Publications by authors named "Irene Giusti"

Article Synopsis
  • The study aimed to investigate factors related to lateral lymph node (LLN) involvement in patients with locally advanced rectal cancer (LARC) undergoing neoadjuvant chemoradiotherapy (nCRT) and surgery, focusing on their effect on local recurrence rates.
  • The retrospective analysis included 301 LARC patients treated between 2014 and 2019, assessing MRI results for LLN involvement and categorizing patients based on whether they had suspicious nodes.
  • Findings revealed that while 15.9% showed suspicious LLNs on initial MRI, abnormal LLNs did not independently affect local recurrence rates after 3 years, suggesting they may not be a significant risk factor in this context.
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Background: Despite its potential oncologic benefit, complete mesocolic excision (CME) has rarely been offered to elderly patients. The present study evaluated the effect of age on postoperative outcomes among patients undergoing laparoscopic right colectomies with CME for right-sided colon cancer (RCC).

Methods: Data of patients undergoing laparoscopic right colectomies with CME for RCC between 2015 and 2018 were retrospectively analyzed.

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Article Synopsis
  • The study aimed to compare surgical and postoperative outcomes of laparoscopic pancreaticoduodenectomy (LPD) in patients with pancreatic cancer versus other periampullary neoplasms, using a right artery first approach.
  • Data from 31 patients (15 with pancreatic cancer and 16 with other neoplasms) showed no significant differences in surgical times, blood loss, or pathological outcomes between the two groups.
  • The only notable difference was a higher overall complication rate in patients with other periampullary neoplasms (68.7% vs. 26.7% in pancreatic cancer), suggesting the right artery first approach is feasible for both groups.
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Background: The correct extent of mesocolic dissection for right-sided colon cancer (RCC) is still under debate. Complete mesocolic excision (CME) has not gained wide diffusion, mainly due to its technical complexity and unclear oncological superiority. This study aims to evaluate oncological outcomes of CME compared with non-complete mesocolic excision (NCME) during resection for I-III stage RCC.

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A diabetic patient who at a routine abdominal ultrasounds was found to have a very dilated pancreatic duct. Computed tomography (CT) scan diagnosed a sero-cystic lesion of the pancreatic head. Gastroduodenoscopy discovered a duodenal hyperemic area, which was sampled.

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