Matteo Cimino
Humanitas University
Internal medicineRadiologySurgeryPathologyOncologyResectionRetrospective cohort studyParenchymaChemotherapyHepatectomyVeinHepatocellular carcinomaMetastasisSurgical oncologyLiver surgeryIn patientUltrasound guidedColorectal cancerGeneral surgeryMedicineGastroenterology
124Publications
20H-index
1,251Citations
Publications 123
Newest
#1Luca Viganò (Humanitas University)H-Index: 36
#2Jacopo GalvaninH-Index: 2
Last. Guido Torzilli (Humanitas University)H-Index: 55
view all 4 authors...
Laparoscopic liver surgery has a wide diffusion worldwide, but the reproducibility of a parenchyma-sparing approach with a minimally invasive technique is still to explore. Intraoperative ultrasound (IOUS) is a mandatory tool to guarantee safety (transection plane) and oncological adequacy (margin) of minor but complex resections for deep-located tumors. The hooking technique has been developed exactly with this aim: once a vessel is isolated and encircled, the surgeon applies gentle traction on...
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#1Matteo CiminoH-Index: 20
#2Fabio ProcopioH-Index: 17
Last. Guido TorzilliH-Index: 1
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Introduction Biliary fistula (BF) is the most common post hepatectomy complication. Different definitions have been proposed. The International Study Group of Liver Surgery (ISGLS) definition is the most used. The definition adopted in Humanitas Research Hospital (HRH) defines BF as bilirubin concentration in the drain fluid greater than 10 mg/dL on or after POD 3. Various topical haemostatic agents have been developed, their usefulness in preventing BF remains unclear and needs to be assessed. ...
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#1Matteo CiminoH-Index: 20
#2Fabio ProcopioH-Index: 17
Last. Guido TorzilliH-Index: 1
view all 7 authors...
Introduction Increasingly, patients with multiple colorectal liver metastases (CRLM) are surgically treated. R1par surgery remains one of the negative prognostic factors for overall survival (OS). According to our data on R1 in main intrahepatic vascular contact (MVC), we investigate the oncological outcome of patients with multiple bilobar disease with bilateral MVC (BC), compared to patients with unilateral MVC (UC) and patients with disease and no MVC (NC). Methods This single-institution stu...
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#1Aldo Rocca (UNIMOL: University of Molise)H-Index: 11
#2Federica Cipriani (UniSR: Vita-Salute San Raffaele University)H-Index: 27
Last. Luca AldrighettiH-Index: 59
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At the time of diagnosis synchronous colorectal cancer, liver metastases (SCRLM) account for 15-25% of patients. If primary tumour and synchronous liver metastases are resectable, good results may be achieved performing surgical treatment incorporated into the chemotherapy regimen. So far, the possibility of simultaneous minimally invasive (MI) surgery for SCRLM has not been extensively investigated. The Italian surgical community has captured the need and undertaken the effort to establish a Na...
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#1Enrico GiustinianoH-Index: 6
#2Fulvio NisiH-Index: 1
Last. Maurizio CecconiH-Index: 59
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Hepatic resection has been widely accepted as the first choice for the treatment of colorectal metastases. Liver surgery has been recognized as a major abdominal procedure; it exposes patients to a high risk of perioperative adverse events. Decision sharing and the multimodal approach to the patients' management are the two key items for a safe outcome, even in such a high-risk surgery. This review aims at addressing the main perioperative issues (preoperative evaluation; general anesthesia and ...
1 CitationsSource
#1Daniele Del FabbroH-Index: 19
#2Matteo CiminoH-Index: 20
Last. Guido TorzilliH-Index: 55
view all 4 authors...
Roux-en-Y hepaticojejunostomy (HJ) is the standard of care for biliary reconstruction. Its weaknesses are the loss of the sphincter functionality, which could lead to repeated cholangitis, and the reduced endoscopic accessibility to the biliary tree. In the context of liver transplantation it has been shown that duct-to-duct biliary anastomosis may be suitable as an alternative to HJ, significantly reducing the risk of cholangitis. Here we present our experience on stent-free duct-to-duct recons...
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#1Roberto Troisi (UGent: Ghent University)H-Index: 57
#1Roberto Ivan Troisi (UGent: Ghent University)H-Index: 3
Last. Masayuki YamamotoH-Index: 189
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BACKGROUND Laparoscopic liver resection for hepatocellular carcinoma (HCC) in Child-Pugh A cirrhosis has been demonstrated as beneficial. However, the role of laparoscopy in Child-Pugh B cirrhosis is undetermined. The aim of this retrospective cohort study was to compare open and laparoscopic resection for HCC with Child-Pugh B cirrhosis. METHODS Data on liver resections were gathered from 17 centres. A 1 : 1 propensity score matching was performed according to 17 predefined variables. RESULTS O...
4 CitationsSource
#1Fabio Procopio (Humanitas University)H-Index: 17
#2Guido Torzilli (Humanitas University)H-Index: 55
Last. Daniele Del Fabbro (Humanitas University)H-Index: 19
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Abstract Background Anatomical resection (AR) is a recommended surgical treatment for hepatocellular carcinoma (HCC). However, the conventional procedure (dye injection) for AR is difficult to reproduce. As an alternative, the tumour-feeding portal pedicle compression technique (finger-compression technique) has been proposed as an easy and reversible procedure. Here, we propose a new method combining indocyanine green (ICG) imaging with the finger-compression technique. Methods Eligible patient...
2 CitationsSource
#1Fabio Procopio (Humanitas University)H-Index: 17
#2Matteo Cimino (Humanitas University)H-Index: 20
Last. Guido Torzilli (Humanitas University)H-Index: 55
view all 9 authors...
Background Assessment of the future liver remnant (FLR) is routinely performed before major hepatectomy. In R1-vascular one-stage hepatectomy (R1vasc-OSH), given the multiplanar dissection paths, the FLR is not easily predictable. Preoperative 3D-virtual casts may help. We evaluated the predictability of the FLR using the 3D-virtual cast in the R1vasc-OSH for multiple bilobar colorectal liver metastases (CLM). Methods Thirty consecutive patients with multiple bilobar CLMs scheduled for R1vasc-OS...
1 CitationsSource
#1Matteo Donadon (Humanitas University)H-Index: 22
#2Jacopo Galvanin (Humanitas University)H-Index: 2
Last. Guido Torzilli (Humanitas University)H-Index: 55
view all 8 authors...
BACKGROUND The American College of Surgeons National Surgical Quality Improvement Program's (ACS-NSQIP) calculator has been endorsed to counsel patients regarding complications. The aim of this study was to assess its ability to predict outcomes after hepatectomy. METHODS Outcomes generated by the ACS-NSQIP were recorded in a consecutive cohort of patients. By using established classifications of complications, post-hepatectomy insufficiency and bile leak, the calculator was tested by the compar...
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