Andrea Costanzi
- Colorectal Cancer Surgical Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Gastric Cancer Management and Outcomes
- COVID-19 and healthcare impacts
- Appendicitis Diagnosis and Management
- Diverticular Disease and Complications
- Gastrointestinal Tumor Research and Treatment
- Gastrointestinal disorders and treatments
- Enhanced Recovery After Surgery
- Colorectal and Anal Carcinomas
- Pancreatic and Hepatic Oncology Research
- Colorectal Cancer Screening and Detection
- Metastasis and carcinoma case studies
- Nutrition and Health in Aging
- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Pancreatitis Pathology and Treatment
- Abdominal Surgery and Complications
- Frailty in Older Adults
- Prostate Cancer Diagnosis and Treatment
- Trauma and Emergency Care Studies
- Esophageal and GI Pathology
- Palliative Care and End-of-Life Issues
- Gallbladder and Bile Duct Disorders
- Pain Management and Opioid Use
Aziende Socio Sanitarie Territoriale Ovest Milanese
2023-2024
Milano Metropoli Development Agency
2023
Aziende Socio Sanitarie Territoriale Nord Milano
2023
Aziende Socio Sanitarie Territoriali di Lecco
2020-2022
Krankenhaus Meran
2022
Ruijin Hospital
2020
Shanghai Jiao Tong University
2020
Medical University of Graz
2020
CTO Andrea Alesini
2019
CTO Hospital
2019
The aim of the present study was to compare incidence genitourinary (GU) dysfunction after elective laparoscopic low anterior rectal resection and total mesorectal excision (LAR + TME) with high or ligation (LL) inferior mesenteric artery (IMA). Secondary aims included anastomotic leakage oncological outcomes.The criterion standard surgical approach for cancer is LAR TME. level remains an issue related functional outcome, leak rate, adequacy. Retrospective studies failed provide strong...
Abstract Background Accurate quality of life (QoL) data and functional results after cancer surgery are lacking for older patients. The international, multicenter Geriatric Oncology Surgical Assessment Functional rEcovery Surgery (GOSAFE) Study compares QoL before identifies predictors decline in QoL. Methods GOSAFE prospectively collected major elective on adults (≥70 years). Frailty assessment was performed postoperative outcomes recorded (30, 90, 180 days postoperatively) together with by...
The GOSAFE study evaluates risk factors for failing to achieve good quality of life (QoL) and functional recovery (FR) in older patients undergoing surgery colon rectal cancer.
The role of laparoscopic techniques in pancreatic surgery is still controversial especially regarding to exocrine malignancies. Operative time, conversion rate, adequacy dissection, and morbidity do represent factors major concern. Whereas resection left sided lesions requires no anastomosis therefore has gained worldwide acceptance over the last years, excision cephalic by mimimal access little place surgeons' practice because its technical complexity duration surgery. This study was...
Total laparoscopic right hemicolectomy is a procedure that involves an intracorporeal anastomosis. This approach may reduce tissue injury resulting in significant lower surgical stress response (SSR) compared with the same performed extracorporeal The purpose of this study was to compare SSR level between 2 groups patients undergoing or From June 2015 December 2016, 60 were enrolled and randomized. Interleukin-6, C-reactive protein, procalcitonin, white blood cell count, cortisol, prolactin,...
To verify the prognostic value of pathologic and radiological tumor response after neoadjuvant chemotherapy in treatment locally advanced gastric adenocarcinoma.
Abstract Background In Italy, surgeons continue to drain the abdominal cavity in more than 50 per cent of patients after colorectal resection. The aim this study was evaluate impact placement on early adverse events undergoing elective surgery. Methods A database retrospectively analysed through a 1:1 propensity score-matching model including 21 covariates. primary endpoint postoperative duration stay, and secondary endpoints were surgical site infections, infectious morbidity rate defined...
Aim The aim of this study was to assess how an admission acute palliative-supportive care unit (APSCU), may influence the therapeutic trajectory advanced cancer patients. Methods A consecutive sample patients admitted APCU assessed. following parameters were collected: demographics, including age, gender, primary diagnosis, marital status, and educational level, performance status reasons for kind admission, data about care-givers, recent anticancer treatments, being on/off treatment or...
Background: Enhanced Recovery After Surgery (ERAS) program applied to colorectal laparoscopic surgery is well known reduce hospitalization improving short-terms outcomes. Its goal minimize the surgical stress response in order maintain physiological homeostasis altered by surgery. However, there little knowledge about involved dynamics reduction of that these programs allow. The primary aim this study was compare level immune and nutritional serum investigators across patients undergoing...
ERAS program applied to colorectal laparoscopic surgery is well known reduce hospitalization improving short terms outcomes and minimizing the Surgical Stress Response.However its effectiveness in elderly population yet be demonstrated.The primary aim of this study compare level immune nutritional serum indexes across patients aged over 70 years old undergoing elective within an protocol or according a Standard
The position of arterial ligation during laparoscopic anterior rectal resection with total mesorectal excision can affect genito-urinary function, bowel oncological outcomes, and the incidence anastomotic leakage. Ligation to inferior mesenteric artery at origin or preservation left colic are both widely performed in surgery. aim this study is compare dysfunction, leak outcomes high low a controlled randomized trial. HIGHLOW multicenter trial which patients randomly assigned for cancer....
The value of fast-track (FT) multimodal recovery programs in improving hospitalization surgical patients has been widely proved. application FT protocols to laparoscopic colorectal surgery seems maximize the effects minimally invasive approach. objectives this randomized-controlled trial are compare short-term outcomes (bowel function, return oral nutrition, day discharge, fatigue, time resume normal activities, functional capabilities, and readmission rate) undergoing elective high anterior...
Although the role of minimally invasive techniques in pancreatic surgery remains controversial, resection left pancreas for benign or endocrine lesions has been universally adopted as a routine technique over last few years. This study was undertaken to assess feasibility and safety minimal access resections distal benign, endocrine, malignant diseases. Operative time, conversion rate, adequacy dissection, respect oncologic principles, morbidity short-term outcomes were analyzed. From years...
Background The aim of this study was to assess feasibility and results laparoscopic approach repair incisional hernias the abdominal borders, weakest points wall. Methods Since 2002 through 2008 a total 39 patients with fascial defects borders underwent repair. were suprapubic (n=18), subxiphoidal (n=15), lateral sided (n=6). body mass index ≥30 Kg/m2 in 19 patients. parietal measured both externally from within peritoneal cavity 56% meshes fixed only by tacks, especially site. Results mean...