Publications by authors named "Giorgio Citone"
In this retrospective study, the modality and advantages of the multidisciplinary diagnostic work-up and therapy regarding colorectal neoplasm were analysed. Over the period 2004-2008, 63 patients underwent multidisciplinary treatment for colorectal cancer. All patients underwent surgery (laparoscopic/open).
View Article and Find Full Text PDFThrough a critical review of the literature, the authors analyze and re-assess the current diagnostic and therapeutic algorithms used in the treatment of mild acute biliary pancreatitis, reporting their experience with 27 cases observed in the Policlinico Umberto I Emergency Department (Rome) over the period from March 2003 to May 2005. All patients were treated with the same diagnostic and therapeutic protocol: once the diagnosis of acute biliary pancreatitis had been made and the severity evaluated, patients presenting clinical or ultrasonographic signs of main biliary duct stones underwent ERCP within 72 hours of onset of symptoms. All patients then underwent a standard-technique laparoscopic cholecystectomy during the same hospital stay, and whenever ERCP had not been performed preoperatively, an intraoperative cholangiography was performed at the time of surgery.
View Article and Find Full Text PDFWe analyzed our case series in order to evaluate the evolution of our laparoscopic technique in ergonomic and cosmetic terms, leading to the right compromise between these aspects. We retrospectively analyzed 136 diagnostic laparoscopies for suspected appendicitis, using scheme A in the first 98 cases (one 10/12-mm umbilical trocar for the optics and two 5-mm operative trocars placed above the pubis on the right and left side) and scheme B in the other 38 cases (one 10/12-mm umbilical trocar for the optics and two 5-mm operative trocars, one placed over the pubis and the other one on the right hip, just on the umbilical line). The diagnosis of appendicitis was confirmed in 117 patients, while other diseases were present in 19 patients.
View Article and Find Full Text PDFArticle Synopsis
- Laparoscopic cholecystectomy is the primary treatment for symptomatic gallstones, but 10-20% of these patients may also have stones in the common bile duct, complicating treatment options.
- Various surgical strategies exist for addressing common bile duct stones, including laparoscopic exploration and different sequential treatments combining endoscopic and laparoscopic techniques.
- A study evaluated the efficacy and safety of sequential endoscopic-laparoscopic treatment for patients with concurrent gallstones and common bile duct stones, analyzing data from 552 patients and noting that 11.3% required preoperative endoscopic procedures.
Article Synopsis
- Laparoscopy, traditionally known for diagnostics, has become a key therapeutic approach in emergency surgery, with a study analyzing 221 patients over a decade focusing on acute abdomen cases.
- The majority of patients had conditions like acute appendicitis (57%) and acute cholecystitis (18%), with successful laparoscopic completion in 87% of cases; however, 13% required conversion to a traditional open surgery (laparotomy).
- The study highlights laparoscopy's benefits, including shorter hospital stays (average 4 days), lower morbidity (3%), and near-zero mortality (0.5%), while emphasizing the need for skilled surgical teams to manage its technical challenges.