Giovanni Guarneri
Vita-Salute San Raffaele University
CancerInternal medicineRadiologySurgerySeries (stratigraphy)OncologyPerfusionOdds ratioRetrospective cohort studyParenchymaClinical endpointBiopsyChemotherapyPerineural invasionCarcinomaPancreatectomyPancreasPancreaticoduodenectomyDiseaseMachine perfusionAnal cancerLaparoscopyKidneyAbdominal surgerySurgical oncologyPancreatic cancerCreatininePancreatic fistulaAdenocarcinomaPopulationPredictive variablesTransplantationPancreatic ductal adenocarcinomaDuctal adenocarcinomaIn patientEnhanced recovery after surgeryPostoperative complicationPancreatic resectionPancreatic surgeryPerioperativeMultivariate analysisRisk factorChristian ministryColorectal surgeryDiabetes mellitusMedicineCohortMargin (machine learning)GastroenterologyFrozen section procedure
34Publications
4H-index
79Citations
Publications 30
Newest
#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
view all 6 authors...
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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#1Stefano Partelli (UniSR: Vita-Salute San Raffaele University)H-Index: 43
#2Valentina Andreasi (UniSR: Vita-Salute San Raffaele University)H-Index: 8
Last. Massimo Falconi (UniSR: Vita-Salute San Raffaele University)H-Index: 105
view all 12 authors...
Abstract Background A fatty infiltration of the pancreas has been traditionally regarded as the main histological risk factor for postoperative pancreatic fistula, whereas the role of the secreting acinar compartment has been poorly investigated. The aim of this study was to evaluate the role of acinar content at pancreatic resection margin in the development of clinically relevant postoperative pancreatic fistula and clinically relevant postoperative acute pancreatitis after pancreaticoduodenec...
1 CitationsSource
#1Nicolò PecorelliH-Index: 20
#2Michele MazzaH-Index: 4
Last. Massimo FalconiH-Index: 105
view all 10 authors...
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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#1Domenico Tamburrino (UniSR: Vita-Salute San Raffaele University)H-Index: 16
#2Giovanni Guarneri (UniSR: Vita-Salute San Raffaele University)H-Index: 4
Last. Massimo Falconi (UniSR: Vita-Salute San Raffaele University)H-Index: 105
view all 8 authors...
Pancreatic ductal adenocarcinoma (PDAC) is currently the fourth leading cause of cancer-related death in the USA. A wealth of evidence has demonstrated the chemopreventive activity of aspirin, statins, and metformin against PDAC. The aim of this study is to investigate the effect of aspirin, statins, and metformin on disease-free survival (DFS) and disease-specific survival (DSS) in a large population of PDAC patients undergoing pancreatic resection. All patients who underwent pancreatic resecti...
2 CitationsSource
#1Domenico TamburrinoH-Index: 16
#2Giovanni GuarneriH-Index: 4
Last. Massimo Falconi (UniSR: Vita-Salute San Raffaele University)H-Index: 105
view all 4 authors...
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#1Andrea Vignali (UniSR: Vita-Salute San Raffaele University)H-Index: 20
#2Ugo Elmore (UniSR: Vita-Salute San Raffaele University)H-Index: 18
Last. Riccardo Rosati (UniSR: Vita-Salute San Raffaele University)H-Index: 34
view all 6 authors...
To identify factors associated with early deviation and delayed discharge within an Enhanced Recovery after Surgery (ERAS) pathway. This is a retrospective review of prospectively collected data of consecutive patients who underwent laparoscopic or open colorectal surgery and managed with a standardized ERAS pathway between April 2015 and October 2018. ERAS items were assessed within 48 h after surgery. Patients with early complications were excluded. The influence of factors on length of stay w...
2 CitationsSource
#1Stefano Crippa (UniSR: Vita-Salute San Raffaele University)H-Index: 60
#2Claudio Ricci (UNIBO: University of Bologna)H-Index: 28
Last. Massimo Falconi (UniSR: Vita-Salute San Raffaele University)H-Index: 105
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Abstract The oncological benefit of achieving a negative pancreatic neck margin through re-resection after a positive frozen section (FS) is debated. Aim of this network meta-analysis is to evaluate the survival benefit of re-resection after intraoperative FS neck margin examination following pancreatectomy for ductal adenocarcinoma. A systematic search of studies comparing different strategies for the management of positive FS was performed. Patients were classified in three groups based on FS ...
1 CitationsSource
#1Michele PagnanelliH-Index: 5
#2Giovanni GuarneriH-Index: 4
Last. Riccardo RosatiH-Index: 34
view all 7 authors...
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A recent RCT showed similar postoperative outcomes and a reduced time to functional recovery in patients undergoing minimally invasive distal pancreatectomy (DP) compared to open approach. However, it reported very-high post-discharge readmission rates, calling for further investigation. The aim of our study was to evaluate the extent to which minimally invasive surgery impacts on postoperative readmissions following DP. Clinical data for patients undergoing DP between 2011 and 2018 were reviewe...
3 CitationsSource