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8 results on '"A. M., Bocciardi"'

2. Surgical activity in the COVID-19 era: trend of slowdown from a multicentre observational study

Author

Alfio Corsaro, Vincenzo Altieri, Marco Oderda, Alessandro Antonelli, Maurizio Schenone, A. M. Bocciardi, Luca Cindolo, Paolo Verze, Antonio Galfano, Luigi Pucci, Filippo Annino, Riccardo Schiavina, Daniele D'Agostino, Antonio Luigi Pastore, Carmine Sciorio, Paolo Umari, A. Caffarelli, Giovannalberto Pini, Andrea Minervini, Marco Sandri, Mario Falsaperla, Lorenzo Spirito, Marco Borghesi, Orietta Dalpiaz, Antonio Celia, Francesco Greco, Angelo Porreca, Michele Amenta, Maria Chiara Sighinolfi, Simone Crivellaro, Pierluigi Bove, R. Nucciotti, Bernardo Rocco, Roberto Falabella, Riccardo Bertolo, Marinella Finocchiaro, Fabrizio Gallo, Giovanni Cacciamani, Carlo Ceruti, Giorgio Bozzini, Alberto Calori, Vincenzo Pagliarulo, R. Baio, Salvatore Micali, L. Costantino, Domenico Veneziano, Giovanni Costa, Alessandro Volpe, Lorenzo Berti, Paolo Parma, Carlo Terrone, Virginia Varca, Andrea Cocci, Stefano Zaramella, Franco Gaboardi, B. Dall’Oglio, and Alessandro Tafuri

Subjects
Prioritization, medicine.medical_specialty, elective surgical activities, Coronavirus disease 2019 (COVID-19), business.industry, COVID-19, surgery, Urology, General surgery, Outbreak, lcsh:Diseases of the genitourinary system. Urology, lcsh:RC870-923, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, lcsh:RC254-282, Pandemic, Case fatality rate, Health care, medicine, Observational study, business, Covid-19, Benign prostate
Abstract

Introduction: COVID-19 outbreak represented an unprecedented event that led to a redefinition of health care systems worldwide The impact of the emergency required a deviation of the care toward the assistance to COVID-19 patients, with reduction of resources for elective activities, including surgery We aim to report the decrease of urological surgical activity during the first weeks from the beginning of the pandemic, aiming to highlight the prioritization we applied to select patients for surgery Materials and methods: Thirty-three urological units with physicians affiliated to the AGILE group were involved in a survey Urologists were asked to report the amount of surgical elective procedures week- by-week, from the beginning of the emergency to the following month The type of surgery (oncologic, for urolithiasis, for benign prostate obstruction, other) was assessed as well Results: The 33 hospitals involved in the study account, globally, for 22,945 beds and are distributed in 13/20 Italian regions Before the outbreak, the involved urology units performed an overall amount of 1,213 procedures per week, half of which were oncological By the 20 of March, the amount of surgery declined by 78% Lombardy, the first region with positive-cases, experienced a 94% reduction The decrease in oncological and non- oncological surgical activity was 35,9% and 89%, respectively Among non-oncological procedures, stone surgery declined by 35,9% as well, whereas BPH and minor urological procedures completely dropped Reassessing for surgical activity on 20, April, a slight trend toward surgical restoration (+11%) started to appear Conclusions: Italy, the country with the highest fatality rate from COVID-19, had experienced a sudden decline in surgical activity;by the end of April, a current trend toward restoration of surgery started to appear Criteria for prioritization were consistent with an urgent/ emergent principle, with trauma, tumours and septic conditions being the ones prioritized The Italian experience can be helpful for future surgical pre-planning in other countries or pandemic settings Smart Communications (SC1–SC28) Andrology

Published
2020

3. SIMPLE ENUCLEATION VERSUS STANDARD PARTIAL NEPHRECTOMY FOR CLINICAL T1 RENAL MASSES: PERIOPERATIVE OUTCOMES BASED ON A MATCHED-PAIR COMPARISON OF 396 PATIENTS (RECORD PROJECT)

Author

A. Minervini, N. Longo, A. Antonelli, G. P. Bianchi, A. M. Bocciardi, A. Tuccio, C. Fiori, S. Giancane, A. Mari, V. Mirone, G. Morgia, G. Novara, F. Porpiglia, M. R. Raspollini, B. Rocco, B. Rovereto, S. Serni, C. Simeone, P. Verze, A. Volpe, V. Ficarra, M. Carini, MARTORANA, GIUSEPPE, SCHIAVINA, RICCARDO, A. Minervini, N. Longo, A. Antonelli, G.P. Bianchi, A.M. Bocciardi, A. Tuccio, C. Fiori, S. Giancane, A. Mari, G. Martorana, V. Mirone, G. Morgia, G. Novara, F. Porpiglia, M.R. Raspollini, B. Rocco, B. Rovereto, R. Schiavina, S. Serni, C. Simeone, P. Verze, A. Volpe, V. Ficarra, and M. Carini

Subjects
SIMPLE ENUCLEATION , PARTIAL NEPHRECTOMY, CLINICAL T1 RENAL MASSES, SIMPLE ENUCLEATION VERSUS STANDARD PARTIAL NEPHRECTOMY FOR CLINICAL
Published
2013

4. OPEN VERSUS LAPAROSCOPIC PARTIAL NEPHRECTOMY FOR CLINICAL T1A RENAL TUMORS: SURGICAL, FUNCTIONAL AND TRIFECTA OUTCOMES BASED ON A MATCHED-PAIR COMPARISON OF 280 PATIENTS (RECORD PROJECT)

Author

A. Minervini, G. Siena, A. Antonelli, G. P. Bianchi, A. M. Bocciardi, S. Cosciani Cunico, V. Ficarra, C. Fiori, F. Fusco, A. Mari, M. Medica, G. Morgia, F. Porpiglia, F. Rocco, B. Rovereto, C. Simeone, C. Terrone, A. Volpe, M. Carini, S. Serni, MARTORANA, GIUSEPPE, SCHIAVINA, RICCARDO, A. Minervini, G. Siena, A. Antonelli, G.P. Bianchi, A.M. Bocciardi, S. Cosciani Cunico, V. Ficarra, C. Fiori, F. Fusco, A. Mari, G. Martorana, M. Medica, G. Morgia, F. Porpiglia, F. Rocco, B. Rovereto, R. Schiavina, C. Simeone, C. Terrone, A. Volpe, M. Carini, and S. Serni

Subjects
OPEN VERSUS LAPAROSCOPIC PARTIAL NEPHRECTOMY , CLINICAL T1A RENAL TUMORS, RECORD PROJECT, OPEN VERSUS LAPAROSCOPIC PARTIAL NEPHRECTOMY FOR CLINICAL T1A RENAL
Published
2013

8. Simple enucleation versus standard partial nephrectomy for clinical T1 renal masses: Perioperative outcomes based on a matched-pair comparison of 396 patients (RECORd project)

Author

V. Ficarra, Alessandro Antonelli, Paolo Verze, Giuseppe Morgia, Sergio Serni, Chiara Fiori, Carmine Simeone, Giuseppe Martorana, Bruno Rovereto, Francesco Porpiglia, Riccardo Schiavina, Ferdinando Fusco, Aldo Massimo Bocciardi, Andrea Mari, Francesco Rocco, Annibale Volpe, Maria Rosaria Raspollini, V. Mirone, Nicola Longo, Giampaolo Bianchi, Saverio Giancane, Andrea Minervini, Marina Carini, Sergio Cosciani Cunico, Giacomo Novara, Longo, Nicola, A., Minervini, A., Antonelli, G., Bianchi, A. M., Bocciardi, S. C., Cunico, C., Fiori, Fusco, Ferdinando, S., Giancane, A., Mari, G., Martorana, Mirone, Vincenzo, G., Morgia, G., Novara, F., Porpiglia, M. R., Raspollini, F., Rocco, B., Rovereto, R., Schiavina, S., Serni, C., Simeone, Verze, Paolo, A., Volpe, V., Ficarra, M., Carini, Longo N, Minervini A, Antonelli A, Bianchi G, Bocciardi AM, Cunico SC, Fiori C, Fusco F, Giancane S, Mari A, Martorana G, Mirone V, Morgia G, Novara G, Porpiglia F, Raspollini MR, Rocco F, Rovereto B, SCHIAVINA R., Serni S, Simeone C, Verze P, Volpe A, Ficarra V, Carini M, Longo, N., Minervini, A., Antonelli, A., Bianchi, G., Bocciardi, A. M., Cunico, S. C., Fiori, C., Fusco, F., Giancane, S., Mari, A., Martorana, G., Mirone, V., Morgia, G., Novara, G., Porpiglia, F., Raspollini, M. R., Rocco, F., Rovereto, B., Schiavina, R., Serni, S., Simeone, C., Verze, P., Volpe, A., Ficarra, V., and Carini, M.

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Matched-Pair Analysis, Enucleation, Blood Loss, Surgical, Carcinoma, Partial nephrectomy, Pathology, Renal cell, Simple enucleation, Surgical outcome assessment, Aged, Female, Humans, Incidence, Italy, Kidney Neoplasms, Laparoscopy, Middle Aged, Neoplasm Staging, Nephrectomy, Postoperative Complications, Propensity Score, Registries, Retrospective Studies, Treatment Outcome, Surgical, medicine, Blood Loss, Surgery, Oncology, medicine.diagnostic_test, business.industry, Incidence (epidemiology), Retrospective cohort study, General Medicine, Perioperative, renal carcinoma, Propensity score matching, Positive Surgical Margin, business
Abstract

OBJECTIVES: To compare simple enucleation (SE) and standard partial nephrectomy (SPN) in terms of surgical results in a multicenter dataset (RECORd Project). MATERIALS AND METHODS: patients treated with nephron sparing surgery (NSS) for clinical T1 renal tumors between January 2009 and January 2011 were evaluated. Overall, 198 patients who underwent SE were retrospectively matched to 198 patients who underwent SPN. The SPN and SE groups were compared regarding intraoperative, early post-operative and pathologic outcome variables. Multivariable analysis was applied to analyze predictors of positive surgical margin (PSM) status. RESULTS: SE was associated with similar WIT (18 vs 17.8 min), lower intraoperative blood loss (177 vs 221 cc, p = 0.02) and shorter operative time (121 vs 147 min; p < 0.0001). Surgical approach (laparoscopic vs. open), tumor size and type of indication (elective/relative vs absolute) were associated with WIT >20 min. The incidence of PSM was significantly lower in patients treated with SE (1.4% vs 6.9%; p = 0.02). At multivariable analysis, PSM was related to the surgical technique, with a 4.7-fold increased risk of PSM for SPN compared to SE. The incidence of overall, medical and surgical complications was similar between SE and SPN. CONCLUSIONS: Type of NSS technique (SE vs SPN) adopted has a negligible impact on WIT and postoperative morbidity but SE seems protective against PSM occurrence

Published
2014

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