Publications by authors named "V La Vaccara"
Backgrounds: Rectal robotic surgery gained momentum in the last decade, but it is still associated with not-negligible costs. In order to reduce costs, recently different robotic systems have received approval for clinical use. This study aims to present the first case series of rectal resection with the novel cost-effective platform Robotic Assisted Surgery (RAS) Hugo™.
View Article and Find Full Text PDFBackground: Pancreatoduodenectomy (PD) is a complex surgical procedure known for its significant morbidity rates, and the presence of an aberrant hepatic artery (AHA) introduces additional challenges. The impact of AHA on post-PD outcomes has been a subject of conflicting findings in the medical literature. This study aimed to investigate how variations in hepatic arterial anatomy influence intra-operative variables and postoperative morbidity.
View Article and Find Full Text PDFArticle Synopsis
- Lymph-nodal involvement (N+) is a negative prognostic factor for patients undergoing pancreatoduodenectomy for pancreatic adenocarcinoma, and existing preoperative diagnostic tools are not very effective at detecting it.
- This study analyzed data from 2034 patients to determine if preoperative levels of the tumor marker CA19.9 could predict N+ status in resectable pancreatic cancer (R-PDAC).
- The results indicated a significant association between elevated CA19.9 levels (above 37 U/L) and N+ status, particularly in patients classified as cT3, suggesting that high CA19.9 could help identify patients at greater risk for lymph-nodal involvement before surgery.
Aim: The aim was to investigate the use of comprehensive pretreatment staging with multiple diagnostic modalities, including functional imaging and minimally invasive surgical procedures, in locally advanced pancreatic cancer (LAPC) patients. The primary objective was to detect occult metastatic disease using staging laparoscopy and 18F-FDG-positron emission tomography (PET)/computed tomography (CT) scan. The study also evaluated treatment efficacy and outcomes in LAPC patients treated with combined therapies.
View Article and Find Full Text PDFBackground: Patients with gastroesophageal reflux disease (GERD) and hiatal hernia who are candidates for surgery should be treated with minimally invasive partial or total fundoplication. As data on long-term clinical and functional outcomes after laparoscopic surgery for GERD are limited, the aim of this study was to evaluate the long-term effectiveness of fundoplication in terms of patient-reported symptoms and proton pump inhibitor (PPI) use.
Methods: The data of 88 patients who underwent laparoscopic anti-reflux surgery for GERD between January 2007 and September 2020 were retrospectively reviewed.