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Short-term outcomes of robotic liver resection: An initial singleinstitution experience

World Journal of Hepatology 2022年第1期14卷 224-233页

作者： Manuel Durán Javier Briceño Ana Padial ferdinando Massimiliano anelli Juan Manuel Sánchez-Hidalgo María Dolores Ayllón Rafael Calleja-Lozano Carmen García-Gaitan Unit of Hepatobiliary Surgery and Liver Transplantation General and Digestive Surgery DepartmentReina Sofia University HospitalCordoba 14004Spain GC18 Translational Research in Surgery of Solid Organ Transplantation Maimonides Biomedical Research InstituteCórdoba 14004Spain GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery Maimonides Biomedical Research InstituteCórdoba 14004Spain Department of Anesthesiology and Resuscitation Reina Sofia University HospitalCordoba 14004Spain

BACKGROUND Liver surgery has traditionally been characterized by the complexity of its procedures and potentially high rates of morbidity and mortality in inexperienced *** robotic approach has gradually been introduced in liver surgery and has increased notably in recent ***,few centers currently perform robotic liver surgery and experiences in robot-assisted surgical procedures continue to be limited compared to the laparoscopic *** To analyze the outcomes and feasibility of an initial robotic liver program implemented in an experienced laparoscopic hepatobiliary *** A total of forty consecutive patients underwent robotic liver resection(da Vinci Xi,***,United States)between June 2019 and January *** were prospectively followed and retrospectively *** characteristics and perioperative and short-term outcomes were *** are expressed as mean and standard *** study was approved by the Institutional Review *** The mean age of patients was 59.55 years,of which 18(45%)were *** mean body mass index was 29.41 kg/m^(2).Nine patients(22.5%)were *** were divided by type of resection as follows:Ten segmentectomies,three wedge resections,ten left lateral sectionectomies,six bisegmentectomies(two VVI bisegmentectomies and four IVb-V bisegmentectomies),two right anterior sectionectomies,five left hepatectomies and two right *** lesions occurred in twenty-nine(72.5%)of the *** mean operative time was 258.11 min and two patients were transfused intraoperatively(5%).Inflow occlusion was used in thirty cases(75%)and the mean total clamping time was 32.62 *** was a single conversion due to uncontrollable *** postoperative complications(Clavien–Dindo>Ⅲb)occurred in three patients(7.5%)and mortality in one(2.5%).No patient required readmission to the *** mean hospital stay was 5.6 *** Althou

关键词： Robotics Hepatectomy Minimally invasive surgery Liver surgery Da vinci

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Radiofrequency ablation vs surgical resection in elderly patients with hepatocellular carcinoma in Milan criteria

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World Journal of Gastroenterology 2021年第18期27卷 2205-2218页

作者： Maria Conticchio Riccardo Inchingolo Antonella Delvecchio Letizia Laera Francesca Ratti Maximiliano Gelli ferdinando anelli Alexis Laurent Giulio Vitali Paolo Magistri Giacomo Assirati Emanuele Felli Taiga Wakabayashi Patrick Pessaux Tullio Piardi Fabrizio di Benedetto Nicola de'Angelis Javier Briceño AntonioRampoldi RenèAdam Daniel Cherqui Luca Antonio Aldrighetti Riccardo Memeo Departement of Emergency and Trasplantation of Organs General Surgery Unit“M.Rubino”Policlinico di BariBari 70124Italy Interventional Radiology Unit "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy Department of Emergency and Organ Transplantation General Surgery Unit“M.Rubino”University of BariCeglie Messapica 70124Italy Department of Oncology "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy Department of Surgery Univ Vita Salute San RaffaeleMilan 20132Italy Department of Visceral and Oncological Surgery Gustave Roussy Cancer Campus Grand ParisVillejuif 94800France Unit of Oncologic and Pancreatic Surgery Hospital University Reina SofíaCordoba 14004Spain Department of Digestive and Hepatobiliary Surgery Henri Mondor University HospitalCreteil 94000France Department of Surgery University of Geneva HospitalsGeneva 44041Switzerland Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit University of Modena and Reggio EmiliaModena 41124Italy Institut de Recherche Contre les Cancers de l'Appareil Digestif Strasbourg 67000France Department of Surgery Keio University School of MedicineShinjuku-ku 160-8582Japan Hepato-Biliary and Pancreatic Surgical Unit Nouvel Hôpital CivilStrasbourg cedex 67091France Department of Hepatobiliary Pancreatic and Digestive SurgeryUniversity Hospital Robert Debréof ReimsReims 51100France Hepatobiliary and Pancreatic Surgery Unit General Surgery DepartementTroyes HospitalTroyes Zip or Postal CodeFrance University of Champagne-Ardenne Reims 51100France Unit of Minimally Invasive and Robotic Digestive Surgery "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy Department of General and Digestive Surgery Reina Sofia University HospitalCordoba 14004Spain Interventional Radiology Unit Niguarda HospitalMilan 20132Italy 20132 Italy RenèAdam Hepatobiliary Center Hopital Paul BrousseVillejuif 94800France Unit of Hepato-Pancreatic-Biliary Surgery Univ Vita Salute San RaffaeleMilan 20132Italy Uni

BACKGROUND Surgical resection and radiofrequency ablation(RFA)represent two possible strategy in treatment of hepatocellular carcinoma(HCC)in Milan *** To evaluate short-and long-term outcome in elderly patients(>70 years)with HCC in Milan criteria,which underwent liver resection(LR)or *** The study included 594 patients with HCC in Milan criteria(429 in LR group and 165 in RFA group)managed in 10 European *** analysis was performed using the Kaplan-Meier method before and after propensity score matching(PSM)and Cox *** After PSM,we compared 136 patients in the LR group with 136 patients in the RFA *** survival at 1,3,and 5 years was 91%,80%,and 76%in the LR group and 97%,67%,and 41%in the RFA group respectively(P=0.001).Diseasefree survival at 1,3,and 5 years was 84%,60%and 44%for the LR group,and 63%,36%,and 25%for the RFA group(P=0.001).Postoperative Clavien-Dindo IIIIV complications were lower in the RFA group(1%vs 11%,P=0.001)in association with a shorter length of stay(2 d vs 7 d,P=0.001).In multivariate analysis,Model for End-stage Liver Disease(MELD)score(>10)[odds ratio(OR)=1.89],increased value of international normalized ratio(>1.3)(OR=1.60),treatment with radiofrequency(OR=1.46),and multiple nodules(OR=1.19)were independent predictors of a poor overall survival while a high MELD score(>10)(OR=1.51)and radiofrequency(OR=1.37)were independent factors associated with a higher recurrence *** Despite a longer length of stay and a higher rate of severe postoperative complications,surgery provided better results in long-term oncological outcomes as compared to ablation in elderly patients(>70 years)with HCC in Milan criteria.

关键词： Hepatocellular carcinoma Milan criteria Radiofrequency ablation Surgical resection Elderly patients Propensity score matching

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Liver resection vs radiofrequency ablation in single hepatocellular carcinoma of posterosuperior segments in elderly patients

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World Journal of Gastrointestinal Surgery 2021年第12期13卷 1696-1707页

作者： Antonella Delvecchio Riccardo Inchingolo Rita Laforgia Francesca Ratti Maximiliano Gelli Massimiliano ferdinando anelli Alexis Laurent Giulio Vitali Paolo Magistri Giacomo Assirati Emanuele Felli Taiga Wakabayashi Patrick Pessaux Tullio Piardi Fabrizio di Benedetto Nicola de'Angelis Javier Briceño Antonio Rampoldi RenèAdam Daniel Cherqui Luca Antonio Aldrighetti Riccardo Memeo Unit of General Surgery "A.Perrino"HospitalCeglie Messapica 70124BariItaly Interventional Radiology Unit "F.Miulli"General Regional HospitalAcquaviva delle Fonti 75100Italy Unit of Laparoscopic Surgery University of BariBary 70124Italy Unit of Hepato-Pancreatic-Biliary Surgery University Vita Salute San RaffaeleMilan 20132Italy Department of Surgical Oncology Gustave Roussy Cancer Campus Grand ParisVillejuif 94800France of General Surgery Reina Sofia University HospitalCordoba 14004Spain Department of Digestive and Hepatobiliary Surgery Henry Mondor University HospitalCreteil 94000France Division of Transplantation Geneva University HospitalGeneva 44041Switzerland Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit University of Modena and Reggio EmiliaModena 42121Italy Department of Digestive Surgery Strasbourg University HospitalStrasbourg 67000France Department of Digestive and Hepatobiliary Surgery Robert DebrèUniversity HospitalReims 51100France Unit of Minimally Invasive and Robotic Digestive Surgery "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70124Italy Interventional Radiology Unit Niguarda HospitalMilan 20162Italy Department of Hepatobiliary Surgery Paul Brousse University HospitalVillejuif 94800France Department of Hepatobiliary Surgery University Vita Salute San RaffaeleMilan 20132Italy Unit of Hepato-Pancreatic-Biliary Surgery "F.Miulli"General Regional HospitalAcquaviva delle Fonti 70124Italy

BACKGROUND Liver resection and radiofrequency ablation are considered curative options for hepatocellular *** choice between these techniques is still controversial especially in cases of hepatocellular carcinoma affecting posterosuperior segments in elderly *** To compare post-operative outcomes between liver resection and radiofrequency ablation in elderly with single hepatocellular carcinoma located in posterosuperior *** A retrospective multicentric study was performed enrolling 77 patients age≥70-years-old with single hepatocellular carcinoma(≤30 mm),located in posterosuperior segments(4a,7,8).Patients were divided into liver resection and radiofrequency ablation groups and preoperative,peri-operative and long-term outcomes were retrospectively analyzed and compared using a 1:1 propensity score *** After propensity score matching,twenty-six patients were included in each *** time and overall postoperative complications were higher in the resection group compared to the ablation group(165 min vs 20 min,P<0.01;54%vs 19%P=0.02 respectively).A median hospital stay was significantly longer in the resection group than in the ablation group(7.5 d vs 3 d,P<0.01).Ninety-day mortality was comparable between the two *** were no significant differences between resection and ablation group in terms of overall survival and disease free survival at 1,3,and 5 *** Radiofrequency ablation in posterosuperior segments in elderly is safe and feasible and ensures a short hospital stay,better quality of life and does not modify the overall and disease-free survival.

关键词： Elderly Hepatocellular carcinoma Posterosuperior segments Liver resection Radiofrequency ablation Multicentric study

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Impact of body mass index in elderly patients treated with laparoscopic liver resection for hepatocellular carcinoma

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World Journal of Gastrointestinal Surgery 2023年第1期15卷 72-81页

作者： Maria Conticchio Riccardo Inchingolo Antonella Delvecchio Francesca Ratti Maximiliano Gelli Massimiliano ferdinando anelli Alexis Laurent Giulio Cesare Vitali Paolo Magistri Giacomo Assirati Emanuele Felli Taiga Wakabayashi Patrick Pessaux Tullio Piardi Fabrizio di Benedetto Nicola de’Angelis Javier Briceño Antonio Rampoldi RenèAdam Daniel Cherqui Luca Antonio Aldrighetti Riccardo Memeo Unit of Hepato-Pancreatic-Biliary Surgery “F.Miulli”Regional General HospitalBari 70021Italy Interventional Radiology Unit “F.Miulli”Regional General HospitalBari 70021Italy Unit of Hepatobiliary Surgery San Raffaele HospitalMilano 20132Italy Departement de Chirurgie Viscérale Gustave Roussy Cancer Campus Grand ParisParis 94800France Unit of Oncologic and Pancreatic Surgery Hospital University Reina SofíaCordoba 14004Spain Assistance Publique-Hôpitaux de Paris Department of Digestive and Hepatobiliary SurgeryCentre Hospitalier Universitaire Henri MondorCréteilParis 94000France Service of Abdominal Surgery Poliambulanza FoundationBrescia 25124Italy Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit University of Modena and Reggio EmiliaModena 41121Italy Institut de Recherche Contre les Cancers de l’Appareil Digestif(IRCAD) Strasbourg 67000France Service de Chirurgie Viscérale et Digestive Nouvel Hôpital CivilStrasbourg 67000France Department of Surgery Hôpital Robert DebréReims 51092France Interventional Radiology Unit Niguarda HospitalMilan 20162Italy Department of Surgery Centre HepatobiliaireHopital Paul BrousseParis 94000France

BACKGROUND The impact of obesity on surgical outcomes in elderly patients candidate for liver surgery is still *** To evaluate the impact of high body mass index(BMI)on perioperative and oncological outcome in elderly patients(>70 years old)treated with laparoscopic liver resection for hepatocellular carcinoma(HCC).METHODS Retrospective multicenter study including 224 elderly patients(>70 years old)operated by laparoscopy for HCC(196 with a BMI<30 and 28 with BMI≥30),observed from January 2009 to January *** After propensity score matching,patients in two groups presented comparable results,in terms of operative time(median range:200 min vs 205 min,P=0.7 respectively in non-obese and obese patients),complications rate(22%vs 26%,P=1.0),length of hospital stay(median range:4.5 d vs 6.0 d,P=0.1).There are no significant differences in terms of short-and long-term postoperative *** The present study showed that BMI did not impact perioperative and oncologic outcomes in elderly patients treated by laparoscopic resection for HCC.

关键词： Hepatocellular carcinoma Body mass index Laparoscopy Surgical resection Elderly patients Propensity score matching

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Peri-operative score for elderly patients with resectable hepatocellular carcinoma

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World Journal of Hepatology 2023年第12期15卷 1307-1314页

作者： Maria Conticchio Riccardo Inchingolo Antonella Delvecchio Francesca Ratti Maximiliano Gelli Massimiliano ferdinando anelli Alexis Laurent Giulio Cesare Vitali Paolo Magistri Giacomo Assirati Emanuele Felli Taiga Wakabayashi Patrick Pessaux Tullio Piardi Fabrizio di Benedetto Nicola de'Angelis Javier Briceño Antonio Rampoldi RenèAdam Daniel Cherqui Luca Antonio Aldrighetti Riccardo Memeo Unit of Hepato-Pancreatic-Biliary Surgery “F.Miulli”Regional General HospitalAcquaviva Delle Fonti 70021Italy Interventional Radiology Unit Department of Radiology“F.Miulli”Regional General HospitalAcquaviva Delle Fonti 75100Italy Hepatobiliary Surgery Division IRCSS San Raffaele Scientific InstituteMilan 20132Italy Hepatobiliary Surgery Division Vita-Salute San Raffaele UniversityMilan 20132Italy Département de Chirurgie Viscérale Gustave Roussy Cancer Campus Grand ParisParis 94800France Unit of Oncologic and Pancreatic Surgery Hospital University Reina SofíaCordoba 14004Spain Department of Digestive and Hepatobiliary Surgery Assistance Publique-Hôpitaux de ParisCréteil 94000France Service of Abdominal Surgery Poliambulanza FoundationBrescia 25124Italy Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit University of Modena and Reggio EmiliaModena 41121Italy Department of Surgery Institut de Recherche Contre les Cancers de l'Appareil Digestif(IRCAD)Strasbourg 67000France Service de Chirurgie Viscérale et Digestive Nouvel Hôpital CivilUnitéINSERM U1110Strasbourg 67000France Department of Surgery Hôpital Robert DebréReims 51092France Assistance Publique-Hôpitaux de Paris Centre Hospitalier Universitaire Henri MondorParis 94000France Unit of Hepatobiliary Surgery and Liver Transplantation Hospital University Reina SofíaCordoba 14004Spain Interventional Radiology Unit Niguarda HospitalMilan 20162Italy Department of Surgery Centre HepatobiliaireHopital Paul BrousseParis 94000France

BACKGROUND Liver resection is the mainstay for a curative treatment for patients with resectable hepatocellular carcinoma(HCC),also in elderly *** this,the evaluation of patient condition,liver function and extent of disease remains a demanding process with the aim to reduce postoperative morbidity and *** To identify new perioperative risk factors that could be associated with higher 90-and 180-d mortality in elderly patients eligible for liver resection for HCC considering traditional perioperative risk scores and to develop a risk *** A multicentric,retrospective study was performed by reviewing the medical records of patients aged 70 years or older who electively underwent liver resection for HCC;several independent variables correlated with death from all causes at 90 and 180 d were *** coefficients of Cox regression proportional-hazards model for sixmonth mortality were rounded to the nearest integer to assign risk factors'weights and derive the scoring *** Multivariate analysis found variables(American Society of Anesthesiology score,high rate of comorbidities,Mayo end stage liver disease score and size of biggest lesion)that had independent correlations with increased 90-and 180-d mortality.A clinical risk score was developed with survival *** This score can aid in stratifying this population in order to assess who can benefit from surgical treatment in terms of postoperative mortality.

关键词： Hepatocellular carcinoma Score Laparoscopy Surgical resection Elderly patients Multivariate analysis

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Influence of Surface Finishing on High-Temperature Oxidation of AISI Type 444 Ferritic Stainless Steel Used in SOFC Stacks

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Acta Metallurgica Sinica(English Letters) 2017年第8期30卷 697-711页

作者： Valeria Bongiorno Paolo Piccardo Simone anelli Roberto Spotorno Laboratorio di Metallurgia e Materiali - Dipartimento di Chimica e Chimica Industriale (LMM-DCCI) Universita degli Studi di Genova Via Dodecaneso 31 16146 GenoaItaly

This research is focused on the study of the samples, approximatively 15 × 30 mm^2 sized, that were mechanically cut from two sheets （0.4 and 0.2 mm thick, respectively） of AIS1444 Type ferritic stainless steel （FSS）（DIN 1.4521, Eu designation X2CrMoTil8-2）; this material was in the ＇as-rolled＇ state. Part of these specimens were treated superficially on one side using abrasive SiC papers with different average grit sizes （i.e., 46.2, 30.2, 18.3 gm） and diamond suspension （up to 1 tim） in order to obtain various surface roughness. Both the ＇as-rolled＇ and superficially treated samples were then aged in a muffle fumace in static air according to a thermal cycle corresponding to the curing phase of an experimental glass used as sealing in the solid oxide fuel cell stacks. After aging, the chemical compositions and mor- phological peculiarities of the scale formed depending on the thickness of the samples and their surface state were studied by scanning electron microscopy, energy-dispersive spectroscopy, micro-Raman spectroscopy, bright field light optical microscopy. The obtained results show that all scales formed consist of an inner Cr2O3 subscale and an outer （Mn,Cr）3O4 spinel layer; the relationship between FSS grain size and scale microstructural features is consistent on the samples with mirror-like surface only; the scale thicknesses on SiC grinded samples are comparable; the scales covering the ＇as-rolled＇ surfaces are morphologically similar to those grown on the surfaces finished with the 30.2 and 18.3 μm SiC papers, and their thicknesses show an intermediate situation between the abraded and the mirror-like specimens. The last described characteristics depend mainly on the surface and microstructural peculiarities resulting from the rolling process.

关键词： AISI Type 444 SOFC stacks Surface roughness Microstructure Surface finishing High-temperature oxidation

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Crystal structure of human ERp44 reveals a dynamic functional modulation by its C-terminal tail

Crystal structure of human ERp44 reveals a dynamic functiona...

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第九届全国酶学学术讨论会暨邹承鲁诞辰85周年纪念会

作者： Stefano Vavassori Tiziana anelli Massimo Degano Riccardo Ronzoni Roberto Sitia Chih-chen Wang Universita Vita-Salute San Raffaele Scientific Institute Via Olgettina 58I-20132 MilanItaly National Laboratory of Biomacromolecules Institute of BiophysicsChinese Academy of Sciences

ERp44 mediates thiol-dependent retention in the early secretory pathway,forming mixed disulfides with substrate proteins through its conserved CRFS *** we present its crystal structure at a 2.6 A *** thioredoxin domai...

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大都市建筑艺术:圣保罗学派概述

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建筑学报 2019年第5期 89-95页

作者：雷纳托·阿内利陈迪(译) 裴钊(校) 圣保罗大学圣卡洛斯分校巴西西安外国语大学西方语言文化学院西安710128 迈阿密大学建筑学院美国

介绍巴西建筑中圣保罗学派的形成与发展历程,保罗·门德斯·达·洛查的作品是这一学派在国际上的主要代表;女建筑师丽娜·博·巴尔迪的职业生涯与这一学派之间的互动为理解巴西历史进程中政治介入建筑提供了对位参照。以一些受达·洛查... 详细信息

介绍巴西建筑中圣保罗学派的形成与发展历程,保罗·门德斯·达·洛查的作品是这一学派在国际上的主要代表;女建筑师丽娜·博·巴尔迪的职业生涯与这一学派之间的互动为理解巴西历史进程中政治介入建筑提供了对位参照。以一些受达·洛查和丽娜启发的设计项目展示保利斯塔学派对当代建筑的持续影响。

关键词：巴西现代建筑保利斯塔学派维拉诺瓦·阿蒂加斯丽娜·博·巴尔迪保罗·门德斯·达·洛查

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