10 results match your criteria: "Hospital San Matteo degli Infermi[Affiliation]"

Article Synopsis
  • Researchers looked into how safe robotic liver surgery is compared to traditional open surgery for certain liver issues.
  • They analyzed information from patients who had either type of surgery and found that both methods had similar outcomes, like recovery time and complications.
  • However, robotic surgery took longer to perform than open surgery, but both methods were deemed safe for patients.
View Article and Find Full Text PDF
Article Synopsis
  • Some methods help reduce bleeding during liver surgery, but using them in laparoscopic surgery might cause some liver damage.
  • This study looked at how a special technique called intermittent pedicle clamping (IPC) affects patients with healthy livers having minor laparoscopic liver surgery.
  • The results showed that there were no significant differences in liver health markers after surgery between patients who had IPC and those who didn't.
View Article and Find Full Text PDF

Extracorporeal Pringle maneuver in robot-assisted liver surgery.

Surg Laparosc Endosc Percutan Tech

October 2011

Department of Surgery, Division of General, Vascular, Minimally Invasive and Robotic Surgery, Hospital San Matteo degli Infermi, Spoleto, Italy.

Hemorrhage is a major complication in laparoscopic liver surgery and inflow occlusion methods are difficult to be reproduced in this setting. This study investigated 10 consecutive patients who underwent robot-assisted liver resection. An extracorporeal Pringle maneuver was carried out encircling the hepato-duodenal ligament using an endowristed robotic arm and exteriorizing the tourniquet at the epigastrium allowing the on-table surgeon to independently control intermittent clamping.

View Article and Find Full Text PDF

Advanced applications of robotics in digestive surgery.

Transl Med UniSa

September 2011

Department of Surgery - Division of General, Minimally Invasive and Robotic Surgery - ASL 3 Umbria, Hospital San Matteo degli Infermi,Spoleto, Italy.

Laparoscopy is widely recognized as feasible and safe approach to many oncologic and benign digestive conditions and is associated with an improved early outcome. Robotic surgery promises to overcome intrinsic limitations of laparoscopic surgery by a three-dimensional view and wristed instruments widening indications for a minimally invasive approach. To date, the more interesting applications of robotic surgery are those operations restricted to one abdominal quadrant and requiring a fine dissection and digestive reconstruction.

View Article and Find Full Text PDF

Pancreatic adenocarcinoma in paraduodenal pancreatitis: a note of caution for conservative treatments.

Updates Surg

December 2012

Division of General, Vascular, Minimally Invasive and Robotic Surgery, Department of Surgery, Hospital San Matteo degli Infermi, ASL 3 dell'Umbria,Via Loreto, 06049, Spoleto, Italy.

Paraduodenal pancreatitis in heterotopic pancreas is a rare condition and few cases of malignant transformation are described. A case of cystic dystrophy of the duodenal wall in heterotopic pancreas complicated with pancreatic adenocarcinoma is described. Computed tomography, magnetic resonance and endoscopic ultrasonography failed to show preoperatively, the locally advanced adenocarcinoma raising reasonable doubts on the effectiveness and safety of conservative treatments for paraduodenal pancreatitis.

View Article and Find Full Text PDF

Robot-assisted parenchymal-sparing liver surgery including lesions located in the posterosuperior segments.

Surg Endosc

December 2011

Division of General, Minimally Invasive and Robotic Surgery, ASL 3 Umbria, Department of Surgery, Hospital San Matteo degli Infermi, Via Loreto, 3, 06049 Spoleto, PG, Italy.

Objective: The aim of the study is to describe techniques of robot-assisted parenchymal-sparing liver surgery.

Background: Laparoscopy provides the same oncologic outcomes as open liver resection and better early outcome. Limitations of laparoscopy remain resections in posterior and superior liver segments, frequently approached with laparoscopic right hepatectomy, bleeding from the section line, and prolonged operative times when a combined procedure is needed.

View Article and Find Full Text PDF

Robot-assisted laparoscopic management of cardia carcinoma according to Siewert recommendations.

Int J Med Robot

June 2011

ASL3 Umbria, Department of Surgery, Division of General, Vascular, Minimally Invasive and Robotic Surgery, Hospital San Matteo degli Infermi, Spoleto, Italy.

Article Synopsis
  • Doctors are using special robotic tools to help them do a tricky type of surgery on the stomach and food pipe, which makes it easier and less invasive for patients.
  • They studied 17 patients who had this surgery and found that it mostly went well, with no one needing to switch to open surgery and only a few complications.
  • The robot surgeries took an average of about 5.5 hours, with some blood loss, but no one died from the procedure, and they think they need to study it more to see how well it works in the long run.
View Article and Find Full Text PDF

Laparoscopic resection with intracorporeal anastomosis for colon carcinoma located in the splenic flexure.

Surg Endosc

July 2010

Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, Hospital San Matteo degli Infermi, Via Loreto, 3, 06049, Spoleto, PG, Italy.

Background: Treatment of splenic flexure (SF) colon cancer is not standardized. A laparoscopic approach is considered a challenging procedure.

Methods: This review examines a single-institution experience with laparoscopic colon resection for cancer of the SF.

View Article and Find Full Text PDF

Background: Traditional laparoscopic anterior rectal resection (TLAR) has recently been used for rectal cancer, offering good functional results compared with open anterior resection and resulting in a better postoperative early outcome. However, laparoscopic rectal resection can be technically demanding, especially when a total mesorectal excision is required. The aim of this study was to verify whether robot-assisted anterior rectal resection (RLAR) could overcome limitations of the laparoscopic approach.

View Article and Find Full Text PDF