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| 1 | Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy显示文摘Biliary lithiasis is an endemic condition in both Western and Eastern countries, in some studies affecting 20% of the general population. In up to 20% of cases, gallbladder stones are associated with common bile duct stones(CBDS), which are asymptomatic in up to one half of cases. Despite the wide variety of examinations and techniques available nowadays, two main open issues remain without a clear answer: how to cost-effectively diagnose CBDS and, when they are finally found, how to deal with them. CBDS diagnosis and management has radically changed over the last 30 years, following the dramatic diffusion of imaging, including endoscopic ultrasound(EUS) and magnetic resonance cholangiography(MRC), endoscopy and laparoscopy. Since accuracy, invasiveness, potential therapeutic use and costeffectiveness of imaging techniques used to identifyCBDS increase together in a parallel way, the concept of 'risk of carrying CBDS' has become pivotal to identifying the most appropriate management of a specific patient in order to avoid the risk of 'under-studying' by poor diagnostic work up or 'over-studying' by excessively invasive examinations. The risk of carrying CBDS is deduced by symptoms, liver/pancreas serology and ultrasound. 'Low risk' patients do not require further examination before laparoscopic cholecystectomy. Two main 'philosophical approaches' face each other for patients with an 'intermediate to high risk' of carrying CBDS: on one hand, the 'laparoscopy-first' approach, which mainly relies on intraoperative cholangiography for diagnosis and laparoscopic common bile duct exploration for treatment, and, on the other hand, the 'endoscopy-first' attitude, variously referring to MRC, EUS and/or endoscopic retrograde cholangiography for diagnosis and endoscopic sphincterotomy for management. Concerning CBDS diagnosis, intraoperative cholangiography, EUS and MRC are reported to have similar results. Regarding management, the recent literature seems to show better short and long term outcome of surgery in terms of retained stones and need for further procedures. Nevertheless, open surgery is invasive, whereas the laparoscopic common bile duct clearance is time consuming, technically demanding and involves dedicated instruments. Thus, although no consensus has been achieved and CBDS management seems more conditioned by the availability of instrumentation, personnel and skills than cost-effectiveness, endoscopic treatment is largely preferred worldwide. | Renato Costi Alessandro Gnocchi Francesco Di Mario Leopoldo Sarli | 2014 | World Journal of Gastroenterology2014，20，37： | 48 |
| 2 | Radiofrequency Ablation of Small Hepatocellular Carcinoma in Cirrhotic Patients Awaiting Liver Transplantation: A Prospective Study显示文摘 | Vincenzo Mazzaferro Carlo Battiston Stefano Perrone Andrea Pulvirenti Enrico Regalia Raffaele Romito Dario Sarli Marcello Schiavo Francesco Garbagnati Alfonso Marchianò Carlo Spreafico Tiziana Camerini Luigi Mariani Rosalba Miceli Salvatore Andreola | 2004 | Annals of Surgery2004，，5： | 3 |
| 3 | Effect of a triage course on quality of rating triage codes in a group of university nursing students:a before-after observational study显示文摘BACKGROUND:Most current triage tools have been tested among hospital nurses groups but there are not similar studies in university setting.In this study we analyzed if a course on a new fourlevel triage model,triage emergency method(TEM),could improve the quality of rating in a group of nursing students.METHODS:This observational study was conducted with paper scenarios at the University of Parma,Italy.Fifty students were assigned a triage level to 105 paper scenarios before and after a course on triage and TEM.We used weighted kappa statistics to measure the inter-rater reliability of TEM and assessed its validity by comparing the students' predictions with the triage code rating of a reference standard(a panel of five experts in the new triage method).RESULTS:Inter-rater reliability was K=0.42(95%Cl:0.37-0.46) before the course on TEM,and K=0.61(95%CI:0.56-0.67) after.The accuracy of students' triage rating for the reference standard triage code was good:81%(95%Cl:71-90).After the TEM course,the proportion of cases assigned to each acuity triage level was similar for the student group and the panel of experts.CONCLUSION:Among the group of nursing students,a brief course on triage and on a new inhospital triage method seems to improve the quality of rating codes.The new triage method shows good inter-rater reliability for rating triage acuity and good accuracy in predicting the triage code rating of the reference standard. | Nicola Parenti Maria Letizia Bacchi Reggiani Diego Sangiorgi Vito Serventi Leopoldo Sarli | 2013 | World Journal of Emergency Medicine2013，4，1： | 3 |
| 4 | Cholecystocolonic fistula: facts and myths. A review of the 231 published cases显示文摘 | Renato Costi Bruto Randone Vincenzo Violi Olivier Scatton Leopoldo Sarli Olivier Soubrane Bertrand Dousset Thierry Montariol | 2009 | Journal of Hepato - Biliary - Pancreatic Surgery2009，，1： | 2 |
| 5 | Number of lymph nodes examined and prognosis of TNM stage II colorectal cancer显示文摘 | Leopoldo Sarli Giovanni Bader Domenico Iusco Carlo Salvemini Davide Di Mauro Antonio Mazzeo Gabriele Regina Luigi Roncoroni | 2004 | European Journal of Cancer2004，，2： | 2 |
| 6 | Conservative and surgical treatment of esophago-gastric anastomotic leaks显示文摘 | Sarli D Bona D Abraham M | 2006 | Ann Ital Chir2006，77，5： | 1 |
| 7 | Paradoxical response to dexamethasone in the diagnosis of primary pigmented nodular adrenocortical disease显示文摘 | Stratakis C A Sarlis N Kirschner L S | 1999 | Ann Intern Med1999，131，8： | 1 |
| 8 | Outcomes of patients with differentiated thyroid carcinoma following initial therapy显示文摘 | Jonklaas J Sarlis NJ Litofsky D | 2006 | Thyroid2006，16，2： | 1 |
| 9 | Using Large Eddy Simulation for understandingvented gas explosions in the presence of obstacles显示文摘 | Valeria Di Sarli Almerinda Di Benedetto GennaroRusso | 2008 | Journal of Hazardous Materials2008，169，： | 1 |
| 10 | Smart manufacturing,manufacturing intelligence and demand-dynamic performance显示文摘 | Jim Davis Thomas Edgar James Porter John Bernaden Michael Sarlie | | 0，，12： | 1 |
| 11 | Kugel hernia repair: open “mini-invasive” technique. Personal experience on 620?patients显示文摘 | V. Ceriani E. Faleschini P. Bignami T. Lodi O. Roncaglia C. Osio D. Sarli | 2005 | Hernia2005，，4： | 1 |
| 12 | Neutrophil-to-lymphocyte ratio is associated with severity of coronary artery ectasia显示文摘 | Sarli B Baktir A O Saglam H | 2014 | Angiology2014，65，2： | 1 |
| 13 | MR Imaging Features of Thyrotropin-secreting pituitary adenomas at Initial Presentation显示文摘 | Courgiotis L Koch CA | 2003 | ARJ2003，181，： | 1 |
| 14 | Control of the growth of zinc-iron phases in the hot-dip galvanizing process 显示文摘 | CULCASI J D SER P R ELSNER C I DI SARLI A R | 1999 | Surf Coat Technol1999，122，1： | 1 |
| 15 | Relationship between texture and corrosion resistance in hot-dip galvanized steel sheets显示文摘 | SERE P R CULCASI J D ELSNER C I DI SARLI A R | 1999 | Surface and Coatings Technology1999，122，6： | 1 |
| 16 | The influence of fat protection of calcium formate on growth and intestinal defence in Escherichia coli K88+ challenged weanling pigs 显示文摘 | Bosi P Sarli G Casini L | 2007 | Anita Feed Sci Technol2007，116，： | 1 |
| 17 | The vacuum cleft sign: an uncommon radiological sign显示文摘 | Sarli M Pérez Manghi FC Gallo R | 2005 | Osteoporos Int2005，16，10： | 1 |
| 18 | charac- terisation of the lymph node reaction in pig post - weaning muhisys- temic wasting syndrome (PMWS) 显示文摘 | Sarli G Mandrioli L Laurenti M | 2001 | Veterinary Immunology and Inununopathology2001，83，12： | 1 |
| 19 | Prospective randomized trial of low-pressure pneumopefitoneum for reduction of shoulder-tip pain flowing laparoscopy显示文摘 | Sarli L Costi R Samsebastiano G | 2000 | Br J Surg2000，87，9： | 1 |
| 20 | Value of the pubic tubercle as a CT reference point in groin hernias显示文摘 | Delabrousse E Michalakis D Sarliève P | 2005 | J Radiol2005，86，61： | 1 |
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