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Your search keyword '"Lodoli, Claudio"' showing total 19 results
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19 results on '"Lodoli, Claudio"'

3. Robotic approach for the treatment of gynecological cancers recurrences: A ten-year single-institution experience

Author

Certelli, Camilla, Palmieri, Luca, Federico, Alex, Oliva, Riccardo, Conte, Carmine, Rosati, Andrea, Vargiu, Virginia, Tortorella, Lucia, Chiantera, Vito, Foschi, Nazario, Ardito, Francesco, Lodoli, Claudio, Bruno, Matteo, Santullo, Francesco, De Rose, Agostino M., Fagotti, Anna, Fanfani, Francesco, Scambia, Giovanni, and Gallotta, Valerio

Published
2024
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5. Robotic surgery in ovarian cancer

Author

Gallotta, Valerio, Certelli, Camilla, Oliva, Riccardo, Rosati, Andrea, Federico, Alex, Loverro, Matteo, Lodoli, Claudio, Foschi, Nazario, Lathouras, Konstantinos, Fagotti, Anna, and Scambia, Giovanni

Published
2023
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7. How to Implement Pressurized Intraperitoneal Aerosol Chemotherapy into a National Health System Scenario: A Single-Center Retrospective Analysis of Costs and Economic Sustainability at a High-Volume Italian Hospital.

Author

Aulicino, Matteo, Orsini, Cecilia, D'Annibale, Giorgio, Barberis, Lorenzo, Catania, Paolo, Abatini, Carlo, Attalla El Halabieh, Miriam, Ferracci, Federica, Lodoli, Claudio, Santullo, Francesco, Pacelli, Fabio, and Di Giorgio, Andrea

Subjects
NATIONAL health services, INTRAPERITONEAL injections, HEALTH insurance reimbursement, ACADEMIC medical centers, AEROSOLS, HOSPITAL care, EVALUATION of human services programs, DESCRIPTIVE statistics, RETROSPECTIVE studies, ONCOLOGY, CANCER chemotherapy, PERITONEAL cancer, MEDICAL records, ACQUISITION of data, ECONOMIC impact, PERITONEUM tumors, LENGTH of stay in hospitals, MEDICAL care costs
Abstract

Simple Summary: Pressurized intraperitoneal aerosol chemotherapy (PIPAC) is a new surgical procedure used in the treatment of peritoneal surface malignancies (PSMs). Despite encouraging clinical results, the high costs of PIPAC and the need to repeat the treatment multiple times make the procedure difficult to sustain economically. A retrospective study was conducted in order to evaluate the cost of hospitalization for patients undergoing PIPAC treatment at a high-volume center in Italy. Currently, the Italian National Health System only partially covers the hospitals' costs. Therefore, there is an urgent need for an economical redefinition of this procedure, by creating dedicated reimbursement codes. PIPAC is a new surgical procedure and a viable treatment option for PSM patients, due to promising therapeutic outcomes, minimal invasiveness, limited surgical morbidity, and systemic toxicity side effects. However, its implementation throughout hospitals is hard to obtain due to its fragile economical sustainability. A retrospective health economic analysis was conducted in order to evaluate the cost of hospitalization for patients undergoing PIPAC treatment at Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, in Rome. The average cost of a PIPAC procedure was defined based on the cost of surgery (cost of surgical material, operating room, intraperitoneal chemotherapy), hospital stay, diagnostic examinations, and drugs used during the stay. A total of 493 PIPAC procedures were performed on 222 patients with peritoneal metastases or primary peritoneal cancer from 2017 to 2023. Since the mean remuneration for each PIPAC hospitalization is €5916 and the mean expenditure per hospitalization is €6538, this results in an operating profit per PIPAC hospitalization of −€622. The reimbursement of PIPAC treatment by the Italian National Health System currently only partially covers the hospital's costs. Development of specific codes and adequate reimbursement for PIPAC by recognizing this procedure as a proper treatment for peritoneal carcinomatosis is essential. [ABSTRACT FROM AUTHOR]

Published
2024
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12. Corrigendum to “Robotic surgery in ovarian cancer” [Best Pract Res Clin Obst Gynaecol Volume 90 (August 2023) 102391]

Author

Gallotta, Valerio, primary, Certelli, Camilla, additional, Oliva, Riccardo, additional, Rosati, Andrea, additional, Federico, Alex, additional, Loverro, Matteo, additional, Lodoli, Claudio, additional, Foschi, Nazario, additional, Lathouras, Konstantinos, additional, Fagotti, Anna, additional, and Scambia, Giovanni, additional

Published
2023
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14. Vascular‐ and nerve‐sparing bowel resection for deep endometriosis: A retrospective single‐center study

Author

Ianieri, Manuel Maria, primary, De Cicco Nardone, Alessandra, additional, Benvenga, Greta, additional, Greco, Pierfrancesco, additional, Pafundi, Pia Clara, additional, Alesi, Maria Vittoria, additional, Campolo, Federica, additional, Lodoli, Claudio, additional, Abatini, Carlo, additional, Attalla El Halabieh, Miriam, additional, Pacelli, Fabio, additional, Scambia, Giovanni, additional, and Santullo, Francesco, additional

Published
2023
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17. The Road to Technical Proficiency in Cytoreductive Surgery for Peritoneal Carcinomatosis: Risk-Adjusted Cumulative Summation Analysis

Author

Santullo, Francesco, Abatini, Carlo, Attalla El Halabieh, Miriam, Ferracci, Federica, Lodoli, Claudio, Barberis, Lorenzo, Giovinazzo, Francesco, Di Giorgio, Andrea, Pacelli, Fabio, Pacelli, Fabio (ORCID:0000-0002-2013-6525), Santullo, Francesco, Abatini, Carlo, Attalla El Halabieh, Miriam, Ferracci, Federica, Lodoli, Claudio, Barberis, Lorenzo, Giovinazzo, Francesco, Di Giorgio, Andrea, Pacelli, Fabio, and Pacelli, Fabio (ORCID:0000-0002-2013-6525)

Abstract

Background: Cytoreductive surgery (CRS) is a technically demanding procedure, and there is considerable debate about its safe application. This study investigated the learning curve for CRS and the clinical outcomes of consecutive patients treated by a single surgeon at a single institution. Methods: We collected 251 consecutive patients who underwent CRS for peritoneal metastases by a single surgeon at Fondazione Policlinico Universitario A. Gemelli IRCCS, between January 2016 and December 2020. The learning curve was estimated using the cumulative summation analysis (CUSUM) for operative time (OT). Risk-adjusted CUSUM (RA-CUSUM) charts were developed using a composite variable (surgical failure), defined as the occurrence of at least one of the following events: major postoperative complications (Clavien-Dindo grade >= 3), blood loss >= 500 mL, incomplete cytoreduction. Three learning phases were thus derived from the RA-CUSUM analysis, and were compared in terms of perioperative outcomes. Results: CUSUM-OT showed that the operation time improved significantly after the 161(th) case. RA-CUSUM analysis allowed to break the CRS learning curve into three different phases: phase 1, "the learning phase " (cases 1-99), phase 2 "the experienced phase " (cases 100-188), and phase 3, "the mastership phase " (cases 189-251). The rate of major postoperative complications decreased significantly over the three phases (p = 0.019). Operative time decreased significantly as well (p = 0.031) and was significantly shorter in phase 3 with respect to the other two phases (phase 3 vs phase 2: 420 min vs 500 min, p = 0.017; phase 3 vs phase 1: 420 min vs 503 min, p = 0.021). Blood loss consistently decreased throughout the three phases (p = 0.001). The rate of incomplete cytoreduction was significantly lower in phase 3 than in phase 2 (4.8% vs 14.6%, p = 0.043). Conclusion: The CRS failure rate stabilized after the first 99 cases, and the complete surgical proficiency was achiev

Published
2022

18. Prognostic Factors for Surgical Failure in Malignant Bowel Obstruction and Peritoneal Carcinomatosis

Author

Lodoli, Claudio, primary, Covino, Marcello, additional, Attalla El Halabieh, Miriam, additional, Santullo, Francesco, additional, Di Giorgio, Andrea, additional, Abatini, Carlo, additional, Rotolo, Stefano, additional, Rodolfino, Elena, additional, Giovinazzo, Francesco, additional, Fagotti, Anna, additional, Scambia, Giovanni, additional, Franceschi, Francesco, additional, and Pacelli, Fabio, additional

Published
2021
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