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| 1 | Management of duodenal stump fistula after gastrectomy for gastric cancer: Systematic review显示文摘AIM: To identify the most effective treatment of duodenalstump fistula(DSF) after gastrectomy for gastric cancer.METHODS: A systematic review of the literature was performed. Pub Med, EMBASE, Cochrane Library, CILEA Archive, BMJ Clinical Evidence and Up To Date databases were analyzed. Three hundred eighty-eight manuscripts were retrieved and analyzed and thirteen studies published between 1988 and 2014 were finally selected according to the inclusion criteria, for a total of 145 cases of DSF, which represented our group of study. Only patients with DSF after gastrectomy for malignancy were selected. Data about patients' characteristics, type of treatment, short and long-term outcomes were extracted and analyzed. RESULTS: In the 13 studies different types of treatment were proposed: conservative approach, surgical approach, percutaneous approach and endoscopic approach(3 cases). The overall mortality rate was 11.7% for the entire cohort. The more frequent complications were sepsis, abscesses, peritonitis, bleeding, pneumonia and multi-organ failure. Conservative approach was performed in 6 studies for a total of 79 patients, in patients with stable general condition, often associated with percutaneous approach. A complete resolution of the leakage was achieved in 92.3% of these patients, with a healing time ranging from 17 to 71 d. Surgical approach included duodenostomy, duodenojejunostomy, pancreatoduodenectomy and the use of rectus muscle flap. In-hospital stay of patients who underwent relaparotomy ranged from 1 to 1035 d. The percutaneous approach included drainage of abscesses or duodenostomy(32 cases) and percutaneous biliary diversion(13 cases). The median healing time in this group was 43 d. CONCLUSION: Conservative approach is the treatment of choice, eventually associated with percutaneus drainage. Surgical approach should be reserved for severe cases or when conservative approaches fail. | Paolo Aurello Dario Sirimarco Paolo Magistri NiccolòPetrucciani Giammauro Berardi Silvia Amato Marcello Gasparrini Francesco D’Angelo Giuseppe Nigri Giovanni Ramacciato | 2015 | World Journal of Gastroenterology2015，21，24： | 19 |
| 2 | Is Portal Hypertension a Contraindication to Hepatic Resection?显示文摘 | Alessandro Cucchetti Giorgio Ercolani Marco Vivarelli Matteo Cescon Matteo Ravaioli Giovanni Ramacciato Gian Luca Grazi Antonio Daniele Pinna | 2009 | Annals of Surgery2009，，6： | 5 |
| 3 | Giant colonic diverticulum,clinical presentation,diagnosis and treatment: Systematic review of 166 cases显示文摘AIM: To investigate the clinical presentation,diagnosis,and treatment of giant colonic diverticulum(GCD,by means of a complete and updated literature review).GCD is a rare manifestation of diverticular disease of the colon.Less than 200 studies on GCD were published in the literature,predominantly case reports or small patient series.METHODS: A systematic review of the literature was performed using the Embase and PubM ed databases toidentify all the GCD studies.The following MESH search headings were used: 'giant colonic diverticulum'; 'giant sigmoid diverticulum'.The 'related articles' function was used to broaden the search,and all of the abstracts,studies,and citations were reviewed by two authors.The following outcomes were of interest: the disease and patient characteristics,study design,indications for surgery,type of operation,and postoperative outcomes.Additionally,a subgroup analysis of cases treated in the last 5 years was performed to show the current trends in the treatment of GCD.A GCD case in an elderly patient treated in our department by a sigmoidectomy with primary anastomosis and a diverting ileostomy is presented as a typical example of the disease.RESULTS: In total,166 GCD cases in 138 studies were identified in the literature.The most common clinical presentation was abdominal pain,which occurred in 69% of the cases.Among the physical signs,an abdominal mass was detected in 48% of the cases,whereas 20% of the patients presented with fever and 14% with abdominal tenderness.Diagnosis is based predominantly on abdominal computed tomography.The most frequent treatment was colic resection with en-bloc resection of the diverticulum,performed in 57.2% of cases,whereas Hartmann's procedure was followed in 11.4% of the cases and a diverticulectomy in 10.2%.An analysis of sixteen cases reported in the last 5 years showed that the majority of patients were treated with sigmoidectomy and en-bloc resection of the diverticulum; the postoperative mortality was null,morbidity was very low(1 patient was hospitalized in the intensive care unit for postoperative hypotension),and the patients were discharged 4-14 d after surgery.CONCLUSION: Giant colonic diverticulum is a rare manifestation of diverticular diseases.Surgical treatment,consisting predominantly of colonic resection with en bloc resection of the diverticulum,is thepreferred option for GCD and guarantees excellent results. | Giuseppe Nigri Niccolò Petrucciani Giulia Giannini Paolo Aurello Paolo Magistri Marcello Gasparrini Giovanni Ramacciato | 2015 | World Journal of Gastroenterology2015，21，1： | 3 |
| 4 | Hepatocellular Carcinomas and Primary Liver Tumors as Predictive Factors for Postoperative Mortality after Liver Resection: A Meta-Analysis of More than 35,000 Hepatic Resections显示文摘 | Ramacciato Giovanni D’Angelo Francesco Baldini Rossella Petrucciani Niccoló Antolino Laura Aurello Paolo Nigri Giuseppe Bellagamba Riccardo Pezzoli Francesca Balesh Albert Cucchetti Alessandro Cescon Matteo Del Gaudio Massimo Ravaioli Matteo | 2012 | EN2012，，4： | 2 |
| 5 | Univariate and mult- ivariate analysis of prognostic factors in the surgical treatment of hi- lar cholangiocarcinoma显示文摘 | Ramacciato G Nigri G Bellagamba P | 2010 | Am Surg2010，76，11： | 1 |
| 6 | Surveillance of colorectal caneer:effectiveness of early detection of intraluminal recurrences on prognosis and survival of patients treated for cure显示文摘 | Barillari P Ramacciato G | 1996 | Dis Colon Rectum1996，39，4： | 1 |
| 7 | Hospital Volume, Margin Status, and Long-Term Survival after Pancreaticoduodenectomy for Pancreatic Adenocarcinoma显示文摘 | La Torre Marco Nigri Giuseppe Ferrari Linda Cosenza Giulia Ravaioli Matteo Ramacciato Giovanni | 2012 | EN2012，，2： | 1 |
| 8 | Changes in the surgical approach to hilar cholangiocarcinoma during an 18-year period in a Western single center显示文摘 | Giorgio Ercolani Matteo Zanello Gian Luca Grazi Matteo Cescon Matteo Ravaioli Massimo Gaudio Gaetano Vetrone Alessandro Cucchetti Giovanni Brandi Giovanni Ramacciato Antonio Daniele Pinna | 2010 | Journal of Hepato-Biliary-Pancreatic Sciences2010，，3： | 1 |
| 9 | Hepatocellular carcinomas and primary liver tumors as predictive factors for postoperative mortality after liver resection: a meta-analysis of more than 35,000 hepatic resections 显示文摘 | Ramacciato G D'Angelo F Baldini R | 2012 | Am Surg2012，78，3： | 1 |
| 10 | Synchronous gastric adenocarcinoma and pancreatic ductal adenocarcinoma显示文摘BACKGROUND:The association between gastric and pancreatic carcinoma is a relatively rare condition.In gastric carcinoma patients,the prevalence of second tumors varies 2.8% to 6.8% according to the reported statistics.Gastric cancer associated with pancreatic cancer is uncommon.METHODS:We report a case of a 73-year-old patient hospitalized for vomiting and weight loss.Esophagogastroduodenoscopy demonstrated an ulcerative lesion of the gastric antrum.Computed tomography and magnetic resonance showed a gastric thickening in the antral and pyloric portion and a nodular mass (3×1.7 cm) in the uncinate portion of the pancreas.RESULTS:The patient underwent pancreaticoduoden-ectomy according to Whipple regional type Ⅰ Fortner.Histological examination of the specimen demonstrated a moderately differentiated adenocarcinoma of the stomach and a poorly differentiated ductal adenocarcinoma of the pancreas.CONCLUSIONS:Long survival is rare in patients with associated gastric and pancreatic cancer.Surgical resection remains the only potentially curative treatment. | Mirko Muroni Francesco D'Angelo Massimo Pezzatini Simone Sebastiani Samantha Noto Emanuela Pilozzi Giovanni Ramacciato | 2010 | Hepatobiliary & Pancreatic Diseases International2010，9，1： | 1 |
| 11 | Minimally invasive adrenalectomy for incidentally discovered cavernous hemangioma显示文摘 | Giuseppe Nigri Riccardo Bellagamba Valentina Giaccaglia Francesco Felicioni Paolo Aurello Francesco D’Angelo Massimo Del Gaudio Giovanni Ramacciato | 2008 | Minimally Invasive Therapy & Allied Technologies2008，，4： | 1 |
| 12 | Antimicrobialactivity of garlic, tea tree oil, and chlorhexidine against oral mi-croorganisms 显示文摘 | GROPPO F C RAMACCIATO J C SIMOES R P | 2002 | Int Dent J2002，52，6： | 1 |
| 13 | Impact of biliary complications in right lobe living donor liver transplantation显示文摘 | Giovanni Ramacciato Giovanni Varotti Cristiano Quintini Michele Masetti Fabrizio Benedetto Gian Luca Grazi Giorgio Ercolani Matteo Cescon Matteo Ravaioli Augusto Lauro Antonio Pinna | 2006 | Transplant International2006，，2： | 1 |
| 14 | Does surgical resection ha:ce a role in the treatment of large or multinodular hepatoeellular carcinoma 显示文摘 | RAMACCIATO G MERCANTINI P PETRUCCIANI N | 2010 | Am Surg2010，76，11： | 1 |
| 15 | Is Portal Hypertension a Contraindication to Hepatic Resection?显示文摘 | Alessandro Cucchetti Giorgio Ercolani Marco Vivarelli Matteo Cescon Matteo Ravaioli Giovanni Ramacciato Gian Luca Grazi Antonio Daniele Pinna | 2009 | Annals of Surgery2009，，6： | 1 |
| 16 | Islaparoscopic adrena- lectomy safe and effective for adrenal masseslarger than 7 cm 显示文摘 | Ramacciato G Mercantini P La Tone M | 2008 | Surg Endosc2008，22，2： | 1 |
| 17 | Univariate and multivariate analysis of prognostic factors in the surgical treatment of hilar cholangiocarcinoma显示文摘 | Ramacciato G Nigri G Bellagamba R | | 0，，11： | 1 |
| 18 | Survival Benefit After Liver Transplantation: A Single European Center Experience显示文摘 | Matteo Ravaioli Gian Luca Grazi Alessandro Dazzi Valentina Bertuzzo Giorgio Ercolani Matteo Cescon Alessandro Cucchetti Michele Masetti Giovanni Ramacciato Antonio Daniele Pinna | 2009 | Transplantation2009，，6： | 1 |
| 19 | Does portal- superior mesenteric vein invasion still indicate irresectability for pancreatic carcinoma? 显示文摘 | Ramacciato G Mercantini P Petrucciani N | 2009 | Ann Surg Oncol2009，16，4： | 1 |
| 20 | Impact of new lymph node staging on lymph adenectomy and on the prognosis of patients undergoing surgery for gastric cancer显示文摘 | Ramacciato G Aurello P D Angelo F | 2006 | Chir Ital2006，58，3： | 1 |
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