Totally laparoscopic right hemicolectomy with up-down approach. A single institution experience.

Aim: Many laparoscopic techniques have been described for the treatment of right colon cancer. The purpose of this study is to communicate our experience in the totally laparoscopic treatment of right colon cancer and to report our short-term results in order to confirm the feasibility and safeness of this demanding procedure.

Material Of Study: From November 2017 to April 2020, we performed 384 surgical operations for colorectal cancers, of these 81 have involved tumors of the right colon in urgent and elective conditions.

Preoperative fasting - "nihil per os" a difficult myth to break down: a randomized controlled study.

Introduction: For several years the scientific anaesthesia societies declared a preoperative fast of 6 hours for solid foods and 2 hours for clear liquids before elective surgical interventions to be sufficient. The aim of this study is to identify the extent of the gap that exists between the preoperative fasting time required and that actually encountered in operating rooms.

Patients And Methods: The safety and clinical applicability of a reduction of the preoperative fasting time was investigated through the use of oral solutions enriched with maltodextrin and their effects on the pre- and postoperative well-being that this may have on patients who are candidates for elective abdominal surgery.

Occasionally report of sacral chordoma; treatment and review of literature.

Introduction: Brain notochordal cell tumors (BTCN) are lesions arising from notochordal differentiation which affect the axial skeleton.

Presentation Of Case: We report a case of a patient treated in our General Surgery Unit of the University Hospital of Bari, Italy, with occasional finding of sacral chordoma at the histological examination.

Discussion: Because of their location, sacral chordomas can affect bowel and bladder with organ specific symptoms.

Squamous carcinoma in pilonidalis sinus: case report and review of literature.

Aim: We report a case of squamous carcinoma arising from a pilonidal sinus.

Case Report: Patient of 83 years old, that after 30 years had a recurrence of pilonidal sinus revealed by a sacral abscess studied with pelvic CT scan and MRI. After clinical investigation, traditional open surgical technique was performed and pathologic studies revealed a squamous carcinoma.

Complicated duodenal-jejunal diverticulosis: case report.

Background: Bleedings such as melaena are related to diseases in the upper gastrointestinal tract. In 0.06% - 5% of cases these incidents are due to the presence of diverticula of the small intestine, which are asymptomatic and unrecognized in most patients and are only fully diagnosed in cases when complications occur.