Search

Your search keyword '"Diviacco, Pietro"' showing total 13 results
Start Over Author "Diviacco, Pietro"
13 results on '"Diviacco, Pietro"'

1. Improving outcomes of in situ split liver transplantation in Italy over the last 25 years

Author

Lauterio, Andrea, Cillo, Umberto, Spada, Marco, Trapani, Silvia, De Carlis, Riccardo, Bottino, Giuliano, Bernasconi, Davide, Scalamogna, Chiara, Pinelli, Domenico, Cintorino, Davide, D’Amico, Francesco Enrico, Spagnoletti, Gionata, Miggino, Marco, Romagnoli, Renato, Centonze, Leonardo, Caccamo, Lucio, Baccarani, Umberto, Carraro, Amedeo, Cescon, Matteo, Vivarelli, Marco, Mazaferro, Vincenzo, Ettorre, Giuseppe Maria, Rossi, Massimo, Vennarecci, Giovanni, De Simone, Paolo, Angelico, Roberta, Agnes, Salvatore, Di Benedetto, Fabrizio, Lupo, Luigi Giovanni, Zamboni, Fausto, Zefelippo, Arianna, Patrono, Damiano, Diviacco, Pietro, Laureiro, Zoe Larghi, Gringeri, Enrico, Di Francesco, Fabrizio, Lucianetti, Alessandro, Valsecchi, Maria Grazia, Gruttadauria, Salvatore, De Feo, Tullia, Cardillo, Massimo, De Carlis, Luciano, Colledan, Michele, and Andorno, Enzo

Published
2023
Full Text
View/download PDF

5. Successful Transplant of a Liver Graft After Giant Hepatic Artery Aneurysm Resection and Reconstruction

Author

De Carlis, R, Andorno, E, Buscemi, V, Lauterio, A, Diviacco, P, Di Sandro, S, De Carlis, L, De Carlis, Riccardo, Andorno, Enzo, Buscemi, Vincenzo, Lauterio, Andrea, Diviacco, Pietro, Di Sandro, Stefano, De Carlis, Luciano, De Carlis, R, Andorno, E, Buscemi, V, Lauterio, A, Diviacco, P, Di Sandro, S, De Carlis, L, De Carlis, Riccardo, Andorno, Enzo, Buscemi, Vincenzo, Lauterio, Andrea, Diviacco, Pietro, Di Sandro, Stefano, and De Carlis, Luciano

Abstract

The shortage of organs has pushed transplant surgeons to accept liver grafts with extended criteria, but severe vascular abnormalities may still discourage the use of otherwise acceptable organs. We report herein the case of a liver graft with a 64-mm aneurysm of the proper hepatic artery extended to the origin of the right and left hepatic branches. The graft was deemed unsuitable for transplant by all other centers in the region. However, liver function tests were normal, and there was no evidence of compromised arterial supply. At back table, we resected the aneurysm and anastomosed the right and left hepatic arteries to a vascular graft obtained from the distal tract of the donor's superior mesenteric artery. After portal reperfusion, we anastomosed the mesenteric graft to the recipient's hepatic artery at the origin of the gastroduodenal artery. The postoperative course and the subsequent 6-month follow-up were uneventful. In conclusion, the presence of a hepatic artery aneurysm should not be an absolute contraindication to the use of a liver graft. The present case emphasizes the possibility to utilize an organ that would have been otherwise discarded.

Published
2020

6. The procedure outcome of laparoscopic resection for 'small' hepatocellular carcinoma is comparable to vlaparoscopic radiofrequency ablation

Author

Casaccia, Marco, Santori, Gregorio, Bottino, Giuliano, Diviacco, Pietro, Negri, Antonella, Moraglia, Eva, and Adorno, Enzo

Subjects
Radiofrequency ablation -- Health aspects -- Patient outcomes, Hepatocellular carcinoma -- Diagnosis -- Care and treatment, Health
Abstract

Byline: Marco. Casaccia, Gregorio. Santori, Giuliano. Bottino, Pietro. Diviacco, Antonella. Negri, Eva. Moraglia, Enzo. Adorno Background: The aim of this study was to compare the effectiveness of laparoscopic liver resection [...]

Published
2015

8. Pitfalls and fatal complications after iterative endoscopic retrograde cholangiopancreatography or percutaneous transhepatic cholangiography management of biliary tract cysts. When to do open surgery (cyst resection; hepaticojejunostomy) or liver transplant?

Author

Cariati, Andrea, primary, Bottino, Giuliano, additional, Diviacco, Pietro, additional, Negri, Antonella, additional, Moraglia, Eva, additional, Belgrano, Valerio, additional, Leale, Irene, additional, Piromalli, Elisa, additional, Fornaro, Rosario, additional, Nahun, Mauro, additional, and Andorno, Enzo, additional

Published
2016
Full Text
View/download PDF

9. Two-Stage Liver Transplantation with Temporary Porto-Middle Hepatic Vein Shunt

Author

Varotti, Giovanni, Andorno, Enzo, Casaccia, Marco, Di Domenico, Stefano, Bottino, Giuliano, Diviacco, Pietro, Morelli, Nicola, Ferrari, Chiara, Ferrante, Roberto, and Valente, Umberto

Subjects
Article Subject, cardiovascular system
Abstract

Two-stage liver transplantation (LT) has been reported for cases of fulminant liver failure that can lead to toxic hepatic syndrome, or massive hemorrhages resulting in uncontrollable bleeding. Technically, the first stage of the procedure consists of a total hepatectomy with preservation of the recipient's inferior vena cava (IVC), followed by the creation of a temporary end-to-side porto-caval shunt (TPCS). The second stage consists of removing the TPCS and implanting a liver graft when one becomes available. We report a case of a two-stage total hepatectomy and LT in which a temporary end-to-end anastomosis between the portal vein and the middle hepatic vein (TPMHV) was performed as an alternative to the classic end-to-end TPCS. The creation of a TPMHV proved technically feasible and showed some advantages compared to the standard TPCS. In cases in which a two-stage LT with side-to-side caval reconstruction is utilized, TPMHV can be considered as a safe and effective alternative to standard TPCS.

Published
2010
Full Text
View/download PDF

13. Laparoscopic resection vs laparoscopic radiofrequency ablation for the treatment of small hepatocellular carcinomas: A single-center analysis.

Author

Casaccia M, Santori G, Bottino G, Diviacco P, and Andorno E

Subjects
Aged, Carcinoma, Hepatocellular mortality, Disease-Free Survival, Female, Follow-Up Studies, Humans, Liver Neoplasms mortality, Male, Middle Aged, Neoplasm Recurrence, Local surgery, Probability, Proportional Hazards Models, Radio Waves, Retrospective Studies, Treatment Outcome, Carcinoma, Hepatocellular surgery, Catheter Ablation, Laparoscopy, Liver Neoplasms surgery
Abstract

Aim: To compare survival and recurrence after laparoscopic liver resection (LLR) and laparoscopic radiofrequency ablation (LRFA) for the treatment of small hepatocellular carcinoma (HCC)., Methods: Between June 1, 2005 and November 30, 2010, 46 patients (62.26 ± 8.55 years old; female/male: 12/34) treated for small HCC were enrolled following strict criteria. Patients with better liver function and larger tumors were referred for LLR ( n = 24), while those with poorer liver function and multiple tumors were referred for LRFA ( n = 22), and they were then followed for similar durations (44.74 ± 21.3 mo for LLR vs 40.27 ± 30.8 mo for LRFA)., Results: The LLR and LRFA groups were homogeneous with regard to age, sex, etiology of liver cirrhosis, and AFP levels. The overall survival (OS) and disease-free survival (DFS) probability was 0.354 and 0.260, respectively. A significantly higher OS was observed in the LLR group (LLR: 0.442; LRFA: 0.261; P = 0.048), whereas no statistical difference was found for DFS (LLR: 0.206; LRFA: 0.286; P = 0.205). In the LRFA group was treated a greater number of nodules (LLR: 1.41 ± 0.77; LRFA: 2.72 ± 1.54; P < 0.001). Cox regression analysis found the number of intraoperative HCC nodules as the unique variable statistically significant for OS (hazard ratio: 2.225; P < 0.001). The rank-hazard plot showed a steeper increase of relative hazard for intraoperative nodules > 2., Conclusion: Our preliminary results confirm the superiority of hepatic resection on thermoablation in the treatment of small HCC in selected patients, when both approaches are made laparoscopically. LLR showed better results compared to LRFA in terms of OS. These data need to be confirmed by further studies on a larger number of patients., Competing Interests: Conflict-of-interest statement: We have no financial relationships to disclose.

Published
2017
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results