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| 1 | Totally robotic vs 3D laparoscopic colectomy: A single centers preliminary experience显示文摘AIM: to compare robotic and three-dimensional(3D) laparoscopic colectomy based on the literature and our preliminary experience.METHODS: This retrospective observational study compared operative measures and postoperative outcomes between laparoscopic 3D and robotic colectomy for cancer. From September 2013 to September 2014,24 robotic colectomies and 23 3D laparoscopic colectomy were performed at our Department. Data were analyzed and reported both by approach and by colectomy side. Robotic left colectomy(RL) vs laparoscopic 3D left colectomy(LL 3D) and Robotic right colectomy(RR) vs laparoscopic 3D(LR 3D). Rectal cancer procedures were not included.RESULTS: There were 18 RR and 11 LR 3D,6 RL and 12 LL 3D. As regards LR 3D,extracorporeal anastomosis(EA) was performed in 7 patients and intracorporeal anastomosis(IA) in 4; the RR group included 14 IA and 4 EA. There was no mortality. Median operative time was higher for the robotic group while conversion rate(12.5% vs 13%) and lymph nodes removed(14 vs 13) were similar for both. First flatus time was 1 d for RR and 2 d the other patient groups. Oral intake was resumed in 1 d by LR and in 2 d by the other patients(P = 0.012). Overall cost was €4950 and €1950 for RL and LL 3D,and €4450 and €1450 for RR and LR 3D,respectively. CONCLUSION: There were no differences betweenRR and LR 3D,except that IA was easier with RR,and probably contributed with the learning curve to the longer operative time recorded. Both techniques offer similar advantages for the patient with significantly different costs. In left colectomies robotic colectomy provided better outcomes,especially in resections approaching the rectum. | Mario Guerrieri Roberto Campagnacci Pierluigi Sperti Giulio Belfiori Rosaria Gesuita Roberto Ghiselli | 2015 | World Journal of Gastroenterology2015，21，46： | 5 |
| 2 | Management of neuroendocrine carcinomas of the pancreas (WHO G3): A tailored approach between proliferation and morphology显示文摘Neuroendocrine carcinomas(NEC) of the pancreas are defined by a mitotic count > 20 mitoses/10 high power fields and/or Ki67 index > 20%, and included all the tumors previously classified as poorly differentiated endocrine carcinomas. These latter are aggressive malignancies with a high propensity for distant metastases and poor prognosis, and they can be further divided into small- and large-cell subtypes. However in the NEC category are included also neuroendocrine tumors with a well differentiated morphology but ki67 index > 20%. This category is associated with better prognosis and does not significantly respond to cisplatin-based chemotherapy, which represents the gold standard therapeutic approach for poorly differentiated NEC. In this review, the differences between well differentiated and poorly differentiated NEC are discussed considering both pathology, imaging features, treatment and prognostic implications. Diagnostic and therapeutic flowcharts are proposed. The need for a revision of current classification system is stressed being well differentiated NEC a more indolent disease compared to poorly differentiated tumors. | Stefano Crippa Stefano Partelli Giulio Belfiori Marco Palucci Francesca Muffatti Olga Adamenko Luca Cardinali Claudio Doglioni Giuseppe Zamboni Massimo Falconi | 2016 | World Journal of Gastroenterology2016，22，45： | 3 |
| 3 | Distribution and localization of microsatellites in the Perigord black truffle genome and identification of new molecular markers显示文摘 | Murat C Riccioni C Belfiori B | 2011 | Fungal Genetics and Biology2011，48，6： | 1 |
| 4 | Antenna array char acterisation and signal processing for an FM radio-based passive coherent location radar system显示文摘 | Belfiori F Monni S Van Rossum W | 2012 | IET Radar Sonar & Navi- gation2012，6，8： | 1 |
| 5 | Isolation and characterization ofMAT genes in thesymbiotic ascomycete Tuber melanosporum显示文摘 | Rubini A Belfiori B Riccioni C Tisserant E Arcioni S MartinF Paolocci F | 2011 | New Phytol2011，189，3： | 1 |
| 6 | Antenna array charemterisation and signal processing for an FM radio-based passive coherent location radar system显示文摘 | Belfiori F Monni S Rossum W V | 2012 | IET Radar Sonar & Navigation2012，6，8： | 1 |
| 7 | Treatment for hepatitis C virus in injection drug users on opioid replacement therapy: a prospective multicentre study显示文摘 | Barbara Belfiori Alessandro Chiodera Patrizia Ciliegi Andrea Tosti Franco Baldelli Giuliano Stagni Daniela Francisci | 2007 | European Journal of Gastroenterology & Hepatology2007，，8： | 1 |
| 8 | Antenna array characterization and signal processing for an FM radiobased passive coherent location radar system显示文摘 | Belfiori F Monni S van Rossum W | 2012 | IET Radar Sonar&Navig2012，6，8： | 1 |
| 9 | Antenna Ar- ray Characterisation and Signal Processing for an FM Ra- dicrbased Passive Coherent Location Radar System显示文摘 | Belfiori F Monni S van Rossum W | 2012 | IETRadar Sonar g: Navigation2012，6，8： | 1 |
| 10 | Small bowel diverticulitis with severe anemia and abdominal pain显示文摘The current case report is related to a male patient with diabetes, obesity [body mass index(BMI) 33], hypertension and recurrence of anemia associated to melena and deep asthenia. M.P., a 60-year-old obese individual, was referred to our department by the primary care unit(PCU) of our hospital for severe anemia(Hemoglobin 6.5 g/d L) associated to episodes of melena and abdominal pain. In the past 5 mo the patient referred to the local hospital 3 times for episodes of melena(hemoglobin levels showed anemia 9.8 g/d L) but the main gastroenterological exams were completely negative(colonoscopy and gastroscopy). The PCU of our Hospital, after stabilization of the main parameters and blood transfusion for the low levels of hemoglobin, referred the patient to gastroenterologists: the patient was subjected to both colonoscopy and gastroscopy that were negative. Due to the condition of acute severe hemorrhage the patient, during the first 3 h from the access to the PCU, was subjected to arteriography that did not reveal any hemorrhagic foci or vascular alterations. The video capsule for the study of the small bowel showed the presence of blood beginning from the third portion of duodenum but deep gastroscopy did not reveal it. The patient was then subjected to double balloon endoscopy that revealed a severe diverticulosis of the small bowel with blood from the diverticula. The entero-tomografia computerizzata confirmed the diagnosis and revealed an extension of the diverticula for almost the entire small bowel(no diverticula in the colon). The patient was subjected to wide spectrum antibiotic therapy with resolution of the symptoms and stabilization of hemoglobin levels. The surgeon suggests no indication to surgery for the wide area involved from the disease and potential high risk of complication due to the high BMI. At home, the patient started a monthly therapy with rifaximin and probiotics associated to mesalazine. At present, after 12 mo from the last episode of hemorrhage, the patient is in good clinical condition, reduced his body weight of about 7 kg and the hemoglobin levels appear in slow progressive increase(last measurement 13.2 g/d L). | Samuele De Minicis Filippo Antonini Valerio Belfiori Massimiliano Lo Cascio Barbara Marraccini Simona Piergallini Piergiorgio Mosca Giampiero Macarri | 2015 | World Journal of Clinical Cases2015，3，5： | 1 |
| 11 | Distribution andlocalization of microsatellites in the Perigord black trufflegenome and identification of new molecular markers 显示文摘 | Murat C Riccioni C Belfiori B | 2011 | Fungal Genetics and Biology2011，48，6： | 1 |
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