0000000000240872

AUTHOR

Gianfranco Silecchia

0000-0003-2356-0505

showing 4 related works from this author

Role of preoperative CT angiography with multimodality imaging reconstruction to perform laparoscopic Complete Mesocolic Excision (CME) and Central V…

2022

Background: The concept of complete mesocolic excision (CME) and central vascular ligation (CVL) in right colonic resections appears to improve the oncological outcomes. The highest rate of complications reported in the literature in patients undergoing CME is related to difficult surgical manuevers and intraoperative bleeding due to the central vascular dissection. Methods: We used preoperative findings obtained with the CT angiography, multiplanar reformation (MPR), maximum intesity projection (MIP) and 3D volume rendering (VR) technique to verify if this preoperative radiological assessment had significant benefits regarding the difficulty of dissection of the embryological planes, the i…

OncologyColonic resectionLaparoscopySurgeryGeneral MedicineComplete mesocolic excisionCentral vascular ligationColon cancerEuropean journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
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Why laparoscopists may opt for three-dimensional view: a summary of the full HTA report on 3D versus 2D laparoscopy by S.I.C.E. (Società Italiana di …

2018

Background Three-dimensional view in laparoscopic general, gynaecologic and urologic surgery is an efficient, safe and sustainable innovation. The present paper is an extract taken from a full health technology assessment report on three-dimensional vision technology compared with standard two-dimensional laparoscopic systems. Methods A health technology assessment approach was implemented in order to investigate all the economic, social, ethical and organisational implications related to the adoption of the innovative three-dimensional view. With the support of a multi-disciplinary team, composed of eight experts working in Italian hospitals and Universities, qualitative and quantitative d…

Three Dimensional Vision . Laparoscopy. Surgery- Health Technology assessment. Systemic ReviewTechnology Assessment BiomedicalHealth technology assessment Laparoscopy; Surgery Systematic review Three-dimensional visionOperative TimeSustainable innovationEndoscopic surgeryThree-dimensional vision03 medical and health sciencesImaging Three-DimensionalPostoperative Complications0302 clinical medicineEconomicaHumansUrologic surgeryMedicineHealth technology assessmentLaparoscopyDepth PerceptionMedical educationmedicine.diagnostic_testbusiness.industryHealth technologyMultiple-criteria decision analysisNew TechnologyHealth technology assessment; Laparoscopy; Surgery; Systematic review; Three-dimensional vision; SurgeryItaly030220 oncology & carcinogenesisCosts and Cost AnalysisSystematic review030211 gastroenterology & hepatologyHealth technology assessment; Laparoscopy; Surgery; Systematic review; Three-dimensional vision;LaparoscopySurgeryPatient SafetybusinessHealthcare providersPsychomotor PerformanceSystematic search
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Acute cholecystitis during COVID-19 pandemic: a multisocietary position statement

2020

AbstractFollowing the spread of the infection from the new SARS-CoV2 coronavirus in March 2020, several surgical societies have released their recommendations to manage the implications of the COVID-19 pandemic for the daily clinical practice. The recommendations on emergency surgery have fueled a debate among surgeons on an international level.We maintain that laparoscopic cholecystectomy remains the treatment of choice for acute cholecystitis, even in the COVID-19 era. Moreover, since laparoscopic cholecystectomy is not more likely to spread the COVID-19 infection than open cholecystectomy, it must be organized in such a way as to be carried out safely even in the present situation, to gu…

Acute cholecystitis; COVID-19 pandemic; Emergency surgery; New coronavirus; Position statement; Betacoronavirus; COVID-19; Cholecystectomy; Cholecystitis Acute; Coronavirus Infections; Humans; Infection Control; Pandemics; Pneumonia Viral; SARS-CoV-2; Societies Medical; Practice Guidelines as Topicmedicine.medical_treatmentCholecystitis AcutePosition statement030230 surgery0302 clinical medicinePandemicCholecystitisInfection control030212 general & internal medicineViralSocieties Medicallcsh:Medical emergencies. Critical care. Intensive care. First aidPractice Guidelines as TopicEmergency MedicineEmergency surgeryAcute cholecystitis Emergency surgery COVID-19 pandemic New coronavirus Position statementCoronavirus InfectionsHumanPosition statementmedicine.medical_specialtyCoronavirus disease 2019 (COVID-19)Pneumonia Virallcsh:SurgeryCOVID-19 pandemicNew coronaviruAcuteAcute cholecystitiacute cholecystitis; COVID-19 pandemic; emergency surgery; Nnew coronavirus; position statement; betacoronavirus; cholecystectomy; cholecystitis acute; coronavirus infections; humans; infection control; pandemics; pneumonia viral; societies medical; practice guidelines as topicNO03 medical and health sciencesBetacoronavirusEmergency surgeryMedicalmedicineAcute cholecystitisHumansCholecystectomyPandemicsAcute cholecystitis; COVID-19 pandemic; Emergency surgery; New coronavirus; Position statement; Betacoronavirus; Cholecystectomy; Cholecystitis Acute; Coronavirus Infections; Humans; Infection Control; Pandemics; Pneumonia Viral; Societies Medical; Practice Guidelines as TopicInfection ControlBetacoronaviruPandemicbusiness.industrySARS-CoV-2Coronavirus InfectionGeneral surgeryCOVID-19New coronavirusPneumonialcsh:RD1-811lcsh:RC86-88.9Acute cholecystitisSettore MED/18 - Chirurgia GeneraleInvasive surgeryCommentarySurgeryCholecystectomybusinessSocietiesWorld Journal of Emergency Surgery
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Current status on the adoption of high energy devices in Italy. An Italian Society for Endoscopic Surgery and New Technologies (SICE) national survey

2021

Background: In the past three decades, different High Energy Devices (HED) have been introduced in surgical practice to improve the efficiency of surgical procedures. HED allow vessel sealing, coagulation and transection as well as an efficient tissue dissection. This survey was designed to verify the current status on the adoption of HED in Italy. Methods: A survey was conducted across Italian general surgery units. The questionnaire was composed of three sections (general information, elective surgery, emergency surgery) including 44 questions. Only one member per each surgery unit was allowed to complete the questionnaire. For elective procedures, the survey included questions on thyroid…

medicine.medical_specialtyElectrosurgeryHigh energy deviceBreast surgerymedicine.medical_treatmentbipolar vessels sealing systemsbipolar vessels sealing systems; electrosurgery; harmonic scalpel; high energy devices; radiofrequency electrosurgery; surveyArticleNOAbdominal wall03 medical and health sciences0302 clinical medicinemedicineHarmonic scalpelHumansMinimally Invasive Surgical ProceduressurveyElective surgeryPancreasbusiness.industryharmonic scalpelGeneral surgeryDissectionhigh energy devicesmedicine.diseaseradiofrequency electrosurgeryBowel obstructionmedicine.anatomical_structureItaly030220 oncology & carcinogenesis030211 gastroenterology & hepatologySurgeryCholecystectomyLaparoscopyHigh energy device Survey electrosurgery Bipolar vessels sealing systems Harmonic scalpel Radiofrequency electrosurgerybusinesselectrosurgeryAbdominal surgery
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