6 results on '"Morosi C"'
Search Results
2. Hysterectomy for Uteri Weighing ≥1kg: Laparoscopic Vs. Open Approach
- Author
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Uccella, S, primary, Casarin, J, additional, Morosi, C, additional, Miraglia, A, additional, Candeloro, I, additional, Carollo, S, additional, Marconi, N, additional, and Ghezzi, F, additional
- Published
- 2015
- Full Text
- View/download PDF
3. In-Bag Transvaginal Specimen Extraction After Laparoscopic Myomectomy: A Single Centre Analysis
- Author
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Casarin, J, primary, Uccella, S, additional, Morosi, C, additional, Carollo, S, additional, Pinelli, C, additional, Sturla, D, additional, Podestà Alluvion, C, additional, and Ghezzi, F, additional
- Published
- 2015
- Full Text
- View/download PDF
4. Minilaparoscopy vs Standard Laparoscopy for Sentinel Node Dissection: A Pilot Study.
- Author
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Uccella S, Buda A, Morosi C, Di Martino G, Delle Marchette M, Reato C, Casarin J, and Ghezzi F
- Subjects
- Adult, Aged, Coloring Agents, Endometrial Neoplasms pathology, Female, Fluorescence, Humans, Indocyanine Green, Lymph Node Excision methods, Lymph Nodes pathology, Lymphatic Metastasis, Middle Aged, Pelvis pathology, Pilot Projects, Retrospective Studies, Sentinel Lymph Node pathology, Sentinel Lymph Node Biopsy methods, Endometrial Neoplasms surgery, Hysterectomy methods, Laparoscopy methods
- Abstract
Objective: To compare 3-mm minilaparoscopy and standard 5-mm laparoscopy for sentinel lymph node (SLN) detection in apparent early-stage endometrial cancer (EC)., Design: Retrospective study (Canadian Task Force classification II-2)., Setting: Two academic research centers., Patients: Consecutive women with apparent early-stage EC who underwent surgical staging with SLN detection between November 2015 and April 2016., Interventions: The surgical approach was a total laparoscopic extrafascial hysterectomy plus bilateral salpingo-oophorectomy and SLN detection. Systematic lymphadenectomy was performed in selected cases. In all patients, SLN detection was performed with cervical injection of indocyanine green and the use of an optical camera with a near-infrared high-intensity light source for detection of fluorescence imaging. All patients who underwent a minilaparoscopic approach (using one 5-mm scope and three 3-mm ancillary trocars) have been enrolled at the University of Insubria, whereas at the San Gerardo Hospital, standard laparoscopy was performed with one 10-mm scope and three 5-mm ancillary trocars., Measurements Ad Main Results: A total of 38 patients were enrolled, including 15 (39.5%) in the 3-mm group and 23 (60.5%) in the 5-mm group. No between-group differences were found in terms of demographic and tumor characteristics. Bilateral SLNs were detected in 73.3% of the patients in the 3-mm group and in 73.9% in the 5-mm group. Operative time, blood loss, hemoglobin drop, hospital stay, and the incidence and severity of complications were similar in the 2 groups. One patient (4.3%) in the standard 5-mm group had a positive SLN result (a micrometastasis in the left external iliac SLN). No positive SLNs were detected in the 3-mm group., Conclusion: Minilaparoscopic SLN biopsy appears to be a promising and feasible technique for EC staging. Further research is warranted to investigate the possible benefits of 3-mm instruments in this specific setting., (Copyright © 2017 American Association of Gynecologic Laparoscopists. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
5. Laparoscopic Versus Open Hysterectomy for Benign Disease in Uteri Weighing >1 kg: A Retrospective Analysis on 258 Patients.
- Author
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Uccella S, Morosi C, Marconi N, Arrigo A, Gisone B, Casarin J, Pinelli C, Borghi C, and Ghezzi F
- Subjects
- Adult, Female, Humans, Hysterectomy adverse effects, Hysterectomy statistics & numerical data, Length of Stay statistics & numerical data, Middle Aged, Minimally Invasive Surgical Procedures adverse effects, Minimally Invasive Surgical Procedures methods, Minimally Invasive Surgical Procedures statistics & numerical data, Operative Time, Organ Size, Postoperative Complications epidemiology, Retrospective Studies, Urogenital Abnormalities epidemiology, Urogenital Abnormalities surgery, Uterine Diseases pathology, Uterus abnormalities, Uterus surgery, Hysterectomy methods, Laparoscopy adverse effects, Laparoscopy methods, Laparoscopy statistics & numerical data, Uterine Diseases surgery, Uterus pathology
- Abstract
Study Objective: To present a large single-center series of hysterectomies for uteri ≥1 kg and to compare the laparoscopic and open abdominal approach in terms of perioperative outcomes and complications., Design: A retrospective analysis of prospectively collected data (Canadian Task Force classification II-2)., Setting: An academic research center., Patients: Consecutive women who underwent hysterectomy for uteri ≥1 kg between January 2000 and December 2016. Patients with a preoperative diagnosis of uterine malignancy or suspected uterine malignancy were excluded. The subjects were divided according to the intended initial surgical approach (i.e., open or laparoscopic). The 2 groups were compared in terms of intraoperative data and postoperative outcomes. Multivariable analysis was performed to identify possible independent predictors of overall complications. A subanalysis including only obese women was accomplished., Interventions: Total laparoscopic versus abdominal hysterectomy (±bilateral adnexectomy)., Measurements and Main Results: Intra- and postoperative surgical outcomes. A total of 258 patients were included; 55 (21.3%) women were initially approached by open surgery and 203 (78.7%) by laparoscopy. Nine (4.4%) conversions from laparoscopic to open surgery were registered. The median operative time was longer in the laparoscopic group (120 [range, 50-360] vs 85 [range, 35-240] minutes, p = .014). The estimated blood loss (150 [range, 0-1700] vs 200 [50-3000] mL, p = .04), postoperative hemoglobin drop, and hospital stay (1 [range, 1-8] vs 3 [range, 1-8] days, p < .001) were lower among patients operated by laparoscopy. No difference was found between groups in terms of intra- and postoperative complications. However, the overall rate of complications (10.8% vs. 27.2%, p = .015) and the incidence of significant complications (defined as intraoperative adverse events or postoperative Clavien-Dindo ≥2 events, 4.4% vs 10.9%, p = .04) were significantly higher among patients who initially received open surgery. The laparoscopic approach was found to be the only independent predictor of a lower incidence of overall complications (odds ratio = 0.42; 95% confidence interval, 0.19-0.9). The overall morbidity of minimally invasive hysterectomy was lower also in the subanalysis concerning only obese patients., Conclusion: In experienced hands and in dedicated centers, laparoscopic hysterectomy for uteri weighing ≥1 kg is feasible and safe. Minimally invasive surgery retains its well-known advantages over open surgery even in patients with extremely enlarged uteri., (Copyright © 2017 American Association of Gynecologic Laparoscopists. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
6. Laparoscopic Versus Open Hysterectomy for Benign Disease in Women with Giant Uteri (≥1500 g): Feasibility and Outcomes.
- Author
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Uccella S, Casarin J, Marconi N, Cromi A, Morosi C, Gisone B, Pinelli C, and Ghezzi F
- Subjects
- Adult, Aged, Feasibility Studies, Female, Humans, Length of Stay, Middle Aged, Operative Time, Organ Size, Postoperative Complications epidemiology, Retrospective Studies, Uterus pathology, Young Adult, Hysterectomy methods, Laparoscopy methods, Uterus surgery
- Abstract
Unlabelled: STUDY, Objective: To evaluate perioperative outcomes and complications of laparoscopic hysterectomy (LH) in women with giant uteri (≥1.5 kg) compared with open abdominal hysterectomy (AH), which is considered the reference., Design: A retrospective analysis of prospectively collected data (Canadian Task Force Classification II-2)., Setting: An academic research center., Patients: All consecutive women who underwent hysterectomy for uteri weighing ≥1500 g (total = 51) between 2000 and 2015 were analyzed. Twenty-seven (53%) patients had been scheduled for the laparoscopic approach (LH), whereas 24 (48%) had been scheduled for AH., Interventions: Hysterectomy ± mono/bilateral salpingo-oophorectomy., Main Outcome Measures: Perioperative details, incidence, severity, and type of complications were analyzed according to surgical approach (AH vs LH). We also evaluated the trends over time in terms of perioperative outcomes., Results: AH was associated with a shorter operative time (97.5 vs 160 minutes, p = .004) compared with LH. Blood loss (200 vs 225 mL, p = .21) and the decrease in postoperative hemoglobin (-1.2 vs -1.1, p = .89) were similar between AH and LH. Intra- and postoperative complications were similar between the 2 groups; however, hospital stay was significantly shorter in the LH group (median = 3 days vs 1 day, p < .001). A significant trend toward a progressive increase in the use of the minimally invasive approach was registered through the years (p = .001). Parallel to this increase, we observed a significant reduction in terms of length of stay. Moreover, a decrease in the total number of complications, mainly because of a decrease in the rate of early minor events, was observed through the years., Conclusions: Our experience shows that LH can be considered a feasible procedure, even in cases of uteri ≥1.5 kg, with significant advantages over open surgery in terms of postoperative hospital stay., (Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
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