola, Giuliano, Farazi-Chongouki, Christos, Estaire-Gómez, Mercedes, del Olmo, Juan Carlos Martín, Nardo, Bruno, Mutlu, Arda Ulaş, Rubio, Ainhoa Valle, Merlini, David A., Marchegiani, Francesco, Cereda, Marco Angelo, Vinci, Danilo, Komaei, Iman, Petrucciani, Niccolo, Seyfried, Steffen, Krsicka, Petr, Medas, Fabio, Lesko, Dusan, Murzi, Valentina, Siragusa, Leandro, Guerrero, María Alejandra, Iranzo, Marina Alarcón, Cestino, Luca, Pasculli, Alessandro, Smerieri, Nazareno, Benzoni, Ilaria, Festa, Federico, Jordão, Daniel Filipe Martins, Licardie, Eugenio, Nicolaescu, Diana C., Balassone, Valerio, La Vaccara, Vincenzo, Romano, Fabrizio, Adamovich, Dmitry Mikhailovich, Papatheodorou, Panayiotis, Maroni, Norvana, Colás-Ruiz, Enrique, Melberga, Liene, Chimenti, Federica, Ferrari, Davide, Arcudi, Claudio, Police, Andrea, De Simone, Belinda, Sánchez-Guillén, Luis, Parreño-Manchado, Felipe Carlos, Rachadell, Juan José, Coletta, Diego, Saroglu, Azize, Pattacini, Gianmaria Casoni, Antonelli, Amedeo, Anania, Marco, Litta, Francesco, Lafranceschina, Stefano, Bottari, Andrea, Pavlovic, Mladen, Rojas-Bonet, Noel, Tampaki, Ekaterini Christina, Kosir, Jurij A., Anelli, Ferdinando M., de las Casas, Sara Gortázar, Kucukarslan, Rabia, Pierobon, Elisa Sefora, Milanesi, Maria, Drogouti, Maria, Sotiropoulou, Maria, Di Marco, Federica, Bannone, Elisa, Sliwinski, Svenja Christin, Yildiz, Ishak, Pellicciaro, Marco, Celotti, Andrea, Malerba, Michele, Marino, Fabio, Bourmpouteli, Eirini, Bianco, Giuseppe, Charitaki, Evgenia, Pascale, Marco Maria, Ioannidis, Argyrios, Maraska, Fatlum, Petagna, Lorenzo, Turri, Giulia, Vailas, Michail, Romanzi, Andrea, Pouwels, Sjaak, Rosa, Fausto, Clocchiatti, Lucrezia, Andreuccetti, Jacopo, Machairas, Nikolaos, Frountzas, Maximos, Lasithiotakis, Konstantinos, Barone, Mirko, Christodoulou, Prokopis, Potkonjak, Dario, Aiolfi, Alberto, de Vries, Hilbert S., Napetti, Sara, Castaldi, Antonio, Botelho, Pedro, Marziali, Irene, Uccelli, Matteo, Pisano, Michele, Veroux, Massimiliano, Locci, Eleonora, Romano, Angela, Cero, Mariagiulia Dal, Cicerchia, Pierfranco Maria, Baldi, Caterina, Russo, Iris Shari, Tenconi, Silvia Maria, Saliu, Fatmir, Bondurri, Andrea, Cardinali, Luca, Laracca, Giovanni Guglielmo, Martín-Pérez, Beatriz, Felsenreich, Daniel M., Cunha, Miguel, Zerbo, Domenico, Clementi, Marco, Delogu, Daniele, Iossa, Angelo, Bavikatte, Akshay Prasannakumar, Saracoglu, Can, Pecorelli, Nicolò, Tufo, Andrea, Biloslavo, Alan, Lianos, Georgios D., Carannante, Filippo, Costanzo, Antonio, Montuori, Mauro, Cigognini, Maria, Silvestro, Roberto, Atici, Semra Demirli, Milito, Pamela, Ferronetti, Antonio, Güngör, Mert, Di Venere, Beatrice, Puccioni, Caterina, De Nobili, Giovanni, Selvaggi, Lucio, Farolfi, Tommaso, Aeschbacher, Pauline, Olivier, James B., Frazzetta, Giuseppe, Andriola, Valeria, Giordano, Alessio, De Luca, Alessandro, Ferrara, Francesco, Casagranda, Biagio, Sammartano, Fabrizio, Russo, Alfio Alessandro, Rossi, Stefano, Pacilli, Mario, Synekidou, Eirini, Tutino, Roberta, Ceresoli, Marco, De Rosa, Michele, Di Santo Albini, Andrea G., Vincenzi, Paolo, Vellei, Samantha, Benzoni, Enrico, Murillo, Gabriela Aracelly Arroyo, Izzo, Giuliano, Scotto, Bruno, Caruso, Riccardo, Colombo, Francesco, D'Acapito, Fabrizio, Lostoridis, Eftychios, Saladino, Edoardo, Poillucci, Gaetano, Moeckli, Beat, Manto, Ottavia, Kara, Yasin, Tatar, Cihad, Cioffi, Stefano Piero Bernardo, Mambrilla, Sara, Bianchi, Valentina, Scopelliti, Michele, Agresta, Ferdinando, Nava, Andrea Kazemi, Franchi, Eloisa, Fransvea, Pietro, Prieto, Mikel, Picardi, Biagio, Rizzuto, Antonia, Panaccio, Paolo, Gussago, Stefano, Marra, Ester, Addeo, Pietro, Fernández Fernández, June, Gulmez, Mehmet, Pisaniello, Donatella, Cannavo, Maurizio, López-López, Victor, Avella, Pasquale, Peloso, Andrea, Bellanova, Giovanni, Candilio, Giuseppe, Perotti, Bruno, Granata, Roberta, Florio, Gaetano, Ioia, Giovanna, Iannone, Immacolata, Ammerata, Giorgio, Zambon, Martina, Romano, Francesco Maria, Del Monte, Simone Rossi, Sasia, Diego, Fortuna, Laura, Giuffrida, Mario, Litvin, Andrey, Cannistra, Marco, De Padua, Cristina, Sánchez, Tatiana Gómez, Paniagua-Garcia-Señorans, Marta, Guevara, Jenny, Perfecto, Arkaitz, Alconchel, Felipe, Campanelli, Michela, Keci, Laura, Cricrì, Michele, Kampouroglou, Georgios, Bagaglini, Giulia, Farrarons, Sara Sentí, Greco, Antonio, Walędziak, Maciej, Carvas, João M., Serrano-Navidad, Monica, Van Doorn, Berend, Schiavo, Ciro, Fabbri, Nicolò, Wani, Ishfaq Ahmad, Mondi, Isabella, Anestiadou, Elissavet, Mendes, Beatriz ISilva, Verdi, Daunia, Dorovinis, Panagiotis, Cacciaguerra, Andrea Benedetti, Caldeira, Beatriz, Canonico, Giuseppe, Dardanov, Dragomir, D'Ugo, Stefano, Francis, Fayez Maged, Meneghini, Simona, Pesce, Antonio, Puglisi, Silvana Bernadetta, Bellini, Maria Irene, Pisano, Marcello, Giordano, Marco, Fleres, Francesco, Campus, Federica, Cillara, Nicola, Moggia, Elisabetta, Ciarleglio, Francesco A., Calini, Giacomo, Gravante, Gianpiero, De Carlis, Riccardo, Altomare, Michele, Martines, Gennaro, Miggino, Marco, Marano, Luigi, Stocco, Alberto, Porcu, Alberto, Pham, Thuy Vy, Gervasi, Maria Clelia, Pilia, Tiziana, Palomba, Giuseppe, Picchetto, Andrea, Spampinato, Marcello Giuseppe, Tandoi, Francesco, Piccoli, Micaela, Gall, Malina ECaraiman, Santos, Bárbara Ribeiro, Agastra, Ervis, Koëter, Tijmen, Samadov, Elgun, Marsanic, Patrizia, Serena, De Fatico Gilda, Uzunoglu, Mustafa Yener, Zanus, Giacomo, Braholli, Eriol, Giovine, Gennaro, Galiffa, Giampaolo, Lauricella, Sara, Lukmonov, Saidrakhim, Leventoglu, Sezai, Chooklin, Serge, Dudi-Venkata, Nagendra N., and Gauci, Chahaya M.
Abstract: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS (R) v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 +/- 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 +/- 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 +/- 4.9 and 7.8 +/- 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 +/- 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI.
Published: 2024

3. ERAS with or without supplemental artificial nutrition in open pancreatoduodenectomy for cancer. A multicenter, randomized, open labeled trial (RASTA study protocol)

Author: Gianotti, L, Paiella, S, Frigerio, I, Pecorelli, N, Capretti, G, Sandini, M, Bernasconi, D, Gianotti L., Paiella S., Frigerio I., Pecorelli N., Capretti G., Sandini M., Bernasconi D. P., Gianotti, L, Paiella, S, Frigerio, I, Pecorelli, N, Capretti, G, Sandini, M, Bernasconi, D, Gianotti L., Paiella S., Frigerio I., Pecorelli N., Capretti G., Sandini M., and Bernasconi D. P.
Abstract: Purpose: The role of supplemental artificial nutrition in patients perioperatively treated according to enhanced recovery programs (ERAS) on surgery-related morbidity is not known. Therefore, there is a need of a clinical trials specifically designed to explore whether given a full nutritional requirement by parenteral feeding after surgery coupled with oral food “at will” compared to oral food “at will” alone, within an established ERAS program, could achieve a reduction of the morbidity burden. Materials and analysis: RASTA will be a multicenter, randomized, parallel-arm, open labeled, superiority trial. The trial will be conducted in five Italian Institutions with proven experience in pancreatic surgery and already applying an established ERAS program. Adult patients (age ≥ 18 and < 90 years of age) candidate to elective open pancreatoduodenectomy (PD) for any periampullary or pancreatic cancer will be randomized to receive a full ERAS protocol that establishes oral food “at will” plus parenteral nutrition (PN) from postoperative day 1 to day 5 (treatment arm), or to ERAS protocol without PN (control arm). The primary endpoint of the trial is the complication burden within 90 days after the day of surgery. The complication burden will be assessed by the Comprehensive Complication Index, that incorporates all complications and their severity as defined by the Clavien-Dindo classification, and summarizes postoperative morbidity with a numerical scale ranging from 0 to 100. The H0 hypothesis tested is that he administration of a parenteral nutrition added to the ERAS protocol will not affect the CCI as compared to standard of care (ERAS). The H1 hypothesis is that the administration of a parenteral nutrition added to the ERAS protocol will positively affect the CCI as compared to standard of care (ERAS). The trial has been registered at ClinicalTrials.gov (number: NCT04438447; date: 18/05/2020). Conclusion: This upcoming trial will permit to establish if early po
Published: 2023

4. Impact of enhanced recovery protocols after pancreatoduodenectomy: Meta-Analysis

Author: Kuemmerli, C, Tschuor, C, Kasai, M, Alseidi, A, Balzano, G, Bouwense, S, Braga, M, Coolsen, M, Daniel, S, Dervenis, C, Falconi, M, Hwang, D, Kagedan, D, Kim, S, Lavu, H, Liang, T, Nussbaum, D, Partelli, S, Passeri, M, Pecorelli, N, Pillai, S, Pillarisetty, V, Pucci, M, Su, W, Sutcliffe, R, Tingstedt, B, Van Der Kolk, M, Vrochides, D, Wei, A, Yeo, C, Zani, S, Zouros, E, Abu Hilal, M, Kuemmerli C., Tschuor C., Kasai M., Alseidi A. A., Balzano G., Bouwense S., Braga M., Coolsen M., Daniel S. K., Dervenis C., Falconi M., Hwang D. W., Kagedan D. J., Kim S. C., Lavu H., Liang T., Nussbaum D., Partelli S., Passeri M. J., Pecorelli N., Pillai S. A., Pillarisetty V. G., Pucci M. J., Su W., Sutcliffe R. P., Tingstedt B., Van Der Kolk M., Vrochides D., Wei A., Yeo C. J., Zani S., Zouros E., Abu Hilal M., Kuemmerli, C, Tschuor, C, Kasai, M, Alseidi, A, Balzano, G, Bouwense, S, Braga, M, Coolsen, M, Daniel, S, Dervenis, C, Falconi, M, Hwang, D, Kagedan, D, Kim, S, Lavu, H, Liang, T, Nussbaum, D, Partelli, S, Passeri, M, Pecorelli, N, Pillai, S, Pillarisetty, V, Pucci, M, Su, W, Sutcliffe, R, Tingstedt, B, Van Der Kolk, M, Vrochides, D, Wei, A, Yeo, C, Zani, S, Zouros, E, Abu Hilal, M, Kuemmerli C., Tschuor C., Kasai M., Alseidi A. A., Balzano G., Bouwense S., Braga M., Coolsen M., Daniel S. K., Dervenis C., Falconi M., Hwang D. W., Kagedan D. J., Kim S. C., Lavu H., Liang T., Nussbaum D., Partelli S., Passeri M. J., Pecorelli N., Pillai S. A., Pillarisetty V. G., Pucci M. J., Su W., Sutcliffe R. P., Tingstedt B., Van Der Kolk M., Vrochides D., Wei A., Yeo C. J., Zani S., Zouros E., and Abu Hilal M.
Abstract: Background: This individual-patient data meta-Analysis investigated the effects of enhanced recovery after surgery (ERAS) protocols compared with conventional care on postoperative outcomes in patients undergoing pancreatoduodenectomy. Methods: The Cochrane Library, MEDLINE, Embase, Scopus, and Web of Science were searched systematically for articles reporting outcomes of ERAS after pancreatoduodenectomy published up to August 2020. Comparative studies were included. Main outcomes were postoperative functional recovery elements, postoperative morbidity, duration of hospital stay, and readmission. Results: Individual-patient data were obtained from 17 of 31 eligible studies comprising 3108 patients. Time to liquid (mean difference (MD)-3.23 (95 per cent c.i.-4.62 to-1.85) days; P < 0.001) and solid (-3.84 (-5.09 to-2.60) days; P < 0.001) intake, time to passage of first stool (MD-1.38 (-1.82 to-0.94) days; P < 0.001) and time to removal of the nasogastric tube (3.03 (-4.87 to-1.18) days; P = 0.001) were reduced with ERAS. ERAS was associated with lower overall morbidity (risk difference (RD)-0.04, 95 per cent c.i.-0.08 to-0.01; P = 0.015), less delayed gastric emptying (RD-0.11,-0.22 to-0.01; P = 0.039) and a shorter duration of hospital stay (MD-2.33 (-2.98 to-1.69) days; P < 0.001) without a higher readmission rate. Conclusion: ERAS improved postoperative outcome after pancreatoduodenectomy. Implementation should be encouraged.
Published: 2022

5. Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study

Author: Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomi, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomi O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., Balciscueta Z., Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomi, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomi O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., and Balciscueta Z.
Abstract: Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide.
Published: 2022

6. Correction: Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study (World Journal of Surgery, (2022), 46, 9, (2021-2035), 10.1007/s00268-022-06649-z)

Author: Pata F., Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomo, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomo O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., Balciscueta Z., Pata F., Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomo, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomo O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., and Balciscueta Z.
Abstract: In the original online version of this article Oreste Claudio Buonomo’s family name was misspelled. The original article was corrected.
Published: 2022

7. Prognostic Significance and Predictors of Nodal Recurrence after Surgery for Non-functioning Pancreatic Neuroendocrine Tumors

Author: Andreasi, V., primary, Partelli, S., additional, Peralta Ferreira, M., additional, Palumbo, D., additional, Muffatti, F., additional, Battistella, A., additional, Mapelli, P., additional, Tamburrino, D., additional, Pecorelli, N., additional, Crippa, S., additional, and Falconi, M., additional
Published: 2023
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8. Health-related Quality of Life after Laparoscopic versus Open Distal Pancreatectomy: A Prospective Observational Study

Author: Guarneri, G., primary, Limongi, C., additional, Vallorani, A., additional, Licinio, A. Wong, additional, Abati, M., additional, Falconi, M., additional, and Pecorelli, N., additional
Published: 2023
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9. Diagnostic Work-up and Surgical Management of Insulinoma - A Retrospective Analysis From a Tertiary Referral Center

Author: Andreasi, V., primary, Partelli, S., additional, Muffatti, F., additional, Battistella, A., additional, Fermi, F., additional, Balzano, G., additional, Crippa, S., additional, Pecorelli, N., additional, and Falconi, M., additional
Published: 2023
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10. Prognostic Value of Preoperative CT Scan Derived Body Composition Measures in Resected Pancreatic Cancer

Author: Guarneri, G., primary, Provinciali, L., additional, Bettinelli, A., additional, Palumbo, D., additional, Genova, L., additional, Gasparini, G., additional, Crippa, S., additional, De Cobelli, F., additional, Falconi, M., additional, and Pecorelli, N., additional
Published: 2023
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11. Management of clinically-relevant postoperative pancreatic fistula related fluid collections after distal pancreatectomy

Author: Guarneri, Giovanni, primary, Guazzarotti, G., additional, Pecorelli, N., additional, Palumbo, D., additional, Palucci, M., additional, Provinciali, L., additional, Limongi, C., additional, Crippa, S., additional, Partelli, S., additional, De Cobelli, F., additional, and Falconi, M., additional
Published: 2022
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12. Changes in body composition during neoadjuvant therapy can affect prognosis in rectal cancer patients: An exploratory study

Author: De Nardi, P, Salandini, M, Chiari, D, Pecorelli, N, Cristel, G, Damascelli, A, Ronzoni, M, Massimino, L, De Cobelli, F, Braga, M, De Nardi P., Salandini M., Chiari D., Pecorelli N., Cristel G., Damascelli A., Ronzoni M., Massimino L., De Cobelli F., Braga M., De Nardi, P, Salandini, M, Chiari, D, Pecorelli, N, Cristel, G, Damascelli, A, Ronzoni, M, Massimino, L, De Cobelli, F, Braga, M, De Nardi P., Salandini M., Chiari D., Pecorelli N., Cristel G., Damascelli A., Ronzoni M., Massimino L., De Cobelli F., and Braga M.
Abstract: Aim: To establish the correlation between changes in body composition after neoadjuvant chemoradiotherapy (nCRT) and postoperative outcomes, in patients with advanced low rectal cancer. Methods: Patients with clinical stage T≥3 or N+ rectal cancer who underwent nCRT and surgical resection were studied. Skeletal muscle, visceral, and subcutaneous fat cross-sectional area were measured by computed tomography before and after nCRT. Postoperative morbidity, pathologic response to nCRT, overall and disease-free survival was assessed. Results: Fifty-two patients, median age 62 (range 32-79) were studied. A skeletal muscle loss >2% significantly correlated with a shorter disease-free survival both in the overall population (P = 0.048) and in the subgroup of N0 patients (P = 0.048). A subcutaneous fat loss >5% was also associated with a shorter disease-free survival (P = 0.012) in the whole population. Conclusions: Skeletal muscle loss, after neoadjuvant chemoradiotherapy, negatively impacts on disease-free survival in surgically treated rectal cancer patients.
Published: 2020

13. Pancreaticoduodenectomy in octogenarians: The importance of “biological age” on clinical outcomes

Author: Quero, Giuseppe, Pecorelli, N., Paiella, S., Fiorillo, Claudio, Petrone, M. C., Capretti, G., Laterza, Vito, De Sio, Davide, Menghi, Roberta, Kauffmann, E., Nobile, S., Butturini, G., Ferrari, G., Rosa, Fausto, Coratti, A., Casadei, R., Mazzaferro, V., Boggi, U., Zerbi, A., Salvia, R., Falconi, M., Alfieri, Sergio, Quero G. (ORCID:0000-0002-0001-9479), Fiorillo C. (ORCID:0000-0001-7681-3567), Laterza V., De Sio D., Menghi R., Rosa F. (ORCID:0000-0002-7280-8354), Alfieri S. (ORCID:0000-0002-0404-724X), Quero, Giuseppe, Pecorelli, N., Paiella, S., Fiorillo, Claudio, Petrone, M. C., Capretti, G., Laterza, Vito, De Sio, Davide, Menghi, Roberta, Kauffmann, E., Nobile, S., Butturini, G., Ferrari, G., Rosa, Fausto, Coratti, A., Casadei, R., Mazzaferro, V., Boggi, U., Zerbi, A., Salvia, R., Falconi, M., Alfieri, Sergio, Quero G. (ORCID:0000-0002-0001-9479), Fiorillo C. (ORCID:0000-0001-7681-3567), Laterza V., De Sio D., Menghi R., Rosa F. (ORCID:0000-0002-7280-8354), and Alfieri S. (ORCID:0000-0002-0404-724X)
Abstract: Introduction: With the prolongation of life expectancy, an increasing number of elderly patients are evaluated for pancreatic surgery. However, the influence of increasing age on outcomes after pancreaticoduodenectomy (PD) is still unclear, especially in octogenarians. Aim of this study is to evaluate the perioperative characteristics and outcomes of octogenarians undergoing PD. Methods: Data for 812 patients undergoing PD between 2019 and 2020 in 10 referral centers in Italy were reviewed. Patients aged 80 years or older were matched based on nearest neighbor propensity scores in a 1:1 ratio to patients younger than 80 years. Propensity scores were calculated using 7 perioperative variables including gender, ASA score, neoadjuvant treatment (NAT), biliary stent positioning, type of surgical approach (open, laparoscopic, robot-assisted), associated vascular resections, type of lesion. Perioperative characteristics and short-term postoperative outcomes were compared before and after matching. Results: Overall, 81 (10%) patients had 80 years or more. Before matching, octogenarians had a higher rate of ASA score≥ 3 (n = 35, 43.2% vs. n = 207, 28.3%; p = 0.005) and less frequently underwent NAT (n = 11, 13.6% vs. n = 213, 29.1%; p = 0.003). Matching was successfully performed for 70 octogenarians. After matching, no differences in preoperative and intraoperative characteristics were found. Postoperatively, ICU admission was more frequent in octogenarians (50% vs 30%; p = 0.01). Although in-hospital mortality was higher in octogenarians before matching (7.4% vs 2.9% in the younger cohort; p = 0.03), no difference was noted between the matched cohorts (p = 0.36). Postoperative morbidity was comparable between groups in the whole and selected populations. At the multivariate analysis, chronological age was not recognized as a prognostic factor for cumulative major complications, while ASA ≥3 was the only confirmed influencing feature (OR 2.98; 95%CI: 1.6–6.8; p = 0.009). C
Published: 2022

14. Quantitative assessment of the impact of COVID-19 pandemic on pancreatic surgery: an Italian multicenter analysis of 1423 cases from 10 tertiary referral centers

Author: Quero, G., Pecorelli, N., Paiella, S., Fiorillo, C., Petrone, M. C., Rosa, F., Capretti, G., Laterza, V., Kauffmann, E., Nobile, S., Butturini, G., Ferrari, G., Coratti, A., Casadei, R., Mazzaferro, V., Boggi, U., Zerbi, A., Salvia, R., Falconi, M., Alfieri, S., Quero G. (ORCID:0000-0002-0001-9479), Fiorillo C. (ORCID:0000-0001-7681-3567), Rosa F. (ORCID:0000-0002-7280-8354), Laterza V., Alfieri S. (ORCID:0000-0002-0404-724X), Quero, G., Pecorelli, N., Paiella, S., Fiorillo, C., Petrone, M. C., Rosa, F., Capretti, G., Laterza, V., Kauffmann, E., Nobile, S., Butturini, G., Ferrari, G., Coratti, A., Casadei, R., Mazzaferro, V., Boggi, U., Zerbi, A., Salvia, R., Falconi, M., Alfieri, S., Quero G. (ORCID:0000-0002-0001-9479), Fiorillo C. (ORCID:0000-0001-7681-3567), Rosa F. (ORCID:0000-0002-7280-8354), Laterza V., and Alfieri S. (ORCID:0000-0002-0404-724X)
Abstract: Few evidences are present on the consequences of coronavirus disease 2019 (COVID-19) pandemic on pancreatic surgery. Aim of this study is to evaluate how COVID-19 influenced the diagnostic and therapeutic pathways of surgical pancreatic diseases. A comparative analysis of surgical volumes and clinical, surgical and perioperative outcomes in ten Italian referral centers was conducted between the first semester 2020 and 2019. One thousand four hundred and twenty-three consecutive patients were included in the analysis: 638 from 2020 and 785 from 2019. Surgical volume in 2020 decreased by 18.7% (p < 0.0001). Benign/precursors diseases (− 43.4%; p < 0.0001) and neuroendocrine tumors (− 33.6%; p = 0.008) were the less treated diseases. No difference was reported in terms of discussed cases at the multidisciplinary tumor board (p = 0.43), mean time between diagnosis and neoadjuvant treatment (p = 0.91), indication to surgery and surgical resection (p = 0.35). Laparoscopic and robot-assisted procedures dropped by 45.4% and 61.9%, respectively, during the lockdown weeks of 2020. No difference was documented for post-operative intensive care unit accesses (p = 0.23) and post-operative mortality (p = 0.06). The surgical volume decrease in 2020 will potentially lead, in the near future, to the diagnosis of a higher rate of advanced stage diseases. However, the reassessment of the Italian Health Service kept guarantying an adequate level of care in tertiary referral centers. Clinicaltrials.gov ID: NCT04380766.
Published: 2022

15. Inequalities in screening policies and perioperative protection for patients with acute appendicitis during the pandemic: Subanalysis of the ACIE Appy study

Author: Pellino, G., Podda, M., Pata, F., Di Saverio, S., Ielpo, B., Caruso, R., Gravante, G., Orengia, A., Chowdary, A., Kulkarni, A., Kuvvetli, A., Navarro, A., Smith, A., Ibiricu, A. C., Nacion, A. J. D., Alsaleh, A., Alhazmi, A., Elmabri, A., Wani, A., Rencuzogullari, A., Lasarte, A. S., Rubio, A. V., Bavikatte, A., Kumar, A., Jamiri, A. -R., Padilla, A. M. A., Cacurri, A., de San Ildefonso, A., Porcu, A., Sartori, A., Rocca, A., Paz Yanez, A., Becaria, A., Solis-Pena, A., Sretenovic, A., Urbistondo, A., Bandin, A., Najar, A., De Luca, A., Boddy, A., Charalabopoulos, A., Tzivanakis, A., Amendola, A., de Velasco, A. R. -G., Yildirim, A. C., Frontali, A., Toure, A. O., Garcia-Granero, A., Martinez Roldan, A., Larrainzar, A. S., Ratnayake, A. S., Gonzalez-Ganso, A. M., Minaya-Bravo, A. M., Das, A., Bondurri, A., Costanzi, A., Lucchi, A., Mazzari, A., Musig, A., Peloso, A., Piano, A., Police, A., Mihailescu, A., Pouy, A., Romano, A., Iossa, A., Leonetti, A. C., Guariniello, A., Isaac, A., Bovi, A. P. D., Chessa, A., Tromba, A., Martinez, A. A., Brillantino, A., Caira, A., Castaldi, A., Ferronetti, A., Giuliani, A., Prestera, A., Ramos-De la Medina, A., Tarasconi, A., Tornambe, A., Picciariello, A., Ioannidis, A., Leppaniemi, A., Khan, A., Rashid, A., Perez-Sanchez, A. L. E., Mittal, A., Mitul, A. R., Mehraj, A., Laharwal, A., Dorisme, A., Marinis, A., Iqbal, A., Moncada, A., Braccio, B., Alkhafaji, B., de Andres Asenjo, B., Martin-Perez, B., De Simone, B., Perez, B. S., Creavin, B., Cali, B., Pascotto, B., Stubbs, B., Retes, B. Z., Jovanovic, B., Goh, B. K. P., Sensi, B., Biddau, C., Gazia, C., Vallicelli, C., Fagundes, C. A., Santacruz, C. C., Chirico, C., Diaz, C. J. G., Petrola, C., Rodriguez, C. S., Benitez, C. Y., Dammaro, C., Lo Faro, C., Reinke, C., Paez, C. D., Oliva, C., Paranjape, C., Thomas, C., Chia, C. F., Kong, C. K., De Lucia, C., Chao, C. O., Arcudi, C., Guerci, C., Chia, C., Parise, C., Folliero, C., Varela, C., Ferguson, D. M., Camacho, D., Popowich, D., Lima, D. S., Rega, D., Delogu, D., Zigiotto, D., Vinci, D., D'Antonio, D., Parini, D., Merlini, D. A., Zimmerman, D. D. E., Moro-Valdezate, D., Pertile, D., Giusti, D. M., Keller, D. S., Tarik, D., Kalivaci, D., Mazingi, D., Maldonado-Pintado, D. G., Sasia, D., Linardoutsos, D., Osilli, D., Murrone, D., Russello, D., Rodas, E., Roa, E. A. A., Ricciardi, E., Rosso, E., Saladino, E., Flores-Villalba, E., Ajs, E. R., Smith-Singares, E., Baili, E., Kouroumpas, E., Bourmpouteli, E., Douka, E., Martin-Perez, E., Guaitoli, E., Samadov, E., Francone, E., Vaterlini, E., Morales, E., Pena, E., Zhao, E., Del Pozo Andres, E., Benzoni, E., Erdas, E., Pinotti, E., Colas-Ruiz, E., Aytac, E., Laterza, E., Agastra, E., Foianini, E., Moscoso, E., Laviano, E., Marra, E., Cardamone, E., Licardie, E., Mpaili, E., Pinna, E., Varo, E., Navarro, F. M., Marino, F., Medas, F., Romano, F., Maraska, F., Saliu, F., Madrid, F., Rosa, F., Mastella, F., Gheza, F., Luvisetto, F., Alconchel, F., Vieira, F. M., Pareja, F., Agresta, F., Luna, F., Bonilla, F., Cordera, F., Burdio, F., Mendoza-Moreno, F., Flores, F. M., Aranda, F. P., Taylor, F., Ramos, F. L., Fernandes, F., Tropeano, F. P., Balestra, F., Bianco, F., Ceci, F., Colombo, F., Di Marzo, F., Ferrara, F., Lancellotti, F., Lazzarin, F., Litta, F., Martini, F., Pizza, F., Roscio, F., Virdis, F., Antona, F. B., Ramirez, F. C., Fernandez, F. M., Llinares, F. O., Quezada, F., Schlottmann, F., Herrera-Almario, G., Massaferro, G., Bislenghi, G., van Ramshorst, G., Gallo, G., Luglio, G., Bointas, G., Kampouroglou, G., Papadopoulos, G., Manrique, G. A., Calini, G., Nastri, G., Formisano, G., Galiffa, G., Palini, G. M., Colucci, G., Pagano, G., Vanni, G., Pattacini, G. C., De Paola, G., Lisi, G., Partida, G., Bellanova, G., De Nobili, G., Necchi, G. S., Sinibaldi, G., Tebala, G., Bagaglini, G., Izzo, G., Argenio, G., Brisinda, G., Candilio, G., Di Grezia, G., Esposito, G., Faillace, G., Frazzetta, G., La Gumina, G., Nigri, G., Romeo, G., Amatriain, G. C., Ortega, G., Martin-Martin, G., Stavrou, G. A., Gunadi, Ugon, G. A., Machain, G., Marcucci, G., Martinez-Mier, G., Machain, G. M., Nari, G., Calvo, H., Fathy, H., Hamilton, Ahmed, H., Faraj, H., Nava, H., Macias, H. O., Nikaj, H., Solano, H., Khan, H. A., Alarcon, H. S., Ebied, H., Giani, I., Ateca, I. V., Neri, I., San Roman, I. A., Fidoshev, I., Rodriguez, I. M., Negoi, I., Ortega, I., Bernescu, I., Russo, I. S., Rodriguez, I. V., Palomares, I., Baltazar, I., Torrejimeno, I. J., Jurado, I. M. C., Reccia, I., Hussain, I., Toledo, I. B., Mora-Guzman, I., al-Najami, I., Dogaru, I., Romic, I., Balciscueta, I., Kenington, J. C., Sagolsem, J., Jang, J. Y., Olivier, J., Lammel-Lindemann, J., Dziakova, J., Villavicencio, J. I. R., Salinas, J., Pejanovic, J., Parreira, J. G., Perez, J. R., Reyes, J. A. S., Luque, J. A. M., Mak, J., Rodriguez, J. S., Kok, J. H. H., Krook, J., Diaz-Elizondo, J. A., Castell, J., Garcia-Flores, J. E., Navalon, J. M. J., Rodrigues, J. M. S., Pinto, J. P., Gomez, J. T. C., Luque, J. B., del Olmo, J. C. M., Salamea, J. C., Olivier, J. F. C., Laina, J. L. B., Ordonez, J. M., Gutierrez, J., Abba, J., Sofi, J. A., Sherafgan, K., Sahnan, K., Yanaga, K., Beatson, K., Asim, L., Alvarez, L., Siragusa, L., Farber, L., Ong, L., Athanasios, L., Garcia-Bruna, L., De Martino, L., Ferrario, L., Giordano, L., Gordini, L., Pio, L., Ponchietti, L., Moletta, L., Curella, L., Poggi, L., Taglietti, L., Bonavina, L., Conti, L., Goffredi, L., Ruiz, L. A. G., Barrionuevo, L., Fregoso, L. E., Cabrera, L. F., Rodriguez, L. G., Grande, L., Osoria, L. G., Gonzalez, L. J. K., Sanchez-Guillen, L., Tallon-Aguilar, L., Tresierra, L., Giavarini, L., Hasabelnabi, M., Odovic, M., Uemura, M., Khan, M., Artiles-Armas, M., David, M., Di Martino, M., Spampinato, M. G., Ribeiro, M. A. F., Viola, M., Angrisani, M., Calussi, M., Cannistra, M., Catarci, M., Cereda, M., Conte, M., Giordano, M., Pellicciaro, M., Marino, M. V., Vaterlini, M. E., Jimenez, M. F., Lolli, M. G., Bellini, M. I., Lemma, M., Chiarello, M. M., Nicola, M., Arrigo, M., Mejia, M. C., Manrique, M. M., Rodriguez-Lopez, M., Serradilla-Martin, M., Lara, M. Z., Martinez, M., Bagnall, M., Peter, M., Lara, M. C., Gomez, M. J., Paniagua-Garcia-Senorans, M., Gonzalez, M. P., Rutegard, M., Salo, M., Franceschilli, M., Silveri, M., Veroux, M., Pezzulo, M., Nardi, M., Rottoli, M., Tolonen, M., Ciro, M. P., Zuluagua, M., Cannavo, M., Cervellera, M., Iacobone, M., Montuori, M., Dominguez, M. G., Bingol-Kologlu, M., Tahir, M., Lim, M., Wilson, M. S. J., Wilson, M., Campanelli, M., Bisaccia, M., De Rosa, M., Maruccia, M., Paterno, M., Pisano, M., Torre, M., Trevino, M., Zuolo, M., Bartolome, M. A. H., Farina, M., Pera, M., Calvo, M. P., Sotelo, M., Thway, M. M., Hassan, M., Hassan, M. S. E., Azfar, M., Bouhuwaish, M., Taha, M., Zaieem, M., Korkoman, M., Guraieb, M., Shalaby, M., Raza, M. A., Younis, M. U., Elhadi, M., Zulfiqar Ali, M., Quazi, N., Dudi-Venkata, N. N., Alselaim, N., Loria, N., Ramirez, N. V., Win Than, N., Smart, N., Trelles, N., Pinto, N., Allievi, N., Petrucciani, N., Antonacci, N., Cillara, N., De'Angelis, N., Gica, N., Nicolaescu, D. C., Krystek, N., Falco, N., Pecorelli, N., Tamini, N., Dallas, N. A., Machairas, N., Brito, N., Fieturi, N. A., Ortega, N., Mercado, O. A., Irkorucu, O., Alsherif, O., Valles, O., Ioannidis, O., Palmas, O. H., Palmas, O. I. H., Guadarrama, O. S., Bozbiyik, O., Omelanczuk, P., Ottolino, P., Rodrigues, P., Ruiz, P., Campenni, P., Chiarade, P., Olivares, P. P., Baroffio, P., Panaccio, P., Wintringer, P., Di Fronzo, P., Talento, P., Favoriti, P., Sendino, P., Marsanic, P., Mifsut, P., Andrade, P., Ajawin, P., Abadia-Barno, P., Castaneda, P. A. N., Arevalos, P. O. S., Bellver, P. P., Koh, P. S., Souza, P., Major, P., Bali, R. S., Khattar, R. M., Lui, R., Melo, R. B., Ebrahiminia, R., Azar, R., Murga, R. L., Pirolo, R., Brady, R., Davies, R. J., Dholakia, R., Rattan, R., Singhal, R., Lim, R., Angelico, R., Isernia, R. M., Tutino, R., Faccincani, R., Peltrini, R., Carrera-Ceron, R., Tejos, R., Kashyap, R., Fajardo, R., Lozito, R., Pareja, R. M., Garbarino, S., Morales-Conde, S., Benli, S., Mansour, S., Flores, S., Suarez, S. L., Lopez, B. S., Fuentes, S., de las Casas, S. G., Napetti, S., de Guzman, S. O., Awad, S., Lujan, S. A. W., Gentilli, S., Grimaldi, S., Pizarro, S. O., Tayar, S., Nabi, S., Chan, S. M., Junaid, S., Rojas, S., Monetti, S., Garcia, S., Salvans, S., Tenconi, S., Shaw, S., Santoni, S., Parra, S. A., Cardenas, S., Perez-Bertolez, S., Chiappetta, S., Dessureault, S., Delis, S., Bonapasta, S. A., Rausei, S., Scaringi, S., Keswani, S., Ali, S. M., Cetinkunar, S., Fung, T. L. D., Rawashdeh, T., Lopez, T. N., De Campos, T., Duque, T. C., Perra, T., Liakakos, T., Daskalakis, T., Barnes, T., Koeter, T., Zalla, T., Gonzalez, T. E., Elosua, T., Campagnaro, T., Brown, T., Luoto, T., Oumar, T. A., Giustizieri, U., Grossi, U., Bracale, U., Rivas, U., Sosa, V., Testa, V., Andriola, V., Tonini, V., Balassone, V., Celentano, V., Progno, V., Raju, V., Carroni, V., Cavallaro, V., Rao Katta, V., De Simone, V., Primo Romaguera, V., Garcia Orozco, V., Luraschi, V., Rachkov, V., Turrado-Rodriguez, V., Visag-Castillo, V., Dowling, V., Graham, V., Papagni, V., Vigorita, V., Fonseca, V. C., Carneros, V. J., Bellato, V., Goncalves, W., Powers, W. F., Grigg, W., Bechstein, W. O., Lim, Y. B., Altinel, Y., Golubovic, Z., Balciscueta, Z., Ielpo, B, Podda, M, Pellino, G, Pata, F, Caruso, R, Gravante, G, Di Saverio, S, Orengia, A, Chowdary, A, Kulkarni, A, Kuvvetli, A, Navarro, A, Smith, A, Cavero Ibiricu, A, D Nacion, A J, Alsaleh, A, Alhazmi, A, Elmabri, A, Wani, A, Rencuzogullari, A, Sarriugarte Lasarte, A, Valle Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A-R, M Alvarado Padilla, A, Cacurri, A, de San Ildefonso, A, Porcu, A, Sartori, A, Rocca, A, Paz Yáñez, A, Becaria, A, Solís-Peña, A, Sretenović, A, Urbistondo, A, Bandin, A, Najar, A, De Luca, A, Boddy, A, Charalabopoulos, A, Tzivanakis, A, Amendola, A, Ramirez-Gutierrez de Velasco, A, Cihat Yildirim, A, Frontali, A, O Toure, A, García-Granero, A, Martínez Roldan, A, Sanz Larrainzar, A, Sanjiva Ratnayake, A, M Gonzalez-Ganso, A, M Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mazzari, A, Musig, A, Peloso, A, Piano, A, Police, A, Mihailescu, A, Pouy, A, Romano, A, Iossa, A, C Leonetti, A, Guariniello, A, Isaac, A, P Delli Bovi, A, Chessa, A, Tromba, A, Álvarez Martínez, A, Brillantino, A, Caira, A, Castaldi, A, Ferronetti, A, Giuliani, A, Prestera, A, Ramos-De la Medina, A, Tarasconi, A, Tornambè, A, Picciariello, A, Ioannidis, A, Leppäniemi, A, Khan, A, Rashid, A, E Pérez-Sánchez, A L, Mittal, A, Rahman Mitul, A, Mehraj, A, Laharwal, A, Dorismé, A, Marinis, A, Iqbal, A, Moncada, A, Braccio, B, Alkhafaji, B, de Andrés Asenjo, B, Martin-Perez, B, De Simone, B, Sánchez Pérez, B, Creavin, B, Calì, B, Pascotto, B, Stubbs, B, Zavala Retes, B, Jovanovic, B, P Goh, B K, Sensi, B, Biddau, C, Gazia, C, Vallicelli, C, A Fagundes, C, Cerdán Santacruz, C, Chirico, C, J Gómez Díaz, C, Petrola, C, Sánchez Rodriguez, C, Yánez Benítez, C, Dammaro, C, Lo Faro, C, Reinke, C, Dominguez Paez, C, Oliva, C, Paranjape, C, Thomas, C, Fung Chia, C, Kwan Kong, C, De Lucia, C, Ovalle Chao, C, Arcudi, C, Guerci, C, Chia, C, Parise, C, Folliero, C, Varela, C, M Ferguson, D, Camacho, D, Popowich, D, Souza Lima, D, Rega, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Parini, D, A Merlini, D, E Zimmerman, D D, Moro-Valdezate, D, Pertile, D, M Giusti, D, S Keller, D, Tarik, D, Kalivaçi, D, Mazingi, D, G Maldonado-Pintado, D, Sasia, D, Linardoutsos, D, Osilli, D, Murrone, D, Russello, D, Rodas, E, A Acuña Roa, E, Ricciardi, E, Rosso, E, Saladino, E, Flores-Villalba, E, Ruiz Ajs, E, Smith-Singares, E, Baili, E, Kouroumpas, E, Bourmpouteli, E, Douka, E, Martin-Perez, E, Guaitoli, E, Samadov, E, Francone, E, Vaterlini, E, Morales, E, Peña, E, Zhao, E, Del Pozo Andres, E, Benzoni, E, Erdas, E, Pinotti, E, Colás-Ruiz, E, Aytac, E, Laterza, E, Agastra, E, Foianini, E, Moscoso, E, Laviano, E, Marra, E, Cardamone, E, Licardie, E, Mpaili, E, Pinna, E, Varo, E, M Navarro, F, Marino, F, Medas, F, Romano, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Mastella, F, Gheza, F, Luvisetto, F, Alconchel, F, Monge Vieira, F, Pareja, F, Agresta, F, Luna, F, Bonilla, F, Cordera, F, Burdió, F, Mendoza-Moreno, F, Muñoz Flores, F, Pardo Aranda, F, Taylor, F, L Ramos, F, Fernandes, F, P Tropeano, F, Balestra, F, Bianco, F, Ceci, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Lazzarin, F, Litta, F, Martini, F, Pizza, F, Roscio, F, Virdis, F, Blanco Antona, F, Cervantes Ramírez, F, M Fernandez, F, O Llinares, F, Quezada, F, Schlottmann, F, Herrera-Almario, G, Massaferro, G, Bislenghi, G, van Ramshorst, G, Gallo, G, Luglio, G, Bointas, G, Kampouroglou, G, Papadopoulos, G, Arredondo Manrique, G, Calini, G, Nastri, G, Formisano, G, Galiffa, G, M Palini, G, Colucci, G, Pagano, G, Vanni, G, Casoni Pattacini, G, De Paola, G, Lisi, G, Partida, G, Bellanova, G, De Nobili, G, Sammy Necchi, G, Sinibaldi, G, Tebala, G, Bagaglini, G, Izzo, G, Argenio, G, Brisinda, G, Candilio, G, Di Grezia, G, Esposito, G, Faillace, G, Frazzetta, G, La Gumina, G, Nigri, G, Romeo, G, Chocarro Amatriaín, G, Ortega, G, Martin-Martin, G, A Stavrou, G, Gunadi, G, Armand Ugon, G, Machain, G, Marcucci, G, Martínez-Mier, G, M Machain, G, Nari, G, Calvo, H, Fathy, H, Hamilton, H, Ahmed, H, Faraj, H, Nava, H, Ordas Macias, H, Nikaj, H, Solano, H, Ahmed Khan, H, Sánchez Alarcón, H, Ebied, H, Giani, I, Villalabeitia Ateca, I, Neri, I, A San Roman, I, Fidoshev, I, Martinez Rodriguez, I, Negoi, I, Ortega, I, Bernescu, I, Shari Russo, I, Vincente Rodríguez, I, Palomares, I, Baltazar, I, Jaén Torrejimeno, I, M Cornejo Jurado, I, Reccia, I, Hussain, I, Brito Toledo, I, Mora-Guzmán, I, Al-Najami, I, Dogaru, I, Romic, I, Balciscueta, I, C Kenington, J, Sagolsem, J, Y Jang, J, Olivier, J, Lammel-Lindemann, J, Dziakova, J, I Roldán Villavicencio, J, Salinas, J, Pejanovic Jose Gustavo Parreira, J, Rincón Pérez, J, S Reyes, J A, A Medina Luque, J, Mak, J, Salas Rodriguez, J, H Herrera Kok, J, Krook, J, A Diaz-Elizondo, J, Castell, J, Eduardo García-Flores, J, M Jover Navalón, J, M Silva Rodrigues, J, Pereira Pinto, J, T Castell Gómez, J, Bellido Luque, J, C Martín Del Olmo, J, C Salamea, J, F Coronel Olivier, J, L Blas Laina, J, M Ordoñez, J, Gutierrez, J, Abba, J, Ahmad Sofi, J, Sherafgan, K, Sahnan, K, Yanaga, K, Beatson, K, Asim, L, Alvarez, L, Siragusa, L, Farber, L, Ong, L, Athanasios, L, García-Bruña, L, De Martino, L, Ferrario, L, Giordano, L, Gordini, L, Pio, L, Ponchietti, L, Moletta, L, Curella, L, Poggi, L, Taglietti, L, Bonavina, L, Conti, L, Goffredi, L, A Garcia Ruiz, L, Barrionuevo, L, E Fregoso, L, F Cabrera, L, G Rodriguez, L, Grande, L, G Osoria, L, J Kantun Gonzalez, L, Sánchez-Guillén, L, Tallon-Aguilar, L, Tresierra, L, Giavarini, L, Hasabelnabi, M, Odovic, M, Uemura, M, Khan, M, Artiles-Armas, M, David, M, Di Martino, M, G Spampinato, M, F Ribeiro, M A, Viola, M, Angrisani, M, Calussi, M, Cannistrà, M, Catarci, M, Cereda, M, Conte, M, Giordano, M, Pellicciaro, M, Vito Marino, M, E Vaterlini, M, F Jiménez, M, G Lolli, M, I Bellini, M, Lemma, M, M Chiarello, M, Nicola, M, Arrigo, M, Caneda Mejia, M, Montes Manrique, M, Rodriguez-Lopez, M, Serradilla-Martín, M, Zambrano Lara, M, Martínez, M, Bagnall, M, Peter, M, Cañón Lara, M, Jimenez Gomez, M, Paniagua-Garcia-Señorans, M, Perez Gonzalez, M, Rutegård, M, Salö, M, Franceschilli, M, Silveri, M, Veroux, M, Pezzulo, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluagua, M, Cannavò, M, Cervellera, M, Iacobone, M, Montuori, M, García Domínguez, M, Bingol-Kologlu, M, Tahir, M, Lim, M, J Wilson, M S, Wilson, M, Campanelli, M, Bisaccia, M, De Rosa, M, Maruccia, M, Paterno, M, Pisano, M, Torre, M, Treviño, M, Zuolo, M, A Hernandez Bartolome, M, Farina, M, Pera, M, Prieto Calvo, M, Sotelo, M, Myat Thway, M, Hassan, M, Salah Eldin Hassan, M, Azfar, M, Bouhuwaish, M, Taha, M, Zaieem, M, Korkoman, M, Guraieb, M, Shalaby, M, A Raza, M, U Younis, M, Elhadi, M, Zulfiqar Ali, M, Quazi, N, N Dudi-Venkata, N, Alselaim, N, Loria, N, Villan Ramírez, N, Win Than, N, Smart, N, Trelles, N, Pinto, N, Allievi, N, Petrucciani, N, Antonacci, N, Cillara, N, De'Angelis, N, Gica, N, C Nicolaescu, D, Krystek, N, Falco, N, Pecorelli, N, Tamini, N, A Dallas, N, Machairas, N, Brito, N, Ahmed Fieturi, N, Ortega, N, Avila Mercado, O, Irkorucu, O, Alsherif, O, Valles, O, Ioannidis, O, Hernández Palmas, O, I Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Omelanczuk, P, Ottolino, P, Rodrigues, P, Ruiz, P, Campenni, P, Chiarade, P, Prieto Olivares, P, Baroffio, P, Panaccio, P, Wintringer, P, Di Fronzo, P, Talento, P, Favoriti, P, Sendino, P, Marsanic, P, Mifsut, P, Andrade, P, Ajawin, P, Abadía-Barnó, P, A Najar Castañeda, P, O Sillas Arevalos, P, Palazón Bellver, P, Soon Koh, P, Souza, P, Major, P, Singh Bali, R, Mohan Khattar, R, Lui, R, Bessa Melo, R, Ebrahiminia, R, Azar, R, López Murga, R, Pirolo, R, Brady, R, J Davies, R, Dholakia, R, Rattan, R, Singhal, R, Lim, R, Angelico, R, M Isernia, R, Tutino, R, Faccincani, R, Peltrini, R, Carrera-Ceron, R, Tejos, R, Kashyap, R, Fajardo, R, Lozito, R, Madariaga Pareja, R, Garbarino, S, Morales-Conde, S, Benli, S, Mansour, S, Flores, S, Limon Suarez, S, Santiago Lopez, B, Fuentes, S, Gortazar de Las Casas, S, Napetti, S, Ortiz de Guzmán, S, Awad, S, A Weckmann Luján, S, Gentilli, S, Grimaldi, S, Olivares Pizarro, S, Tayar, S, Nabi, S, M Chan, S, Junaid, S, Rojas, S, Monetti, S, García, S, Salvans, S, Tenconi, S, Shaw, S, Santoni, S, A Parra, S, Cárdenas, S, Pérez-Bertólez, S, Chiappetta, S, Dessureault, S, Delis, S, Amore Bonapasta, S, Rausei, S, Scaringi, S, Keswani, S, M Ali, S, Cetinkunar, S, D Fung, T L, Rawashdeh, T, N López, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Barnes, T, Koëter, T, Zalla, T, E González, T, Elosua, T, Campagnaro, T, Brown, T, Luoto, T, Alpha Oumar, T, Giustizieri, U, Grossi, U, Bracale, U, Rivas, U, Sosa, V, Testa, V, Andriola, V, Tonini, V, Balassone, V, Celentano, V, Progno, V, Raju, V, Carroni, V, Cavallaro, V, Rao Katta, V, De Simone, V, Primo Romaguera, V, H García Orozco, V, Luraschi, V, Rachkov, V, Turrado-Rodriguez, V, Visag-Castillo, V, Dowling, V, Graham, V, Papagni, V, Vigorita, V, Cordeiro Fonseca, V, Jimenez Carneros, V, Bellato, V, Gonçalves, W, F Powers, W, Grigg, W, O Bechstein, W, B Lim, Y, Altinel, Y, Golubović, Z, Balciscueta, Z, Pellino G., Podda M., Pata F., Di Saverio S., Ielpo B, Rottoli M., and Tonini V.
Subjects: medicine.medical_specialty, business.industry, COVID-19, Perioperative, Appendicitis, COVID-19 testing, humans, healthcare disparities, mass screening, perioperative care, Perioperative Care, Settore MED/18 - Chirurgia Generale, Healthcare Disparitie, COVID-19 Testing, Pandemic, Acute appendicitis, medicine, Humans, Mass Screening, Surgery, Appendiciti, Healthcare Disparities, Intensive care medicine, business, Human
Abstract: Acute appendicitis remains a common reason for hospital admission. Reports have suggested a reduction in patients attending emergency departments during the acute phase of the SARSCoV- 2 pandemic. Moreover, a global surge in conservative management of acute appendicitis has recently been registered by the Appy Study of the Association of Italian Surgeons in Europe (ACIE)1. This is a treatment option that has been known for some years, although quite seldom used before the pandemic2–4. As most countries are experiencing new waves of the pandemic, the attitude of surgeons towards SARS-CoV-2 screening policies and personal protective equipment (PPE) used during the management of patients with acute appendicitis need to be established. According to a subanalysis of the ACIE Appy Study, half of surgeons globally were testing patients for SARS-CoV-2 only when symptomatic or there was suspicion of infection; approximately 12 per cent did not test patients at all (Fig. 1 and Table S1). There were regional differences. In Europe, respondents tested all patients (50.8 per cent) or those with suspected infection (43.9 per cent), with only 5.3 per cent not being tested at all. In the USA, the majority of participants only tested patients with a suspected infection (65.6 per cent). A similar picture of testing only those with a suspected infection was also reported from Latin America (57.2 per cent), Asia/Middle East (76.8 per cent), and Africa (41.7 per cent). Even more worrisome, 58.3 per cent of respondents from Africa and 27.6 per cent from Latin America were not testing patients at all before appendicectomy. Concerning the screening modality, most respondents used PCR alone or in combination with chest imaging. Serology was rarely used overall and never in Africa (Fig. 1 and Table S2 ). It is now accepted that chest imaging is not routinely required and that PCR is an accurate screening modality. Serology might, however, be useful to shed light on the disease course and previous exposure to the virus, but respondents from some countries still have restricted access to this test. In terms of PPE during appendicectomy, most African respondents did not use different PPE compared with the prepandemic period in patients who tested negative for COVID-19. More concerning is that 58.3 per cent did not use different PPE in untested patients. This differed from other regions where the rate of those not considering a change of PPE in untested patients did not exceed 22 per cent. One in 10 respondents from Latin America also reported that they were not using different PPE compared with the prepandemic phase in patients who tested positive for COVID-19. These data, and taking into account the high prevalence of acute appendicitis, leads to the conclusion that omission of routine patient screening may have contributed to local clusters among patients and threatened the safety of healthcare workers5. In this respect, it is likely that limited access to PPE explains the attitude of surgeons towards patients with unknown SARSCoV- 2 status or those infected, raising ethical concerns about the safety of surgical staff. It is of outmost importance that, even during challenging times and stress on economic stability, industrialized countries make efforts to sustain low-income countries and those with limited resources. This would ensure equal working conditions, safer treatment for patients with acute appendicitis, and better control of the pandemic
Published: 2021

16. Effect of sarcopenia and visceral obesity on mortality and pancreatic fistula following pancreatic cancer surgery

Author: Pecorelli, N., Carrara, G., De Cobelli, F., Cristel, G., Damascelli, A., Balzano, G., Beretta, L., and Braga, M.
Published: 2016
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17. AF.109 DIAGNOSTIC WORK-UP AND SURGICAL MANAGEMENT OF INSULINOMA: A SINGLE-CENTER RETROSPECTIVE ANALYSIS OF 77 CASES

Author: Andreasi, V., primary, Cinelli, L., additional, Muffatti, F., additional, Pecorelli, N., additional, Crippa, S., additional, Tamburrino, D., additional, Balzano, G., additional, Partelli, S., additional, and Falconi, M., additional
Published: 2021
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18. A pancreatic cystic neoplasms drama. Accuracy of diagnostic presumption and surgical indication on a ten-year experience

Author: Giannone, F., primary, Crippa, S., additional, Belfiori, G., additional, Partelli, S., additional, Tamburrino, D., additional, Pecorelli, N., additional, Longo, E., additional, Lena, M. Schiavo, additional, Palumbo, D., additional, Arcidiacono, P.G., additional, and Falconi, M., additional
Published: 2021
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19. Clinical and economic validation of grade B postoperative pancreatic fistula subclassification

Author: Andreasi, V., primary, Partelli, S., additional, Rancoita, P., additional, Pecorelli, N., additional, Guarneri, G., additional, Crippa, S., additional, Mazza, M., additional, Tamburrino, D., additional, and Falconi, M., additional
Published: 2021
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20. Evaluation of factors predicting loss of benefit provided by laparoscopic distal pancreatectomy compared to open approach

Author: Cinelli, L., primary, Partelli, S., additional, Andreasi, V., additional, Di Vittorio, F., additional, Rancoita, P.M.V., additional, Tamburrino, D., additional, Crippa, S., additional, Pecorelli, N., additional, and Falconi, M., additional
Published: 2021
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21. The role of acinar content at pancreatic resection margin in the development of postoperative pancreatic fistula and acute pancreatitis after pancreaticoduodenectomy

Author: Andreasi, V., primary, Partelli, S., additional, Schiavo Lena, M., additional, Rancoita, P.M.V., additional, Mazza, M., additional, Mele, S., additional, Guarneri, G., additional, Pecorelli, N., additional, Crippa, S., additional, Tamburrino, D., additional, Doglioni, C., additional, and Falconi, M., additional
Published: 2021
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22. Diagnostic work-up and surgical management of insulinoma: A single-center retrospective analysis of 77 cases

Author: Andreasi, V., primary, Cinelli, L., additional, Muffatti, F., additional, Pecorelli, N., additional, Crippa, S., additional, Tamburrino, D., additional, Balzano, G., additional, Partelli, S., additional, and Falconi, M., additional
Published: 2021
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23. Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Author: Ielpo, B., Podda, M., Pellino, G., Pata, F., Caruso, R., Gravante, G., Di Saverio, S., Gallo, G., Lui, R., Orengia, A., Chowdary, A., Kulkarni, A., Kuvvetli, A., Navarro, A., Pisanu, A., Smith, A., Ibiricu, A. C., Nacion, A. J. D., Alsaleh, A., Alhazmi, A., Elmabri, A., Wani, A., Rencuzogullari, A., Lasarte, A. S., Rubio, A. V., Bavikatte, A., Kumar, A., Jamiri, A. -R., Padilla, A. M. A., Cacurri, A., de San Ildefonso, A., Porcu, A., Sartori, A., Rocca, A., Yanez, A. P., Becaria, A., Solis-Pena, A., Sretenovic, A., Urbistondo, A., Bandin, A., Najar, A., De Luca, A., Boddy, A., Charalabopoulos, A., Tzivanakis, A., Amendola, A., de Velasco, A. R. -G., Yildirim, A. C., Frontali, A., Toure, A. O., Garcia-Granero, A., Roldan, A. M., Larrainzar, A. S., Ratnayake, A. S., Gonzalez-Ganso, A. M., Minaya-Bravo, A. M., Das, A., Bondurri, A., Costanzi, A., Lucchi, A., Mazzari, A., Musig, A., Peloso, A., Piano, A., Police, A., Mihailescu, A., Pouy, A., Romano, A., Iossa, A., Leonetti, A. C., Guariniello, A., Isaac, A., Bovi, A. P. D., Chessa, A., Tromba, A., Martinez, A. A., Brillantino, A., Caira, A., Castaldi, A., Ferronetti, A., Giuliani, Antonio, Prestera, A., la Medina, A. R. -D., Tarasconi, A., Tornambe, A., Picciariello, A., Ioannidis, A., Leppaniemi, A., Khan, A., Rashid, A., Perez-Sanchez, A. L. E., Mittal, A., Mitul, A. R., Mehraj, A., Laharwal, A., Dorisme, A., Marinis, A., Iqbal, A., Moncada, A., Braccio, B., Alkhafaji, B., de Andres Asenjo, B., Martin-Perez, B., Perez, B. S., Creavin, B., Cali, B., Pascotto, B., Stubbs, B., Retes, B. Z., Jovanovic, B., Goh, B. K. P., Sensi, B., Biddau, C., Gazia, C., Vallicelli, C., Fagundes, C. A., Santacruz, C. C., Chirico, C., Diaz, C. J. G., Petrola, C., Rodriguez, C. S., Benitez, C. Y., Dammaro, C., Faro, C. L., Reinke, C., Paez, C. D., Oliva, C., Paranjape, C., Thomas, C., Chia, C. F., Kong, C. K., De Lucia, C., Chao, C. O., Arcudi, C., Guerci, C., Chia, C., Parise, C., Folliero, C., Varela, C., Ferguson, D. M., Camacho, D., Popowich, D., Lima, D. S., Rega, D., Delogu, D., Zigiotto, D., Vinci, D., D'Antonio, D., Parini, D., Merlini, D. A., Zimmerman, D. D. E., Moro-Valdezate, D., Pertile, D., Giusti, D. M., Keller, D. S., Tarik, D., Kalivaci, D., Mazingi, D., Maldonado-Pintado, D. G., Sasia, D., Linardoutsos, D., Osilli, D., Murrone, D., Russello, D., Rodas, E., Roa, E. A. A., Ricciardi, E., Rosso, E., Saladino, E., Flores-Villalba, E., Ajs, E. R., Smith-Singares, E., Baili, E., Kouroumpas, E., Bourmpouteli, E., Douka, E., Martin-Perez, E., Guaitoli, E., Samadov, E., Francone, E., Vaterlini, E., Morales, E., Pena, E., Zhao, E., Andres, E. D. P., Benzoni, E., Erdas, E., Pinotti, E., Colas-Ruiz, E., Aytac, E., Laterza, E., Agastra, E., Foianini, E., Moscoso, E., Laviano, E., Marra, E., Cardamone, E., Licardie, E., Mpaili, E., Pinna, E., Varo, E., Navarro, F. M., Marino, F., Medas, F., Romano, F., Maraska, F., Saliu, F., Madrid, F., Rosa, Fausto, Mastella, F., Gheza, F., Luvisetto, F., Alconchel, F., Vieira, F. M., Pareja, F., Agresta, F., Luna, F., Bonilla, F., Cordera, F., Burdio, F., Mendoza-Moreno, F., Flores, F. M., Aranda, F. P., Taylor, F., Ramos, F. L., Fernandes, F., Tropeano, F. P., Balestra, F., Bianco, F., Ceci, F., Colombo, F., Di Marzo, F., Ferrara, F., Lancellotti, F., Lazzarin, F., Litta, F., Martini, F., Pizza, F., Roscio, F., Virdis, F., Antona, F. B., Ramirez, F. C., Fernandez, F. M., Llinares, F. O., Quezada, F., Schlottmann, F., Herrera-Almario, G., Massaferro, G., Bislenghi, G., van Ramshorst, G., Luglio, G., Bointas, G., Kampouroglou, G., Papadopoulos, G., Manrique, G. A., Calini, G., Nastri, G., Formisano, G., Galiffa, G., Palini, G. M., Colucci, G., Pagano, G., Vanni, G., Pattacini, G. C., De Paola, G., Lisi, G., Partida, G., Bellanova, G., De Nobili, G., Necchi, G. S., Sinibaldi, G., Tebala, G., Bagaglini, G., Izzo, G., Argenio, G., Brisinda, Giuseppe, Candilio, G., Di Grezia, G., Esposito, G., Faillace, G., Frazzetta, G., La Gumina, G., Nigri, G., Romeo, G., Amatriain, G. C., Ortega, G., Martin-Martin, G., Stavrou, G. A., Gunadi, Ugon, G. A., Machain, G., Marcucci, G., Martinez-Mier, G., Machain, G. M., Nari, G., Calvo, H., Fathy, H., Hamilto, Ahmed, H., Faraj, H., Nava, H., Macias, H. O., Nikaj, H., Solano, H., Khan, H. A., Alarcon, H. S., Ebied, H., Giani, I., Ateca, I. V., Neri, I., Roman, I. A. S., Fidoshev, I., Rodriguez, I. M., Negoi, I., Ortega, I., Bernescu, I., Russo, I. S., Rodriguez, I. V., Palomares, I., Baltazar, I., Torrejimeno, I. J., Jurado, I. M. C., Reccia, I., Hussain, I., Toledo, I. B., Mora-Guzman, I., Dogaru, I., Romic, I., Balciscueta, I., Kenington, J. C., Sagolsem, J., Jang, J. Y., Olivier, J., Lammel-Lindemann, J., Dziakova, J., Villavicencio, J. I. R., Salinas, J., Parreira, J. P. J. G., Jovanovic, Perez, J. R., Reyes, J. A. S., Luque, J. A. M., Mak, J., Rodriguez, J. S., Kok, J. H. H., Krook, J., Diaz-Elizondo, J. A., Castell, J., Garcia-Flores, J. E., Navalon, J. M. J., Rodrigues, J. M. S., Pereira, J., Gomez, J. T. C., Luque, J. B., del Olmo, J. C. M., Salamea, J. C., Olivier, J. F. C., Laina, J. L. B., Ordonez, J. M., Gutierrez, J., Abba, J., Sofi, J. A., Sherafgan, K., Sahnan, K., Yanaga, K., Beatson, K., Asim, L., Alvarez, L., Siragusa, L., Farber, L., Ong, L., Athanasios, L., Garcia-Bruna, L., De Martino, L., Ferrario, L., Giordano, L., Gordini, L., Pio, L., Ponchietti, L., Moletta, L., Curella, L., Poggi, L., Taglietti, L., Bonavina, L., Conti, L., Goffredi, L., Ruiz, L. A. G., Barrionuevo, L., Fregoso, L. E., Cabrera, L. F., Rodriguez, L. G., Grande, L., Osoria, L. G., Gonzalez, L. J. K., Sanchez-Guillen, L., Tallon-Aguilar, L., Tresierra, L., Giavarini, L., Hasabelnabi, M., Odovic, M., Uemura, M., Khan, M., Artiles-Armas, M., David, M., Di Martino, M., Spampinato, M. G., Ribeiro, M. A. F., Viola, M., Angrisani, M., Calussi, M., Cannistra, M., Catarci, M., Cereda, M., Conte, M., Giordano, M., Pellicciaro, M., Marino, M. V., Vaterlini, M. E., Jimenez, M. F., Lolli, M. G., Bellini, M. I., Lemma, M., Chiarello, M. M., Nicola, M., Arrigo, M., Mejia, M. C., Manrique, M. M., Rodriguez-Lopez, M., Serradilla-Martin, M., Lara, M. Z., Martinez, M., Bagnall, M., Peter, M., Lara, M. C., Gomez, M. J., Paniagua-Garcia-Senorans, M., Gonzalez, M. P., Rutegard, M., Salo, M., Franceschilli, M., Silveri, M., Veroux, M., Pezzulo, M., Nardi, M., Rottoli, M., Tolonen, M., Ciro, M. P., Zuluagua, M., Cannavo, M., Cervellera, M., Iacobone, M., Montuori, M., Dominguez, M. G., Bingol-Kologlu, M., Tahir, M., Lim, M., Wilson, M. S., Wilson, M., Campanelli, M., Bisaccia, M., De Rosa, M., Maruccia, M., Paterno, M., Pisano, M., Torre, M., Trevino, M., Zuolo, M., Hernandez Bartolome, M. A., Farina, M., Pera, M., Calvo, M. P., Sotelo, M., Thway, M. M., Hassan, M., Hassan, M. S. E., Azfar, M., Bouhuwaish, M., Taha, M., Zaieem, M., Korkoman, M., Guraieb, M., Shalaby, M., Raza, M. A., Younis, M. U., Elhadi, M., Ali, M. Z., Quazi, N., Dudi-Venkata, N. N., Alselaim, N., Loria, N., Ramirez, N. V., Than, N. W., Smart, N., Trelles, N., Pinto, N., Allievi, N., Petrucciani, N., Antonacci, N., Cillara, N., Gica, N., Cristiana, N. D., Krystek, N., Falco, N., Pecorelli, N., Tamini, N., Dallas, N. A., Machairas, N., Brito, N., Fieturi, N. A., Ortega, N., Mercado, O. A., Irkorucu, O., Alsherif, O., Valles, O., Ioannidis, O., Palmas, O. H., Palmas, O. I. H., Guadarrama, O. S., Bozbiyik, O., Omelanczuk, P., Ottolino, P., Rodrigues, P., Ruiz, P., Campenni, P., Chiarade, P., Olivares, P. P., Baroffio, P., Panaccio, P., Wintringer, P., Di Fronzo, P., Talento, P., Favoriti, P., Sendino, P., Marsanic, P., Mifsut, P., Andrade, P., Ajawin, P., Abadia-Barno, P., Castaneda, P. A. N., Arevalos, P. O. S., Bellver, P. P., Koh, P. S., Souza, P., Major, P., Bali, R. S., Khattar, R. M., Melo, R. B., Ebrahiminia, R., Azar, R., Murga, R. L., Pirolo, R., Brady, R., Davies, R. J., Dholakia, R., Rattan, R., Singhal, R., Lim, R., Angelico, R., Isernia, R. M., Tutino, R., Faccincani, R., Peltrini, R., Carrera-Ceron, R., Tejos, R., Kashyap, R., Fajardo, R., Lozito, R., Pareja, R. M., Garbarino, S., Morales-Conde, S., Benli, S., Mansour, S., Flores, S., Suarez, S. L., Ben, S. L., Fuentes, S., Napetti, S., de Guzman, S. O., Awad, S., Weckmann Lujan, S. A., Gentilli, S., Grimaldi, S., Pizarro, S. O., Tayar, S., Nabi, S., Chan, S. M., Junaid, S., Rojas, S., Monetti, S., Garcia, S., Salvans, S., Tenconi, S., Shaw, S., Santoni, S., Parra, S. A., Cardenas, S., Perez-Bertolez, S., Chiappetta, S., Dessureault, S., Delis, S., Bonapasta, S. A., Rausei, S., Scaringi, S., Keswani, S., Ali, S. M., Cetinkunar, S., Fung, T. L. D., Rawashdeh, T., Lopez, T. N., De Campos, T., Duque, T. C., Perra, T., Liakakos, T., Daskalakis, T., Barnes, T., Koeter, T., Zalla, T., Gonzalez, T. E., Elosua, T., Campagnaro, T., Brown, T., Luoto, T., Oumar, T. A., Giustizieri, U., Grossi, U., Bracale, U., Rivas, U., Sosa, V., Testa, V., Andriola, V., Tonini, V., Balassone, V., Celentano, V., Progno, V., Raju, V., Carroni, V., Cavallaro, V., Katta, V. R., De Simone, V., Romaguera, V. P., Orozco, V. H. G., Luraschi, V., Rachkov, V., Turrado-L, V., Visag-Castillo, V., Dowling, V., Graham, V., Papagni, V., Vigorita, V., Fonseca, V. C., Carneros, V. J., Bellato, V., Goncalves, W., Powers, W. F., Grigg, W., Bechstein, W. O., Lim, Y. B., Altinel, Y., Golubovic, Z., Balciscueta, Z., Giuliani A. (ORCID:0000-0002-0773-2162), Rosa F. (ORCID:0000-0002-7280-8354), Ielpo, B., Podda, M., Pellino, G., Pata, F., Caruso, R., Gravante, G., Di Saverio, S., Gallo, G., Lui, R., Orengia, A., Chowdary, A., Kulkarni, A., Kuvvetli, A., Navarro, A., Pisanu, A., Smith, A., Ibiricu, A. C., Nacion, A. J. D., Alsaleh, A., Alhazmi, A., Elmabri, A., Wani, A., Rencuzogullari, A., Lasarte, A. S., Rubio, A. V., Bavikatte, A., Kumar, A., Jamiri, A. -R., Padilla, A. M. A., Cacurri, A., de San Ildefonso, A., Porcu, A., Sartori, A., Rocca, A., Yanez, A. P., Becaria, A., Solis-Pena, A., Sretenovic, A., Urbistondo, A., Bandin, A., Najar, A., De Luca, A., Boddy, A., Charalabopoulos, A., Tzivanakis, A., Amendola, A., de Velasco, A. R. -G., Yildirim, A. C., Frontali, A., Toure, A. O., Garcia-Granero, A., Roldan, A. M., Larrainzar, A. S., Ratnayake, A. S., Gonzalez-Ganso, A. M., Minaya-Bravo, A. M., Das, A., Bondurri, A., Costanzi, A., Lucchi, A., Mazzari, A., Musig, A., Peloso, A., Piano, A., Police, A., Mihailescu, A., Pouy, A., Romano, A., Iossa, A., Leonetti, A. C., Guariniello, A., Isaac, A., Bovi, A. P. D., Chessa, A., Tromba, A., Martinez, A. A., Brillantino, A., Caira, A., Castaldi, A., Ferronetti, A., Giuliani, Antonio, Prestera, A., la Medina, A. R. -D., Tarasconi, A., Tornambe, A., Picciariello, A., Ioannidis, A., Leppaniemi, A., Khan, A., Rashid, A., Perez-Sanchez, A. L. E., Mittal, A., Mitul, A. R., Mehraj, A., Laharwal, A., Dorisme, A., Marinis, A., Iqbal, A., Moncada, A., Braccio, B., Alkhafaji, B., de Andres Asenjo, B., Martin-Perez, B., Perez, B. S., Creavin, B., Cali, B., Pascotto, B., Stubbs, B., Retes, B. Z., Jovanovic, B., Goh, B. K. P., Sensi, B., Biddau, C., Gazia, C., Vallicelli, C., Fagundes, C. A., Santacruz, C. C., Chirico, C., Diaz, C. J. G., Petrola, C., Rodriguez, C. S., Benitez, C. Y., Dammaro, C., Faro, C. L., Reinke, C., Paez, C. D., Oliva, C., Paranjape, C., Thomas, C., Chia, C. F., Kong, C. K., De Lucia, C., Chao, C. O., Arcudi, C., Guerci, C., Chia, C., Parise, C., Folliero, C., Varela, C., Ferguson, D. M., Camacho, D., Popowich, D., Lima, D. S., Rega, D., Delogu, D., Zigiotto, D., Vinci, D., D'Antonio, D., Parini, D., Merlini, D. A., Zimmerman, D. D. E., Moro-Valdezate, D., Pertile, D., Giusti, D. M., Keller, D. S., Tarik, D., Kalivaci, D., Mazingi, D., Maldonado-Pintado, D. G., Sasia, D., Linardoutsos, D., Osilli, D., Murrone, D., Russello, D., Rodas, E., Roa, E. A. A., Ricciardi, E., Rosso, E., Saladino, E., Flores-Villalba, E., Ajs, E. R., Smith-Singares, E., Baili, E., Kouroumpas, E., Bourmpouteli, E., Douka, E., Martin-Perez, E., Guaitoli, E., Samadov, E., Francone, E., Vaterlini, E., Morales, E., Pena, E., Zhao, E., Andres, E. D. P., Benzoni, E., Erdas, E., Pinotti, E., Colas-Ruiz, E., Aytac, E., Laterza, E., Agastra, E., Foianini, E., Moscoso, E., Laviano, E., Marra, E., Cardamone, E., Licardie, E., Mpaili, E., Pinna, E., Varo, E., Navarro, F. M., Marino, F., Medas, F., Romano, F., Maraska, F., Saliu, F., Madrid, F., Rosa, Fausto, Mastella, F., Gheza, F., Luvisetto, F., Alconchel, F., Vieira, F. M., Pareja, F., Agresta, F., Luna, F., Bonilla, F., Cordera, F., Burdio, F., Mendoza-Moreno, F., Flores, F. M., Aranda, F. P., Taylor, F., Ramos, F. L., Fernandes, F., Tropeano, F. P., Balestra, F., Bianco, F., Ceci, F., Colombo, F., Di Marzo, F., Ferrara, F., Lancellotti, F., Lazzarin, F., Litta, F., Martini, F., Pizza, F., Roscio, F., Virdis, F., Antona, F. B., Ramirez, F. C., Fernandez, F. M., Llinares, F. O., Quezada, F., Schlottmann, F., Herrera-Almario, G., Massaferro, G., Bislenghi, G., van Ramshorst, G., Luglio, G., Bointas, G., Kampouroglou, G., Papadopoulos, G., Manrique, G. A., Calini, G., Nastri, G., Formisano, G., Galiffa, G., Palini, G. M., Colucci, G., Pagano, G., Vanni, G., Pattacini, G. C., De Paola, G., Lisi, G., Partida, G., Bellanova, G., De Nobili, G., Necchi, G. S., Sinibaldi, G., Tebala, G., Bagaglini, G., Izzo, G., Argenio, G., Brisinda, Giuseppe, Candilio, G., Di Grezia, G., Esposito, G., Faillace, G., Frazzetta, G., La Gumina, G., Nigri, G., Romeo, G., Amatriain, G. C., Ortega, G., Martin-Martin, G., Stavrou, G. A., Gunadi, Ugon, G. A., Machain, G., Marcucci, G., Martinez-Mier, G., Machain, G. M., Nari, G., Calvo, H., Fathy, H., Hamilto, Ahmed, H., Faraj, H., Nava, H., Macias, H. O., Nikaj, H., Solano, H., Khan, H. A., Alarcon, H. S., Ebied, H., Giani, I., Ateca, I. V., Neri, I., Roman, I. A. S., Fidoshev, I., Rodriguez, I. M., Negoi, I., Ortega, I., Bernescu, I., Russo, I. S., Rodriguez, I. V., Palomares, I., Baltazar, I., Torrejimeno, I. J., Jurado, I. M. C., Reccia, I., Hussain, I., Toledo, I. B., Mora-Guzman, I., Dogaru, I., Romic, I., Balciscueta, I., Kenington, J. C., Sagolsem, J., Jang, J. Y., Olivier, J., Lammel-Lindemann, J., Dziakova, J., Villavicencio, J. I. R., Salinas, J., Parreira, J. P. J. G., Jovanovic, Perez, J. R., Reyes, J. A. S., Luque, J. A. M., Mak, J., Rodriguez, J. S., Kok, J. H. H., Krook, J., Diaz-Elizondo, J. A., Castell, J., Garcia-Flores, J. E., Navalon, J. M. J., Rodrigues, J. M. S., Pereira, J., Gomez, J. T. C., Luque, J. B., del Olmo, J. C. M., Salamea, J. C., Olivier, J. F. C., Laina, J. L. B., Ordonez, J. M., Gutierrez, J., Abba, J., Sofi, J. A., Sherafgan, K., Sahnan, K., Yanaga, K., Beatson, K., Asim, L., Alvarez, L., Siragusa, L., Farber, L., Ong, L., Athanasios, L., Garcia-Bruna, L., De Martino, L., Ferrario, L., Giordano, L., Gordini, L., Pio, L., Ponchietti, L., Moletta, L., Curella, L., Poggi, L., Taglietti, L., Bonavina, L., Conti, L., Goffredi, L., Ruiz, L. A. G., Barrionuevo, L., Fregoso, L. E., Cabrera, L. F., Rodriguez, L. G., Grande, L., Osoria, L. G., Gonzalez, L. J. K., Sanchez-Guillen, L., Tallon-Aguilar, L., Tresierra, L., Giavarini, L., Hasabelnabi, M., Odovic, M., Uemura, M., Khan, M., Artiles-Armas, M., David, M., Di Martino, M., Spampinato, M. G., Ribeiro, M. A. F., Viola, M., Angrisani, M., Calussi, M., Cannistra, M., Catarci, M., Cereda, M., Conte, M., Giordano, M., Pellicciaro, M., Marino, M. V., Vaterlini, M. E., Jimenez, M. F., Lolli, M. G., Bellini, M. I., Lemma, M., Chiarello, M. M., Nicola, M., Arrigo, M., Mejia, M. C., Manrique, M. M., Rodriguez-Lopez, M., Serradilla-Martin, M., Lara, M. Z., Martinez, M., Bagnall, M., Peter, M., Lara, M. C., Gomez, M. J., Paniagua-Garcia-Senorans, M., Gonzalez, M. P., Rutegard, M., Salo, M., Franceschilli, M., Silveri, M., Veroux, M., Pezzulo, M., Nardi, M., Rottoli, M., Tolonen, M., Ciro, M. P., Zuluagua, M., Cannavo, M., Cervellera, M., Iacobone, M., Montuori, M., Dominguez, M. G., Bingol-Kologlu, M., Tahir, M., Lim, M., Wilson, M. S., Wilson, M., Campanelli, M., Bisaccia, M., De Rosa, M., Maruccia, M., Paterno, M., Pisano, M., Torre, M., Trevino, M., Zuolo, M., Hernandez Bartolome, M. A., Farina, M., Pera, M., Calvo, M. P., Sotelo, M., Thway, M. M., Hassan, M., Hassan, M. S. E., Azfar, M., Bouhuwaish, M., Taha, M., Zaieem, M., Korkoman, M., Guraieb, M., Shalaby, M., Raza, M. A., Younis, M. U., Elhadi, M., Ali, M. Z., Quazi, N., Dudi-Venkata, N. N., Alselaim, N., Loria, N., Ramirez, N. V., Than, N. W., Smart, N., Trelles, N., Pinto, N., Allievi, N., Petrucciani, N., Antonacci, N., Cillara, N., Gica, N., Cristiana, N. D., Krystek, N., Falco, N., Pecorelli, N., Tamini, N., Dallas, N. A., Machairas, N., Brito, N., Fieturi, N. A., Ortega, N., Mercado, O. A., Irkorucu, O., Alsherif, O., Valles, O., Ioannidis, O., Palmas, O. H., Palmas, O. I. H., Guadarrama, O. S., Bozbiyik, O., Omelanczuk, P., Ottolino, P., Rodrigues, P., Ruiz, P., Campenni, P., Chiarade, P., Olivares, P. P., Baroffio, P., Panaccio, P., Wintringer, P., Di Fronzo, P., Talento, P., Favoriti, P., Sendino, P., Marsanic, P., Mifsut, P., Andrade, P., Ajawin, P., Abadia-Barno, P., Castaneda, P. A. N., Arevalos, P. O. S., Bellver, P. P., Koh, P. S., Souza, P., Major, P., Bali, R. S., Khattar, R. M., Melo, R. B., Ebrahiminia, R., Azar, R., Murga, R. L., Pirolo, R., Brady, R., Davies, R. J., Dholakia, R., Rattan, R., Singhal, R., Lim, R., Angelico, R., Isernia, R. M., Tutino, R., Faccincani, R., Peltrini, R., Carrera-Ceron, R., Tejos, R., Kashyap, R., Fajardo, R., Lozito, R., Pareja, R. M., Garbarino, S., Morales-Conde, S., Benli, S., Mansour, S., Flores, S., Suarez, S. L., Ben, S. L., Fuentes, S., Napetti, S., de Guzman, S. O., Awad, S., Weckmann Lujan, S. A., Gentilli, S., Grimaldi, S., Pizarro, S. O., Tayar, S., Nabi, S., Chan, S. M., Junaid, S., Rojas, S., Monetti, S., Garcia, S., Salvans, S., Tenconi, S., Shaw, S., Santoni, S., Parra, S. A., Cardenas, S., Perez-Bertolez, S., Chiappetta, S., Dessureault, S., Delis, S., Bonapasta, S. A., Rausei, S., Scaringi, S., Keswani, S., Ali, S. M., Cetinkunar, S., Fung, T. L. D., Rawashdeh, T., Lopez, T. N., De Campos, T., Duque, T. C., Perra, T., Liakakos, T., Daskalakis, T., Barnes, T., Koeter, T., Zalla, T., Gonzalez, T. E., Elosua, T., Campagnaro, T., Brown, T., Luoto, T., Oumar, T. A., Giustizieri, U., Grossi, U., Bracale, U., Rivas, U., Sosa, V., Testa, V., Andriola, V., Tonini, V., Balassone, V., Celentano, V., Progno, V., Raju, V., Carroni, V., Cavallaro, V., Katta, V. R., De Simone, V., Romaguera, V. P., Orozco, V. H. G., Luraschi, V., Rachkov, V., Turrado-L, V., Visag-Castillo, V., Dowling, V., Graham, V., Papagni, V., Vigorita, V., Fonseca, V. C., Carneros, V. J., Bellato, V., Goncalves, W., Powers, W. F., Grigg, W., Bechstein, W. O., Lim, Y. B., Altinel, Y., Golubovic, Z., Balciscueta, Z., Giuliani A. (ORCID:0000-0002-0773-2162), and Rosa F. (ORCID:0000-0002-7280-8354)
Abstract: Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.
Published: 2021

24. 729P Prognostic significance of nodal micrometastases in patients with non-functioning pancreatic neuroendocrine tumors (NF-PanNETs): A survival analysis from a prospective observational study

Author: Andreasi, V., Partelli, S., Lena, M. Schiavo, Muffatti, F., Battistella, A., Tamburrino, D., Pecorelli, N., Crippa, S., Balzano, G., Doglioni, C., and Falconi, M.
Published: 2023
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25. NEW PATHWAYS OF ENHANCED RECOVERY AFTER SURGERY IN PANCREATIC SURGERY: PRELIMINARY RESULTS FOR SAFETY AND ADHERENCE: FOS348

Author: Pecorelli, N., Capretti, G., Balzano, G., Martani, C., Casiraghi, U., Ariotti, R., Beretta, L., and Braga, M.
Published: 2012

26. RELAPAROTOMY FOR PANCREATIC FISTULA AFTER PANCREATICODUODENECTOMY: A COMPARISON OF DIFFERENT SURGICAL STRATEGIES: BF172

Author: Balzano, G., Pecorelli, N., Angiolini, M. R., Carvello, M., Maffi, P., Nano, R., Castoldi, R., and Piemonti, L.
Published: 2012

27. Postoperative outcomes and functional recovery after neoadjuvant chemotherapy for pancreatic cancer: A propensity score-matched study

Author: Pecorelli, N., primary, Pagnanelli, M., additional, Belfiori, G., additional, Delpini, R., additional, Cinelli, L., additional, Tamburrino, D., additional, Crippa, S., additional, Partelli, S., additional, Castoldi, R., additional, Reni, M., additional, Falconi, M., additional, and Balzano, G., additional
Published: 2020
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28. The impact of minimally invasive surgery on hospital readmissions and functional recovery after distal pancreatectomy.

Author: Mazza, M., primary, Pecorelli, N., additional, Algol, K., additional, Partelli, S., additional, Balzano, G., additional, and Falconi, M., additional
Published: 2020
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29. Does Pancreatic Fat Really Really Matter In Determining Post-Operative Pancreatic Fistula?

Author: Mazza, M., primary, Schiavolena, M., additional, Partelli, S., additional, Tamburrino, D., additional, Crippa, S., additional, Mele, S., additional, Pecorelli, N., additional, Doglioni, C., additional, and Falconi, M., additional
Published: 2020
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30. Tumor size but not margin status is an indipendent prognostic factor for body/tail ductal adenocarcinoma after distal pancreatectomy

Author: Giannone, F., primary, Crippa, S., additional, Schiavo Lena, M., additional, Belfiori, G., additional, Gasparini, G., additional, Partelli, S., additional, Balzano, G., additional, Tamburrino, D., additional, Pecorelli, N., additional, Doglioni, C., additional, and Falconi, M., additional
Published: 2020
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31. Modelling centralization of pancreatic surgery in a nationwide analysis

Author: Balzano, G, primary, Guarneri, G, additional, Pecorelli, N, additional, Paiella, S, additional, Rancoita, P M V, additional, Bassi, C, additional, and Falconi, M, additional
Published: 2020
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32. Randomized clinical trial of laparoscopic versus open left colonic resection

Author: Braga, M., Frasson, M., Zuliani, W., Vignali, A., Pecorelli, N., and Di Carlo, V.
Published: 2010
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33. Preoperative sarcopenia determinants in pancreatic cancer patients

Author: Carrara, G, Pecorelli, N, De Cobelli, F, Cristel, G, Damascelli, A, Beretta, L, Braga, M, Carrara G, Pecorelli N, De Cobelli F, Cristel G, Damascelli A, Beretta L, Braga M, Carrara, G, Pecorelli, N, De Cobelli, F, Cristel, G, Damascelli, A, Beretta, L, Braga, M, Carrara G, Pecorelli N, De Cobelli F, Cristel G, Damascelli A, Beretta L, and Braga M
Abstract: Background & aims: Recent studies report that muscle depletion can impair short and long-term results after abdominal surgery. The aim of the present study is to quantify sarcopenia rate in patients undergoing pancreatic resection for cancer and to identify possible determinants of muscle waste. Methods: Total abdominal muscle area (TAMA) and visceral fat area (VFA) were measured by preoperative CT scan imaging at the level of the third lumbar vertebra in 273 patients undergoing pancreas resection for cancer. Demographics, preoperative parameters, and cancer stage were prospectively collected in our Institutional electronic database. An adjusted regression model was used to identify independent predictors for low TAMA. Results: 176 (64.5%) patients were sarcopenic, with only 52 of them showing weight loss > 10%. Patients with cancer stage II and III had lower TAMA compared to patients with stage I (p = 0.002). The magnitude of weight loss was inversely correlated with VFA (p = 0.001), while no correlation with TAMA was found. Multivariate analysis showed that cancer stage was an independent predictor of low TAMA. Patients aged over 75 had the highest probability of having both low TAMA (p = 0.031) and high VFA (p < 0.0001). Conclusions: Most of patients undergoing oncologic pancreatic surgery are sarcopenic. Cancer stage was an independent determinant of sarcopenia while nutritional factors seem less important. An age of over 75 years was significantly correlated with both muscle compartment depletion and visceral fat increase.
Published: 2017

34. Development of a predictive model for unplanned Intensive Care Unit admission after pancreatic resection within an enhanced recovery pathway

Author: Guarneri, Giovanni, Pecorelli, N., Turi, S., Salvioni, M., Barbieri, P., Vallorani, A., Tamburrino, D., Crippa, S., Partelli, S., Beretta, L., and Falconi, M.
Published: 2022
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35. Enhanced recovery pathways in colorectal surgery: A consensus paper by the Associazione Chirurghi Ospedalieri Italiani (ACOI) and the PeriOperative Italian Society (POIS)

Author: Ficari, F., Borghi, F., Catarci, Marco, Scatizzi, M., Alagna, V., Bachini, I., Baldazzi, G., Bardi, U., Benedetti, Marta, Beretta, Carlo Luigi, Bertocchi, E., Caliendo, D., Campagnacci, R., Cardinali, A., Carlini, M., Cascella, M., Cassini, D., Ciotti, S. -M., Cirio, A., Coata, P., Conti, Daniela, Delrio, P., Di Marco, C., Ferla, L., Fiorindi, C., Garulli, G., Genzano, C., Guercioni, G., Marra, B., Maurizi, A., Monzani, R., Pace, U., Pandolfini, L., Parisi, Carmelo Maria Antonio, Pavanello, M., Pecorelli, N., Pellegrino, Luca, Persiani, Roberto, Pirozzi, F., Pirrera, B., Rizzo, A., Rolfo, M., Romagnoli, Stella, Ruffo, G., Sciuto, A., Marini, P., Catarci M., Benedetti M., Beretta L. (ORCID:0000-0001-9924-2066), Conti D., Parisi A., Pellegrino L., Persiani R. (ORCID:0000-0002-1537-5097), Romagnoli S., Ficari, F., Borghi, F., Catarci, Marco, Scatizzi, M., Alagna, V., Bachini, I., Baldazzi, G., Bardi, U., Benedetti, Marta, Beretta, Carlo Luigi, Bertocchi, E., Caliendo, D., Campagnacci, R., Cardinali, A., Carlini, M., Cascella, M., Cassini, D., Ciotti, S. -M., Cirio, A., Coata, P., Conti, Daniela, Delrio, P., Di Marco, C., Ferla, L., Fiorindi, C., Garulli, G., Genzano, C., Guercioni, G., Marra, B., Maurizi, A., Monzani, R., Pace, U., Pandolfini, L., Parisi, Carmelo Maria Antonio, Pavanello, M., Pecorelli, N., Pellegrino, Luca, Persiani, Roberto, Pirozzi, F., Pirrera, B., Rizzo, A., Rolfo, M., Romagnoli, Stella, Ruffo, G., Sciuto, A., Marini, P., Catarci M., Benedetti M., Beretta L. (ORCID:0000-0001-9924-2066), Conti D., Parisi A., Pellegrino L., Persiani R. (ORCID:0000-0002-1537-5097), and Romagnoli S.
Abstract: Enhanced Recovery After Surgery (ERAS) pathway is a multi-di-sciplinary, patient-centered protocol relying on the implementation of the best evidence-based perioperative practice. In the field of colorectal surgery, the application of ERAS programs is associated with up to 50% reduction of morbidity rates and up to 2.5 days reduction of postoperative hospital stay. However, widespread adoption of ERAS pathways is still yet to come, mainly because of the lack of proper information and communication. Purpose of this paper is to support the diffusion of ERAS pathways through a critical review of the existing evidence by members of the two national societies dealing with ERAS pathways in Italy, the PeriOperative Italian Society (POIS) and the Associazione Italiana Chirurghi Ospedalieri (ACOI), showing the results of a consensus development conference held at Matera, Italy, during the national ACOI Congress on June 10, 2019.
Published: 2019

36. Impact of laparoscopy on adherence to an enhanced recovery pathway and readiness for discharge in elective colorectal surgery: Results from the PeriOperative Italian Society registry

Author: Braga, M, Borghi, F, Scatizzi, M, Missana, G, Guicciardi, MA, Bona, S, Ficari, F, Maspero, M, Pecorelli, N, Pellegrino, L, Radrizzani, D, Beretta, L, Casiraghi, U, Muratore, A, Crespi, M, Iuliani, R, Bima, C, Bouzari, H, Ceretti, A, Braga, M, Borghi, F, Scatizzi, M, Missana, G, Guicciardi, M, Bona, S, Ficari, F, Maspero, M, Pecorelli, N, Pellegrino, L, Radrizzani, D, Beretta, L, Casiraghi, U, Muratore, A, Crespi, M, Iuliani, R, Bima, C, Bouzari, H, Ceretti, A, Braga, Marco, Borghi, Felice, Scatizzi, Marco, Missana, Giancarlo, Guicciardi, Marco Azzola, Bona, Stefano, Ficari, Ferdinando, Maspero, Marianna, Pecorelli, Nicolo, on behalf of PeriOperative Italian, Society, and Beretta, Luigi
Subjects: Laparoscopic surgery, Adult, Male, Registrie, medicine.medical_specialty, Enhanced recovery pathway, medicine.medical_treatment, 03 medical and health sciences, 0302 clinical medicine, Time to readiness for discharge, Colorectal surgery, Retrospective Studie, medicine, Humans, Prospective Studies, Registries, Postoperative Period, Prospective cohort study, Laparoscopy, Retrospective Studies, Aged, Postoperative Care, medicine.diagnostic_test, Elective Surgical Procedure, business.industry, Retrospective cohort study, Perioperative, Length of Stay, Middle Aged, Length of hospital stay, Conversion to Open Surgery, Patient Discharge, Surgery, Postoperative complication, Prospective Studie, Italy, Elective Surgical Procedures, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Female, Guideline Adherence, business, Abdominal surgery, Human
Abstract: Introduction: Previous studies reported that laparoscopic surgery (LPS) improved postoperative outcomes in patients undergoing colorectal surgery within an enhanced recovery program (ERP). However, the effect of minimally invasive surgery on each ERP item has not been clarified, yet. The aim of this study is to assess the impact of LPS on adherence to ERP items and recovery as measured by time to readiness for discharge (TRD). Methods: Prospectively collected data entered in an electronic Italian registry specifically designed for ERP were reviewed. Patients undergoing elective colorectal surgery were divided into three groups: successful laparoscopy, conversion to open surgery, primary open surgery. Adherence to 19 ERP elements and postoperative outcomes were compared among groups. Multivariate regression analysis was used to identify whether LPS had an independent role to improve ERP adherence and postoperative outcomes. Results: 714 patients (successful LPS 531, converted 42, open 141) underwent elective colorectal surgery within an ERP. Epidural analgesia was used in the 75.1% of open group patients versus 49.9% of LPS group patients (p = 0.012). After surgery, oral feeding recovery, i.v. fluids suspension, removal of both urinary and epidural catheters occurred earlier in the LPS group both in the overall series and in uneventful patients only. Mean TRD and length of hospital stay were significantly shorter in the LPS group (p < 0.001 for both). Overall morbidity rate was 18.7% in the LPS group versus 32.6% in the open group (p = 0.001). At multivariate analysis, LPS was significantly associated to an increased adherence to postoperative ERP items, a shorter TRD, and a reduced overall morbidity, whereas rectal surgery and new stoma formation impaired postoperative recovery. Conclusions: The present study showed that a successful laparoscopic procedure had an independent role to increase the adherence to postoperative ERP and to improve short-term postoperative outcome.
Published: 2017

37. Early postoperative prediction of clinically relevant pancreatic fistula after pancreaticoduodenectomy: usefulness of C-reactive protein

Author: Partelli S, Pecorelli N, Muffatti F, Belfiori G, Crippa S, Piazzai F, Castoldi R, Marmorale C, Balzano G, Falconi M, Partelli, S, Pecorelli, N, Muffatti, F, Belfiori, G, Crippa, S, Piazzai, F, Castoldi, R, Marmorale, C, Balzano, G, and Falconi, M
Published: 2017

38. Ensuring Early Mobilization Within an Enhanced Recovery Program for Colorectal Surgery

Author: Fiore J. F., Castelino T., Pecorelli N., Niculiseanu P., Balvardi S., Hershorn O., Liberman S., Charlebois P., Stein B., Carli F., Mayo N. E., Feldman L. S., Fiore, J. F., Castelino, T., Pecorelli, N., Niculiseanu, P., Balvardi, S., Hershorn, O., Liberman, S., Charlebois, P., Stein, B., Carli, F., Mayo, N. E., and Feldman, L. S.
Subjects: Male, early mobilization, Colon, Rectum, Middle Aged, postoperative care, Postoperative Complications, Treatment Outcome, early ambulation, randomized controlled trials, Humans, colorectal surgery, Female, outcome assessment, Digestive System Surgical Procedures
Abstract: Objective: To estimate the extent to which the addition of staff-directed facilitation of early mobilization to an Enhanced Recovery Program (ERP) impacts recovery after colorectal surgery, compared with usual care. Summary Background Data: Early mobilization is considered an important component of ERPs but, despite guidelines recommendations, adherence remains quite low. The value of dedicating specific resources (eg, staff time) to increase early mobilization is unknown. Methods: This randomized trial involved 99 colorectal surgery patients in an established ERP (median age 63, 57% male, 80% laparoscopic) randomized 1:1 to usual care (including preoperative education about early mobilization with postoperative daily targets) or facilitated mobilization [staff dedicated to assist transfers and walking from postoperative days (PODs) 0-3]. Primary outcome was the proportion of patients returning to preoperative functional walking capacity (6-min walk test) at 4 weeks after surgery. We also explored the association of the intervention with in-hospital mobilization, time to achieve discharge criteria, time to recover gastrointestinal function, 30-day comprehensive complication index, and patient-reported outcome measures. Results: In the facilitated mobilization group, adherence to mobilization targets was greater on POD0 [OR 4.7 (95% CI 1.8-11.9)], POD1 [OR 6.5 (95% CI 2.3-18.3)], and POD2 [OR 3.7 (95% CI 1.2-11.3)]. Step count was at least 2-fold greater on POD1 [mean difference 843.3 steps (95% CI 219.5-1467.1)] and POD2 [mean difference 1099.4 steps (95% CI 282.7-1916.1)] There was no between-group difference in recovery of walking capacity at 4 weeks after surgery [OR 0.77 (95% CI 0.30-1.97)]. Other outcome measures were also not different between groups. Conclusions: In an ERP for colorectal surgery, staff-directed facilitation of early mobilization increased out-of-bed activities during hospital stay but did not improve outcomes. This study does not support the value of allocating additional resources to ensure early mobilization in ERPs. Trial Registration: ClinicalTrials.gov Identifier: NCT02131844
Published: 2017

39. Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery: A Randomized Controlled Trial

Author: Gomez-Izquierdo J. C., Trainito A., Mirzakandov D., Stein B. L., Liberman S., Charlebois P., Pecorelli N., Feldman L. S., Carli F., Baldini G., Gomez-Izquierdo, J. C., Trainito, A., Mirzakandov, D., Stein, B. L., Liberman, S., Charlebois, P., Pecorelli, N., Feldman, L. S., Carli, F., and Baldini, G.
Subjects: Male, Canada, Ileus, Postoperative Complications, Treatment Outcome, Elective Surgical Procedures, Fluid Therapy, Humans, Female, Laparoscopy, Intestine, Large, Middle Aged, Goals
Abstract: Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Methods: Randomized patient and assessor-blind controlled trial conducted in adult patients undergoing laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Patients were assigned randomly to receive intraoperative goal-directed fluid therapy (goal-directed fluid therapy group) or fluid therapy based on traditional principles (control group). Primary postoperative ileus was the primary outcome. Results: One hundred twenty-eight patients were included and analyzed (goal-directed fluid therapy group: N = 64; control group: N = 64). The incidence of primary postoperative ileus was 22% in the goal-directed fluid therapy and 22% in the control group (relative risk, 1; 95% CI, 0.5 to 1.9; P = 1.00). Intraoperatively, patients in the goal-directed fluid therapy group received less intravenous fluids (mainly less crystalloids) but a greater volume of colloids. The increase of stroke volume and cardiac output was more pronounced and sustained in the goal-directed fluid therapy group. Length of hospital stay, 30-day postoperative morbidity, and mortality were not different. Conclusions: Intraoperative goal-directed fluid therapy compared with fluid therapy based on traditional principles does not reduce primary postoperative ileus in patients undergoing laparoscopic colorectal surgery in the context of an Enhanced Recovery After Surgery program. Its previously demonstrated benefits might have been offset by advancements in perioperative care.
Published: 2017

40. Effect of sarcopenia and visceral obesity on mortality and pancreatic fistula following pancreatic cancer surgery

Author: Pecorelli, N, Carrara, G, De Cobelli, F, Cristel, G, Damascelli, A, Balzano, G, Beretta, L, Braga, M, Pecorelli, N., Carrara, G., De Cobelli, F., Cristel, G., Damascelli, A., Balzano, G., Beretta, L., Braga, M., Pecorelli, N, Carrara, G, De Cobelli, F, Cristel, G, Damascelli, A, Balzano, G, Beretta, L, Braga, M, Pecorelli, N., Carrara, G., De Cobelli, F., Cristel, G., Damascelli, A., Balzano, G., Beretta, L., and Braga, M.
Abstract: Background Analytical morphometric assessment has recently been proposed to improve preoperative risk stratification. However, the relationship between body composition and outcomes following pancreaticoduodenectomy is still unclear. The aim of this study was to assess the impact of body composition on outcomes in patients undergoing pancreaticoduodenectomy for cancer. Methods Body composition parameters including total abdominal muscle area (TAMA) and visceral fat area (VFA) were assessed by preoperative staging CT in patients undergoing pancreaticoduodenectomy for cancer. Perioperative variables and postoperative outcomes (mortality or postoperative pancreatic fistula) were collected prospectively in the institutional pancreatic surgery database. Optimal stratification was used to determine the best cut-off values for anthropometric measures. Multivariable analysis was performed to identify independent predictors of 60-day mortality and pancreatic fistula. Results Of 202 included patients, 132 (65·3 per cent) were classified as sarcopenic. There were 12 postoperative deaths (5·9 per cent), major complications developed in 40 patients (19·8 per cent) and pancreatic fistula in 48 (23·8 per cent). In multivariable analysis, a VFA/TAMA ratio exceeding 3·2 and American Society of Anesthesiologists grade III were the strongest predictors of mortality (odds ratio (OR) 6·76 and 6·10 respectively; both P < 0·001). Among patients who developed major complications, survivors had a significantly lower VFA/TAMA ratio than non-survivors (P = 0·017). VFA was an independent predictor of pancreatic fistula (optimal cut-off 167 cm2: OR 4·05; P < 0·001). Conclusion Sarcopenia is common among patients undergoing pancreaticoduodenectomy. The combination of visceral obesity and sarcopenia was the best predictor of postoperative death, whereas VFA was an independent predictor of pancreatic fistula.
Published: 2016

41. Enhanced recovery pathway in elderly patients undergoing colorectal surgery: is there an effect of increasing ages? Results from the perioperative Italian Society Registry

Author: Braga, M, Beretta, L, Pecorelli, N, Maspero, M, Casiraghi, U, Borghi, F, Pellegrino, L, Bona, S, Monzani, R, Ferrari, G, Radrizzani, D, Iuliani, R, Bima, C, Scatizzi, M, Missana, G, Guicciardi Marco, A, Muratore, A, Crespi, M, Bouzari, H, Ceretti Andrea, P, Ficari, F, Braga Marco, Beretta Luigi, Pecorelli Nicolò, Maspero Marianna, Casiraghi Umberto, Borghi Felice, Pellegrino Luca, Bona Stefano, Monzani Roberta, Ferrari Gianluigi, Radrizzani Danilo, Iuliani Riccardo, Bima Carlo, Scatizzi Marco, Missana Giancarlo, Guicciardi Marco Azzola, Muratore Andrea, Crespi Michele, Bouzari Hedayat, Ceretti Andrea Pisani, Ficari Ferdinando, Braga, M, Beretta, L, Pecorelli, N, Maspero, M, Casiraghi, U, Borghi, F, Pellegrino, L, Bona, S, Monzani, R, Ferrari, G, Radrizzani, D, Iuliani, R, Bima, C, Scatizzi, M, Missana, G, Guicciardi Marco, A, Muratore, A, Crespi, M, Bouzari, H, Ceretti Andrea, P, Ficari, F, Braga Marco, Beretta Luigi, Pecorelli Nicolò, Maspero Marianna, Casiraghi Umberto, Borghi Felice, Pellegrino Luca, Bona Stefano, Monzani Roberta, Ferrari Gianluigi, Radrizzani Danilo, Iuliani Riccardo, Bima Carlo, Scatizzi Marco, Missana Giancarlo, Guicciardi Marco Azzola, Muratore Andrea, Crespi Michele, Bouzari Hedayat, Ceretti Andrea Pisani, and Ficari Ferdinando
Abstract: Previous studies reported that enhanced recovery pathway (ERP) is safe in elderly who did not require a specifically tailored protocol. In previous studies, elderly have been considered as a homogeneous cohort and the cut-off value to identify them was different. The aim of the present study is to assess the compliance to ERP and its impact on postoperative outcome in three subgroups of elderly patients with increasing ages. Prospectively collected data entered in an electronic Italian registry specifically designed for ERP were reviewed. 315 elderly patients undergoing elective colorectal resection were divided into three groups. Group 1: 71–75 years (n = 105), Group 2: 76–80 years (n = 117), Group 3: over 80 years (n = 93). Primary endpoints of the study were adherence to ERP and time to readiness for discharge (TRD). Compliance to ERP was similar in the three groups. No difference among groups was found for mortality, overall morbidity, major complications, reoperation rate and readmission rate. Median TRD and length of hospital stay (LOS) were progressively longer with increasing age (p = 0.018 and p = 0.078, respectively). Increasing age did not impact on adherence to ERP and postoperative morbidity, but delayed both TRD and LOS.
Published: 2018

42. Identification of core items in the enhanced recovery pathway

Author: Braga, M, Scatizzi, M, Borghi, F, Missana, G, Radrizzani, D, Gemma, M, Beretta, L, Bona, S, Monzani, R, Azzola, M, Muratore, A, Crespi, M, Iuliani, R, Bima, C, Bouzari, H, Ceretti, A, Pellegrino, L, Maspero, M, Pecorelli, N, Casiraghi, U, Ficari, F, Braga, Marco, Scatizzi, Marco, Borghi, Felice, Missana, Giancarlo, Radrizzani, Danilo, Gemma, Marco, Beretta, Luigi, Bona, Stefano, Monzani, Roberta, Azzola, Marco, Muratore, Andrea, Crespi, Michele, Iuliani, Riccardo, Bima, Carlo, Bouzari, Hedayat, Ceretti, Andrea Pisani, Pellegrino, Luca, Maspero, Marianna, Pecorelli, Nicolò, Casiraghi, Umberto, Ficari, Ferdinando, Braga, M, Scatizzi, M, Borghi, F, Missana, G, Radrizzani, D, Gemma, M, Beretta, L, Bona, S, Monzani, R, Azzola, M, Muratore, A, Crespi, M, Iuliani, R, Bima, C, Bouzari, H, Ceretti, A, Pellegrino, L, Maspero, M, Pecorelli, N, Casiraghi, U, Ficari, F, Braga, Marco, Scatizzi, Marco, Borghi, Felice, Missana, Giancarlo, Radrizzani, Danilo, Gemma, Marco, Beretta, Luigi, Bona, Stefano, Monzani, Roberta, Azzola, Marco, Muratore, Andrea, Crespi, Michele, Iuliani, Riccardo, Bima, Carlo, Bouzari, Hedayat, Ceretti, Andrea Pisani, Pellegrino, Luca, Maspero, Marianna, Pecorelli, Nicolò, Casiraghi, Umberto, and Ficari, Ferdinando
Abstract: Background & aims: The Enhanced Recovery After Surgery (ERAS) pathway represents an optimal approach in patients undergoing colorectal surgery but complexity in implementing its items could limit its application. The aim of this study is to identify possible core items within an ERAS pathway following elective colorectal resection. Methods: This is a retrospective review of data prospectively collected between January 2014 and September 2015 by 14 Italian Hospitals in an electronic registry dedicated to an ERAS protocol. 722 patients undergoing elective colorectal surgery within an ERAS protocol have been included in the study. Adherence to ERAS items was assessed in all patients. A secondary analysis was restricted to pre- and intraoperative ERAS items. Time to readiness for discharge (TRD) was the primary endpoint of the study. Postoperative overall morbidity was the secondary endpoint. Results: Multivariate analyses showed that active intraoperative warming (p = 0.008), early stop of intravenous fluids (p = 0.0001), and early removal of urinary catheter (p = 0.0001) were associated to a shorter TRD, while early stop of intravenous fluids (p < 0.001) also reduced morbidity. When the analysis was restricted to pre- and intraoperative items, removal of NGT at the end of surgery had an independent role to shorten TRD (p < 0.001) and to reduce overall morbidity (p = 0.019), while the absence of oral bowel preparation reduced postoperative overall morbidity (p = 0.021). Conclusions: In implementing an ERAS pathway, hospitals could initially focus on active intraoperative warming, early stop of intravenous fluids, early removal of urinary catheter, removal of NGT at the end of surgery, and absence of oral bowel preparation, keeping on continuous effort to apply the complete ERAS protocol.
Published: 2018

43. Impact of Sarcopenic Obesity on Failure to Rescue from Major Complications Following Pancreaticoduodenectomy for Cancer: Results from a Multicenter Study

Author: Pecorelli, N, Capretti, G, Sandini, M, Damascelli, A, Cristel, G, De Cobelli, F, Gianotti, L, Zerbi, A, Braga, M, Pecorelli, N, Capretti, G, Sandini, M, Damascelli, A, Cristel, G, De Cobelli, F, Gianotti, L, Zerbi, A, and Braga, M
Abstract: Background: Failure to rescue (FTR) is a quality-of-care indicator in pancreatic surgery, but may also identify patients who may not tolerate major postoperative complications despite being treated with best available care. Previous studies found that high visceral adipose tissue-to-skeletal muscle ratio is associated with poor outcomes following pancreaticoduodenectomy (PD). The aim of the study is to assess the impact of sarcopenic obesity on occurrence of FTR from major complications in cancer patients undergoing PD. Methods: Prospectively collected data from three high-volume hospitals were reviewed. Total abdominal muscle area (TAMA) and visceral fat area (VFA) were assessed at preoperative staging computed tomography scan. Sarcopenic obesity was defined as high VFA/TAMA ratio. FTR was defined as postoperative mortality following major complication. Results: 120 patients with major complications were included. FTR occurred in 23 (19.2%) patients. The “seminal” complications leading to FTR were pancreatic or biliary fistula-related sepsis (n = 14), postoperative pancreatic fistula (POPF)-related hemorrhage (n = 5), and duodenojejunal anastomosis leak-related sepsis (n = 1). On univariate analysis, older age [odds ratio (OR) 3.5, p = 0.034], American Society of Anesthesiologists (ASA) score 3+ (OR 4.2, p = 0.005), cardiovascular disease (OR 3.3, p = 0.013), low serum albumin (OR 2.6, p = 0.042), sarcopenic obesity (OR 4.2, p = 0.009), POPF (OR 3.1, p = 0.027), and cardiorespiratory complications (OR 3.7, p = 0.011) were significantly associated with FTR. On multivariate analysis, sarcopenic obesity [OR 5.7, 95% confidence interval (CI) 1.6–20.7, p = 0.008], ASA score 3+ (OR 4.1, 95% CI 1.2–14.3, p = 0.025), and pancreatic fistula (OR 3.2, 95% CI 1.0–10.2, p = 0.045) were independently associated with FTR. Conclusion: Sarcopenic obesity, low preoperative physical status, and occurrence of pancreatic fistula are associated with significantly higher risk of FTR from
Published: 2018

44. The role of acinar content at pancreatic resection margin in the development of postoperative pancreatic fistula and acute pancreatitis after pancreaticoduodenectomy

Author: Andreasi, V., Partelli, S., Lena, M. Schiavo, Rancoita, P.M., Mazza, M., Mele, S., Guarneri, G., Pecorelli, N., Crippa, S., Tamburrino, D., Doglioni, C., and Falconi, M.
Published: 2021
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45. Clinical and economic validation of grade B postoperative pancreatic fistula subclassification

Author: Andreasi, V., Partelli, S., Rancoita, P.M., Pecorelli, N., Guarneri, G., Crippa, S., Mazza, M., Tamburrino, D., and Falconi, M.
Published: 2021
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46. A Pancreatic Cystic Neoplasms Drama. Accuracy of Diagnostic Presumption and Surgical Indication on a Ten-year Experience

Author: Giannone, F., Crippa, S., Belfiori, G., Partelli, S., Tamburrino, D., Pecorelli, N., Longo, E., Schiavo Lena, M., Palumbo, D., Arcidiacono, P.G., and Falconi, M.
Published: 2021
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47. Relaparotomy for a pancreatic fistula after a pancreaticoduodenectomy: A comparison of different surgical strategies

Author: Balzano, G, Pecorelli, N, Piemonti, L, Ariotti, R, Carvello, M, Nano, R, Braga, M, Staudacher, C, Balzano G, Pecorelli N, PIEMONTI , LORENZO, Ariotti R, Carvello M, Nano R, BRAGA, MARCO, Staudacher C., Balzano, G, Pecorelli, N, Piemonti, L, Ariotti, R, Carvello, M, Nano, R, Braga, M, Staudacher, C, Balzano G, Pecorelli N, PIEMONTI , LORENZO, Ariotti R, Carvello M, Nano R, BRAGA, MARCO, and Staudacher C.
Abstract: Introduction A relaparotomy for a pancreatic fistula (PF) after a pancreaticoduodenectomy (PD) is a formidable operation, and the appropriate treatment of anastomotic leakage is under debate. The objective of this study was to compare the outcomes of different strategies in managing the pancreatic remnant during a relaparotomy for PF after a PD. Methods In this retrospective study on prospectively collected data, 669 PD were performed between 2004 and 2011. The study group comprised 31 patients requiring a relaparotomy, because of delayed haemorrhage (n = 19) or sepsis (n = 12). The pancreatic stump was treated either using pancreas-preserving techniques (simple drainage or duct occlusion) or completion of a pancreatectomy (CP). In 2008, autologous islet transplantation (AIT) was introduced for endocrine tissue rescue of CP. Results The mortality rate, blood loss and transfusion requirement were similar for all techniques. Patients undergoing a CP required a further relaparotomy less frequently than patients with pancreas preservation (7% versus 59%, P < 0.01), and the intensive care unit (ICU) stay was reduced after CP (P = 0.058). PF persisted at discharge in 66% of patients after pancreas-preserving techniques. AIT was associated with CP in 7 patients, of whom one died post-operatively. Long-term graft function was maintained in four out of six surviving patients, with one insulin-independent patient at 36 months after transplantation. Conclusions When a PF requires a relaparotomy, CP has become our favoured technique. AIT can reduce the metabolic impact of the procedure.
Published: 2014

48. Enhanced recovery pathway in patients undergoing distal pancreatectomy: a case-matched study

Author: Pecorelli, N, Capretti, G, Balzano, G, Castoldi, R, Maspero, M, Beretta, L, Braga, M, Pecorelli, Nicolò, Capretti, Giovanni, Balzano, Gianpaolo, Castoldi, Renato, Maspero, Marianna, Beretta, Luigi, Braga, Marco, Pecorelli, N, Capretti, G, Balzano, G, Castoldi, R, Maspero, M, Beretta, L, Braga, M, Pecorelli, Nicolò, Capretti, Giovanni, Balzano, Gianpaolo, Castoldi, Renato, Maspero, Marianna, Beretta, Luigi, and Braga, Marco
Abstract: Background Enhanced recovery (ER) pathways have improved outcomes across multiple surgical specialties, but reports concerning their application in distal pancreatectomy (DP) are lacking. The aim of this study was to assess compliance with an ER protocol and its impact on short-term outcomes in patients undergoing DP. Methods Prospectively collected data were reviewed. One hundred consecutive patients undergoing DP were treated within an ER pathway comprising 18 care elements. Each patient was matched 1:1 with a patient treated with usual perioperative care. Match criteria were age, BMI, ASA score, lesion site, and type of disease. Results Adherence to ER items ranged from 15% for intraoperative restrictive fluids to 100% for intraoperative warming, antibiotic and anti-thrombotic prophylaxis. Patients in ER group experienced earlier recovery of gastrointestinal function (2 vs. 3 days, p < 0.001), oral intake (2 vs. 4 days, p < 0.001), and suspension of intravenous infusions (3 vs. 5 days, p < 0.001). Overall morbidity was similar in the two groups (72% vs. 78%). Length of hospital stay (LOS) was reduced in ER patients without postoperative complications (6.7 ± 1.2 vs. 7.6 ± 1.6 days, p = 0.041). Conclusions An ER pathway for DP yielded an earlier postoperative recovery and shortened LOS in uneventful patients. Postoperative morbidity and readmissions were similar in both groups.
Published: 2017

49. Small bowel obstruction and incisional hernia after laparoscopic and open colorectal surgery: a meta-analysis of comparative trials

Author: Pecorelli, N, Greco, M, Amodeo, S, Braga, M, Pecorelli, N, Greco, M, Amodeo, S, and Braga, M
Abstract: Introduction: Recent studies show contrasting data on the impact of laparoscopy on long-term complications such as the occurrence of small bowel obstruction (SBO) and incisional hernia (IH). The objective of the study was to assess the impact of the laparoscopic approach on the occurrence of SBO and IH after colorectal resection. Methods: Two trained investigators independently searched MEDLINE, Embase, PubMed, and the Cochrane Central Register of clinical trials for studies comparing laparoscopy to open surgery for mid- to long-term outcomes after colorectal surgery. No language restriction was set. Sensitivity analyses for study design and quality, conversion rate, type of procedure (colon or rectal surgery), and length of follow-up were performed. Results: Eleven RCTs and 14 non-RCT comparative studies for a total of 6540 patients were included in the analysis. Laparoscopy was associated with a significant reduction in the occurrence of SBO (RR 0.57, [95 %CI 0.42–0.76], 16 trials) and IH (RR 0.60, [95 %CI 0.50–0.72], 19 trials). Sensitivity analysis including only RCTs confirmed the reduction in SBO (RR 0.58, [95 %CI 0.39–0.87], 8 trials), while the difference was close to significance for IH (RR 0.76, [95 %CI 0.56–1.03], 7 trials). Sensitivity analysis including only studies with conversion rate lower than 15 % showed a significant protective effect of laparoscopy for both SBO (RR 0.53, [95 %CI 0.37–0.77], 11 trials) and IH (RR 0.58, [95 %CI 0.47–0.72], 12 trials). No significant difference between laparoscopy and open surgery was found when the analysis was limited to studies with conversion rate >15 % (SBO: RR 0.60 [0.32–1.12], IH: RR 0.70 [0.46–1.06]). Length of follow-up did not substantially impact on results. Conclusion: Laparoscopic surgery is associated with a significant reduction in both SBO and IH compared to the open approach. A low conversion rate in the laparoscopic group plays a key role for reduction in both SBO and IH.
Published: 2017

50. Enhanced Recovery Program in High-Risk Patients Undergoing Colorectal Surgery: Results from the PeriOperative Italian Society Registry

Author: Braga, M, Pecorelli, N, Scatizzi, M, Borghi, F, Missana, G, Radrizzani, D, Azzola, M, Beretta, L, Bima, C, Bona, S, Bouzari, H, Casiraghi, U, Ceretti, A, Crespi, M, Ficari, F, Iuliani, R, Maspero, M, Monzani, R, Muratore, A, Pellegrino, L, Braga, Marco, Pecorelli, Nicolò, Scatizzi, Marco, Borghi, Felice, Missana, Giancarlo, Radrizzani, Danilo, Azzola, Marco, Beretta, Luigi, Bima, Carlo, Bona, Stefano, Bouzari, Hedayat, Casiraghi, Umberto, Ceretti, Andrea Pisani, Crespi, Michele, Ficari, Ferdinando, Iuliani, Riccardo, Maspero, Marianna, Monzani, Roberta, Muratore, Andrea, Pellegrino, Luca, Braga, M, Pecorelli, N, Scatizzi, M, Borghi, F, Missana, G, Radrizzani, D, Azzola, M, Beretta, L, Bima, C, Bona, S, Bouzari, H, Casiraghi, U, Ceretti, A, Crespi, M, Ficari, F, Iuliani, R, Maspero, M, Monzani, R, Muratore, A, Pellegrino, L, Braga, Marco, Pecorelli, Nicolò, Scatizzi, Marco, Borghi, Felice, Missana, Giancarlo, Radrizzani, Danilo, Azzola, Marco, Beretta, Luigi, Bima, Carlo, Bona, Stefano, Bouzari, Hedayat, Casiraghi, Umberto, Ceretti, Andrea Pisani, Crespi, Michele, Ficari, Ferdinando, Iuliani, Riccardo, Maspero, Marianna, Monzani, Roberta, Muratore, Andrea, and Pellegrino, Luca
Abstract: Background: Enhanced recovery after surgery (ERAS) pathways represent the optimal approach for patients undergoing colorectal surgery. Elderly or low physical status patients have been often excluded from ERAS pathways because considered at high risk. The aim of this study is to assess the adherence to ERAS protocol and its impact on short-term postoperative outcome in patients with different surgical risk undergoing elective colorectal resection. Methods: Prospectively collected data entered in an electronic Italian registry specifically designed for ERAS were reviewed. Patients were divided into four groups according to age (70-year-old cutoff) and preoperative physical status as measured by the ASA grade (I–II vs. III–IV). Adherence to 18 ERAS elements and postoperative outcomes were compared between groups. Regression analysis was used to identify independent factors associated with improved outcomes. Results: Eleven Italian hospitals reported data on 706 patients undergoing elective colorectal surgery within an ERAS protocol. Patients with low physical status had reduced adherence to preoperative carbohydrate loading, epidural analgesia, PONV prophylaxis, and early urinary catheter removal. No difference was found between groups for adherence to other perioperative elements. Major complications occurred in 37 (5.2 %) patients without significant differences among groups (p = 0.384). Median (IQR) time to readiness for discharge (TRD) was 4 (3–6) days, length of hospital stay (LOS) was 6 (4–7) days, and both were significantly shorter by only 1 day in the groups of younger patients (p < 0.001). At multivariate analysis, laparoscopy increased adherence to ERAS items and reduced TRD, LOS, and morbidity. A high ASA grade was significantly associated with lower adherence, whereas older age significantly prolonged TRD and LOS. Conclusion: ERAS pathway can be safely applied in elderly and low physical status patients yielding slight differences in postoperative morbidi
Published: 2017

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279 results on '"Pecorelli, N."'

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