Abstract：
BACKGROUND:The aim of this study was to evaluate safety, feasibility and short-term outcomes of our first 70 consecutive patients treated by robotic-assisted liver resection after a reversal proctoring between a high HPB volume centre and our well-trained center in minimally invasive General Surgery. Six surgeons were involved in this Hub&Spoke learning program. METHODS:From September 2012 to December 2016, 70 patients underwent robotic-assisted liver resections (RALR). We treated 18 patients affected by colorectal and gastric cancer with synchronous liver lesions suspected for metastases in a one-stage robotic-assisted procedure. For the first 20 procedures we had a tutor in the operatory room, who was present also in the next most difficult procedures. RESULTS:The 30- and 90-day mortality rate was zero with an overall morbidity rate of 10.1%. Associated surgical procedures were performed in about 65,7% of patients. The observed conversion rate was 10%. The results of the first 20 cases were similar to the next 50 showing a shortned learning curve. CONCLUSIONS:Minimally invasive robot-assisted liver resection is a safe technique; it allows overcoming many limits of conventional laparoscopy. This innovative, time-enduring Hub&Spoke may allow patients to undergo a proper standard of care also for complex surgical procedures, without the need of reaching referral centres.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Ceccarelli G,Andolfi E,Fontani A,Calise F,Rocca A,Giuliani Adoi
10.23736/S0026-4733.18.07651-4subject
Has Abstractpub_date
2018-10-01 00:00:00pages
460-468issue
5eissn
0026-4733issn
1827-1626pii
S0026-4733.18.07651-4journal_volume
73pub_type
杂志文章abstract：:We evaluated the effectiveness of sulbactam/ampicillin (S/A) as a perioperative prophylaxis regimen in elective colic surgery (procedures lasting less than 4 hours). We studied 18 patients (11 males, 7 females; mean age 46 yrs, range 21-72), by an open, non-comparative trial: S/A was given soon before anesthesia (1 g ...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-15 00:00:00
abstract：BACKGROUND:Personal experience about substernal goiter is reported. Stressing laid on the importance of definition: a goiter that is totally or in the most part below the superior thoracic outlet, with normal vascularization. METHODS: DESIGN:retrospective evaluation of patients observed in the last six years. SETTIN...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：:Over the last years, several new systemic cancer therapy strategies have been introduced to turn the growing insights of molecular aberrations involved in the development and progression of lung cancer into better treatment options fort the patients. This review presents some of the most important biological targets a...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2011-06-01 00:00:00
abstract：:Twenty-two patients undergoing major head and neck surgery were included in a randomized trial to value the efficacy and side effects of parenteral short-term antibiotic prophylaxis of post-operative infections. Two different antibiotic regimens were compared: group A, ceftazidime i.v. (2 g) in three doses (half an ho...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1989-11-30 00:00:00
abstract：:The authors report a retrospective study of four patients treated for sigmoid volvulus at the Clinica Chirurgica II of IRCCS Policlinico S. Matteo of Pavia between April 1974 and June 1989. They are collected from a series of 74 consecutive operations for colonic obstruction not related to hernias of the inguinal-crur...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1993-05-31 00:00:00
abstract：:Over the course of 12 years (1977-1989) 40 patients aged over 50 (mean age 67 years) with acute appendicitis (Group I) were admitted to and operated in the Department of Surgery at Casalpusterlengo Hospital. Diagnosis was always confirmed by pathological examination. The following data were taken into account: the int...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-03-15 00:00:00
abstract：:The role of aminophylline in the re-formation of peritoneal adhesions was considered in 23 rats. Since the adhesions were obtained, the animals were subsequently divided into three groups, the first one containing seven units, the others containing eight animals each. During the four days prior the surgery, allopurino...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-03-15 00:00:00
abstract：:After a review of the literature on the subject, all IIIrd and IVth age patients admitted for acute abdomen to the Department of Surgical Pathology I of the University of Pavia between 1-1-1974 and 31-12-1988 were studied. The various pathologies encountered in acute abdomen are considered on the basis of the results ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
abstract：:The Authors perform a retrospective study on the incidence of postoperative jaundice in a selected group of 2060 patients, who underwent operations of general or vascular surgery. The incidence of jaundice in the postoperative period appears to be quite high in vascular surgery: out of 96 patients became jaundiced, 78...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-06-30 00:00:00
abstract：BACKGROUND AND AIMS:The use of steroids was recently extended to the various forms of ulcerative rectocolitis by the introduction of topical formulations, above all steroids with an hepatic "first pass" devoid of systemic interference. The aim of this study was to evaluate the efficacy and tolerability of Beclomethason...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：1999-09-01 00:00:00
abstract：:The paper reports two cases of adenocarcinoma of the appendix. Following a review of the literature on this neoplasia, it concludes that prognosis is poor on account of the early spread of the disease, the low ratio of suspected disease, and difficulties of diagnosis prior to surgery. The preferred surgical treatment ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 00:00:00
abstract：:The relationship between hyperthyroidism due to Graves' disease or toxic nodular goiters and carcinoma of the thyroid remains uncertain. The incidence of thyroid carcinoma varies considerably from as low as 0.3% to as high as 16.6% with a higher rate in toxic nodular goiters than in diffuse goiters and in endemic goit...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1994-06-01 00:00:00
abstract：BACKGROUND:Our aim is to propose the Video-Consulting Emergency (VCE) protocol as a tool to improve the decision-making process between an on-site emergency physician and a remote acute care surgeon using a smartphone, the FaceTime application, and the Acute Abdominal Decision Making (AADM®) model proposed by World Soc...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.18.07963-4
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:The conservative surgery is considered currently the treatment of choice for the carcinoma of the breast in the initial stage. METHODS:From 1993 to the 2000, 46 patients (median age 52 years) affected by intraductal carcinoma of the breast, have been submitted to surgical intervention. In 10 cases (21,7%) a...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2003-08-01 00:00:00
abstract：:A comparative experimental study was conducted on three different suture techniques for end-to-end colonic anastomoses. The development of stenosis, perivisceral adhesions and resistance to endoluminal pressure were assessed. The results show that the one layer all-coat interrupted stitch anastomosis displays less res...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-04-15 00:00:00
abstract：:Minimally invasive colorectal surgery has evolved over the past few decades. Techniques currently in practice to decrease the impact of colorectal surgery for neoplasia include laparoscopy and its derivations, robotic surgery, transanal endoscopic surgery (TES), transanal total mesorectal excision (taTME), natural ori...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:The authors evaluate effectiveness, safety and cosmetic results obtained using the new skin closing system Medizip. METHODS:At the Thoracic Surgery Department of the National Cancer Institute (Milan) between June 1999 and March 2001, in 30 patients who underwent median sternotomy for bilateral pulmonary wed...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
abstract：:Two personally observed cases of ischaemia of the lower extremities due to thrombosis caused by a popliteal aneurysm are presented. While surgery is known to be treatment of choice, in these cases locoregional fibrinolysis was preferred. It seems useful to detail the advantages of this approach that has never appeared...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-05-31 00:00:00
abstract：:Sorbsan is a new dressing composed of alginate fibers extracted from seaweed. It is claimed to have important hydrophilic, haemostatic and biocompatible qualities. Sorbsan was used in the treatment of the donor site of split skin grafts in 52 patients operated in this department from 1988 to 1990. The patients of this...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-06-15 00:00:00
abstract：:Cystic pneumatosis (CP) is an uncommon but significant condition in adults in which gas is found in a linear or cystic form in the submucosa or the subserosa of the bowel wall. The diagnosis was made by conventional X-ray and confirmed by abdominal computed tomography. Benign pneumoperitoneum due to CP should be consi...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:The authors analyse the results relating to the use of a technical variation of entero-enteroanastomosis preparation in the reconstruction of the continuity of upper digestive tract with a defunctionalised Roux en Y loop. This variation includes the use of a circular Proximate ILS mechanical stapler. The series examin...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:Delayed graft function is a common and severe complication after cadaveric kidney transplantation. Besides a more complicated postoperative course, DGF can worsen the overall graft survival. In particular, DGF enhances the nephrotoxicity of mainstream immunosuppressants cyclosporine and FK506. This study eva...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：AIM:Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postop...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：2012-02-01 00:00:00
abstract：:Askin's tumour is a rare malignant small cell neoplasia of the thoracic wall; it most often effects females during childhood and is characterised by limited survival. The authors report a recent case of Askin's tumour in a young adult male. The case was characterised by multiple recidivation but a long survival. The a...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:Even today, traumatic lesions of the popliteal artery mean in a large percentage of cases (from 25% to 45% according to recent reports) loss of the extremity, notwithstanding the considerable advances made by reconstructive vascular surgery. The most important series are reported in relation to events of war in the pa...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-04-30 00:00:00
abstract：:Personal experience of a fairly rare disease is reported and it is stressed that the decisive factor in opting for surgery is the diameter of the colon, particularly the cecum, on the basis of direct X-ray of the abdomen. It is considered that cecostomy is not only the simplest operation but is also the one that offer...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-04-15 00:00:00
abstract：:Five hundred and twenty (520) patients with lung resection for cancer and known follow-up were studied. The aim of the study was to analyse long-term results in relation to the age of the patients. Two hundred and forty (240) cases were less than 55 years old, 227 were aged between 55 and 65 years, 53 were aged over 6...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：:After a wide analysis of peptic gastroduodenal ulcer medical therapy, before and after the era of cimetidine, the Authors, after a brief account of the Anatomy and Physiology of the stomach, examine surgical therapy, from the end of the last century till now. After giving the results of the surgical cases of one of th...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1990-04-30 00:00:00
abstract：:We report on a case of early portal vein thrombosis occurring after liver transplantation in a patient with alcoholic cirrhosis. Although this complication is usually accompanied by acute graft failure and/or gastroesophageal bleeding, in this patient the portal thrombosis occurred with the appearance of general drops...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-04-30 00:00:00
abstract：:Mechanistic reasoning suggests that since antireflux surgery treats the gastroesophageal reflux that is the major known risk factor for Barrett's esophagus, it should have a beneficial effect on the biology of Barrett's disease. Due to a lack of adequate data, whether this is the case remains uncertain. Most studies, ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2011-02-01 00:00:00
