Publications by authors named "P Narilli"
Article Synopsis
- The COVID-19 pandemic prompted surgical societies to issue guidelines for clinical practice, specifically regarding emergency surgery.
- Despite debates among surgeons worldwide, laparoscopic cholecystectomy is still considered the best option for treating acute cholecystitis during the pandemic.
- Laparoscopic surgery poses no greater risk of spreading COVID-19 compared to open surgery, and steps should be taken to ensure it is performed safely for optimal patient outcomes.
Objectives: We compared the outcome of elective laparoscopic cholecystectomy (LC) in a teaching hospital and a private communityhospital to assess the impact of the involvement of residents.
Materials And Methods: The following parameters were studied prospectively in patients who underwent elective LC during the period from September 2014 to February 2016 in a teaching university hospital (group A) and in a private community hospital (group B): age, sex, body mass index (BMI), comorbidities, American Society of Anaesthesiologists (ASA) score, length of surgery from skin incision to skin closure, use of drain, 30-day perioperative morbidity and mortality, and length of postoperative hospital stay.
Results: The group A consisted of 93 elective LC and the group B of 167 elective LC.
Liposarcomas are the most common type of sarcomas arising in the retroperitoneum. Retroperitoneal lipomas are extremely rare. They should be distinguished from well-differentiated liposarcomas in order to provide the appropriate treatment.
View Article and Find Full Text PDFIntroduction: Laparoscopic cholecystectomy (LC) is the gold standard technique for gallbladder diseases in both acute and elective surgery. Nevertheless, reports from national surveys still seem to represent some doubts regarding its diffusion. There is neither a wide consensus on its indications nor on its possible related morbidity.
View Article and Find Full Text PDFAim: We performed a prospective study to evaluate the effect of antibiotic prophylaxis (AP) on the incidence of infection in elective laparoscopic cholecystectomy (LC).
Material Of Study: All patients were at low-medium anesthetic and infectious risk and underwent LC for benign disease. At induction of anesthesia 41 patients received ampicillin-sulbactam 3g, 40 patients received ciprofloxacin 400mg intravenously, and 53 patients received no AP.