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Managing acute colorectal obstruction by 'bridge stenting' to laparoscopic surgery: Our experience 被引量:11
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作者 Pierfrancesco Bonfante Luigi D’Ambra +3 位作者 stefano berti Emilio Falco Massimo Vittorio Cristoni Romolo Briglia 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2012年第12期289-295,共7页
AIM: To verify the clinical results of the endoscopic stenting procedure for colorectal obstructions followed by laparoscopic colorectal resection with 'one stage anastomosis'. METHODS: From March 2003 to Marc... AIM: To verify the clinical results of the endoscopic stenting procedure for colorectal obstructions followed by laparoscopic colorectal resection with 'one stage anastomosis'. METHODS: From March 2003 to March 2009 in our surgical department, 48 patients underwent endoscopic stenting for colorectal occlusive lesion: 30 males (62.5%) and 18 females (37.5%) with an age range from 40 years to 92 years (median age 69.5). All patients enrolled in our study were diagnosed with an intestinal obstruction originating from the colorectal tract without bowel perforation signs. Obstruction was primitive colorectal cancer in 45 cases (93.7%) and benign anastomotic stricture in 3 cases (6.3%). RESULTS: Surgical resection was totally laparoscopic in 69% of cases (24 patients) while 17% (6 patients) of cases were video-assisted due to the local extension of cancer with infiltrations of surrounding structures (urinary bladder in 2 cases, ileus and iliac vessels in the others). In 14% of cases (5 patients), resection was performed by open surgery due to the high American Society of Anesthesiologists score and the elderly age of patients (median age of 89 years). We performed a terminal stomy in only 7 patients out of 35, 6 colostomies and one ileostomy (in a total colectomy). In the other 28 cases (80%), we performed bowel anastomosis at the same time as resection, employing a temporary ileostomy only in 5 cases. CONCLUSION: Colorectal stenting transforms an emergency operation in to an elective operation performable in a totally laparoscopic manner, limiting the confection of colostomy with its correlated complications. 展开更多
关键词 COLORECTAL cancer LAPAROSCOPY COLONIC STENTING INTESTINAL OBSTRUCTION Endoscopy
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Adult pulmonary blastoma: Report of an unusual malignant lung tumor 被引量:1
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作者 Prospero Magistrelli Luigi D’Ambra +4 位作者 stefano berti Pierfrancesco Bonfante Elisa Francone Antonella Vigani Emilio Falco 《World Journal of Clinical Oncology》 CAS 2014年第5期1113-1116,共4页
Pulmonary blastoma is an uncommon lung malignancy,usually presenting itself as a large chest mass causing pain, hemoptysis, cough and dyspnea; however, it is asymptomatic in up to 40% of patients. We present the case ... Pulmonary blastoma is an uncommon lung malignancy,usually presenting itself as a large chest mass causing pain, hemoptysis, cough and dyspnea; however, it is asymptomatic in up to 40% of patients. We present the case and suggestive images of a 37-year-old non-smoking lady with a monophasic pulmonary blastoma located in the lower lobe of the left lung who underwent a left posterolateral thoracotomy with lower lobectomy, hilar and mediastinal node dissection, followed by chemo and radiation therapy. After 36 mo, there is no disease progression and the patient is in good health, clinically stable and without significant chest pain. 展开更多
关键词 Pulmonary blastoma Pleuropulmonary blastoma FETAL ADENOCARCINOMA LOBECTOMY THORACOTOMY
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Surgical treatment of metachronous rectal liver and lungmetastases: A combined videolaparoscopic andvideothoracoscopic approach 被引量:1
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作者 francesco sucameli elisa francone +3 位作者 laura dova prospero magistrelli emilio falco stefano berti 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2018年第3期280-281,共2页
To the Editor:We read with tremendous interest the paper by Del Fabbroet al. [1]. In this thorough article, the authors meticulously underlinethe advantages of a modified j-shaped incision for the simultaneoustreatme... To the Editor:We read with tremendous interest the paper by Del Fabbroet al. [1]. In this thorough article, the authors meticulously underlinethe advantages of a modified j-shaped incision for the simultaneoustreatment of difficult liver colorectal metastases (CRM) and right-lung CRM, reporting their experience in a cohort of 11 patients. 展开更多
关键词 Surgical treatment of metachronous rectal liver and lung metastases:A combined videolaparoscopic and videothoracoscopic approach
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Use of bovine pericardium graft for abdominal wall reconstruction in contaminated fields
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作者 Luigi D’Ambra stefano berti +3 位作者 Cosimo Feleppa Prospero Magistrelli Pierfrancesco Bonfante Emilio Falco 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2012年第7期171-176,共6页
AIM:To employ, in such conditions, a biological graft such as bovine pericardium that offers resistance to infection. METHODS:In our surgical department, from January 2006 to June 2010, 48 patients underwent abdominal... AIM:To employ, in such conditions, a biological graft such as bovine pericardium that offers resistance to infection. METHODS:In our surgical department, from January 2006 to June 2010, 48 patients underwent abdominal wall reconstruction using acellular bovine pericardium; of these 34 patients had a contaminated wound due to diffuse peritonitis (complicated diverticulitis, bowel perforation, intestinal infarction, strangled hernia, etc. ) and 14 patients had hernia relapse on infected synthetic mesh. RESULTS: In our series, one patient died of multiorgan failure 3 d after surgery. After placement of the pericardium mesh four cases of hernia relapse occurred. CONCLUSION: Recurrence rate is similar to that of prosthetic mesh repair and the application of acellular bovine pericardium (Tutomesh , Tutogen Medical Gmbh Germany) is moreover a safe and feasible option thatcan be employed to manage complicated abdominal wall defects where prosthetic mesh is unsuitable. 展开更多
关键词 BOVINE PERICARDIUM ABDOMINAL wall Contaminated field ABDOMINAL HERNIA HERNIA RELAPSE
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Structure of Personality at Intrapsychic and Interpersonal Levels and Depression of Caregivers of Patients Affected by Alzheimer’s Disease: Which Psychotherapeutic Approach?
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作者 Giulietti Maria Velia Anna Vespa +7 位作者 stefano berti Guido Gori Marica Ottaviani Cristina Meloni Paolo Fabbietti Giuseppe Pelliccioni Lucia Paciaroni Roberta Spatuzzi 《Advances in Alzheimer's Disease》 2018年第4期103-118,共16页
Background: Many studies have underlined as caregiving for people with Alzheimer’s disease (AD) is highly stressful and has significant negative consequences. Objectives: The study of the structure of personality, ca... Background: Many studies have underlined as caregiving for people with Alzheimer’s disease (AD) is highly stressful and has significant negative consequences. Objectives: The study of the structure of personality, can help to understand the association between depression, intrapsychic and interpersonal processes of caregivers of Alzheimer’s disease patients and what kind of intervention can be planned to favor the stress burden management. Methods: Case group: Caregivers (CG) (n = 75);control group, Subjects not Caregivers (nCG) (n. 104). Tests: SASB questionnaire (Structural Analysis of Interpersonal Behavior) describing intrapsychic and interpersonal processes of the structure of personality validated on the basis of DSMIV;CDQ questionnaires—depression. Results: Intrapsychic level: From the results it emerged that CGs had lower autonomy in their choices, and lower acceptance of their own feelings, and exercised greater self-control exhausting themselves toward predetermined goals, and more depression compared to the control group. They may be not able to achieve psychic equilibrium in the presence of stress: they may likely become disoriented and engage in behaviors that may be self-defeating. SASB-Cl = Autonomy (p 0.001);SASB-Cl2-Autonomy and Love (p 0.001), SASB-CL3-Love (p 0.001);SASB-Cl4 Love and control (p 0.001), SASB-CL5-Control (p = 0.015), SASB-Cl6-Control and hate (p 0.001), SASB-Cl7-Hate (p Conclusions: Intrapsychic characteristics such as tendency to depression, inability to being in contact with their own feelings, excessive self-control may be linked to difficulties in facing burden of care and indicate serious difficulties to adaptation to burden condition. The knowledge of these modalities could allow to plan a psychotherapeutic and multidisciplinary intervention aimed at facing and overcoming the psychological distress of the caregiver. 展开更多
关键词 CAREGIVER Alzheimer DEPRESSION Intrapsychic BEHAVIOURS INTERPERSONAL BEHAVIOURS PERSONALITY
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