Surgical management protocol during the COVID-19 pandemic in an Italian non-referral center.

Background: In the surgical scenario, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diffusion worldwide entails on the one hand the need to continue to perform surgery at least in case of emergency or oncologic surgery, in patients with or without COronaVIrus Disease 2019 (COVID-19); and on the other hand, to avoid the pandemic diffusion both between patients and medical and nursing team. The aim of this study was to report our surgical management protocol during the COVID-19 pandemic in an Italian non-referral center.

Methods: Data retrieved during the outbreak for the COVID-19 pandemic, from March 8 to May 4, 2020 (study period) were analyzed and compared to data obtained during the same period in 2019 (control period).

[Laparoscopic total mesorectal excision for extraperitoneal rectal cancer. Oncological outcome at 5 years].

Total mesorectal excision (TME) is the cornerstone of surgical treatment for extraperitoneal rectal cancer. The aim of the present study was to analyse our five-year experience with laparoscopic TME, evaluating the overall five-year and disease-free survival rates. Twenty-five patients with low-middle rectal cancer were treated with laparoscopic TME.

[Five-year oncological results of laparoscopic versus open left hemicolectomy].

Laparoscopic left hemicolectomy is still uncommon in surgical practice, because of both an unjustified fear of oncological inadequacy and technical difficulties with a steep learning curve. The aim of the present study was to analyse our 5-year experience with laparoscopic left hemicolectomy and its short- and long-term results. Thirty patients with non-metastatic non-infiltrating left colon cancer were treated laparoscopically and retrospectively compared to a group treated laparotomically and well matched for age, comorbidity and stage of disease in respect to the laparoscopic group.

[Laparoscopic versus open right hemicolectomy: 5-year oncology results].

Laparoscopic right hemicolectomy has developed less markedly than rectosigmoid resection, probably because of the more complicated regional anatomy and greater difficulty in performing an adequate regional lymphectomy. The aim of the present study was to analyse our 5-year experience with laparoscopic right hemicolectomy. Twenty patients were enrolled with non-metastatic, non-infiltrating right colonic cancer, treated laparoscopically and compared to a group well matched for age, sex, comorbidity and stage of disease, treated laparotomically.

[Modulation of the extent of lymphadenectomy in early gastric cancer. Review of the literature and role of laparoscopy].

Early gastric cancer is a gastric carcinoma confined to the mucosa or submucosa of the stomach, regardless of the presence of nodal involvement, which in any event is present only in about 20% of patients. This uncommon nodal involvement is a distinct clinical problem, because standard D2 lymphadenectomy constitutes overtreatment in more than 80% of patients. A review of the literature shows that the present surgical tendency for those patients who do not fulfill the Gotoda criteria (i.

[Intrahepatic biliary papillomatosis: a case report].

The Authors describe a case of intrahepatic biliary papillomatosis, which extended from the left to part of the right hepatic biliary tract. Biliary papillomatosis is a rare disease characterised by obstruction and frequently by cholangitis. The diagnosis is possible only after the final pathological analysis.

[Use of prostheses in the treatment of laparocele].

Effective solutions to the problem of surgery for bulk laparoceles began to emerge with the introduction of synthesis materials that can be used to reinforce or replace the abdominal wall. The ideal prosthesis has yet to be found, though today a large number of laparoceles are treated with the use of polypropylene (Marlex) and PTFE (Goretex), which are considered the best materials for alloplasty with only a very limited number of recurrences and complications. The authors describe their experience over two distinct periods: in the first of these, from 1985 to 1994, 49 of 126 patients were treated with prostheses (39 using the Rives technique and 10 simple alloplasty); in the second period, from 1995 to 2000, 39 of 79 patients were treated with prostheses (12 using the Rives technique and 27 simple alloplasty).