A5061589486- Lung Cancer Diagnosis and Treatment
- Pleural and Pulmonary Diseases
- Airway Management and Intubation Techniques
- Ultrasound in Clinical Applications
- Tracheal and airway disorders
- Congenital Diaphragmatic Hernia Studies
- Trauma Management and Diagnosis
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Pericarditis and Cardiac Tamponade
- Anatomy and Medical Technology
- Medical Imaging and Pathology Studies
- Atomic and Subatomic Physics Research
- Myasthenia Gravis and Thymoma
- Meningioma and schwannoma management
- Neonatal Respiratory Health Research
- SARS-CoV-2 and COVID-19 Research
- Neurofibromatosis and Schwannoma Cases
- Cardiac tumors and thrombi
- Long-Term Effects of COVID-19
- Voice and Speech Disorders
- Salivary Gland Tumors Diagnosis and Treatment
- COVID-19 and healthcare impacts
- Occupational and environmental lung diseases
- Cardiac Structural Anomalies and Repair
- Pectus Deformity Diagnosis and Treatment
University of Campania "Luigi Vanvitelli"
2021-2023
Azienda Ospedaliera Universitaria Università degli Studi della Campania Luigi Vanvitelli
2023
Thoracic Surgery Foundation
2021
COVID-19 is a viral disease caused by SARS-CoV-2. This characterized primarily, but not exclusively, respiratory tract inflammation. SARS-CoV-2 infection relies on the binding of spike protein to ACE2 host cells. The virus uses protease TMPRSS2 as an entry activator. Human lung macrophages (HLMs) are most abundant immune cells in and fulfill variety specialized functions mediated production cytokines chemokines. aim this project was investigate effects HLM activation expression HLMs. Spike...
The anthropogenic particulate matter (PM), suspended air dust that can be inhaled by humans and deposited in the lungs, is one of main pollutants industrialized cities atmosphere. Recent studies have shown PM has adverse effects on respiratory diseases. These are mainly due to ultrafine particles (PM0.1, < 100 nm), which, thanks their size, efficiently nasal, tracheobronchial, alveolar regions. Pulmonary macrophages a heterogeneous cell population distributed different lung compartments,...
Malignant pleural mesothelioma (MPM) is an invasive, aggressive tumor with a predominantly local spread. The objective of this study was to assess thoracic ultrasound (TUS) as imaging modality high sensitivity for the identification malignant involvement and in order guide biopsies.In retrospective single-center between January 2018 June 2022, 51 consecutive patients impassable circumferential thickening underwent TUS at Thoracic Surgery Unit Vanvitelli University Naples. Pleural biopsies...
Video-assisted thoracic surgery (VATS) for ipsilateral reoperations is controversial, because after the first surgical intervention, pleural adhesions occur frequently in cavity and/or chest wall. This study assessed usefulness of preoperative ultrasonography to reduce incidence lung injury at time initial port insertion during secondary VATS.This was a retrospective, single-center study. Nine patients who underwent Vanvitelli Hospitalfrom September 2019 February 2022, were scheduled second...
Intrathoracic neurogenic tumors (INTs) are derived from nerve tissue and grow within the chest. Preoperative diagnosis can be challenging only complete surgical exeresis enables confirmation of suspected diagnosis. Here, we analyzed our experience on management paravertebral lesions with solid cystic patterns.A monocentric retrospective study was conducted, which included 25 consecutive cases ITNs in period 2010 to 2022. These had been surgically treated by thoracoscopic resection alone, or...
Abstract Introduction Central airway tumors involving the trachea and main‐stem bronchi are a common cause of obstruction significant mortality among patients thoracic diseases with respiratory failure. Debulking in rigid bronchoscopy is quick, safe, effective. It can be complex hard severe bronchial or tracheal and/or intraluminal bleeding because inadequate distal control. We have used laser tube as new technique ventilation for central obstruction. Materials Methods Forty‐six undergoing...
Abstract OBJECTIVES Application of video-assisted thoracoscopy brought lung surgery into the minimally invasive era; lack tactile feedback using VATS, remains a disadvantage because surgeons are unable to locate lesions with finger or device. This study aimed investigate effectiveness, applicability and utility intraoperative ultrasound (IU), for localization small ground-glass opacity (GGO) in parenchyma, as guide finding their margins deflated lung. MATERIALS AND METHODS We included 15...
Abstract Background We evaluated the safety and feasibility of one‐lung ventilation in obese patients undergoing thoracoscopic lobectomy whether obesity affected peri‐ postoperative outcomes. Methods This was a retrospective single center study including consecutive between October 2019 February 2022. Obese were statistically compared to control group evaluate any differences relation Results Our population included 111 patients; these, 26 (23%) group, while 85 (77%) within nonobese group....
Staging of the mediastinum lymph nodes involvement in patients with non-small cell lung cancer (NSCLC) is an important prognostic factor determining most appropriate multimodality treatment plan. The objective this study to assess ultrasound characteristics mediastinal metastasis and effectiveness intraoperative ultrasound-guided nodal dissection resected NSCLC.All undergoing video-assisted thoracoscopic surgery lobectomy pulmonary lymphadenectomy from November 2020 March 2022 at thoracic...
The COVID-19 outbreak had a massive impact on lung cancer patients with the rise in incidence and mortality of cancer.We evaluated whether recent infection affected outcome undergoing thoracoscopic lobectomy for using retrospective observational mono-centric study conducted between January 2020 August 2022. Postoperative complications 90-day were reported. We compared history prior to those without infection. Univariable multivariable analyses performed.One hundred fifty-three consecutive...
Abstract Background Persistent air leak (PAL) is a common complication after video‐assisted thoracoscopic surgery (VATS) lobectomy. We aimed to evaluate whether the intraoperative quantitative measurement of leaks using mechanical ventilation test could predict PAL and identify those patients needing additional treatment for prevention PAL. Methods This was an observational, retrospective, single‐center study that included 82 who underwent VATS lobectomy with VL. Only 2% had persistent...
Congenital pericardial defect is an uncommon anomaly due to the congenital absence of pericardium. In this case, it was associated with diaphragmatic hernia and incidentally discovered during thoracoscopic left upper lobectomy for lung cancer. The dissection hilar structures complicated arrhythmia hypotension. Thus, we converted thoracoscopy thoracotomy, successfully performed. were not repaired, but vessels bronchial stump covered avoid heart injury. Postoperative course unremarkable at...
Background: In selected patients with pulmonary metastases, surgical resection is the treatment of choice. Despite thoracoscopy preferred approach for management early lung cancer, its role in metastases still debate due to risk leaving undetected malignant nodules during surgery. We aimed evaluate outcome undergoing metastasis performed using establish whether this did not compromise oncological results.
Video 1 The use of fibrin glue for the endoscopic management post-intubation tracheal lacerations: a case series
Abstract INTRODUCTION Benign tracheobronchial stenosis is a abnormal tracheal lumen narrowing that may incur progressive dyspnea and life-threatening hypoxemia. There no consensus on which patients should be treated with endoscopic or surgical method. This study investigates the outcomes bronchoscopic dilatation for treating benign using device equipped blade to cut stenotic lesions dense fibrosis. MATERIALS AND METHODS The procedure was carried out in an operating room under general...
Abstract OBJECTIVE Video-Assisted Thoracic Surgery (VATS) resection, of deep-seated and nodules smaller than 3 cm, is very hard.Solitary, small pulmonary are difficult to palpate or see during VATS. We aimed evaluated the validity Intraoperative lung ultrasound (ILU) visualize solitary cm enhance knowledge on morphological patterns. RESULTS US processor was inserted by expert surgeon into chest through operating hole, mediastinal, costal diaphragmatic surfaces were explored.VATS- Ultrasound...
A significant part of all neoplasms growing in anterior mediastinum are lymphomas (25%). Achieving a correct diagnosis and clear definition lymphoma’s subtype is crucial for beginning chemotherapy as soon possible. However, most patients present large mediastinal mass that compresses vessels airway, with serious cardiorespiratory repercussions. Therefore, having multiple tools available to biopsy the lesion without worsening morbidity becomes fundamental. Patients enrolled this study were...