A5074532037- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Appendicitis Diagnosis and Management
- Pancreatitis Pathology and Treatment
- Colorectal and Anal Carcinomas
- Esophageal and GI Pathology
- Colorectal Cancer Surgical Treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Biliary and Gastrointestinal Fistulas
- Colorectal Cancer Screening and Detection
- Colorectal Cancer Treatments and Studies
- Abdominal Trauma and Injuries
- Esophageal Cancer Research and Treatment
- Kidney Stones and Urolithiasis Treatments
- Pediatric Hepatobiliary Diseases and Treatments
- Viral-associated cancers and disorders
- Disaster Response and Management
- Genetic factors in colorectal cancer
- Foreign Body Medical Cases
- Omental and Epiploic Conditions
- Diverticular Disease and Complications
- Gastric Cancer Management and Outcomes
- Nausea and vomiting management
- Minimally Invasive Surgical Techniques
- Gastroesophageal reflux and treatments
Royal Devon & Exeter NHS Foundation Trust
2019-2024
Royal Devon and Exeter Hospital
2017-2024
University of Exeter
2023-2024
Musgrove Park Hospital
2023
Magna Graecia University
2022-2023
Danieli (Italy)
2021
University of Catania
2020-2021
Azienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele
2020
St Thomas' Hospital
2013
University of Parma
2004-2011
To evaluate the role of V-Y bilateral gluteus maximus myocutaneous flap (GLM) in reconstruction large perineal defects after wide surgical resections for pelvic malignancies.Twelve consecutive patients (seven females and five males), mean age 59 years (36-78), with primary or recurrent malignancies (rectal, anal vulvar carcinoma), underwent either abdomino-perineal rectum excision partial sacrectomy total exenteration. The defect was reconstructed by means a GLM flap. Intra-operative blood...
Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy-this referred as incidental gallbladder (IGC). Routine vs selective histopathological assessment of gallbladders under debate and this study evaluates the role regular specimens' examination, based a single-centre analysis incidence, clinical aspects IGC.Patients who underwent cholecystectomy, between July 2010 January 2020, were considered. Exclusion criteria age 18 preoperative diagnosis...
Purpose: To assess disease-specific and health-related QoL, anxiety depression as well satisfaction regarding retrograde intrarenal surgery (RIRS) miniaturized percutaneous nephrolithotomy (mPCNL) intervention for kidney stones up to 2.5 cm. Secondarily, pain perioperative postoperative patient outcomes were evaluated. Methods: 60 consecutive patients with of dimensions not exceeding cm enrolled in the study which 30 underwent RIRS mPCNL. Perioperative characteristics (age, gender, body mass...
Minimally invasive esophagectomy (MIO) offers a less traumatic resection for cancer patients resulting in improved quality of life. Concerns about the oncological efficacy procedure and potential impact on survival may have limited its wider adoption. This study reports outcomes fifteen years after underwent total MIO esophageal cancer. A single-centre analysis was conducted all who between 2004 2010 had completed at least 15-years follow-up. Actual overall (OS) disease-free (DFS) were...
Background: Common bile duct stones (CBDS) are treated with endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) or the single-stage common exploration (LCBDE) and LC. Multiple ERCP attempts failure increase risk of postprocedural complications. In such circumstances surgery is advocated. The aim study to compare outcome LCBDE LC in patients who had never an ERCP, that underwent previously failed ERCP. Methods: A retrospective analysis 54...
Background: The treatment of cholecystocholedochal lithiasis (CCL) requires cholecystectomy and common bile duct (CBD) clearance, which can be achieved surgically or with a combination surgery endoscopy. latter includes two-stage-approach—preoperative retrograde cholangiography (ERC) sphincterotomy (ST) followed by delayed laparoscopic (LC), vice versa—or one-stage-approach—the rendezvous technique (RVT), where ERC, ST, LC are performed during the same procedure. No data on use RVT in...
Primary gallbladder lymphoma is an extremely rare disease. We report a case of 63 year-old woman who has been admitted with gradual onset abdominal pain in the upper right quadrant and suprapubic region, nausea malaise. According to computed tomography scan abdomen, which was suggestive chronic cholecystitis, she treated conservatively. A laparoscopic cholecystectomy performed 5 months later histological examination showed low grade small lymphocytic lymphoma. The patient taken over by...
The observation of optical microcirculation gives us an extraordinary way to directly assess in vivo the responses human circulation stress stimuli. We run a pilot study analyze coherence tomography angiography (OCT-A) metrics at determined time-points during hemodialysis (HD) session understand how these gradually change and evaluate possible correlations with patients' characteristics.After eligibility screening, 15 patients (23 eyes) were included study. OCT-A parameters collected...
The transversus abdominis plane (TAP) block and local anaesthetic infiltration (LAI) of port sites provide adequate analgesia after laparoscopic cholecystectomy (LC). Little is known if the two techniques affect day-case (DC) rate LC. We tested appropriateness research design in view a larger randomised controlled trial (RCT) - laparoscopic-assisted right subcostal TAP plus wound (STALA) versus LAI.
Percutaneous cholecystostomy (PC) is effective in controlling sepsis patients with severe acute calculous cholecystitis (ACC). The long-term treatment of this group still debated. We aimed to assess the clinical evolution gallstones after ACC and outcomes laparoscopic cholecystectomy (LC) conservative management, following PC.
Abstract Background Percutaneous cholecystostomy (PC) can be a life-saving treatment for patients presenting with fulminant acute calculous cholecystitis (ACC). In the case of those who make good recovery and are fit surgery, PC is often advocated. However, in higher risk there currently no strong consensus regarding further management. The aim this study was to evaluate long-term outcomes interval LC versus alone ACC. Method We conducted single-centre retrospective case-control evaluation...
A case of gastric tube bleeding after an Ivor-Lewis esophagectomy with gastroesophageal anastomosis is reported. During the early postoperative course, patient had a stasis that improved progressively. The subsequent onset serious and intermittent hematemesis, which was endoscopically deemed to be result hemorrhagic gastritis, required multiple blood transfusions. evolution severe hemodynamic instability obliged us reoperate on patient. surgery, band-related obstruction first jejunal loop...
Acute pancreatitis (AP) is a common disease, but data on outcomes in octogenarians are scarce the literature. The aim of this study to analyze results from patients aged 80 years old and over who were treated for AP at single center.Patients older diagnosed with April 2010 October 2015 considered. Demographics, American Society Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), serum biochemistry 24 48 h after admission, revised Atlanta severity score analyzed correlated...
Endourological treatment for urinary stones and other obstructive tract diseases is minimally invasive but in some cases it involves serious complications. This collection of describes complications endourological procedures how they were treated. Case 1: A case right ultrasound-guided percutaneous nephrostomy found to be misplaced the inferior vena cava. The was safely managed, showed that ultrasound guidance alone may insufficient so recommended should always placed under fluoroscopic...