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11 results on '"Piccini, Lorenzo"'

2. Diagnostic and Therapeutic Pathway of Advanced Ovarian Cancer with Peritoneal Metastases

Author

Ghirardi, Valentina, primary, Fagotti, Anna, additional, Ansaloni, Luca, additional, Valle, Mario, additional, Roviello, Franco, additional, Sorrentino, Lorena, additional, Accarpio, Fabio, additional, Baiocchi, Gianluca, additional, Piccini, Lorenzo, additional, De Simone, Michele, additional, Coccolini, Federico, additional, Visaloco, Mario, additional, Bacchetti, Stefano, additional, Scambia, Giovanni, additional, and Marrelli, Daniele, additional

Published
2023
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4. Rectal Resection and Knight-Griffen pelvic anastomosis in cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy for peritoneal carcinosis: Should fecal diversion be a routine procedure?

Author

Piccini, Lorenzo, primary, Lippolis, Piero Vincenzo, additional, Rreka, Erion, additional, Ferrari, Mauro, additional, Musco, Barbara, additional, Cesareo, SIlvia, additional, Faviana, Pinuccia, additional, Boldrini, Laura, additional, Forfori, Francesco, additional, Brogi, Augusto, additional, Genovesi, Virginia, additional, Massa, Valentina, additional, Catanese, Silvia, additional, Caccese, Mirima, additional, Bernardini, Laura, additional, Salani, Francesca, additional, Fornaro, Lorenzo, additional, and Masi, Gianluca, additional

Published
2022
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5. Cytoreductive surgery (CRS) and heated intraperitoneal chemotherapy (HIPEC): an option for patients (pts) with uncommon histologies (UH)?

Author

Lippolis, Piero Vincenzo, primary, Cesario, Silvia, additional, Faviana, Pinuccia, additional, Boldrini, Laura, additional, Forfori, Francesco, additional, Brogi, Augusto, additional, Genovesi, Virginia, additional, Massa, Valentina, additional, Catanese, Silvia, additional, Salani, Francesca, additional, Bernardini, Laura, additional, Caccese, Miriam, additional, Piccini, Lorenzo, additional, Rreka, Erion, additional, Vivaldi, Caterina, additional, Fornaro, Lorenzo, additional, and Masi, Gianluca, additional

Published
2022
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6. Perioperative Morbidity Following Cytoreductive Surgery Combined with Intraperitoneal Chemohyperthermia in a Novel Italian Centre

Author

Papini, Piermarco, primary, Ricci, Sergio, additional, Ferrari, Mauro, additional, Musco, Barbara, additional, Piccini, Lorenzo, additional, Musettini, Gianna, additional, Gadducci, Angiolo, additional, Faviana, Pinuccia, additional, Falcone, Alfredo, additional, Masi, Gianluca, additional, Fornaro, Lorenzo, additional, and Lippolis, Piero Vincenzo, additional

Published
2020
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8. Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2,076 patients

Author

Tartaglia, Dario, primary, Fatucchi, Lorenzo Maria, additional, Mazzoni, Alessio, additional, Miccoli, Mario, additional, Piccini, Lorenzo, additional, Cengeli, Ismail, additional, Cobuccio, Luigi, additional, Bertolucci, Andrea, additional, Pucciarelli, Marsia, additional, Galatioto, Christian, additional, Saverio, Salomone Di, additional, and Chiarugi, Massimo, additional

Published
2019
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11. A delayed conversion may increase the risk of major complications in acute cholecystitis approached laparoscopically. A retrospective comparative cohort study.

Author

Tartaglia D, Piccini L, Musetti S, Bertolucci A, Cobuccio L, Fantacci R, Bianchini M, Zocco G, Galatioto C, and Chiarugi M

Subjects
Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Male, Middle Aged, Retrospective Studies, Risk Assessment, Time Factors, Cholecystectomy, Laparoscopic, Cholecystitis, Acute surgery, Conversion to Open Surgery, Laparoscopy, Postoperative Complications epidemiology
Abstract

Aim: Aim of this study was to evaluate whether timing of laparoscopy lasting longer than two hours before converting to open surgery can worsen the postoperative course during laparoscopic cholecystectomy (LC) for acute cholecystitis (AC)., Materials and Methods: Medical records of 1,161 patients who underwent urgent laparoscopic cholecystectomy for AC during the period 2001-2017 were retrospectively analyzed. A conversion to open surgery was performed in 70 (6%) patients. Among these, two groups of patients were identified: group 1 (n=51; 73%) included patients who underwent laparotomy within 2 hours from the beginning of the operation, and group 2 (n=19; 27%) included patients who underwent conversion to open surgery after more than 2 hours of laparoscopy. Patients were analyzed for demographic data and comorbidities. Major outcome measures were mortality, morbidity and length of stay. A p value < 0.05 was considered significant., Results: Reasons for conversion to open surgery included severe inflammation (46%), visceral adhesions (27%), inability to manage common bile duct stones (17%), intolerance to pneumoperitoneum (7%) and the presence of a cholecystoduodenal fistula (1%). By comparing these groups, no significant differences were noted regarding overall morbidity (29% vs 42%, p=0.31), mortality (2% vs 5%, p=0.46) and mean postoperative length of stay (8.7 vs 8.2 days, p=0.75). Major postoperative complications (grade III-V according to Clavien and Dindo classification) were significantly more frequent in group 2 (p=0.03)., Conclusions: When approaching AC laparoscopically, the decision to convert to open surgery within two hours may prevent the occurrence of major postoperative complications. Early conversion does not seem to affect the mortality and length of hospital stay., Key Words: Acute Cholecystitis, Conversion, Laparoscopy.

Published
2019

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