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

Author

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

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

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

Published
2019

38. "Is CT Scan more Accurate than Endoscopy in Identifying Distance from the Anal Verge for Left Sided Colon Cancer? A Comparative Cohort Analysis".

Author

Costi, Renato, FACS, Ricco', Matteo, Negrini, Giulio, Wind, Philippe, Violi, Vincenzo, and Le Bian, Alban Zarzavadjian

Subjects
COLON cancer, COHORT analysis, RIGHT hemicolectomy, ENDOSCOPY, COMPARATIVE studies, REGRESSION analysis
Abstract

Purposes: Accurately localizing colorectal cancer during surgery may be challenging due to intraoperative limitations. In the present study, localization of left-sided colon cancer (LCC) by CT scan is compared to colonoscopy. Material and methods: Consecutive patients with LCC located by colonoscopy and CT scan and undergoing left-hemicolectomy were included. Tumor distance from the anal verge (TDAV) was calculated by both CT-scan and colonoscopy, and then compared, using as reference TDAV measured intraoperatively. Statistical analysis was performed including (1) comparison of means between all three TDAVs, (2) comparison of mean differences between all three TDAVs, (3) comparison of number of patients with a difference between endoscopic TDAV and intraoperative TDAV ≤5 cm and the number of patients with a difference between CT scan TDAV and intraoperative TDAV ≤5 cm (4) statistical relationship between either CT scan and endoscopic and intraoperative TDAVs. Results: Both CT scan and endoscopy overestimate TDAV (25.8 ± 12.5 cm and 24.6 ± 10.6 cm vs. 21.5 ± 7.4 cm, p = 0.005), but CT scan TDAV resulted as being different from intraoperative TDAV (p < 0.01). Regression analysis reported an increasing divergence of measurements with increasing values of intraoperative TDAV, which resulted greater for CT. Tumors within 5 cm of intraoperative TDAV were 22/28 (78.6%) for endoscopy, and 17/28 (60.7%) for CT (p = 0.2448). Conclusions: Accuracy of both examinations seems poor, with a mean overestimation >3 cm and a significant number of tumors found at >5 cm from preoperative evaluation. Preoperative examinations' bias increase proportionally with TDAV length, decreasing their interest especially for tumors located at a greater distance from anal verge. [ABSTRACT FROM AUTHOR]

Published
2020
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41. Anastomotic recurrence of colon cancer: Genetic analysis challenges the widely held theories of cancerous cells’ intraluminal implantation and metachronous carcinogenesis

Author

Costi, Renato, primary, Santi, Caterina, additional, Bottarelli, Lorena, additional, Azzoni, Cinzia, additional, Zarzavadjian Le Bian, Alban, additional, Riccó, Matteo, additional, Sarli, Leopoldo, additional, Silini, Enrico Maria, additional, and Violi, Vincenzo, additional

Published
2016
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44. Totally laparoscopic esophago-gastrectomy

Author

Costi, Renato, Himpens, Jacques, Essola, Basile, Sarli, Leopoldo, Violi, Vincenzo, Roncoroni, Luigi, Cadière, Guy-Bernard, Costi, Renato, Himpens, Jacques, Essola, Basile, Sarli, Leopoldo, Violi, Vincenzo, Roncoroni, Luigi, and Cadière, Guy-Bernard

Abstract

SCOPUS: ar.j, info:eu-repo/semantics/published

Published
2004

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