Publications by authors named "Ludovica Esposito"
Background: Although minimally invasive distal pancreatectomy (MIDP) is considered a standard approach it still presents a non-negligible rate of conversion to open that is mainly related to some difficulty factors, as obesity. The aim of this study is to analyze the preoperative factors associated with conversion in obese patients with MIDP.
Methods: In this multicenter study, all obese patients who underwent MIDP at 18 international expert centers were included.
Article Synopsis
- Robotic distal pancreatectomy (RDP) shows better short-term outcomes than laparoscopic distal pancreatectomy (LDP) in obese patients with a BMI of 30 or higher, including lower complication rates and less blood loss.
- The study included 446 obese patients over a 10-year span, focusing on surgery effectiveness and treatment comparisons at 18 expert centers.
- RDP was found to have a lower conversion rate to open surgery and achieved better spleen preservation compared to LDP, highlighting its advantages for surgical interventions in this patient group.
Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is known to cause a predominant respiratory disease, although extrapulmonary manifestations can also occur. One of the targets of Coronavirus disease 2019 (COVID-19) is the hepatobiliary system. The present study aims to describe the correlation between the increase of liver damage markers (.
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- Laparoscopic cholecystectomy (LC) is the standard treatment for gallbladder issues, and single-site robotic cholecystectomy (SSRC) offers improved ergonomics and cosmetic outcomes, potentially reducing surgical trauma.
- A study involving 27 patients showed SSRC to be technically feasible with no major complications; however, 11.5% experienced post-operative incisional hernias, and patients reported improvements in body image and scar appearance.
- The initial findings suggest that SSRC could be a preferred method for patients who prioritize cosmetic results, and the lower costs associated with robotic surgeries might encourage wider adoption for this technique in gallbladder surgery.
Background: The therapy for differentiated thyroid tumors is currently built upon two cornerstones: the stage of the disease and the new guidelines of the American Thyroid Association, jointly converging to lobohystmectomy for selected cases that meet certain criteria. The aim of the study was to relate these guidelines to the activity of an Italian center with a medium-high volume of thyroidectomies in a region with a high rate of endemic disease of the thyroid.
Methods: In order to conduct the analysis, the clinical records of the last 3 years, including 194 cases of total thyroidectomy and 3 lobohystmectomy, were taken into consideration.
Aim: Describtion of a rare case of intestinal obstruction due to peritoneal sarcoidosis mimicking peritoneal carcinomatosis, and of the literature review about its surgical management.
Material Of Study: A 69 year-old woman was referred to our emergency department with diffuse abdominal pain, enteric vomiting and constipation. Abdominal CT showed a dilatated small bowel loops extended to the jejunum with a mechanical obstruction.