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1. Predictive model of cooling system for railway electric propulsion: validation of design choices and last mile analysis

Author

De Rosa, R, Belli, L, Frosina, E, Venanzio, P, Romagnuolo, L, Senatore, A, De Rosa, R, Belli, L, Frosina, E, Venanzio, P, Romagnuolo, L, and Senatore, A

Subjects
History, Computer Science Applications, Education
Abstract

For many years the most advanced railway propulsion systems have been based on the use of electric motors. Compared to the other available solutions, these are characterized by greater operating economy and less environmental pollution. In order to operate as efficiently as possible and to guarantee the high standards of electromechanical reliability, these propulsion technologies need adequate cooling systems to operate in controlled temperature conditions. Considering this, the implementation of increasingly accurate and performing simulation models can represent a significant advantage and provide great support in the optimization phase of cooling systems, in terms of reduction of dimensions and weight, rapid and low-cost experimentation, prediction of critical scenarios and choice of the best solution strategies to be taken. In this regard, in the context of the collaboration between the University of Naples Federico II, University of Sannio and the company Hitachi Rail STS S.p.A., several lumped parameter models of power converter cooling systems for railway electric propulsion were developed in the Simcenter AMESim environment. These models allowed to validate specific design choices from thermal and hydraulic perspectives, aimed at higher energy efficiency of the system, and to perform the so-called Last Mile predictive analysis, in order to evaluate the possibility of removing a vehicle from the railway line as consequence of a fault of specific components.

Published
2022
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3. Common issues in the management of patients in the waiting list and after liver transplantation

Author

Burra, P, Belli, L, Ginanni, Corradini, S, Volpes, R, Marzioni, M, Giannini, E, Toniutto, P, Carrai, P, Donato, F, Lanza-Galeota, A, Martini, S, Pasulo, L, Ponziani, F, Russo, F, Coppola, C, Forte, P, Mazzarelli, C, Merli, M, Montalbano, M, Picciotto, F, Rendina, M, Zanetto, A, Angeli, P, Foschi, F, Manini, M, Marzano, A, Perricone, G, Pianta, P, Tamè, M, De Maria, N, Domenicali, M, Ottobrelli, A, Picciotto, A, Ponti, L, Vizzini, G, Corradini, S, Bhoori, S, Ferri, F, Gaffuri, G, Lenci, I, Mameli, L, Morelli, M, and Piras, M. R.

Subjects
medicine.medical_specialty, Alcoholic liver disease, DAAs, HBV recurrence, Immunosuppression, Liver transplantation, Antiviral Agents, Hepatitis C, Chronic, Humans, Italy, Liver Diseases, Alcoholic, Recurrence, Societies, Medical, Disease Management, Liver Transplantation, Waiting Lists, Hepatology, Gastroenterology, medicine.medical_treatment, 030230 surgery, 03 medical and health sciences, 0302 clinical medicine, Medical, Internal medicine, medicine, In patient, Chronic, Disease management (health), business.industry, Liver Diseases, General surgery, Hcv recurrence, Evidence-based medicine, Alcoholic, medicine.disease, Hepatitis C, surgical procedures, operative, Waiting list, 030211 gastroenterology & hepatology, Societies, business
Abstract

The present document contains the recommendations of an expert panel of transplant hepatologists, appointed by the Italian Association for the Study of the Liver (AISF), on how to manage the most common aspects of liver transplantation: the topics covered include: new treatments for HCV in patients on the waiting list for liver transplantation; antiviral treatments in patients with HCV recurrence after liver transplantation; prophylaxis for HBV recurrence after liver transplantation; indications for liver transplantation in alcoholic liver disease; and Immunosuppressive therapy. The statements on each topic were approved by participants at the AISF Transplant Hepatologist Expert Meeting (organized by the Permanent Committee on Liver Transplantation in Mondello on 4–5 October 2015), and are graded according to the Oxford classification of levels of evidence.

Published
2017
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4. Balancing donor and recipient risk factors in liver transplantation: the value of D-MELD with particular reference to HCV recipients

Author

Avolio, A, Cillo, U, Salizzoni, M, DE CARLIS, LUCIANO GREGORIO, Colledan, M, Gerunda, G, Mazzaferro, V, Tisone, G, Romagnoli, R, Caccamo, L, Rossi, M, Vitale, A, Cucchetti, A, Lupo, L, Gruttadauria, S, Nicolotti, N, Burra, P, Gasbarrini, A, Agnes, S, Lirosi, M, Miele, L, Pompili, M, Siciliano, M, Perilli, V, Gaspari, R, Castagneto, M, Lupo, F, Tandoi, F, De Carlis, L, Mangoni, I, Belli, L, Pinna, A, Cescon, M, Gridelli, B, Li Petri, S, Volpes, R, Pinelli, D, Fagiuoli, S, Montalti, R, Regalia, E, Rossi, G, Antonelli, B, Berloco, P, Lai, Q, Risaliti, A, Nicolini, D, Valente, U, Gelli, M, Morelli, N, Zamboni, F, Tondolo, V, Ettorre, G, Vennarecci, G, Bresadola, F, Baccarani, U, Toniutto, P, Manzia, T, Anselmo, A, Angelico, M, Calise, F, Scuderi, V, Romano, M, Rendina, M, Barone, M, Cuomo, O, Perrella, A, Santaniello, W, Donataccio, M, Dalle Ore, G, De Ville De Goyet, J, Monti, L, De Waure, C., Avolio A.W., Cillo U., Salizzoni M., De Carlis L., Colledan M., Gerunda G.E., Mazzaferro V., Tisone G., Romagnoli R., Caccamo L., Rossi M., Vitale A., Cucchetti A., Lupo L., Gruttadauria S., Nicolotti N., Burra P., Gasbarrini A., Agnes S., Lirosi M.C., Miele L., Pompili M., Siciliano M., Perilli V., Gaspari R., Castagneto M., Tandoi F., Mangoni I., Belli L., Pinna A.D., Cescon M., Gridelli B., Li Petri S., Volpes R., Pinelli D., Fagiuoli S., Montalti R., Regalia E., Rossi G., Antonelli B., Berloco P., Lai Q., Risaliti A., Nicolini D., Valente U., Gelli M., Morelli N., Zamboni F., Tondolo V., Brotzu G., Ettorre G.M., Vennarecci G., Bresadola F., Baccarani U., Toniutto P.L., Manzia T., Anselmo A., Angelico M., Calise F., Scuderi V., Romano M., Rendina M., Barone M., Cuomo O., Perrella A., Santaniello W., Donataccio M., Dalle Ore G., de Ville de J., Monti L., Avolio, A W, Cillo, U, Salizzoni, M, De Carlis, L, Colledan, M, Gerunda, G E, Mazzaferro, Mariapia, Tisone, G, Romagnoli, R, Caccamo, L, Rossi, M, Vitale, A, Cucchetti, A, Lupo, L, Gruttadauria, S, Nicolotti, N, Burra, P, Gasbarrini, A, Agnes, S, Montalti, Roberto, Avolio, A, DE CARLIS, L, Gerunda, G, Mazzaferro, V, Lirosi, M, Miele, L, Pompili, M, Siciliano, M, Perilli, V, Gaspari, R, Castagneto, M, Lupo, F, Tandoi, F, Mangoni, I, Belli, L, Pinna, A, Cescon, M, Gridelli, B, Li Petri, S, Volpes, R, Pinelli, D, Fagiuoli, S, Montalti, R, Regalia, E, Rossi, G, Antonelli, B, Berloco, P, Lai, Q, Risaliti, A, Nicolini, D, Valente, U, Gelli, M, Morelli, N, Zamboni, F, Tondolo, V, Ettorre, G, Vennarecci, G, Bresadola, F, Baccarani, U, Toniutto, P, Manzia, T, Anselmo, A, Angelico, M, Calise, F, Scuderi, V, Romano, M, Rendina, M, Barone, M, Cuomo, O, Perrella, A, Santaniello, W, Donataccio, M, Dalle Ore, G, De Ville De Goyet, J, Monti, L, and De Waure, C

Subjects
Graft Rejection, Male, medicine.medical_treatment, Settore MED/18 - CHIRURGIA GENERALE, Hepacivirus, Liver transplantation, Gastroenterology, Liver disease, Postoperative Complications, Retrospective Studie, UNSUSTAINABLE MATCH, Models, Risk Factors, Immunology and Allergy, Health Status Indicators, Age Factor, PROGNOSTIC INDICES, Pharmacology (medical), Health Status Indicator, D-MELD, Liver Transplantation, liver transplantation, Hazard ratio, Graft Survival, donor-recipient match, outcome, prognosis, risk factors, Age Factors, Trapianto epatico, Hepatitis C, Hepatitis B, Statistical, Middle Aged, Prognosis, Tissue Donors, Survival Rate, Italy, HCV, Female, Human, Adult, medicine.medical_specialty, Prognosi, Donor Selection, End Stage Liver Disease, Young Adult, Internal medicine, medicine, Humans, fattori di rischio, Aged, Retrospective Studies, Transplantation, Hepaciviru, Models, Statistical, business.industry, Donor selection, Risk Factor, Settore MED/09 - MEDICINA INTERNA, Odds ratio, medicine.disease, Settore MED/18, Surgery, body regions, Postoperative Complication, business
Abstract

Donor-recipient match is a matter of debate in liver transplantation. D-MELD (donor age × recipient biochemical model for end-stage liver disease [MELD]) and other factors were analyzed on a national Italian database recording 5946 liver transplants. Primary endpoint was to determine factors predictive of 3-year patient survival. D-MELD cutoff predictive of 5-year patient survival 1628). At 3 years, the odds ratio (OR) for death was 2.03 (95% confidence interval [CI], 1.44-2.85) in D-MELD class C versus B. The OR was 0.40 (95% CI, 0.24-0.66) in class A versus class B. Other predictors were hepatitis C virus (HCV; OR = 1.42; 95% CI, 1.11-1.81), hepatitis B virus (HBV; OR = 0.69; 95% CI, 0.51-0.93), retransplant (OR = 1.82; 95% CI, 1.16-2.87) and low-volume center (OR = 1.48; 95% CI, 1.11-1.99). Cox regressions up to 90 months confirmed results. The hazard ratio was 1.97 (95% CI, 1.59-2.43) for D-MELD class C versus class B and 0.42 (95% CI, 0.29-0.60) for D-MELD class A versus class B. Recipient age, HCV, HBV and retransplant were also significant. The 5yrsPS

Published
2011

5. Liver transplantation for hepatocellular carcinoma: prognostic factors associated long-term survival

Author

Colella, G., Rondinara, G. F., Carlis, L., Sansalone, C. V., Slim, A. O., paolo aseni, Kossetti, O., Gasperi, A., Minola, E., Bottelli, R., Belli, L. S., Ideo, G., Forti, D., Colella, G, Rondinara, G, De Carlis, L, Sansalone, C, Slim, A, Aseni, P, Kossetti, O, De Gasperi, A, Minola, E, Bottelli, R, Belli, L, Ideo, G, and Forti, D

Subjects
Adult, Male, Transplantation, Carcinoma, Hepatocellular, Liver transplantation, Hepatocellular carcinoma, Liver Neoplasms, Humans, Female, Survivors, Middle Aged, Prognosis
Abstract

Between December 1985 and February 1995, 260 orthotopic liver transplantations (OLTX) were performed on 238 patients at Niguarda Hospital. Sixty-three patients had hepatocellular carcinoma (HCC); in 13 of the patients HCC was incidental. All patients had negative lymph nodes. According to the Child classification, 13 patients were Child A, 30 Child B, and 18 Child C. According to the TNM classification, 11 patients were stage I, 22 stage II, 15 stage III, and 15 stage IVa. Pre-OLTX chemoembolization was performed on 25 patients. The perioperative mortality rate was 27% (17 patients). Overall survival and disease-free actuarial survival rates at 1, 3, and 5 years were 94%, 76%, 76%, and 83%, 75%, 75%, respectively. Survival curves were compared for 16 different variables. No difference was observed for all parameters analyzed except tumor site, TNM stage, pre-OLTX AFP levels and vascular infiltration. These results seem to demonstrate that the OLTX for unresectable HCC can be considered in specifically selected cases as the treatment of choice. An adequate tumor staging is also necessary for a better patient selection in order to increase survival.

Published
1996
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6. Milan multicenter experience in 96 liver transplants for hepatitis B virus-related cirrhosis

Author

Caccamo, L., Belli, L. S., VINCENZO MARIA MAZZAFERRO, Colledan, M., Alberti, A., Regalia, E., Fassati, L. R., Ideo, G., Rubino, A., Belli, L., Gennari, L., Galmarini, D., Caccamo, L, Belli, L, Mazzaferro, V, Colledan, M, Alberti, A, Regalia, E, Fassati, L, Ideo, G, Rubino, A, Gennari, L, and Galmarini, D

Subjects
Adult, Liver Cirrhosis, Male, Time Factors, Adolescent, Hepacivirus, Virus Replication, Humans, human, Hepatitis B e Antigens, conference paper, long term care, Hepatitis B Surface Antigens, virus pathogenesi, liver cirrhosi, human cell, clinical trial, Middle Aged, Hepatitis B, major clinical study, human tissue, Liver Transplantation, multicenter study, priority journal, Italy, Female, hepatitis b viru, recurrence risk, Follow-Up Studies
Published
1994

7. Sandimmun-Neoral in liver transplantation: a remarkable improvement in long-term immunosuppression

Author

Belli, L. S., De Carlis, L., Rondinara, G. F., Alberti, A., Rossetti, O., Zurleni, F., Bellati, G., Fesce, E., Zoppi, F., Airoldi, A., Ideo, G., Belli, L., Belli, L, De Carlis, L, Rondinara, G, Alberti, A, Rossetti, O, Zurleni, F, Bellati, G, Fesce, E, Zoppi, F, Airoldi, A, and Ideo, G

Subjects
Adult, Liver Cirrhosis, Male, Transplantation, Intestinal Absorption, Cyclosporine, Administration, Oral, Humans, Surgery, Female, Middle Aged, Hepatitis C, Liver Transplantation
Published
1994

8. Neoral in liver transplant patients: pharmacokinetic study and clinical implications

Author

Belli, L. S., Slim, O. A., Carlis, L., Rondinara, G. F., Alberti, A., Zoppi, F., Bellati, G., Fesce, E., Airoldi, A., Colombo, D., Di Gregorio, M., Ideo, G., Belli, L., Belli, L, Slim, O, De Carlis, L, Rondinara, G, Alberti, A, Zoppi, F, Bellati, G, Fesce, E, Airoldi, A, Colombo, D, Di Gregorio, M, and Ideo, G

Subjects
Immunosuppression Therapy, Transplantation, Time Factors, Administration, Oral, Biological Availability, Fasting, Liver Transplantation, Eating, Treatment Outcome, Intestinal Absorption, Cyclosporine, Gelatin, Humans, Surgery, Follow-Up Studies
Published
1994

9. Recurrence of HDV infection after liver transplantation

Author

Bettale, G., Alberti, A., Belli, L. S., Rondinara, G., De Carlis, L., Vai, C., Zavaglia, C., Belli, L., Ideo, G., Bettale, G, Alberti, A, Belli, L, Rondinara, G, De Carlis, L, Vai, C, Zavaglia, C, and Ideo, G

Subjects
Adult, Liver Cirrhosis, Male, Hepatitis B Surface Antigens, Medicine (all), Middle Aged, Hepatitis B, Hepatitis D, Liver Transplantation, Recurrence, Humans, Female, Hepatitis B Vaccines, Hepatitis Antibodies, Hepatitis B Antibodies, Hepatitis Delta Virus
Published
1993

10. Balancing Donor and Recipient Risk Factors in Liver Transplantation: The Value of D-MELD in Particluar Reference to a HCV Recipients

Author

Avolio, Aw, Cillo, U, Salizzoni, M, De Carlis, L, Colledan, M, Gerunda, Ge, Mazzaferro, V, Tisone, G, Romagnoli, R, Caccamo, L, Rossi, M, Vitale, A, Cucchetti, A, Lupo, L, Gruttadauria, S, Nicolotti, N, Burra, P, Gasbarrini, A, Agnes, S, Lirosi, Mc, Miele, L, Pompili, M, Siciliano, M, Perilli, V, Gaspari, R, Castagneto, M, Tandoi, F, Mangoni, I, Belli, L, Pinna, Ad, Cescon, M, Gridelli, B, Li Petri, S, Volpes, R, Fagiuoli, S, Montalti, R, Regalia, E, Antonelli, B, Berloco, P, Lai, Q, Risaliti, A, Nicolini, D, Valente, U, Gelli, M, Morelli, N, Zamboni, F, Tondolo, V, Ettorre, Gm, Vennarecci, G, Bresadola, F, Baccarani, U, Toniutto, Pl, Manzia, T, Anselmo, A, Angelico, M, Calise, F, Scuderi, V, Romano, M, Rendina, M, Barone, M, Cuomo, O, Perrella, A, Santaniello, W, Donataccio, M, Dalle Ore, G, De Ville De Goyet, J, Monti, L, and De Waure, C.

Published
2011

11. Incidence of anti-hepatitis C virus antibodies in non-A, non-B post-transfusion hepatitis in an area of northern italy

Author

Pincolini S, Bernuzzi G, Elia Gf, Lecchini R, Giacomo Magnani, Franco Fiaccadori, Iacono S, Formentini A, Belli L, and Marchelli S

Subjects
Microbiology (medical), medicine.medical_specialty, Enzyme-Linked Immunosorbent Assay, Hepacivirus, Gastroenterology, Group A, Group B, Internal medicine, medicine, Humans, Hepatitis Antibodies, Cardiac Surgical Procedures, Seroconversion, Hepatitis, biology, Transmission (medicine), business.industry, Incidence (epidemiology), Transfusion Reaction, Alanine Transaminase, General Medicine, medicine.disease, Hepatitis C, Infectious Diseases, Italy, Immunology, Costs and Cost Analysis, biology.protein, Viral disease, Antibody, business
Abstract

A total of 210 patients consecutively submitted to heart surgery at the Parma University Hospital and transfused with 1,898 units of blood were followed after transfusion in order to evaluate both the incidence of anti-hepatitis Cvirus (HCV) seroconversion in non-A, non-B post-transfusion hepatitis (PTH-NANB) cases and the usefulness of the screening for anti-HCV in comparison with that for serum glutamic pyruvic transaminase (SGPT) values in preventing PTH-NANB transmission. Fifteen recipients developed PTH-NANB (group A); ten of them (66.6%) showed anti-HCV seroconversion within 3–12 months. Eight of the ten anti-HCV positive patients developed chronic hepatitis, but none of the five PTH-NANB anti-HCV negative did. None of the 15 controls (group B) randomly chosen among the patient population showed anti-HCV seroconversion. A close correlation witht he transmission of PTH was showed by anti-HCV positivity but not by SGPT elevation in blood donors. Eleven of 172 blood products transfused to group A but none of 139 products transfused to group B were anti-HCV positive. The incidence of elevated SGPT values was similar between the two groups of the transfused blood products. Nevertheless, the correlation observed between anti-HCV positivity and SGPT levels in the blood products involved in PTH confirms the need to exclude blood donors with abnormal SGPT values. On the whole, anti-HCV screening of donors showed a predictive value higher than that of SGPT (100% vs. 53.3%), allowing a minor blood donation exclusion. The percentage of anti-HCV seroconversion observed in PTH-NANB is probably underestimated because of the limits of the ELISA method we used for the detection of anti-HCV.

Published
1991
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12. Left thoracic approach for cancer of cardia: early and late results

Author

Carlis, L., Zurleni, F., Andrea BALLABIO, Pirotta, V., Rondinara, G., Sansalone, C. V., Colella, G., Slim, A. O., Meroni, A., Belli, L., Forti, D., De Carlis, L, Zurleni, F, Ballabio, A, Pirotta, V, Rondinara, G, Sansalone, C, Colella, G, Slim, A, Meroni, A, Belli, L, and Forti, D

Subjects
Adult, Aged, 80 and over, Male, Left thoracotomy, Cardia, Adenocarcinoma, Middle Aged, Survival Analysis, Postoperative Complications, Thoracotomy, Gastrectomy, Stomach Neoplasms, Cancer of cardia, Humans, Lymph Node Excision, Surgery, Female, Esophagogastrectomy, Aged, Follow-Up Studies, Neoplasm Staging, Retrospective Studies
Abstract

Background. The surgical treatment of cancer of the cardia is controversial and results are often disappointing. Concern exists not only with regards to the surgical approach but also to the extent of the resection. The authors analyze their experience over a 20-year period adopting almost exclusively a 'limited' esophagogastrectomy with a wide regional lymphadenectomy through a left thoracotomy. The aim of the study is to determine if this approach actually plays a role in the treatment of this tumor. Methods. 148 patients were evaluated for cardial cancer. Of these 22 (14.8%) were not resectable and 6 (4%) received other types of resections for technical reasons. 120 patients are the basis of the present analysis. More than 75% of patients were in stage III or IV. Follow-up was completed in 92.5% of cases; all surviving patients had at least 5 years of follow-up. Results. Four (3.3%) patients died in the postoperative period. In 6 cases (5%) an anastomotic leakage occurred and this caused the death of 2 patients. Nine (7.5%) patients had severe pulmonary complications. Dysphagia was relieved in all non complicated patients. 13 (10.8%) patients had anastomotic recurrence. Overall survival rate after 5 years was 25.62 ± 6.1%. A significant difference in survival was noted in patients at stages II and III after 5 years (61.3% vs 18.6, p < 0.02). Conclusions. This operation has proved to be a good option providing satisfying long-term results and a lower incidence of complications if compared with more extended procedures. It can be performed in the majority of patients with carcinoma of the cardia with a low mortality and morbidity and with excellent palliation of dysphagia. In our opinion it remains an optimum treatment for cardial cancer

Published
1997

13. Right hepatic artery replacement from superior mesenteric artery in combined liver-whole pancreas procurement. Technical problems and liver graft artery reconstruction

Author

Sansalone, C. V., Carlis, L., Rondinara, G. F., Colella, G., Rossetti, O., Slim, A. O., paolo aseni, Pirotta, V., Meroni, A., Ballabio, A., Arcieri, K., Belli, L., Sansalone, C, De Carlis, L, Rondinara, G, Colella, G, Rossetti, O, Slim, A, Aseni, P, Pirotta, V, Meroni, A, Ballabio, A, Arcieri, K, and Belli, L

Subjects
Adult, Graft Rejection, Transplantation, Anastomosis, Surgical, Blood Loss, Surgical, Tissue Donors, Liver Transplantation, Mesenteric Arteries, Hepatic Artery, Acute Disease, Chronic Disease, Humans, Surgery, Aspartate Aminotransferases, Pancreas, Retrospective Studies
Published
1994

14. Orthotopic liver transplantation for primary biliary tumors: Milan multicenter experience

Author

Sansalone, C. V., Colella, G., Caccamo, L., Rondinara, G. F., Fassati, L. R., Rossetti, O., Carlis, L., Galmarini, D., paolo aseni, Mazzaferro, V., Regalia, E., Belli, L., Sansalone, C, Colella, G, Caccamo, L, Rondinara, G, Fassati, L, Rossetti, O, De Carlis, L, Galmarini, D, Aseni, P, Mazzaferro, V, Regalia, E, and Belli, L

Subjects
Adult, Male, Transplantation, Analysis of Variance, Carcinoma, Hepatocellular, Time Factors, Liver Neoplasms, Middle Aged, Disease-Free Survival, Liver Transplantation, Cholangiocarcinoma, Survival Rate, Italy, Actuarial Analysis, Lymphatic Metastasis, Humans, Surgery, Female, Gallbladder Neoplasms, Neoplasm Invasiveness, Follow-Up Studies
Published
1994

15. Surgical treatment of symptomatic giant hemangiomas of the liver

Author

Belli, L., De Carlis, L., Beati, C., Rondinara, G., Sansalone, V., Brambilla, G., Belli, L, De Carlis, L, Beati, C, Rondinara, G, Sansalone, V, and Brambilla, G

Subjects
Male, Hemangioma, Cavernous, Postoperative Complications, Time Factors, Liver Neoplasms, Obstetrics and Gynecology, Hepatectomy, Humans, Surgery, Female, Middle Aged, Follow-Up Studies, Retrospective Studies
Abstract

Cavernous hemangiomas are the most common benign tumors of the liver. Twenty-four patients who had hepatic resections for giant symptomatic hepatic hemangiomas during a six year period at a single institute were retrospectively reviewed to analyze indications for surgical treatment and evaluate operative mortality and morbidity. There were 18 women and six men varying in age from 41 to 69 years with an average age of 52.5 years. Moderate to severe pain, discomfort, feeling of fullness, bloating and sensation of an abdominal mass were the most commonly reported symptoms. Ten patients had moderate anemia and two had severe anemia. Tumors were visualized by ultrasonography in all patients and by computed tomography in 18. Angiography was performed in all patients with diagnostic confirmation of a benign hemangioma in all but one patient in whom an angiosarcoma was suspected. The resection was feasible in each patient: 20 minor hepatic resections (three wedge, 11 segmentectomies, six bisegmentectomies) and four right hepatic lobectomies were carried out. There were no surgical deaths. Two patients had postoperative complications: one patient had a pneumonia on the right side and one had wound infection. The benign nature of the tumors was confirmed in all. The lesions varied in size from 5.6 to 26 centimeters in diameter. Symptoms and hematologic disorders were relieved in all patients in the follow-up. The results of our experience confirm that resection for giant symptomatic hepatic hemangioma represents a safe radical curative procedure. Medical treatment is justified in smaller lesions or in asymptomatic patients.

Published
1992

16. Erratum to 'A method for establishing allocation equity among patients with and without hepatocellular carcinoma on a common liver transplant waiting list' [J Hepatol 2013;60:290–297]

Author

Vitale, A., Volk, M. L., De Feo, T. M., Burra, P, Frigo, A. C., Ramirez Morales, R., De Carlis, L., Belli, L., Colledan, M., Fagiuoli, S., Rossi, G., Andorno, E., Baccarani, U., Regalia, E., Vivarelli, M., Donataccio, M., Russo, F. P., Cillo, U., and Liver Transplantation North Italy Transplant program working group

Subjects
medicine.medical_specialty, Hepatology, business.industry, General surgery, medicine.medical_treatment, Equity (finance), Transplant Waiting List, Liver transplantation, medicine.disease, Surgery, Hepatocellular carcinoma, medicine, Regalia, business
Abstract

Erratum to ‘‘A method for establishing allocation equity among patients with and without hepatocellular carcinoma on a common liver transplant waiting list’’ [J Hepatol 2013;60:290–297] Alessandro Vitale, Michael L. Volk, Tullia Maria De Feo, Patrizia Burra1,⇑, Anna Chiara Frigo, Rafael Ramirez Morales, Luciano De Carlis, Luca Belli, Michele Colledan, Stefano Fagiuoli, Giorgio Rossi, Enzo Andorno, Umberto Baccarani, Enrico Regalia, Marco Vivarelli, Matteo Donataccio, Umberto Cillo, on behalf of the Liver Transplantation North Italy Transplant program (NITp) working group

Published
2014
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23. Recurrent hepatitis C after liver transplantation

Author

Belli, L. S., Alberti, A., Rondinara, G. F., De Carlis, L., Romani, F., Bellati, G., Minola, E., Zurleni, F., Rossetti, O., Pirotta, V., Rimoldi, P., Asti, L., Ideo, G., Belli, L., Belli, L, Alberti, A, Rondinara, G, De Carlis, L, Romani, F, Bellati, G, Minola, E, Zurleni, F, Rossetti, O, Pirotta, V, Rimoldi, P, Asti, L, and Ideo, G

Subjects
Transplantation, Biopsy, Alanine Transaminase, Bilirubin, Enzyme-Linked Immunosorbent Assay, Hepatitis C Antibodies, Hepatitis C, Liver Transplantation, Postoperative Complications, Recurrence, Humans, Surgery, Blood Transfusion, Hepatitis Antibodies, Follow-Up Studies, Retrospective Studies

24. Massive hemorrhagic hepatic graft necrosis secondary to diversion of portal blood flow during a rejection reaction: Report of a case

Author

Del Favero, E., De Carlis, L., Rondinara, G. F., Belli, L. S., Sansalone, C. V., Romani, F., Tommasini, D. C., Brambilla, G., Rampoldi, A., De Gasperi, A., Belli, L., Del Favero, E, De Carlis, L, Rondinara, G, Belli, L, Sansalone, C, Romani, F, Tommasini, D, Brambilla, G, Rampoldi, A, and De Gasperi, A

Subjects
Adult, Graft Rejection, Male, Transplantation, Necrosis, Portal System, Carcinoma, Hepatocellular, Liver Neoplasms, Humans, Surgery, Hemorrhage, Liver Transplantation

25. Cyclosporin monotherapy (after 3 months) in liver transplant patients: A prospective randomized trial

Author

Romani, F., Belli, L. S., De Carlis, L., Rondinara, G. F., Alberti, A., Sansalone, C. V., Bellati, G., Zavaglia, C., Fesce, E., Ideo, G., Belli, L., Romani, F, Belli, L, De Carlis, L, Rondinara, G, Alberti, A, Sansalone, C, Bellati, G, Zavaglia, C, Fesce, E, and Ideo, G

Subjects
Adult, Graft Rejection, Immunosuppression Therapy, Male, Transplantation, Incidence, Middle Aged, Liver Transplantation, Survival Rate, Acute Disease, Chronic Disease, Cyclosporine, Humans, Female, Steroids, Surgery

26. Modified duct-to-duct reconstruction after orthotopic liver transplantation: Early and long-term results in 230 procedures

Author

Carlis, L., Rondinara, G. F., Arcidiacono, R., Rossi, A., Sansalone, C. V., Rossetti, O., Romani, F., Andrea BALLABIO, Colella, G., Belli, L. S., Belli, L., De Carlis, L, Rondinara, G, Arcidiacono, R, Rossi, A, Sansalone, C, Rossetti, O, Romani, F, Ballabio, A, Colella, G, and Belli, L

Subjects
Adult, Immunosuppression Therapy, Transplantation, Time Factors, Anastomosis, Surgical, ABO Blood-Group System, Liver Transplantation, Postoperative Complications, Humans, Surgery, Bile Ducts, Cholangiography, Follow-Up Studies, Retrospective Studies

27. Kidney and liver initial graft function under different procurement techniques

Author

Belli, L. S., Carlis, L., Romani, F., Rondinara, G. F., Degna, C. T., Bruno Brando, Del Favero, E., Palmieri, B., Meroni, A., Frangi, M., Belli, L., Belli, L, De Carlis, L, Romani, F, Rondinara, G, Degna, C, Brando, B, Del Favero, E, Palmieri, B, Meroni, A, and Frangi, M

Subjects
Transplantation, Humans, Transplantation, Homologous, Surgery, Tissue Preservation, Kidney, Kidney Transplantation, Tissue Donors, Liver Transplantation

28. Vascular complications during renal transplant. Analysis of 400 cases

Author

Belli, L., Carlis, L., Belli, L. S., Del Favero, E., Rondinara, G., Romani, F., paolo aseni, Puttini, M., Belli, L, De Carlis, L, Del Favero, E, Rondinara, G, Romani, F, Aseni, P, and Puttini, M

Subjects
Surgery
Abstract

The vascular complications in a consecutive series of 400 renal transplantations performed from 1972 through December 1987 are described. No vascular complication was demonstrated in the 23 patients receiving graft from living related donors. In 29 (7,2%) patients the graft failed to function depending on vascular problems. Stenosis of the renal graft artery was angiographically evident in 9 patients (2,2%). Arterial and venous thrombosis occurred respectively in 18 (4,5%) and 2 (0,5%) cases and in all graftectomy was required. Technical and anatomical factors, the type of anastomosis together with atherosclerosis of the recipient and donor vessels play an extremely important role in the incidence of vascular complications. The availability of an arterial patch anastomosed end to side to the external iliac artery and the 'en bloc' harvesting technique seems to reduce the incidence of vascular lesions and make the anastomosis easier and more reliable in cases with multiple artery kidneys. The use of Ciclosporine A, as an immunosuppressor, not-withstanding some contrasting reported findings, did not prove to be a predisposing factor to vascular thrombosis

29. Splenic artery steal syndrome after orthotopic liver transplantation: Diagnosis and treatment

Author

Carlis, L., Sansalone, C. V., Rondinara, G. F., Belli, L. S., Rimoldi, P., Romani, F., Puttini, M., Meroni, A., Riolo, F., Rossetti, O., Pirotta, V., Andrea BALLABIO, Belli, L., De Carlis, L, Sansalone, C, Rondinara, G, Belli, L, Rimoldi, P, Romani, F, Puttini, M, Meroni, A, Riolo, F, Rossetti, O, Pirotta, V, and Ballabio, A

Subjects
Graft Rejection, Reoperation, Transplantation, Postoperative Complications, Humans, Surgery, Syndrome, Vascular Diseases, Splenic Artery, Spleen, Liver Transplantation, Retrospective Studies

30. The role of donor and recipient factors in initial renal graft non-function

Author

Belli, L. S., Carlis, L., Del Favero, E., Civati, G., Bruno Brando, Romani, F., Aseni, P., Rondinara, G. F., Palmieri, B., Meroni, A., Belli, L., Belli, L, De Carlis, L, Del Favero, E, Civati, G, Brando, B, Romani, F, Aseni, P, Rondinara, G, Palmieri, B, and Meroni, A

Subjects
Adult, Graft Rejection, Transplantation, Adolescent, Age Factors, Organ Preservation, Middle Aged, Kidney, Kidney Transplantation, Tissue Donors, Liver Transplantation, Heart Transplantation, Humans, Surgery, Pancreas Transplantation, Hypotension, Antilymphocyte Serum, Retrospective Studies
Abstract

ATN is a deleterious problem in the outcome of kidney transplantation. This complication is usually related to multiple factors including donor parameters, surgical technique, ischemic time, and recipient variables. In order to develop prophylactic measures, out of 430 kidney transplants performed in our Department, a series of 90 consecutive cadaveric renal allografts has been considered in this study. The overall incidence of IGNF was 23/90 (25.5%). Kidneys from MOD revealed a lower rate of IGNF (7/35 = 20%) when compared with organs from SOD (16/55 = 29%, P = NS). No difference was noted when kidneys were removed together with heart and/or liver and/or pancreas. Out of the donor factors, only CID was significant (17 +/- 9 hours in IGNF v 11 +/- 10 hours in patients with IGF, P = less than .05). Analysis of data concerning the fate of paired kidneys revealed two cases of IGNF in both kidneys from the same donor v 14 cases of IGNF in only one of the two paired grafts (P = NS). We conclude that: 1. Donor factors are clearly associated with a minority of IGNF. 2. The introduction of multiorgan procurement programs does not complicate early function. 3. Recipient factors (immunological events and intraoperative fluid management) provides important additive effects on initial graft nonfunction.

32. Pattern of recurrence of hepatocellular carcinoma after liver transplantation: Milan multicenter experience

Author

Regalia, E., Sansalone, C., VINCENZO MARIA MAZZAFERRO, Reggiani, P., Rondinara, G. F., Lucianetti, A., Pulvirenti, A., Carlis, L., Paone, G., Belli, L., Galmarini, D., Gennari, L., Regalia, E, Sansalone, C, Mazzaferro, V, Reggiani, P, Rondinara, G, Lucianetti, A, Pulvirenti, A, De Carlis, L, Paone, G, Belli, L, Galmarini, D, and Gennari, L

Subjects
Transplantation, Carcinoma, Hepatocellular, Lung Neoplasms, Time Factors, Brain Neoplasms, Liver Neoplasms, Adrenal Gland Neoplasms, Bone Neoplasms, Middle Aged, Liver Transplantation, Survival Rate, Italy, Humans, Surgery, Neoplasm Recurrence, Local, Follow-Up Studies, Neoplasm Staging

33. ANTIVIRAL TREATMENT (AT) FOR HCV RECURRENCE FOLLOWING LIVER TRANSPLANTATION: THE IMPACT ON FIBROSIS PROGRESSION

Author

Martin, E., Senzolo, M., Ponziani, Fr, Vigano, R., Belli, L., Pinzello, G., Colledan, M., Donato, F., Di Paolo, D., Angelico, M., Rendina, M., Pompili, M., Gasbarrini, A., FRANCESCO PAOLO RUSSO, Umberto Cillo, Fagiuoli, S., De Martin, E, Senzolo, M, Ponziani, F, Vigano, R, Belli, L, Pinzello, G, Colledan, M, Donato, F, Di Paolo, D, Angelico, M, Rendina, M, Pompili, M, Gasbarrini, A, Russo, F, Cillo, U, and Fagiuoli, S

Subjects
Transplantation, Surgery

37. Different perceptions of sustainable case-mix for liver transplantation between surgeons and hepatologists: an Italian multicenter study

Author

Calia, R., Avolio, A., Luciani, M., Franco, A., Lai, Q., Vivarelli, M., Benedetti, A., Lupo, L., Rendina, M., Colledan, M., Fagiuoli, S., Cescon, M., Morelli, C., Zamboni, F., Mameli, L., Carlis, L., Belli, L., Rossi, G., Donato, F., Mazzaferro, V., Bhoori, S., Di Benedetto, F., Maria, N., Santaniello, W., Costanzo, G., Gruttadauria, S., Volpes, R., Paolo De Simone, Carrai, P., Spada, M., Nobile, V., Agnes, S., Grieco, A., Spoletini, G., Ettorre, G., Giannelli, V., Tisone, G., Lenci, I., Rossi, M., Corradini, Ginanni S., Romagnoli, R., Martini, S., Risaliti, A., Toniutto, P., Tedeschi, U., Carrao, A., Burra, P., Cillo, U., Calia, R, Avolio, A, Luciani, M, Franco, A, Lai, Q, Vivarelli, M, Benedetti, A, Lupo, L, Rendina, M, Colledan, M, Fagiuoli, S, Cescon, M, Morelli, C, Zamboni, F, Mameli, L, De Carlis, L, Belli, L, Rossi, G, Donato, F, Mazzaferro, V, Bhoori, S, Di Benedetto, F, De Maria, N, Santaniello, W, Costanzo, G, Gruttadauria, S, Volpes, R, De Simone, P, Carrai, P, Spada, M, Nobile, V, Agnes, S, Grieco, A, Spoletini, G, Ettorre, G, Giannelli, V, Tisone, G, Lenci, I, Rossi, M, Corradini, S, Romagnoli, R, Martini, S, Risaliti, A, Toniutto, P, Tedeschi, U, Carrao, A, Burra, P, and Cillo, U

Subjects
liver transplantation

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