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| 1 | Advances in laparoscopy for acute care surgery and trauma显示文摘The greatest advantages of laparoscopy when compared to open surgery include the faster recovery times, shorter hospital stays, decreased postoperative pain, earlier return to work and resumption of normal daily activity as well as cosmetic benefits. Laparoscopy today is considered the gold standard of care in the treatment of cholecystitis and appendicitis worldwide. Laparoscopy has even been adopted in colorectal surgery with good results. The technological improvements in this surgical field along with the development of modern techniques and the acquisition of specific laparoscopic skills have allowed for its utilization in operations with fully intracorporeal anastomoses. Further progress in laparoscopy has included single-incision laparoscopic surgery and natural orifice trans-luminal endoscopic surgery. Nevertheless, laparoscopy for emergency surgery is still considered challenging and is usually not recommended due to the lack of adequate experience in this area. The technical difficulties of operating in the presence of diffuse peritonitis or large purulent collections and diffuse adhesions are also given as reasons. However, the potential advantages of laparoscopy, both in terms of diagnosis and therapy, are clear. Major advantages may be observed in cases with diffuse peritonitis secondary to perforated peptic ulcers,for example, where laparoscopy allows the confirmation of the diagnosis, the identification of the position of the ulcer and a laparoscopic repair with effective peritoneal washout. Laparoscopy has also revolutionized the approach to complicated diverticulitis even when intestinal perforation is present. Many other emergency conditions can be effectively managed laparoscopically, including trauma in select hemodynamically-stable patients. We have therefore reviewed the most recent scientific literature on advances in laparoscopy for acute care surgery and trauma in order to demonstrate the current indications and outcomes associated with a laparoscopic approach to the treatment of the most common emergency surgical conditions. | Matteo Mandrioli Kenji Inaba Alice Piccinini Andrea Biscardi Massimo Sartelli Ferdinando Agresta Fausto Catena Roberto Cirocchi Elio Jovine Gregorio Tugnoli Salomone Di Saverio | 2016 | World Journal of Gastroenterology2016，22，2： | 11 |
| 2 | Liver resection versus radiofrequency ablation in the treatment of cirrhotic patients with hepatocellular carcinoma显示文摘BACKGROUND: Hepatocellular carcinoma is the most common type of primary liver tumor and its incidence is increasing worldwide. The study aimed to compare patients subjected to liver resection or radiofrequency ablation. METHODS: One hundred and forty cirrhotic patients in stage A or B of Child-Pugh with single nodular or multinodular hepatocellular carcinoma were included in this retrospective study. Among them, 87 underwent surgical resection, and 53 underwent percutaneous radiofrequency ablation. Patient charac-teristics, survival, and recurrence-free survival were analyzed. RESULTS: Recurrence-free survival was longer in the resection group in comparison to the radiofrequency group with a median recurrence-free time of 36 versus 26 months, respectively (P=0.01, HR=1.52, 95% CI: 1.05-2.25). In the resection group, median survival was 46 months, with the 1-, 3- and 5-year survival rates of 89.7%, 72.4% and 40.2%. In the radiofrequency group, median survival was 32 months, with the 1-, 3- and 5-year survival rates of 83.0%, 43.4% and 22.6% (P<0.01). CONCLUSIONS: Surgical resection improves the overall survival and recurrence-free survival in comparison with radiofrequency ablation. New evidences are needed to define the real role of the percutaneous technique as an alternative to surgery. | Amilcare Parisi Jacopo Desiderio Stefano Trastulli Elisa Castellani Rosario Pasquale Roberto Cirocchi Carlo Boselli Giuseppe Noya | 2013 | Hepatobiliary & Pancreatic Diseases International2013，12，3： | 8 |
| 3 | Systematic review and meta‐analysis of randomized clinical trials comparing single‐incision versus conventional laparoscopic cholecystectomy显示文摘 | S. Trastulli R. Cirocchi J. Desiderio S. Guarino A. Santoro A. Parisi G. Noya C. Boselli | 2012 | Br J Surg2012，，2： | 5 |
| 4 | Safety and efficacy of endoscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer: A systematic review and meta-analysis显示文摘 | Roberto Cirocchi Eriberto Farinella Stefano Trastulli Jacopo Desiderio Chiara Listorti Carlo Boselli Amilcare Parisi Giuseppe Noya Jayesh Sagar | 2012 | Surgical Oncology2012，，： | 4 |
| 5 | New totally intracorporeal reconstructive approach after robotic total gastrectomy: Technical details and short-term outcomes显示文摘AIM To show outcomes of our series of patients that underwent a total gastrectomy with a robotic approach and highlight the technical details of a proposed solution for the reconstruction phase.METHODS Data of gastrectomies performed from May 2014 to October 2016, were extracted and analyzed. Basic characteristics of patients, surgical and clinical outcomes were reported. The technique for reconstruction(Parisi Technique) consists on a loop of bowel shifted up antecolic to directly perform the esophago-enteric anastomosis followed by a second loop, measured up to 40 cm starting from the esojejunostomy, fixed to the biliary limb to create an enteroenteric anastomosis. The continuity between the two anastomoses is interrupted just firing a linear stapler, so obtaining the Roux-en-Y by avoiding to interrupt the mesentery.RESULTS Fifty-five patients were considered in the present analysis. Estimated blood loss was 126.55 ± 73 m L, no conversions to open surgery occurred, R0 resections were obtained in all cases. Hospital stay was 5(3-17) d, no anastomotic leakage occurred. Overall, a fast functional recovery was shown with a median of 3(3-6) d in starting a solid diet.CONCLUSION Robotic surgery and the adoption of a tailored reconstruction technique have increased the feasibility and safety of a minimally invasive approach for total gastrectomy. The present series of patients shows its implementation in a western center with satisfying short-term outcomes. | Amilcare Parisi Francesco Ricci Alessandro Gemini Stefano Trastulli Roberto Cirocchi Giorgio Palazzini Vito D'Andrea Jacopo Desiderio | 2017 | World Journal of Gastroenterology2017，23，23： | 4 |
| 6 | Current status of robotic distal pancreatectomy: A systematic review显示文摘 | Roberto Cirocchi Stefano Partelli Andrea Coratti Jacopo Desiderio Amilcare Parisi Massimo Falconi | 2013 | Surgical Oncology2013，，： | 2 |
| 7 | High tie versus low tie of the inferior mesenteric artery in colorectal cancer: A RCT is needed显示文摘 | Roberto Cirocchi Stefano Trastulli Eriberto Farinella Jacopo Desiderio Nereo Vettoretto Amilcare Parisi Carlo Boselli Giuseppe Noya | 2012 | Surgical Oncology2012，，3： | 2 |
| 8 | Surgery in asymptomatic patients with colorectal cancer and unresectable liver metastases: the authors’ experience显示文摘 | Claudio Renzi Castellani Francesco Barberini Roberto Cirocchi Gemini Noya Boselli Parisi Corsi Desiderio Adriano Redler Trastulli Alberto Santoro | 2013 | 2013 (defa)2013，，： | 2 |
| 9 | Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie显示文摘 | Cirocchi R D' Ajello F Trastulli S | 2010 | World J Surg Oncol2010，8，： | 1 |
| 10 | Laparoscopic Peritoneal Lavage: A Definitive Treatment for Diverticular Peritonitis or a “Bridge” to Elective Laparoscopic Sigmoidectomy?: A Systematic Review显示文摘 | Roberto Cirocchi Stefano Trastulli Nereo Vettoretto Diego Milani Davide Cavaliere Claudio Renzi Olga Adamenko Jacopo Desiderio Maria Federica Burattini Amilcare Parisi Alberto Arezzo Abe Fingerhut | 2015 | Medicine2015，，： | 1 |
| 11 | Covering ileo-or colosto- my in anterior resection for rectal carcinoma显示文摘 | Montedori A Cirocchi R Farinella E | 2010 | Cochrane Database Syst Rev2010，，00： | 1 |
| 12 | Damage control sur- gery for abdominal trauma 显示文摘 | Cirocchi R Abraha I Montedori A | 2010 | Cochrane Database Syst Rev2010，，00： | 1 |
| 13 | Laparoscopic cholecystectomy for acute cholecystitis显示文摘 | Cirocchi R Del Sol A Morelli U | 2008 | G Chir2008，29，67： | 1 |
| 14 | A systematic review on robotic pancreaticoduodenectomy显示文摘 | Cirocchi R Partelli S Trastulli S | 2013 | Surg Oncol2013，22，4： | 1 |
| 15 | Minimally invasive necrosectomy versus conventional surgery in the treatment of infected pancreatic necrosis:a systematic review and a meta-analysis of comparative studies显示文摘 | Cirocchi R Trastulli S Desiderio J | 2013 | Surg Laparosc Endosc Percutan Tech2013，23，1： | 1 |
| 16 | Covering ileo-or colostomy in anterior resection for rectal carcinoma 显示文摘 | Montedori A Cirocchi R Farinella E | 2010 | Cochrane Database Syst Rev2010，12，00： | 1 |
| 17 | Primary breast lympho- mas:a multicentric experience显示文摘 | Avenia N Sanguinetti A Cirocchi R | 2010 | WorldJ Surg Oncol2010，8，： | 1 |
| 18 | Anti- biotic prophylaxis in thyroid surgery : a preliminary muhicentric Italian experience 显示文摘 | AVENIA N SANGUINETFI A CIROCCHI R | 2009 | Ann Surg Innov Res2009，5，1： | 1 |
| 19 | Antibiotic prophylaxis in thyroid surgery: a preliminary multicentric Italian experience显示文摘 | Avenia N Sanguinetti A Cirocchi R | 2009 | Ann Surg Innov Res2009，3，： | 1 |
| 20 | Current status of robotic distal pancreatectomy:a systematic review显示文摘 | Cirocchi R Partelli S Coratti A | 2013 | Surg Oncol2013，22，3： | 1 |
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