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Aims and objectives Methods and materials Results Conclusion Personal information References, Aims and objectives: Since Haaga and Aifridi described the first CT-guided lung biopsy in 1976, the technique of pulmonary biopsy has become increasingly popular. Its reported accuracy ranges from 64% to 97%, and major complications are rare. Needle-track seeding...

Purpose Methods and Materials Results Conclusion References Personal Information, Purpose: In type 1 diabetic patients, endothelial dysfunction is commonly present with consequent progressive increase of risk of cardiovascular diseases. A reversal of endothelial dysfunction was previously described after pancreas transplant. Circulating...

Purpose Methods and Materials Results Conclusion References Personal Information, Purpose: To evaluate technique, feasibility, complications and efficacy of PVE in obtaining an adequate future remnant liver volume (FRLV) in patients requiring extensive liver...

Purpose Methods and Materials Results Conclusion References Personal Information, Purpose: Most patients with colorectal liver metastases (CLM) present with unresectable disease at diagnosis, while only 15-25% are eligible for surgery. The best strategy to address the issue of non-resectability is the use of a multidisciplinary...

Purpose Methods and Materials Results Conclusion References Personal Information, Purpose: To retrospectively report our experience on technique, minor and major complications and histological results in percutaneos renal biopsy of 385 nephropatic patients...

Purpose Methods and Materials Results Conclusion References Personal Information, Purpose: In our high volume hospital the use of different diagnostic techniques in management of acute or chronic BO is a matter of debate; ER surgeons have a lot of different diagnostic choices: radiological evaluation of bowel transit (IBT) and enema (IE)...

The extent of liver resection is limited by the residual functional reserve of the liver (FLR). The introduction of portal vein embolization (PVE), with the rationale of inducing hypertrophy of the FLR has significantly reduced morbidity and in particular the impact of postoperative liver failure (PLF). The objective of the study is to evaluate the feasibility and effectiveness of PVE in patients candidates to liver resections with high risk of PLF. Between January 2006 and December 2009, 62 patients suffering from primary or metastatic liver tumour, underwent PVE at the Department of Surgery-Liver Unit HSR. CT assessment of hepatic volume was performed in each patient, prior and 4 weeks after the procedure. The outcome was evaluated in terms of feasibility of surgery, FLR growth [calculated as: (FLR after PVE - FLR pre PVE) × 100/FLR pre PVE], morbidity and mortality associated with PVE and surgery. Of the 62 patients undergoing PVE, 6 (9.7%) did not benefit from surgery: of these, 4 showed spread of disease in the FLR at CT control, while in the remaining 2 adequate hypertrophy was not reached. The average volume of the FLR at the time of the procedure and after 4 weeks was 437.03 cc (±172.54) and 615.15 cc (± 187.49), respectively, with an average increase of 50.3% (±30.31). During the postoperative period, only 2 patients (3.2%) showed mild and transient signs of the PLF. The technique of PVE allows to performing, in an effective and safe way, major liver resections in patients with high risk of PLF.