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3. A 15-year experience of two hundred and twenty five consecutive right hepatectomies

Author

Levi Sandri, Giovanni Battista, Colasanti, Marco, Vennarecci, Giovanni, Santoro, Roberto, Lepiane, Pasquale, Mascianà, Gianluca, de Werra, Edoardo, Meniconi, Roberto Luca, Campanelli, Alessandra, Scotti, Andrea, Burocchi, Mirco, Di Castro, Angelo, D’Offizi, Giampiero, Antonini, Mario, Busi Rizzi, Elisa, Ialongo, Pasquale, Garufi, Carlo, and Ettorre, Giuseppe Maria

Published
2017
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8. Detection of Pulmonary tuberculosis: comparing MR imaging with HRCT

Author

Lauria Francesco N, Bevilacqua Nazario, Palmieri Fabrizio, Goletti Delia, Cristofaro Massimo, Schinina' Vincenzo, Busi Rizzi Elisa, Girardi Enrico, and Bibbolino Corrado

Subjects
Infectious and parasitic diseases, RC109-216
Abstract

Abstract Background Computer Tomography (CT) is considered the gold standard for assessing the morphological changes of lung parenchyma. Although novel CT techniques have substantially decreased the radiation dose, radiation exposure is still high. Magnetic Resonance Imaging (MRI) has been established as a radiation- free alternative to CT for several lung diseases, but its role in infectious diseases still needs to be explored further. Therefore, the purpose of our study was to compare MRI with high resolution CT (HRCT) for assessing pulmonary tuberculosis. Methods 50 patients with culture-proven pulmonary tuberculosis underwent chest HRCT as the standard of reference and were evaluated by MRI within 24 h after HRCT. Altogether we performed 60 CT and MRI examinations, because 10 patients were also examined by CT and MRI at follow- up. Pulmonary abnormalities, their characteristics, location and distribution were analyzed by two readers who were blinded to the HRCT results. Results Artifacts did not interfere with the diagnostic value of MRI. Both HRCT and MRI correctly diagnosed pulmonary tuberculosis and identified pulmonary abnormalities in all patients. There were no significant differences between the two techniques in terms of identifying the location and distribution of the lung lesions, though the higher resolution of MRI did allow for better identification of parenchymal dishomogeneity, caseosis, and pleural or nodal involvement. Conclusion Technical developments and the refinement of pulse sequences have improved the quality and speed of MRI. Our data indicate that in terms of identifying lung lesions in non-AIDS patients with non- miliary pulmonary tuberculosis, MRI achieves diagnostic performances comparable to those obtained by HRCT but with better and more rapid identification of pulmonary tissue abnormalities due to the excellent contrast resolution.

Published
2011
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9. Pulmonary mycosis in AIDS

Author

Busi Rizzi, Elisa, Schininà, Vincenzo, Bellussi, Angelo, De Santis, Andrea, Mazzuoli, Giovanna, Giosué, Sandro, and Bibbolino, Corrado

Published
2001
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11. ALPPS for primary and secondary liver tumors

Author

Vennarecci, Giovanni, primary, Grazi, Gian Luca, additional, Sperduti, Isabella, additional, Busi Rizzi, Elisa, additional, Felli, Emanuele, additional, Antonini, Mario, additional, D'Offizi, Giampiero, additional, and Ettorre, Giuseppe Maria, additional

Published
2016
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12. Polyfunctional Specific Response to Echinococcus Granulosus Associates to the Biological Activity of the Cysts

Author

Petrone, Linda, primary, Vanini, Valentina, additional, Petruccioli, Elisa, additional, Ettorre, Giuseppe Maria, additional, Schininà, Vincenzo, additional, Busi Rizzi, Elisa, additional, Ludovisi, Alessandra, additional, Corpolongo, Angela, additional, Ippolito, Giuseppe, additional, Pozio, Edoardo, additional, Teggi, Antonella, additional, and Goletti, Delia, additional

Published
2015
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15. IL-4 specific-response in whole blood associates with human Cystic Echinococcosis and cyst activity

Author

Petrone, Linda, primary, Vanini, Valentina, additional, Petruccioli, Elisa, additional, Ettorre, Giuseppe Maria, additional, Busi Rizzi, Elisa, additional, Schininà, Vincenzo, additional, Girardi, Enrico, additional, Ludovisi, Alessandra, additional, Gómez-Morales, María Ángeles, additional, Pozio, Edoardo, additional, Teggi, Antonella, additional, and Goletti, Delia, additional

Published
2015
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16. Relationship between body mass index and bone mineral density in HIV-infected patients referred for DXA

Author

Pinnetti, Carmela, primary, Federico, Lupi, additional, Lorenzini, Patrizia, additional, Domenico, Chiappetta, additional, Rita, Bellagamba, additional, Laura, Loiacono, additional, Zaccarelli, Mauro, additional, Cicalini, Stefania, additional, Libertone, Raffaella, additional, Giannetti, Alberto, additional, Mosti, Silvia, additional, Busi Rizzi, Elisa, additional, Antinori, Andrea, additional, and Ammassari, Adriana, additional

Published
2014
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17. Cystic Echinococcosis in a Single Tertiary Care Center in Rome, Italy

Author

Petrone, Linda, primary, Cuzzi, Gilda, additional, Colace, Lidia, additional, Ettorre, Giuseppe Maria, additional, Busi-Rizzi, Elisa, additional, Schininà, Vincenzo, additional, Pucillo, Leopoldo, additional, Angeletti, Claudio, additional, Pane, Stefania, additional, Di Caro, Antonino, additional, Bordi, Eugenio, additional, Girardi, Enrico, additional, Pozio, Edoardo, additional, Corpolongo, Angela, additional, Teggi, Antonella, additional, Brunetti, Enrico, additional, and Goletti, Delia, additional

Published
2013
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18. IP-10 is an additional marker for tuberculosis (TB) detection in HIV-infected persons in a low-TB endemic country

Author

Vanini, Valentina, primary, Petruccioli, Elisa, additional, Gioia, Cristiana, additional, Cuzzi, Gilda, additional, Orchi, Nicoletta, additional, Rianda, Alessia, additional, Alba, Lucia, additional, Giancola, Maria Letizia, additional, Conte, Aristide, additional, Schininà, Vincenzo, additional, Busi Rizzi, Elisa, additional, Girardi, Enrico, additional, and Goletti, Delia, additional

Published
2012
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20. Vertebral Lesions from AIDS-Related Kaposi's Sarcoma

Author

Di Bella, Stefano, primary, Capone, Alessandro, additional, Olearo, Flaminia, additional, Johnson, Emma, additional, Chinello, Pierangelo, additional, Baiocchini, Andrea, additional, Del Nonno, Franca, additional, Busi Rizzi, Elisa, additional, and Petrosillo, Nicola, additional

Published
2011
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25. ALPPS for primary and secondary liver tumors

Author

Giampiero D’Offizi, Isabella Sperduti, Emanuele Felli, Gian Luca Grazi, Mario Antonini, Giovanni Vennarecci, Giuseppe Maria Ettorre, Elisa Busi Rizzi, Vennarecci, Giovanni, Grazi, Gian Luca, Sperduti, Isabella, Busi Rizzi, Elisa, Felli, Emanuele, Antonini, Mario, D'Offizi, Giampiero, and Ettorre, Giuseppe Maria

Subjects
Liver Cirrhosis, Male, Cirrhosis, medicine.medical_treatment, 030230 surgery, Gastroenterology, Muscle hypertrophy, ALPPS, HCC, Portal vein embolization, Two stage hepatectomy, Liver resection, Cirrhosis, 0302 clinical medicine, Portal vein embolization, Two stage hepatectomy, Stage (cooking), HCC, Liver resection, Portal Vein, Mortality rate, Liver Neoplasms, General Medicine, Middle Aged, Liver, 030220 oncology & carcinogenesis, Hepatocellular carcinoma, Female, Colorectal Neoplasms, Vascular Surgical Procedures, Adult, medicine.medical_specialty, Carcinoma, Hepatocellular, NO, 03 medical and health sciences, Internal medicine, medicine, Hepatectomy, Humans, Neoplasm Invasiveness, In patient, Ligation, Aged, Neoplasm Staging, Retrospective Studies, Cirrhosi, business.industry, Patient Selection, Hypertrophy, medicine.disease, BCLC Stage, Surgery, ALPPS, Morbidity, Tomography, X-Ray Computed, business
Abstract

Introduction To report our experience on associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) in patients with liver tumors. Methods ALPPS is a surgical technique that allows hepatic resection after rapid liver hypertrophy. Results Thirteen operations were performed: 8 for hepatocellular carcinoma (HCC) with liver cirrhosis (LC) and 5 for colorectal liver metastases (CRLM, n = 3) and cholangiocarcinoma (CC, n = 2) in normal livers (NL). Of the 11 men (85%), the median age was 60 years (range 36–74). Six (75%) HCC patients had BCLC stage C and 2 (25%) had BCLC stage B disease. The median % future liver remnant (FLR) volume increase was 71.7% in patients with LC and 64.8% in NL (p = 0.44). Twelve patients achieved a sufficient FLR growth after the first stage (92.3% efficacy). Four right trisectorectomies and 9 right hepatectomies were performed. All patients completed the second stage (100% feasibility). R0 resection was achieved in all cases. The 90-day mortality rate was 23.1% (12.5% for HCC patients with LC vs 40% for CRLM and CC patients with NL, p = 0.13). After the first stage the overall morbidity rates were 62.5% and 80% (p = 0.61), whereas after the second stage they were 87.5% and 80% in patients with LC and NL respectively (p = 0.99). At a median follow-up of 15 months (range 1–27), the median DFS was 9 months (CI95% 6–12), and the 1yr-DFS was 42%. The median survival was 25 months (CI95% 10–40), and the 1-yr overall survival was 74%. Conclusions ALPPS induced a considerable and comparable FLR growth in HCC patients with liver cirrhosis and patients with CRLM and CC with normal liver parenchyma. HCC patients who underwent ALPPS had a high rate of macrovascular tumor involvement. A high rate of R0 resection is expected in properly selected patients.

Published
2016

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