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Pancreatic Neoplasms: HELP
Articles by Annibale Donini
Based on 2 articles published since 2010
(Why 2 articles?)
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Between 2010 and 2020, Annibale Donini wrote the following 2 articles about Pancreatic Neoplasms.
 
+ Citations + Abstracts
1 Article Retrospective analysis of short term outcomes after spleen-preserving distal pancreatectomy for sodid pseudopapillary tumours. 2015

Graziosi, Luigina / Marino, Elisabetta / Rivellini, Roberta / Ciaccio, Vincenzo / Cirocchi, Roberto / Sanguinetti, Alessandro / Hirota, Masahiko / Avenia, Nicola / Donini, Annibale. ·General and Emergency Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia. Electronic address: luiginagraziosi@yahoo.it. · General and Emergency Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia. Electronic address: elisabetta.marino1986@gmail.com. · General and Emergency Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia. Electronic address: roririvellini@gmail.com. · General and Emergency Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia. Electronic address: vincenzo.ciaccio@unipg.it. · Department of General and Oncologic Surgery, Santa Maria Hospital, University of Perugia, Terni. Electronic address: roberto.cirocchi@unipg.it. · Department of General Surgery, Santa Maria Hospital, University of Perugia, Terni. Electronic address: a.sanguinetti@aospterni.it. · Kumamoto Regional Medical Center, Japan. Electronic address: mhirota@krmc.or.jp. · Department of General Surgery, Santa Maria Hospital, University of Perugia, Terni. Electronic address: nicolaavenia@libero.it. · General and Emergency Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia. Electronic address: annibale.donini@unipg.it. ·Int J Surg · Pubmed #26118599.

ABSTRACT: Solid pseudopapillary pancreatic tumour (SPN) is a rare pancreatic tumour representing 0.1%-3% of all exocrine pancreatic tumours. Most SPN show benign and low-grade malignant behaviour; malignant degeneration is observed in 10-15% of the patients. More than 40% of SPN involve the tail of the pancreas leading to a minimal invasive distal pancreatectomy approach. In this report we present the case of a young 22 Caucasian woman suffering from SPN who successfully underwent laparoscopic spleen-preserving distal pancreatectomy. Postoperative course was uneventful. A CT scan control at six months was negative for recurrences. We have also made an analysis of all the laparoscopic treatment of SPN reported in English literature.

2 Article Can the measurement of amylase in drain after distal pancreatectomy predict post-operative pancreatic fistula? 2015

Cirocchi, Roberto / Graziosi, Luigina / Sanguinetti, Alessandro / Boselli, Carlo / Polistena, Andrea / Renzi, Claudio / Desiderio, Jacopo / Noya, Giuseppe / Parisi, Amilcare / Hirota, Masahiko / Donini, Annibale / Avenia, Nicola. ·Department of General and Oncologic Surgery, University of Perugia, Terni, Italy. Electronic address: roberto.cirocchi@unipg.it. · General and Emergency Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy. Electronic address: luiginagraziosi@yahoo.it. · Department of General Surgery, Saint Mary Hospital, University of Perugia, Terni, Italy. Electronic address: a.sanguinetti@aospterni.it. · Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy. Electronic address: carloboselli@yahoo.it. · Department of General Surgery, Saint Mary Hospital, University of Perugia, Terni, Italy. Electronic address: apolis74@yahoo.it. · Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy. Electronic address: renzicla@virgilio.it. · Department of General and Oncologic Surgery, University of Perugia, Terni, Italy. Electronic address: djdesi85@hotmail.it. · Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy. Electronic address: giuseppe.noya@unipg.it. · Department of Digestive Surgery, St. Maria Hospital, Terni, Italy. Electronic address: amilcareparisi@virgilio.it. · Kumamoto Regional Medical Center, Japan. Electronic address: mhirota@krmc.or.jp. · General and Emergency Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy. Electronic address: annibale.donini@unipg.it. · Department of General Surgery, Saint Mary Hospital, University of Perugia, Terni, Italy. Electronic address: nicolaavenia@libero.it. ·Int J Surg · Pubmed #26117433.

ABSTRACT: INTRODUCTION: The most frequent reason for performing a distal pancreatectomy is the presence of cystic or neuroendocrine tumors, in which the distal pancreatic stump is often soft and non fibrotic. This parenchymal consistence represents the main risk factor for post-operative pancreatic fistula. In order to identify the fistula and assessing its severity postoperative monitoring of amylase from intraperitoneal drains is important. METHODS: From a retrospective multicentric database analysis were included 33 patients who underwent distal pancreatectomy for pancreatic neoplastic disease. RESULTS: Postoperative pancreatic fistula occurred in four cases. One patient had a ductal adenocarcinoma, two presented with pancreatic endocrine neoplasms and the last one had an intraductal papillary mucinous neoplasia. Two patients underwent open, the other two laparoscopic distal pancreatectomy. DISCUSSION: Postoperative pancreatic fistulas after distal pancreatectomy worsen the quality of life, prolong the post-operative stay and delay further adjuvant therapy. In patients who underwent distal pancreatectomy literature exposed some advantages deriving from the placement of abdominal drainages only in selected cases and from their early removal. Patients presenting a high risk of pancreatic fistula had higher amylase levels of drainage fluid in the first postoperative day. CONCLUSION: POPF is the most frequently complication after pancreatectomy. In our analysis DFA1>5000 can be considered as a predictive factor for pancreatic fistula. For this reason, the systematic measurement of amylase in drain fluid in first-postoperative day can be considered a good clinical practice.