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2. Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery

Author

Gao, Shugeng, primary, Barello, Serena, additional, Chen, Liang, additional, Chen, Chun, additional, Che, Guowei, additional, Cai, Kaican, additional, Crisci, Roberto, additional, D’Andrilli, Antonio, additional, Droghetti, Andrea, additional, Fu, Xiangning, additional, Ferrari, Paolo Albino, additional, Fernando, Hiran C., additional, Ge, Di, additional, Graffigna, Guendalina, additional, Huang, Yunchao, additional, Hu, Jian, additional, Jiao, Wenjie, additional, Jiang, Gening, additional, Li, Xiaofei, additional, Li, Hui, additional, Li, Shanqing, additional, Liu, Lunxu, additional, Ma, Haitao, additional, Ma, Dongchun, additional, Martinez, Guillermo, additional, Maurizi, Giulio, additional, Phan, Kevin, additional, Qiao, Kun, additional, Refai, Majed, additional, Rendina, Erino A., additional, Shao, Guoguang, additional, Shen, Jianfei, additional, Tian, Hui, additional, Voltolini, Luca, additional, Vannucci, Jacopo, additional, Vanni, Camilla, additional, Wu, Qingchen, additional, Xu, Shidong, additional, Yu, Fenglei, additional, Zhao, Song, additional, Zhang, Peng, additional, Zhang, Lanjun, additional, Zhi, Xiuyi, additional, Zhu, Chengchu, additional, Ng, Calvin, additional, Sihoe, Alan D. L., additional, and Ho, Anthony M. H., additional

Published
2019
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3. Video-assisted thoracoscopic treatment of pneumothorax

Author

Carillo, Carolina, primary, Poggi, Camilla, additional, Pecoraro, Ylenia, additional, Mantovani, Sara, additional, Diso, Daniele, additional, Bassi, Massimiliano, additional, Amore, Davide, additional, Pagini, Andreina, additional, De Giacomo, Tiziano, additional, D’Andrilli, Antonio, additional, Rendina, Erino A., additional, Venuta, Federico, additional, and Anile, Marco, additional

Published
2019
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4. Salvage resection of advanced mediastinal tumors

Author

Maurizi, Giulio, primary, D’Andrilli, Antonio, additional, Vanni, Camilla, additional, Ciccone, Anna Maria, additional, Ibrahim, Mohsen, additional, Andreetti, Claudio, additional, Menna, Cecilia, additional, Poggi, Camilla, additional, Venuta, Federico, additional, and Rendina, Erino Angelo, additional

Published
2019
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5. Bronchoplasty and pulmonary arterioplasty

Author

Maurizi, Giulio, primary, Vanni, Camilla, additional, D’Andrilli, Antonio, additional, Ciccone, Anna Maria, additional, Ibrahim, Mohsen, additional, Andreetti, Claudio, additional, Menna, Cecilia, additional, Poggi, Camilla, additional, Venuta, Federico, additional, and Rendina, Erino Angelo, additional

Published
2019
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6. Unidirectional endobronchial valves for management of persistent air-leaks: results of a multicenter study

Author

Fiorelli, Alfonso, primary, D’Andrilli, Antonio, additional, Cascone, Roberto, additional, Occhiati, Luisa, additional, Anile, Marco, additional, Diso, Daniele, additional, Cassiano, Francesco, additional, Poggi, Camilla, additional, Ibrahim, Mohsen, additional, Cusumano, Giacomo, additional, Terminella, Alberto, additional, Failla, Giuseppe, additional, La Sala, Alba, additional, Bezzi, Michela, additional, Innocenti, Margherita, additional, Torricelli, Elena, additional, Venuta, Federico, additional, Rendina, Erino Angelo, additional, Vicidomini, Giovanni, additional, Santini, Mario, additional, and Andreetti, Claudio, additional

Published
2018
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7. Bronchoscopic treatment of emphysema: an update

Author

Poggi, Camilla, primary, Mantovani, Sara, additional, Pecoraro, Ylenia, additional, Carillo, Carolina, additional, Bassi, Massimiliano, additional, D’Andrilli, Antonio, additional, Anile, Marco, additional, Rendina, Erino A., additional, Venuta, Federico, additional, and Diso, Daniele, additional

Published
2018
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8. Complications related to endoscopic lung volume reduction for emphysema with endobronchial valves: results of a multicenter study

Author

Fiorelli, Alfonso, primary, D’Andrilli, Antonio, additional, Bezzi, Michela, additional, Ibrahim, Mohsen, additional, Anile, Marco, additional, Diso, Daniele, additional, Cusumano, Giacomo, additional, Terminella, Alberto, additional, Luzzi, Valentina, additional, Innocenti, Margherita, additional, Novali, Mauro, additional, Carelli, Emanuele, additional, Freda, Chiara, additional, Natale, Giovanni, additional, Peritore, Valentina, additional, Poggi, Camilla, additional, Failla, Giuseppe, additional, Basile, Marco, additional, Mazzucca, Emilia, additional, Conforti, Serena, additional, Serra, Nicola, additional, Torre, Massimo, additional, Venuta, Federico, additional, Rendina, Erino Angelo, additional, Santini, Mario, additional, and Andreetti, Claudio, additional

Published
2018
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9. Laryngotracheal resection: perioperative management and surgical technique

Author

Vanni, Camilla, primary, Poggi, Camilla, additional, D’Andrilli, Antonio, additional, Ciccone, Anna Maria, additional, Ibrahim, Mohsen, additional, Andreetti, Claudio, additional, Menna, Cecilia, additional, Massullo, Domenico, additional, Venuta, Federico, additional, Rendina, Erino Angelo, additional, and Maurizi, Giulio, additional

Published
2018
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11. Outpatient chest tube management

Author

Menna, Cecilia, primary, Ibrahim, Mohsen, additional, Poggi, Camilla, additional, Vanni, Camilla, additional, Maurizi, Giulio, additional, D’Andrilli, Antonio, additional, Ciccone, Anna Maria, additional, Venuta, Federico, additional, Rendina, Erino Angelo, additional, and Andreetti, Claudio, additional

Published
2018
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14. Laryngotracheal resection for benign stenosis

Author

Vanni, Camilla, primary, Massullo, Domenico, additional, Ciccone, Anna Maria, additional, D’Andrilli, Antonio, additional, Maurizi, Giulio, additional, Ibrahim, Mohsen, additional, Andreetti, Claudio, additional, Poggi, Camilla, additional, Venuta, Federico, additional, and Rendina, Erino A., additional

Published
2018
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15. Coated expandable metal stents are effective irrespective of airway pathology

Author

Menna, Cecilia, primary, Poggi, Camilla, additional, Ibrahim, Mohsen, additional, D’Andrilli, Antonio, additional, Ciccone, Anna Maria, additional, Maurizi, Giulio, additional, Cassiano, Francesco, additional, Baccarini, Alberto E., additional, Massullo, Domenico, additional, Venuta, Federico, additional, Rendina, Erino A., additional, and Andreetti, Claudio, additional

Published
2017
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18. Complications related to endoscopic lung volume reduction for emphysema with endobronchial valves: results of a multicenter study

Author

Federico Venuta, Valentina Peritore, Antonio D'Andrilli, Marco Basile, Marco Anile, Massimo Torre, Alfonso Fiorelli, Margherita Innocenti, Erino A. Rendina, Emanuele Carelli, Valentina Luzzi, Mohsen Ibrahim, Giacomo Cusumano, Mario Santini, Daniele Diso, Giovanni Natale, Michela Bezzi, Giuseppe Failla, Mauro Novali, Camilla Poggi, Nicola Serra, Alberto Terminella, Claudio Andreetti, Chiara Freda, Serena Conforti, Emilia Mazzucca, Fiorelli, Alfonso, D'Andrilli, Antonio, Bezzi, Michela, Ibrahim, Mohsen, Anile, Marco, Diso, Daniele, Cusumano, Giacomo, Terminella, Alberto, Luzzi, Valentina, Innocenti, Margherita, Novali, Mauro, Carelli, Emanuele, Freda, Chiara, Natale, Giovanni, Peritore, Valentina, Poggi, Camilla, Failla, Giuseppe, Basile, Marco, Mazzucca, Emilia, Conforti, Serena, Serra, Nicola, Torre, Massimo, Venuta, Federico, Rendina, Erino Angelo, Santini, Mario, and Andreetti, Claudio

Subjects
Emphysema, Pulmonary and Respiratory Medicine, COPD, medicine.medical_specialty, Zephyr endo-bronchial valve, Exacerbation, business.industry, Minimal clinically important difference, Endobronchial valve, Atelectasis, Zephyr endo-bronchial valves, Bronchoscopic lung volume reduction (BLVR), 030204 cardiovascular system & hematology, medicine.disease, Surgery, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, Respiratory failure, Pneumothorax, bronchoscopic lung volume reduction (BLVR), emphysema, Medicine, Original Article, business, Complication
Abstract

Despite bronchoscopic lung volume reduction (BLVR) with valves is a minimally invasive treatment for emphysema, it can associate with some complications. We aimed at evaluating the rate and type of complications related to valve treatment and their impact on clinical outcomes. Background: Despite bronchoscopic lung volume reduction (BLVR) with valves is a minimally invasive treatment for emphysema, it can associate with some complications. We aimed at evaluating the rate and type of complications related to valve treatment and their impact on clinical outcomes. Methods: It is a retrospective multicenter study including all consecutive patients with severe heterogeneous emphysema undergoing BLVR with endobronchial valve treatment and developed any complications related to this procedure. The type of complication, the time of onset, the treatment required and the out-come were evaluated. Response to treatment was assessed according to the minimal clinically important difference (MCID) as follows: an improvement of ≥15% in forced expiratory volume in one second (FEV1); of −8% in residual volume (RV); of ≥26 m in 6-minnute walking distance (6MWD); and of ≥4 points on the St. George's Respiratory Questionnaire (SGRQ). Target lobe volume reduction (TLVR) ≥350 mL was considered significant. Results: One hundred and seven out of 423 (25.3%) treated patients had complications related to valve treatment including pneumothorax (17.3%); pneumonia (1.7%), chronic obstructive pulmonary disease (COPD) exacerbation (0.9%), respiratory failure (1.4%), valve migration (2.1%), and hemoptysis (1.9%). In all cases complications resolved with appropriate treatment including removal of valves in 21/107 cases (19.6%). Patients with TLVR ≥350 mL (n=64) vs. those

Published
2018

20. Enhanced recovery pathways in thoracic surgery from Italian VATS Group: preoperative optimisation.

Author

D'Andrilli A, Massullo D, and Rendina EA

Abstract

Preoperative patient optimisation is a key point of enhanced recovery after thoracic surgery pathways. This could be particularly advantageous when considering video-assisted thoracic surgery (VATS) lobectomy, because reduced trauma related to minimally invasive techniques is one of the main factors favouring improved postoperative outcome. Main specific interventions for clinical optimisation before major lung resection include assessment and treatment of comorbidities, minimizing preoperative hospitalization, optimisation of pharmacological prophylaxis (antibiotic and thromboembolic) and minimizing preoperative fasting. Literature data and clinical evidences in this setting are reported and discussed., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.

Published
2018
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21. Enhanced recovery after surgery (ERAS) and fast-track in video-assisted thoracic surgery (VATS) lobectomy: preoperative optimisation and care-plans.

Author

D'Andrilli A and Rendina EA

Abstract

Main specific interventions for preoperative clinical optimisation of patients undergoing lung cancer surgery include assessment and treatment of comorbidities, minimizing preoperative hospitalization, minimizing preoperative fasting, and optimisation of antibiotic and thrombo-embolic prophylaxis. Preoperative patient optimisation is considered a crucial part of enhanced recovery after thoracic surgery pathways. Potentially, advantages of this fast-track management could be even higher when considering video-assisted thoracic surgery (VATS) major lung resection, because reduced trauma related to minimally invasive techniques is one of the main factors improving postoperative outcome. Literature data and clinical evidences in this setting are reported and discussed., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.

Published
2018
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22. Subglottic tracheal stenosis.

Author

D'Andrilli A, Venuta F, and Rendina EA

Abstract

Benign subglottic stenosis represents a major therapeutic challenge. Interventional bronchoscopic treatment has a limited role in this setting due to anatomical and technical reasons. The benefit with these techniques is generally temporary, due to frequent recurrences, need for repeated procedures and risk of extending the area of damage. Laryngotracheal resection is at present the curative treatment of choice. Literature data show that surgical treatment may allow very high success rates at long term with low perioperative morbidity and mortality. Technical aspects and results are reported and discussed.

Published
2016
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23. Reconstruction of the bronchus and pulmonary artery.

Author

Maurizi G, D'Andrilli A, Venuta F, and Rendina EA

Abstract

Bronchovascular reconstructive procedures employed in order to avoid pneumonectomy (PN) in patients functionally unsuitable have provided, over time, excellent results, similar or even better than those obtained by PN. In recent years, new successful techniques have been developed that pertain in particular the prevention of major complications and the reconstruction of the pulmonary artery (PA). Encouraging data from increasing number of published experiences support the choice of parenchymal sparing procedures for lung cancer also in patients with good functional reserve. This is even more true if considering trials published in the last 10 years, thus indicating that improved outcome can be achieved with increased experience in reconstructive techniques and perioperative management. This article discusses the main technical aspects and results of literature.

Published
2016
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24. Long term compensatory sweating results after sympathectomy for palmar and axillary hyperhidrosis.

Author

Menna C, Ibrahim M, Andreetti C, Ciccone AM, D'Andrilli A, Maurizi G, Poggi C, and Rendina EA

Abstract

Background: Endoscopic thoracic sympathectomy is currently the best treatment for primary upper extremity hyperhidrosis, but the potential for adverse effects, particularly the development of compensatory sweating, is a concern and often precludes surgery as a definitive therapy. This study aims to evaluate long-term results of two-stage unilateral versus one-stage bilateral thoracoscopic sympathectomy., Methods: From November 1995 to February 2011, 261 patients with severe palmar and/or axillary hyperhidrosis underwent endoscopic sympathectomy with a follow-up of at least 4 years. One-hundred and twenty-six patients received one-stage bilateral, single port video-assisted thoracoscopic sympathectomy (one-stage group) and 135 patients underwent two-stage unilateral, single-port video-assisted thoracoscopic sympathectomy, with a mean time interval of four months between the procedures (two-stage group)., Results: The mean postoperative follow-up period was 7.2 years (range, 4-9 years). Sixteen patients (12.7%) in the one-stage group and 15 patients (11.1%) in the two-stage group suffered from bradycardia (P=0.15). Recurrences occurred in three patients (2.4%) in the one-stage group and one (0.7%) in the two-stage group (P=0,09). Facial flushing or hyperthermia occurred in eight patients (6.3%) in the one-stage group and 11 (8.1%) of the two-stage group. Compensatory sweating occurred in 27 patients (21.4%) in the one-stage group and six patients (4.4%) in the two-stage group (P=0.0001). However, compensatory sweating recovered in five patients (83.3%) in the two-stage group versus nine (33.35%) in one-stage group during the follow-up period (Log-rank test P=0.016; HR, 7.196; 95% CI, 1.431-36.20). An improvement in postoperative quality of life (QoL) scores was observed in at least 90% of patients at three years after surgery in the one-stage group and at least 95% of patients in the two-stage group (P=0.001)., Conclusions: Compensatory sweating seems to improve during the follow-up period with a higher recovery rate after two-stage unilateral versus one-stage bilateral sympathectomy for patients with palmar and axillary hyperhidrosis.

Published
2016
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