Gianpaolo Balzano
Vita-Salute San Raffaele University
Internal medicineRadiologySurgeryPathologyOncologyIsletRetrospective cohort studyProspective cohort studyChemotherapyPancreatic diseasePancreatectomyPancreasPancreaticoduodenectomyPancreatic cancerGemcitabinePancreatic fistulaAdenocarcinomaRegimenGeneral surgeryMedicineGastroenterology
175Publications
44H-index
5,053Citations
Publications 186
Newest
#1Nicolò PecorelliH-Index: 20
#2Michele MazzaH-Index: 4
Last. Massimo FalconiH-Index: 105
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Abstract Background In bowel surgery, adherence to enhanced recovery program (ERP) has been associated with improved recovery. The objective of this study was to evaluate the impact of adherence to ERP elements on outcomes, and identify factors associated with successful recovery following distal pancreatectomy (DP). Methods Data for 376 patients who underwent DP managed within an ERP including 16 perioperative elements were reviewed. Primary endpoint was successful recovery, a composite outcome...
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#1Livia Archibugi (UniSR: Vita-Salute San Raffaele University)H-Index: 13
#2Alberto Mariani (UniSR: Vita-Salute San Raffaele University)H-Index: 27
Last. Paolo Giorgio Arcidiacono (UniSR: Vita-Salute San Raffaele University)H-Index: 40
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Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) plays a major role in biliary strictures, with brushing being a cheap and fast method to acquire a cytological specimen, despite a sensitivity around 45 %. Rapid on-site evaluation (ROSE) is widely used for endoscopic ultrasound-acquired cytological specimen adequacy, improving its sensitivity and specificity. Nevertheless, no study has evaluated its role for ERCP-guided brushing. Our aim was to assess the diagnostic...
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#1G. Belfiori (UniSR: Vita-Salute San Raffaele University)H-Index: 6
#1Giulio BelfioriH-Index: 8
Last. Massimo FalconiH-Index: 105
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Abstract Background There is an increased interest in venous vascular resection associated with pancreatic resection for pancreatic ductal adenocarcinoma as an upfront procedure or after neoadjuvant treatment. The aim of this study was to evaluate the impact of venous vascular resection for pancreatic ductal adenocarcinoma on postoperative and long-term outcomes. Methods The study is a retrospective analysis of patients who underwent pancreatectomy for pancreatic head pancreatic ductal adenocarc...
2 CitationsSource
#1Stefano Crippa (UniSR: Vita-Salute San Raffaele University)H-Index: 60
#2Fabio GiannoneH-Index: 2
Last. Massimo Falconi (UniSR: Vita-Salute San Raffaele University)H-Index: 105
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BACKGROUND The prognostic role of resection margins in pancreatic ductal adenocarcinoma (PDAC) is debated. This study aimed to investigate the impact that global and individual resection margin status after pancreatic head resection for PDAC has on disease-free survival (DFS) and disease-specific survival (DSS). METHODS Surgical specimens of pancreaticoduodenectomy/total pancreatectomy performed for PDAC were examined with a standardized protocol. Surgical margin status (biliary, pancreatic neck...
2 CitationsSource
Pancreatic neuroendocrine neoplasms (PanNEN) are ideal entities for minimally invasive surgery. The advantage of the laparoscopic approach in terms of complications, length of stay (LOS) and cosmetic results has been previously demonstrated. However, scarce data are available on long-term oncological outcomes. Aim of this study was to compare short-term postoperative outcomes, pathological findings and long-term oncological results of minimally invasive distal pancreatectomy (MIDP) and open dist...
5 CitationsSource
#1Gianpaolo BalzanoH-Index: 44
#2Claudio Bassi (University of Verona)H-Index: 110
Last. Alessandro Zerbi (Humanitas University)H-Index: 57
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In pancreatic surgery the correlation between hospital volume and postoperative outcomes has been widely demonstrated. Hospital volume is a recognized independent determinant for in-hospital mortality, mainly due to a different effectiveness in the management of major postoperative complications. European countries and the United States have been pursuing centralization policies based on minimal annual hospital and surgeon volumes, in order to guarantee the lowest morbidity and mortality rates. ...
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#2Michele PagnanelliH-Index: 5
Last. Gianpaolo BalzanoH-Index: 44
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#1Gianpaolo Balzano (UniSR: Vita-Salute San Raffaele University)H-Index: 44
#2Massimo Falconi (UniSR: Vita-Salute San Raffaele University)H-Index: 105
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#1Gianpaolo BalzanoH-Index: 44
#2Giovanni Guarneri (UniSR: Vita-Salute San Raffaele University)H-Index: 4
Last. Massimo Falconi (UniSR: Vita-Salute San Raffaele University)H-Index: 105
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Abstract Background Adequate criteria for pancreatic surgery centralization are debated. This retrospective study aimed to define a reproducible method for complex care centralization, accounting for hospital performance and access to care. Methods The method consisted in: 1. Analysis of overall outcome and mortality-related factors. 2. Assessment of volume and adjusted mortality of each hospital. 3. Definition of different centralization models. 4. Final adjustments to guarantee access to care,...
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#1Stijn van Roessel (UvA: University of Amsterdam)H-Index: 7
#2Eran van Veldhuisen (UvA: University of Amsterdam)H-Index: 7
Last. Marc G. Besselink (UvA: University of Amsterdam)H-Index: 84
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Importance The benefit of adjuvant chemotherapy after resection of pancreatic cancer following neoadjuvant combination treatment with folinic acid, fluorouracil, irinotecan, and oxaliplatin (FOLFIRINOX) is unclear. Objective To assess the association of adjuvant chemotherapy with overall survival (OS) in patients after pancreatic cancer resection and neoadjuvant FOLFIRINOX treatment. Design, Setting, and Participants This international, multicenter, retrospective cohort study was conducted from ...
9 CitationsSource