Publications by authors named "Lorenzo Maria Fatucchi"
Background: Postoperative pancreatic fistula (POPF) represents the most feared complication after distal pancreatectomy, and the possible role of robotic assistance in this setting is poorly investigated so far.
Methods: We analysed short-term outcomes of 88 patients who had undergone robot-assisted distal pancreatectomy (RDP), dividing them according to pancreatic stump management: selective Wirsung duct ligation/hand sewn suture (WirsLIG group), use of robotic EndoWrist staplers (RobSTAP group), and use of laparoscopic staplers (LapSTAP group).
Results: Mean operative time resulted significantly longer in WirsLIG group (291.
Intraductal papillary mucinous neoplasms (IPMNs) are nonobligatory precursor lesions of pancreatic ductal adenocarcinoma (PDAC). The identification of molecular biomarkers able to predict the risk of progression of IPMNs toward malignancy is largely lacking and sorely needed. Telomere length (TL) is associated with the susceptibility of developing cancers, including PDAC.
View Article and Find Full Text PDFBackground: Artificial intelligence (AI) has the potential to enhance patient safety in surgery, and all its aspects, including education and training, will derive considerable benefit from AI. In the present study, deep-learning models were used to predict the rates of proficiency acquisition in robot-assisted surgery (RAS), thereby providing surgical programs directors information on the levels of the innate ability of trainees to facilitate the implementation of flexible personalized training.
Methods: 176 medical students, without prior experience with surgical simulators, were trained to reach proficiency in five tasks on a virtual simulator for RAS.
Total pancreatectomy (TP) is a highly invasive procedure often performed in patients affected by anorexia, malabsorption, cachexia, and malnutrition, which are risk factors for bad surgical outcome and even may cause enhanced toxicity to chemo-radiotherapy. The role of nutritional therapies and the association between nutritional aspects and the outcome of patients who have undergone TP is described in some studies. The aim of this comprehensive review is to summarize the available recent evidence about the influence of nutritional factors in TP.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the outcomes of conservative surgery (CS) versus total pancreatectomy (TP) for treating intraductal papillary mucinous neoplasms (IPMNs), a type of pancreatic tumor, through a retrospective analysis of patient data from 2007 to 2019.
- A total of 126 patients were analyzed: 53 underwent TP and 73 underwent CS, with both groups showing similar postoperative complications and no significant differences in overall survival (OS) or disease-free survival (DFS).
- The findings suggest that conservative surgery may be a viable option for most patients with IPMNs, potentially reducing the risk of severe complications associated with more extensive surgical procedures.
Background: Intra-abdominal abscesses (IAA) may develop after laparoscopic appendectomies (LA) for acute appendicitis. The identification of risk factors for postoperative IAA could lead to a decrease in the readmission rate and surgery redoes after LA for acute appendicitis.
Materials And Methods: The present study retrospectively analyzed patients undergone LA for acute appendicitis during the period 2001-2017.