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| 1 | Trocar-related abdominal wall bleeding in 200 patients after laparoscopic cholecistectomy: Personal experience显示文摘AIM: To determine the complications and incidence of the first and second access-related vascular injuries induced by videolaparoscopic cholecistectomy. METHODS: We retrospectively reviewed vascular injuries in 200 consecutive patients who underwent videolaparoscopic cholecistectomy from 2003 to 2005. One hundred and one patients with placement of radial expanding trocars were assigned into group A and 99 patients with placement of pyramidal tipped trocars into group B. All the patients were submitted to open access according to Hasson for the first trocar. RESULTS: Bleeding did not occur at the intraoperative cannula-site in group A. However, it occurred at the intraoperative cannula-site of 7 patients (7.1%) in group B, with a statistically significant difference (P < 0.01). No mortality was registered. More vascular lesions were found in group B. CONCLUSION: The advantage of Hasson technique is that peritoneal cavity access is gained under direct vision, preventing most severe injuries. The open technique with radial expanding trocars is recommended for secure access to the abdominal cavity in videolaparoscopy. Great care should be taken to avoid major complications and understanding the abdominal wall anatomy is important for reducing bleeding during or after s placement of trocars. | Girolamo Geraci Carmelo Sciumè Franco Pisello Francesco Li Volsi Tiziana Facella Giuseppe Modica | 2006 | World Journal of Gastroenterology2006，12，44： | 8 |
| 2 | Cholangitis prevention in endo- scopic Klatskin tumor palliation:air cholangiography technique 显示文摘 | Pisello F Geraci G Modica G | 2009 | Langenbecks Arch Surg2009，394，6： | 1 |
| 3 | Prevention of complications in thyroid surgery recurrent laryngeal nerve iniury personal experience on 313 cases显示文摘 | Pisello F Geraci G Sciume C | 2005 | Ann Ital Chir2005，76，1： | 1 |
| 4 | Prevention of complications in thy-roid surgery recurrent laryngeal nerve injury personal experi-ence on 31 3 cases显示文摘 | Pisello F Geraci G | | 0，，01： | 1 |
| 5 | Prevention of complications in thyroid surgery recurrent laryngeal nerve injury personal experience on 313 cases显示文摘 | Pisello F Geraci G Sciume C | 2005 | Ann Ital Chir2005，76，1： | 1 |
| 6 | Complications in thyroidsurgery:symptomatic post-operative hypoparathyroidismincidence,surgical technique,and treatment(in Italian)显示文摘 | SciumeC Geraci G Pisello F | 2006 | Ann Ital Chir2006，77，2： | 1 |
| 7 | Endoscopic resection of a large colonic lipoma: case report and review of literature显示文摘 | C eraci G Pisello F Amone E | 2010 | Case Rep Gastroenterol2010，4，1： | 1 |
| 8 | Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature 显示文摘 | Geraci G Pisello F Arnone E | 2010 | Case Rep Gastrocnterol2010，4，1： | 1 |
| 9 | Prevention of complications in thyroid surgery recurrent laryngeal nerve injuy personal experience on 313cases显示文摘 | Pisello F Geraci G Sciume C | 2005 | Ann Ital Chir2005，76，1： | 1 |
| 10 | Endoscopic removal of a Dormia basket impacted in the biliary tract during treatment of a difficult residual choledocholithiasis, report of a case显示文摘 | Sciume C Geraci G Pisello F | 2003 | Ann hal Chir2003，74，2： | 1 |
| 11 | Presence of white bile in malignant biliary obstruction is associated with poor prognosis:personal preliminary observations显示文摘 | Geraci G SclumB C Pisello F | 2007 | Langenbecks Arch Surg2007，392，1： | 1 |
| 12 | Complications in thyroid surgery: syroptomatie post -operative hypoparathyroidism inci- dence, surgical technique, and treatment 显示文摘 | Seiume C Geraei G Pisello F | 2006 | Ann Ital Chit2006，77，2： | 1 |
| 13 | Total thyroidectomy of choice in papillary microcarcinoma显示文摘 | PISELLO F GERACI G SCIUME C | 2007 | G Chir2007，28，12： | 1 |
| 14 | Total thyroidectomy of choice in papillary microcarcinoma显示文摘 | Pisello F Geraci G Sciume C Li Volsi F Modica G | 2007 | G Chir2007，28，12： | 1 |
| 15 | Prevention of complications in thyroid surgery, recurrent laryngeal nerve injury personal experience oil 313 cases显示文摘 | Pisello F Geraci G Sciume C | 2005 | Annali Italiani di Chirurgia2005，76，1： | 1 |
| 16 | Foumier's gangrene:case report and review of recent literature显示文摘 | Geraci G Pisello F Lupo F | | 0，，01： | 1 |
| 17 | Bronchial carcinoid: a review of the recent literature显示文摘 | Geraci G Pisello F Volsi FL | 2005 | Ann Ital Chir2005，76，3： | 1 |
| 18 | Prevention of complications in thy- roid surgery recurrent laryngeal nerve injury personal experience on 313 eases显示文摘 | Pisello F Geraci G Sciume C | 2005 | Ann hal Chir2005，76，1： | 1 |
| 19 | Biliary stent placement for postoperative benign bile duct stenosis: personal experience 显示文摘 | Sciume C Geraci G Pisello F | 2006 | Ann Ital Chir2006，77，： | 1 |
| 20 | Secondary aortoduodenal fistula显示文摘Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80%), presenting with upper gastrointestinal bleeding. We report the first case of a man with a secondary aorto-duodenal fistula presenting with a history of persistent occlusive syndrome. A 59-year old man who underwent an aortic-bi-femoral bypass 5 years ago, presented with dyspepsia and biliary vomiting. Computed tomography scan showed in the third duodenal segment the presence of inflammatory tissue with air bubbles between the duodenum and prosthesis, adherent to the duodenum. The patient was submitted to surgery, during which the prosthesis was detached from the duodenum, the intestine failed to close and a gastro-jejunal anastomosis was performed. The post-operative course was simple, secondary ADF was a complication (0.3%-2%) of aortic surgery. Mechanical erosion of the prosthetic material into the bowel was due to the lack of interposed retroperitoneal tissue or the excessive pulsation of redundantly placed grafts or septic procedures. The third or fourth duodenal segment was most frequently involved. Diagnosis of ADF was difficult. Surgical treatment is always recommended by explorative laparotomy. ADF must be suspected whenever a patient with aortic prosthesis has digestive bleeding or unexplained obstructive syndrome. Rarely the clinical picture of ADF is subtle presenting as an obstructive syndrome and in these cases the principal goal is to effectively relieve the mechanical bowel obstruction. | Girolamo Geraci Franco Pisello Francesco Li Volsi Tiziana Facella Lina Platia Giuseppe Modica Carmelo Sciumè | 2008 | World Journal of Gastroenterology2008，14，3： | 0 |
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