Ricerc@Sapienza

Due cc di verde indocianina diluiti con albumina vengono iniettati per via endoscopica nella sottomucosa peritumorale esogafea prima dell’intervento. Durante esofagectomia mini-invasiva secondo McKeown, grazie alla luce nel campo del vicino-infrarosso è possibile identificare i linfonodi captanti.

Anastomotic leakage (AL) is one of the dreaded complications following surgery in the digestive tract.

The standard treatment for patients with symptomatic gallstones is laparoscopic cholecystectomy
(LC). In patients undergoing LC the prevalence of common bile duct (CBD) stones ranges between 8%
and 15% and it increases with advancing age, reaching up to 60% in elderly patients. Every patient who
is candidate for LC should be evaluated for the presence of CBD stones and these should be treated if the
diagnosis is confirmed. In the literature, the procedure of choice for CBD stones treatment is still debated.

La chirurgia bariatrica è il trattamento di scelta per la cura dell'obesità e delle patologie ad essa correlate. Tuttavia, a distanza di tempo,
fino al 70% dei pazienti va incontro ad un recupero del peso, soprattutto se sottoposti a procedure restrittive. Spesso, inoltre, al
recupero del peso si associano altre complicanze come la comparsa della malattia da reflusso gastroesofageo (MRGE). Gli interventi
chirurgici maggiormente eseguiti nella chirurgia di revisione sono rappresentati dalle procedure ibride come il Roux-en-Y Bypass

Background The aim is to evaluate safety and efficacy of near infra-red (NIR) indocyanine green (ICG) fluorescence structural
imaging during laparoscopic cholecystectomy (LC) (Group A) and to compare perioperative data, including operative
time, with a series of patients who underwent LC with routine traditional intraoperative cholangiography (IOC) (Group B).
Methods Forty-four patients with acute or chronic cholecystitis underwent NIR-ICG fluorescent cholangiography during LC.

Obiettivi: L’esofagectomia totalmente mininvasiva (TMIE) per il trattamento del cancro dell’esofago viene eseguita più di frequente, tuttavia la sua superiorità rispetto all’esofagectomia ibrida mininvasiva e open (HMIE) non è ancora accertata. Scopo di questo studio è analizzare i risultati perioperatori della TMIE versus HMIE, confrontandoli anche con un gruppo storico di esofagectomie eseguite a cielo aperto (OE).

Minimally invasive adrenalectomy is the treatment of choice for benign adrenal lesions (like Conn’s and Cushing’s syndrome) including pheocromocytoma (PHE) and in selected patients with malignant lesions, also in bilateral lesions. 

Aims: Indocyanine green (ICG) fluorescence angiography (FA) is used for several purposes in general surgery, but its use in bariatric surgery is still debated. The objective of the present pilot study is to evaluate the intraoperative utility of ICG-FA during bariatric surgery in order to focus future research on a reliable tool to reduce the postoperative leak rate.

Methods: GERD was evaluated by the Modified Italian Gastroesophageal reflux disease—Health-Related Quality of Life
(MI-GERD-HRQL) questionnaire, pH-manometry, endoscopy, and Rx-esophagogram, before and 12 months after
surgery. Based on these exams, patients without GERD underwent LSG, and patients with GERD underwent LGB.
Results: Thirteen and six patients underwent LSG and LGB, respectively. After LSG, the only statistically significant
difference observed at pH-manometry was the median DeMeester score, from 5.7 to 22.7 (P = .0026). De novo GERD

Methods: GERD was evaluated by the Modified Italian Gastroesophageal reflux disease—Health-Related Quality of Life
(MI-GERD-HRQL) questionnaire, pH-manometry, endoscopy, and Rx-esophagogram, before and 12 months after
surgery. Based on these exams, patients without GERD underwent LSG, and patients with GERD underwent LGB.
Results: Thirteen and six patients underwent LSG and LGB, respectively. After LSG, the only statistically significant
difference observed at pH-manometry was the median DeMeester score, from 5.7 to 22.7 (P = .0026). De novo GERD