Felice Giuliante

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OBJECTIVE To evaluate improvements in operative and long-term results following surgery for hilar cholangiocarcinoma. DESIGN Retrospective multicenter study including 17 Italian hepatobiliary surgery units. PATIENTS A total of 440 patients who underwent resection for hilar cholangiocarcinoma from January 1, 1992, through December 31, 2007. MAIN(More)
HYPOTHESIS Bile duct injury (BDI) remains the most serious complication of cholecystectomy. With laparoscopic cholecystectomy (LC), the incidence has become more frequent. This study verifies the current incidence, mechanism, presentation, and treatment of BDI occurring during LC in general surgical practice. DESIGN Anonymous retrospective multicenter(More)
BACKGROUND The aim of this study was to observe the effects of neoadjuvant therapy with irinotecan and 5-fluorouracil (5-FU)/folinic acid (FA) on the resection rate and survival of colorectal cancer patients with initially unresectable hepatic metastases. PATIENTS AND METHODS Forty patients received neoadjuvant chemotherapy comprising irinotecan 180(More)
BACKGROUND Hepatectomy for colorectal liver metastases (CRLM) may offer good long-term survival. The impact of the tumor-free surgical margin on long-term results remains controversial, and we have assessed this component in 185 patients. METHODS Between 1992 and 2005, 185 patients underwent primary hepatectomy with curative intent for CRLM (which(More)
Liver resection offers the only chance of cure for patients with advanced colorectal cancer (CRC). Typically, the 5-year survival rates following liver resection range from 25% to 40%. Unfortunately, approximately 85% of patients with stage IV CRC have liver disease which is considered unresectable at presentation. However, the rapid expansion in the use of(More)
To assess correlates of hypocholesterolemia in moderate to critical surgical illness. Design: Prospective analysis of laboratory and clinical data. Setting: Department of surgery in a university hospital. Patients: 135 patients undergoing uncomplicated abdominal surgery or with sepsis, liver failure, hemorrhage, severe cholestasis, or multiple organ(More)
BACKGROUND AND OBJECTIVES Survival analyses after hepatectomy for colorectal liver metastases (CRLM) mostly address tumor-related factors; this study has simultaneously evaluated interventional factors which may be influenced by the surgeon. METHODS Operative and long-term results of 251 consecutive patients undergoing hepatectomy for CRLM between 1992(More)
OBJECTIVE The authors review their experience, evaluating the incidence and examining the various modalities employed in the diagnosis and treatment of patients with Crohn's disease complicated by fistulae. SUMMARY BACKGROUND DATA Although common, internal and external fistulae in Crohn's disease may pose challenging problems to the surgeon. METHODS Of(More)
Background: Laparoscopic fenestration is considered the best treatment for symptomatic simple liver cysts. Conversely, the laparoscopic approach for the management of hydatid simple liver cysts is not widely accepted because of the risk for severe complications. Despite improvement in imaging techniques, the probability of preoperatively mistaking a hydatid(More)
OBJECTIVE External lymphatic fistula or chyloperitoneum after intra-abdominal lymphadenectomy may present challenging problems. In the absence of definite guidelines the choice of treatment is often empirical, with unpredictable effectiveness, and the reporting of new cases may broaden the available experience. METHODS We describe two cases. One patient(More)