20 research outputs found
Correction to: SICE national survey: current state on the adoption of laparoscopic approach to the treatment of colorectal disease in Italy (Updates in Surgery, (2019), 71, 1, (77-81), 10.1007/s13304-018-0606-5)
No full textThe surname and given name of author Riccardo Brachet Contul was incorrectly published
Correction to: SICE national survey: current state on the adoption of laparoscopic approach to the treatment of colorectal disease in Italy (Updates in Surgery, (2019), 71, 1, (77-81), 10.1007/s13304-018-0606-5)
No full textPage 80, Acknowledgements section: The surname and given name of author Riccardo Brachet Contul was incorrectly published. The correct surname and given name should read as: Surname: Brachet Contul and Given Name: Riccardo
Non-specific abdominal pain
No full textThe number of elderly and frail patients admitted to the Emergency Department (ED) reporting non-specific abdominal pain (NSAP) is going to increase in the next decades. Acute abdomen remains a clinical challenge in the elderly patient. To distinguish which patients need surgery from non-surgical abdominal illnesses can be difficult. Less severe conditions can mimic major diagnoses requiring early intervention. Early diagnosis is essential in such patients, as delayed treatment can worsen overall clinical outcomes, especially in case of perforated peptic ulcer, acute cholecystitis and perforated diverticulitis. The use of computed tomography (CT) scan should be liberal, as the long-term side effect of radiation is of less concern in the elderly, compared to younger patients. Efforts to explain to the patient the range of therapeutic alternatives, risks and possible outcomes should precede final treatment decisions. Non-specific abdominal pain (NSAP) patients may be approached with different strategies, including clinical observation, laboratory tests, imaging (ultrasound (US) and/or CT scan), surgery (open or laparoscopic) or sent home early with planned outpatient follow-up. Even though relevant literature across the years has been published, it is not well established as to which approach guarantees the best outcome. Early laparoscopy maintains both a diagnostic and a therapeutic role, reduces hospital stay, improves morbidity and mortality, quality of life and it is cost-effective. Risk and benefits of this strategy have to be addressed individually
Erratum to: Preoperative Predictive Factors of Successful Weight Loss and Glycaemic Control 1 Year After Gastric Bypass for Morbid Obesity (2016, 10.1007/s11695-015-1662-2)
No full textCurrent status on the adoption of high energy devices in Italy: An Italian Society for Endoscopic Surgery and New Technologies (SICE) national survey
No full textBackground: In the past three decades, different High Energy Devices (HED) have been introduced in surgical practice to improve the efficiency of surgical procedures. HED allow vessel sealing, coagulation and transection as well as an efficient tissue dissection. This survey was designed to verify the current status on the adoption of HED in Italy. Methods: A survey was conducted across Italian general surgery units. The questionnaire was composed of three sections (general information, elective surgery, emergency surgery) including 44 questions. Only one member per each surgery unit was allowed to complete the questionnaire. For elective procedures, the survey included questions on thyroid surgery, lower and upper GI surgery, proctologic surgery, adrenal gland surgery, pancreatic and hepatobiliary surgery, cholecystectomy, abdominal wall surgery and breast surgery. Appendectomy, cholecystectomy for acute cholecystitis and bowel obstruction due to adhesions were considered for emergency surgery. The list of alternatives for every single question included a percentage category as follows: “ < 25%, 25–50%, 51–75% or > 75%”, both for open and minimally-invasive surgery. Results: A total of 113 surgical units completed the questionnaire. The reported use of HED was high both in open and minimally-invasive upper and lower GI surgery. Similarly, HED were widely used in minimally-invasive pancreatic and adrenal surgery. The use of HED was wider in minimally-invasive hepatic and biliary tree surgery compared to open surgery, whereas the majority of the respondents reported the use of any type of HED in less than 25% of elective cholecystectomies. HED were only rarely employed also in the majority of emergency open and laparoscopic procedures, including cholecystectomy, appendectomy, and adhesiolysis. Similarly, very few respondents declared to use HED in abdominal wall surgery and proctology. The distribution of the most used type of HED varied among the different surgical interventions. US HED were mostly used in thyroid, upper GI, and adrenal surgery. A relevant use of H-US/RF devices was reported in lower GI, pancreatic, hepatobiliary and breast surgery. RF HED were the preferred choice in proctology. Conclusion: HED are extensively used in minimally-invasive elective surgery involving the upper and lower GI tract, liver, pancreas and adrenal gland. Nowadays, reasons for choosing a specific HED in clinical practice rely on several aspects, including surgeon’s preference, economic features, and specific drawbacks of the energy employed
Correction to: Laparoscopic right hemicolectomy: the SICE (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie) network prospectivetrial on 1225 cases comparing intra corporeal versus extra corporeal ileo‐colic side‐to‐side anastomosis (Surgical Endoscopy, (2019), 10.1007/s00464-019-07255-2)
No full textDue to an error in production the members of SICE CoDIG (Colon Dx Italian Group) listed in the Acknowledgments were not tagged correctly as authors in the XML of this article. This listing is presented again here: SICE CoDIG (ColonDxItalianGroup): V. Adamo (S Lazzaro Alba – CN), A. Agrusa (Palermo), G. Alemanno (Firenze), M.E. Allaix (Torino), A. Alò (Orbassano TO), A. Altamura (Tricase – LE), A. Ambrosi (Foggia), M. Antoniutti (Bassano del Grappa – VI), D. Apa (Roma), G. Arcuri (Gubbio – PG), G.L Baiocchi (Brescia), A. Balani (Gorizia), G. Baldazzi (Milano), M. Basti (Pescara), C. Benvenuto (Protogruaro – VE), S. Berti (La Spezia), L. Boni (Milano), F. Borghi (Cuneo), E. Botteri (Brescia), R. Brachet Contul (Aosta), A. Brescia (Roma), A. Budassi (Frabriano - AN), L. Cafagna (Andria), M. Calgaro (S Lazzaro Alba – CN), P.G. Calò (Cagliari), R. Campagnacci (Jesi – AN), G. Canova (Borgosesia – VC), G.L. Canu (Cagliari), V. Caracino (Pescara), P. Carcoforo (Ferrara), M. Carlini (Roma), L. Casali (Fidenza – PR), D. Cassetti (Siena), E. Cassinotti (Milano), M. Catarci (Ascoli Piceno), M. Cesari (Città di Castello – PG), P. Checcacci (Firenze), P. Ciano (Ascoli Piceno), M. Clementi (L’ Aquila), G. Cocorullo (Palermo), F. Colombo (Milano), G. Concone (Milano), A. Contine (Città di Castello – PG), M. Coppola (Lanusei – NU), A. Coratti (Firenze), F. Corcione (Napoli), P. Corleone (Trieste), L. Covotta (Contrada Pozzillo – AV), D. Cuccurullo (Napoli), P. Cumbo (Chieri – TO), G. D’Ambrosio (Roma), F. De Angelis (Latina), M. De Luca (Montebelluna –TV), N. De Manzini (Trieste), C. De Nisco (Nuoro), G.D. De Palma (Napoli), P. De Paolis (Torino), M. Degiuli (Orbassano – TO), D. Delogu (Lanusei – NU), P. Delrio (Napoli), A. Deserra (Cagliari), A. Donini (Perugia), U. Elmore (Milano), G. Ercolani (Forlì), E. Erdas (Cagliari), L. Fabris (Cles – TN), G. Ferrari (Milano), C. Feo (Valle Oppio – FE), F. Fidanza (Portogruaro – VE), D. Foschi (Milano),R. Galleano (Pietra Ligure – SV), G. Garulli (Rimini), F. Gatti (Milano), A. Gattolin (Mondovì – CN), S. Gelati (Conegliano Veneto – TV), R. Gelmini (Modena), O. Ghazouani (Pietra Ligure – SV), A. Gioffrè (Roma), S. Gobbi (Olbia), V. Grammatico (Chieri – TO), A. Guariniello (Ravenna), S. Giannessi (Pistoia), M. Guerrieri (Ancona), L. Guerriero (Napoli), G. Gullotta (Palermo), H. Impellizzeri (Peschiera del Garda – VR), M. Izzo (Firenze), E. Jovine (Bologna), G. Lezoche (Ancona), C. Lirusso (Udine), R. Lombardi (Bologna), M. Longoni (Milano), A. Lucchi (Riccione – RN), A.P. Luzzi (Genova), P. Marini (Roma), A.G. Marrosu (Sassari), A. Martino (Udine), R. Mazza (Perugia), S. Mazzoccato (Jesi – AN), F. Medas (Cagliari), A. Meloni (San Gavino Monreale – VS), M. Milone (Napoli), E. Minciotti (Gubbio – PG), F. Monari (Riccione – RN), G. Moretto (Peschiera del Garda – VR), I.A. Muttillo (Roma), G. Navarra (Messina), S. Neri (Sassuolo - MO), A. Oldani (Zingonia – BG), S. Olmi (Zingonia – BG), E. Opocher (Milano), E. Osenda (Trieste), R. Ottonello (Muravera – CA), V. Panebianco (Taormina - CT), M. Pavanello (Conegliano Veneto – TV), F. Pecchini (Modena), L. Pellegrino (Cuneo), D. Pennisi (Gorizia), N. Perrotta (Potenza), D. Pertile (Genova), R. Petri (Udine), A. Picchetto (Roma), M. Piccoli (Modena), B. Pirrera (Rimini), A. Pisani Ceretti (Milano), M. Pisano (Muravera – CA), M. Podda (Nuoro), N. Portolani (Brescia), L. Presenti (Olbia), A. Puzziello (Salerno), S. Razzi (Aosta), D. Rega (Napoli), E. Restini (Bari), G. Ricci (Roma), M. Rigamonti (Cles – TN), U. Rivolta (Magenta), V. Robustelli (Pistoia), E. Romairone (Genova), R. Rosati (Milano), E. Rosso (Brescia), F. Roviello (Siena), S. Sala (Sassuolo – MO), M. Santarelli (Torino), G. Sarro (Magenta), A. Sartori (Montebelluna –TV), S. Scabini (Genova), F. Scognamillo (Sassari), R. Sechi (San Gavino Monreale – VS), L. Solaini (Forlì), G. Soliani (Ferrara), P. Soliani (Ravenna), E. Soligo (Vercelli), M. Sorrentino (Latisana – UD); G. Spinoglio (Milano), E. Stratta (Genova), A. Taddei (Firenze), G. Talamo (La Spezia), S. Targa (Valle Oppio – FE), N. Tartaglia (Foggia), S. Testa (Vercelli), P. Ubiali (Pordenone), A. Valeri (Firenze), F. Vasta (Taormina - CT), A. Verzelli (Fabriano – AN), R. Vicentini (L’Aquila), G. Viola (Tricase – LE), V. Violi (Fidenza - PR), M. Zago (Borgosesia – VC), L. Zampino (Milano)
Current status on the adoption of high energy devices in Italy: An Italian Society for Endoscopic Surgery and New Tecnologies (SICE) national survey
No full textBackground: In the past three decades, different High Energy Devices (HED) have been introduced in surgical practice to improve the efficiency of surgical procedures. HED allow vessel sealing, coagulation and transection as well as an efficient tissue dissection. This survey was designed to verify the current status on the adoption of HED in Italy. Methods: A survey was conducted across Italian general surgery units. The questionnaire was composed of three sections (general information, elective surgery, emergency surgery) including 44 questions. Only one member per each surgery unit was allowed to complete the questionnaire. For elective procedures, the survey included questions on thyroid surgery, lower and upper GI surgery, proctologic surgery, adrenal gland surgery, pancreatic and hepatobiliary surgery, cholecystectomy, abdominal wall surgery and breast surgery. Appendectomy, cholecystectomy for acute cholecystitis and bowel obstruction due to adhesions were considered for emergency surgery. The list of alternatives for every single question included a percentage category as follows: “ < 25%, 25–50%, 51–75% or > 75%”, both for open and minimally-invasive surgery. Results: A total of 113 surgical units completed the questionnaire. The reported use of HED was high both in open and minimally-invasive upper and lower GI surgery. Similarly, HED were widely used in minimally-invasive pancreatic and adrenal surgery. The use of HED was wider in minimally-invasive hepatic and biliary tree surgery compared to open surgery, whereas the majority of the respondents reported the use of any type of HED in less than 25% of elective cholecystectomies. HED were only rarely employed also in the majority of emergency open and laparoscopic procedures, including cholecystectomy, appendectomy, and adhesiolysis. Similarly, very few respondents declared to use HED in abdominal wall surgery and proctology. The distribution of the most used type of HED varied among the different surgical interventions. US HED were mostly used in thyroid, upper GI, and adrenal surgery. A relevant use of H-US/RF devices was reported in lower GI, pancreatic, hepatobiliary and breast surgery. RF HED were the preferred choice in proctology. Conclusion: HED are extensively used in minimally-invasive elective surgery involving the upper and lower GI tract, liver, pancreas and adrenal gland. Nowadays, reasons for choosing a specific HED in clinical practice rely on several aspects, including surgeon’s preference, economic features, and specific drawbacks of the energy employed
Acute cholecystitis during COVID-19 pandemic: A multisocietary position statement
No full textFollowing the spread of the infection from the new SARS-CoV2 coronavirus in March 2020, several surgical societies have released their recommendations to manage the implications of the COVID-19 pandemic for the daily clinical practice. The recommendations on emergency surgery have fueled a debate among surgeons on an international level. We maintain that laparoscopic cholecystectomy remains the treatment of choice for acute cholecystitis, even in the COVID-19 era. Moreover, since laparoscopic cholecystectomy is not more likely to spread the COVID-19 infection than open cholecystectomy, it must be organized in such a way as to be carried out safely even in the present situation, to guarantee the patient with the best outcomes that minimally invasive surgery has shown to have
Correction to: Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study (Updates in Surgery, (2021), 73, 2, (731-744), 10.1007/s13304-021-01010-w)
No full textThe Collaborative Group there are two authors names are incorrect. The correct names are provided below: Paolo Pietro Bianchi and Giampaolo Formisano Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence
Appendectomy during the COVID-19 pandemic in Italy: a multicenter ambispective cohort study by the Italian Society of Endoscopic Surgery and new technologies (the CRAC study)
No full textMajor surgical societies advised using non-operative management of appendicitis and suggested against laparoscopy during the COVID-19 pandemic. The hypothesis is that a significant reduction in the number of emergent appendectomies was observed during the pandemic, restricted to complex cases. The study aimed to analyse emergent surgical appendectomies during pandemic on a national basis and compare it to the same period of the previous year. This is a multicentre, retrospective, observational study investigating the outcomes of patients undergoing emergent appendectomy in March-April 2019 vs March-April 2020. The primary outcome was the number of appendectomies performed, classified according to the American Association for the Surgery of Trauma (AAST) score. Secondary outcomes were the type of surgical technique employed (laparoscopic vs open) and the complication rates. One thousand five hundred forty one patients with acute appendicitis underwent surgery during the two study periods. 1337 (86.8%) patients met the inclusion criteria: 546 (40.8%) patients underwent surgery for acute appendicitis in 2020 and 791 (59.2%) in 2019. According to AAST, patients with complicated appendicitis operated in 2019 were 30.3% vs 39.9% in 2020 (p = 0.001). We observed an increase in the number of post-operative complications in 2020 (15.9%) compared to 2019 (9.6%) (p < 0.001). The following determinants increased the likelihood of complication occurrence: undergoing surgery during 2020 (+ 67%), the increase of a unit in the AAST score (+ 26%), surgery performed > 24 h after admission (+ 58%), open surgery (+ 112%) and conversion to open surgery (+ 166%). In Italian hospitals, in March and April 2020, the number of appendectomies has drastically dropped. During the first pandemic wave, patients undergoing surgery were more frequently affected by more severe appendicitis than the previous year's timeframe and experienced a higher number of complications. Trial registration number and date: Research Registry ID 5789, May 7th, 202
