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| 1 | High body mass index predicts multiple prostate cancer lymph node metastases after radical prostatectomy and extended pelvic lymph node dissection显示文摘Our aim is to evaluate the association between body mass index(BMI)and preoperative total testosterone(TT)levels with the risk of single and multiple metastatic lymph node invasion(LNI)in prostate cancer patients undergoing radical prostatectomy and extended pelvic lymph node dissection.Preoperative BMI,basal levels of TT,and prostate-specific antigen(PSA)were evaluated in 361 consecutive patients undergoing radical prostatectomy with extended pelvic lymph node dissection between 2014 and 2017・Patients were grouped into either nonmetastatic,one,or more than one metastatic lymph node invasion groups.The association among clinical factors and LNI was evaluated.LNI was detected in 52(14.4%)patients:28(7.8%)cases had one metastatic node and 24(6.6%)had more than one metastatic node.In the overall study population,BMI correlated inversely with TT(r=-0.256;P<0.0001).In patients without metastases,BMI inversely correlated with TT(r=-0.282;P<0.0001).In patients with metastasis,this correlation was lost.In the overall study population,BMI(odds ratio[OR]=1.268;P=0.005)was the only in dependent clinical factor associated with the risk of multiple metastatic LNI compared to cases with one metastatic node.In the nonmetastatic group,TT was lower in patients with BMI>28 kg m^2(P<0.0001).In patients with any LNI,this association was lost(P=0.232).The median number of positive nodes was higher in patients with BMI>28 kg m^2(P-0.048).In our study,overweight and obese patients had a higher risk of harboring multiple prostate cancer lymph node metastases and lower TT levels when compared to patients with normal BMI. | Antonio B Porcaro Alessandro Tafuri Marco Sebben Tania Processali Marco Pirozzi Nelia Amigoni Riccardo Rizzetto Aliasger Shakir Maria Angela Cerruto Matteo Brunelli Salvatore Siracusano Walter Artibani | 2020 | Asian Journal of Andrology2020，22，3： | 3 |
| 2 | Robotic assisted radical prostatectomy accelerates postoperative stress recovery: Final results of a contemporary prospective study assessing pathophysiology of cortisol peri-operative kinetics in prostate cancer surgery显示文摘Objective:To investigate the effects of prostate cancer(PCa)surgery on the stress system and to identify potential independent factors associating with stress recovery.Methods:The design of the study was prospective and PCa surgery included robot assisted radical prostatectomy(RARP)or retropubic radical prostatectomy(RRP).Between February 2013 to December 2014,315 consecutive patients were evaluated.The effects of PCa surgery on the stress system were measured by cortisol serum levels before and after surgery on postoperative day(POD)0,1,3,5 and 45.Cortisol variations in the population and subpopulation(RARP vs.RRP)of patients were investigated by statistical methods.Factors associating with stress recovery were assessed by simple linear regression(SLR)and multiple linear regression(MLR)analysis.Results:RARP was performed in 75.9%of cases.In the patient population,there were wide serum cortisol perioperative variations.PCa surgery triggered the stress system which immediately(POD 0)responded by cortisol overproduction which induced the negative feedback mechanism that started on POD 1,continued on POD 3,was still ongoing on POD 5 and completely settled on POD 45(stress recovery).In the subpopulation of patients,significantly lower cortisol serum levels were detected on POD 3e5 in RARP cases inwhomcortisol levels were close to preoperative levels(stress recovery)on POD 5.Independent predictive factors of serum cortisol on POD 5(stress recovery)were preoperative cortisol(p Z 0.02),cortisol levels on POD 3(p<0.0001)and RARP(p Z 0.03)in which the association was negative(stress recovery faster than RRP).Conclusion:Our study shows that PCa surgery immediately(POD 0)triggers the stress system which respond by overproduction of cortisol which induces the negative feedback mechanism that starts on POD 1,is still ongoing on POD 5,but is completely settled on POD 45.Moreover,after surgical trauma,our study gives evidence that the RARP procedure associates with stress recovery faster than RRP.Further confirmatory studies are required. | Antonio B.Porcaro Nicolo`de Luyk Paolo Corsi Marco Sebben Alessandro Tafuri Davide Inverardi Davide De Marchi Irene Tamanini Matteo Brunelli Maria Angela Cerruto Gian Luca Salvagno Gian Cesare Guidi Walter Artibani | 2016 | Asian Journal of Urology2016，3，2： | 1 |
| 3 | Does chronic obstructive pulmonary disease affect postoperative quality of life in patients undergoing lobectomy for lung cancer? A case-matched study ☆显示文摘 | Cecilia Pompili Alessandro Brunelli Majed Refai Francesco Xiumè Armando Sabbatini | 2010 | European Journal of Cardio-Thoracic Surgery2010，，3： | 1 |
| 4 | 意大利地中海隼(Falco biarmicus feldeggii)繁殖种群的景观尺度空间分布显示文摘地中海隼(Falco biarmicus feldeggii)是欧洲濒危程度最高的物种之一。其全球数量估计不超过几百对,不均匀分布于西西里至里海的广阔而片断化的地区。最近统计表明,西西里地中海隼在全部种群数量中占很大比例(>25%)。因此,意大利政府提出一项国家行动计划。在这一计划框架下,我们在意大利进行了首次地中海隼种群数量的全国调查(2003~2004年)。本研究的地理范围包括地中海隼的整个繁殖区,即西西里和意大利半岛(n=2909栅格单元,10km×10km)。另外,我们尽量考虑了以往(1993~2001年)区域调查的结果。我们对各个繁殖亚群的大小和分布进行评估,鉴别在景观尺度上与巢址空间分布相关的主要环境特征。在184个栅格单元(全部栅格地图的6.4%)中发现有地中海隼的存在,但同一繁殖期内地中海隼数量估计不超过140~172对(其中70~80对分布于西西里)。大陆繁殖栅格的隔离程度较高,而西西里地区的单元更为密集。海拔高度是意大利单元聚集性的主要影响因素;另外气候、降水量和植被等环境因素对此也有重要影响。本研究表明保护区内的处于繁殖期的地中海隼数量较少(23%~28%),意大利政府的保护措施还不够完善。在适于地中海隼巢址不规则空间聚集的优先性生境保护方面,多个小型、分散分布的特定保育区(SAC)优于大型特定保护区(SPA)。 | Alessandro Andreotti Giovanni Leonardi Maurizio Sarà Massimo Brunelli Lorenzo De Lisio Augusto De Sanctis Mauro Magrini Riccardo Nardi Paolo Perna Antonio Sigismondi 梁虹 | 2008 | AMBIO-人类环境杂志2008，37，6： | 1 |
| 5 | Short-term perioperative treatment with ambroxol reduces pulmonary complications and hospital costs after pulmonary lobectomy: a randomized trial ☆显示文摘 | Majed Refai Alessandro Brunelli Francesco Xiumé Michele Salati Valeria Sciarra Laura Socci Luca Di Nunzio Armando Sabbatini | 2009 | European Journal of Cardio-Thoracic Surgery2009，，3： | 1 |
| 6 | An ultrastructural study to investigate the effect of allopurinol on cerulein-induced damage to pancreatic acinar cells in rat显示文摘 | Alessandro Brunelli Grazia Scutti | 1998 | International Journal of Pancreatology1998，，1： | 1 |
| 7 | Re-evaluation of the prognostic value of visceral pleura invasion in Stage IB non-small cell lung cancer using the prospective multicenter ACOSOG Z0030 trial data set显示文摘 | Juan J. Fibla Stephen D. Cassivi Alessandro Brunelli Paul A. Decker Mark S. Allen Gail E. Darling Rodney J. Landreneau Joe B. Putnam | 2012 | Lung Cancer2012，，3： | 1 |
| 8 | Stock Market Reaction to Yearly Earnings Announcements for Firms in Financial Distress:Evidences from Italy显示文摘The purpose of this paper is to feed the debate regarding investor’s reaction to relevant financial information releases as yearly earnings announcements(EAs)with a specific focus on financial distressed firms.Using the event study methodology and adopting two well-known tests in the literature,we analyzed Italian listed companies in the period of 2008-2016,to detect whether there is a market reaction to EAs releases for firms in financial distress,adopting as a measure of financial distress the presence in the audit report of a going concern opinion(GCO).In the Italian legislation,the GCO must be communicated immediately to the market and this can be done before,simultaneously or after EAs.The achieved results shed light on the negative impact of EAs of distressed firms receiving a GCO.On the other hand,the possibility that negative abnormal returns are mainly due to the GCO release cannot be neglected.Hence,through additional tests,we found that effects of EAs are more persistent and significant than GCOs,in accordance with the prevailing literature,which sees,on average,EAs predominant information for investors.Our study is pioneering in disentangling possible effects of confounding events for the Italian stock market.The EAs superior effect confirms the dynamics characterizing weak and small equity markets as Italy where,before GCOs releases,some relevant and more precise information(such as earnings magnitude)is often held by shareholders because of the high percentage of family firms and/or concentrated ownership,demonstrating also the weakness of auditor profession if compared with other developed countries. | Chiara Carlino Sandro Brunelli Alessandro Giosi | 2018 | Journal of Modern Accounting and Auditing2018，14，7： | 0 |
| 9 | Clinical implications of endogenous testosterone density on prostate cancer progression in patients with very favorable low and intermediate risk treated with radical prostatectomy显示文摘We tested the association between endogenous testosterone density(ETD;the ratio between endogenous testosterone[ET]and prostate volume)and prostate cancer(PCa)aggressiveness in very favorable low-and intermediate-risk PCa patients who underwent radical prostatectomy(RP).Only patients with prostate-specific antigen(PSA)within 10 ng ml^(-1),clinical stage T1c,and International Society of Urological Pathology(IsUP)grade group 1 or 2 were included.Preoperative ET levels up to 350 ng dl^(-1)were classified as abnormal.Tumor quantitation density factors were evaluated as the ratio between percentage of biopsy-positive cores and prostate volume(biopsy-positive cores density,BPCD)and the ratio between percentage of cancer invasion at final pathology and prostate weight(tumor load density,TLD).Disease upgrading was coded as ISUP grade group>2,and progression as recurrence(biochemical and/or local and/or distant).Risk associations were evaluated by multivariable Cox and logistic regression models.Of 320 patients,151(47.2%)had intermediate-risk PCa.ET(median:402.3 ng dl^(-1))resulted abnormal in 111(34.7%)cases(median ETD:9.8 ng dl^(-1)ml^(-1)).Upgrading and progression occurred in 109(34.1%)and 32(10.6%)cases,respectively.Progression was predicted by ISUP grade group 2(hazard ratio[HR]:2.290;P=0.029)and upgrading(HR:3.098;P=0.003),which was associated with ISUP grade group 2(odds ratio[OR]:1.785;P=0.017)and TLD above the median(OR:2.261;P=0.001).After adjustment for PSAdensity and bodymass index(BMI),ETDabovethemedianwas positivelyassociatedwithBPCD(OR:3.404;P<0.001)and TLD(OR:5.238;P<0.001).Notably,subjects with abnormal ET were more likely to have higher BPCD(OR:5.566;P=0.002),as well as TLD(OR:14.998;P=0.016).Independently by routinely evaluated factors,as ETD increased,BPCD and TLD increased,but increments were higher for abnormal ET levels.In very favorable cohorts,ETD may further stratify the risk of aggressive PCa. | Antonio Benito Porcaro Alessandro Tafuri Andrea Panunzio Clara Cerrato Alberto Bianchi Sebastian Gallina Stefano Vidiri Damiano D'Aietti Emanuele Serafin Giovanni Mazzucato Alessandro Princiotta Davide Brusa Matteo Brunelli Vincenzo Pagliarulo Maria Angela Cerruto AlessandroAntonelli | 2023 | Asian Journal of Andrology2023，25，5： | 0 |
| 10 | Fibrin sealant for esophageal anastomosis:A phase II study显示文摘BACKGROUND Esophagectomy is a pivotal curative modality for localized esophageal or esophagogastric junction cancer(EC or EJC).Postoperative anastomotic leakage(AL)remains problematic.The use of fibrin sealant(FS)may improve the strength of esophageal anastomosis and reduce the incidence of AL.AIM To assess the efficacy and safety of applying FS to prevent AL in patients with EC or EJC.METHODS In this single-arm,phase II trial(Clinicaltrial.gov identifier:NCT03529266),we recruited patients aged 18-80 years with resectable EC or EJC clinically staged as T1-4aN0-3M0.An open or minimally invasive McKeown esophagectomy was performed with a circular stapled anastomosis.After performing the anastomosis,2.5 mL of porcine FS was applied circumferentially.The primary endpoint was the proportion of patients with AL within 3 mo.RESULTS From June 4,2018,to December 29,2018,57 patients were enrolled.At the data cutoff date(June 30,2019),three(5.3%)of the 57 patients had developed AL,including two(3.5%)with esophagogastric AL and one(1.8%)with gastric fistula.The incidence of anastomotic stricture and other major postoperative complications was 1.8%and 17.5%,respectively.The median time needed to resume oral feeding after operation was 8 d(Interquartile range:7.0-9.0 d).No adverse events related to FS were recorded.No deaths occurred within 90 d after surgery.CONCLUSION Perioperative sealing with porcine FS appears safe and may prevent AL after esophagectomy in patients with resectable EC or EJC.Further phase III studies are warranted. | Yao-Bin Lin Jian-Hua Fu Yan Huang Yi-Huai Hu Kong-Jia Luo Ke-Xi Wang AmosÉla Bella Dong-Rong Situ Ji-Yang Chen Ting Lin Xavier B D’Journo Nuria M Novoa Alessandro Brunelli Hiran C Fernando Robert J Cerfolio Mahmoud Ismail Hong Yang 无 | 2020 | World Journal of Gastrointestinal Oncology2020，12，6： | 0 |
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