Advanced search    

Search: authors:"Alfonso Fiorelli"

19 papers found.
Use AND, OR, NOT, +word, -word, "long phrase", (parentheses) to fine-tune your search.

Bilateral single-port thoracoscopic extended thymectomy for management of thymoma and myasthenia gravis: case report

Background Video-assisted thoracoscopy is become a widely accepted approach for the resection of anterior mediastinal masses, including thymoma. The current trend is to reduce the number of ports and minimize the length of incisions to further decrease postoperative pain, chest wall paresthesia, and length of hospitalization. Herein, we reported an extended resection of thymoma in ...

A new endoscopic hand drill for management of tracheal stenosis

Tracheal resection and primary anastomosis is the treatment of choice for the management of benign tracheal stenoses. Rigid endoscopy with laser-assisted mechanical dilatation is an alternative to surgery and helps to improve symptoms and quality of life in patients unfit for surgery. Here, we describe the treatment of a simple web-like stenosis, using a new endoscopic hand drill ...

In lung cancer patients where a malignant pleural effusion is found at operation could resection ever still be justified?

Alfonso Fiorelli 0 Mario Santini 0 0 Thoracic Surgery Unit, Second University of Naples , Naples, Italy A best evidence topic in thoracic surgery was written according to a structured protocol. The

Matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 in diagnosis of pleural effusion of malignant origin

OBJECTIVES The aim of the present study was to evaluate the diagnostic accuracy of matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 in differentiating benign from malignant exudative pleural effusions.

Harmonic technology versus neodymium-doped yttrium aluminium garnet laser and electrocautery for lung metastasectomy: an experimental study

OBJECTIVES We compared the efficacy of non-anatomical lung resections with that of three other techniques: monopolar electrocautery; neodymium-doped yttrium aluminium garnet laser and harmonic technology. We hypothesized that the thermal damage with harmonic technology could be reduced because of the lower temperatures generated by harmonic technology compared with that of other ...

The use of an electrothermal bipolar tissue sealing system in the management of lung hydatid disease

Surgery is the treatment of choice for management of pulmonary hydatid cysts. Total pericystectomy provided the best results concerning the recurrence of the disease, but haemorrhagia and air leak during dissection of the pericystic space are the main disadvantages of such a method. To avoid these complications, we proposed the use of an electrothermal bipolar tissue sealing ...

A home-made animal model in comparison with a standard manikin for teaching percutaneous dilatational tracheostomy

OBJECTIVES As airway management specialists, thoracic surgeons should be familiar with percutaneous dilatational tracheostomy. To optimize the learning curve, we propose a home-made pig model obtained from a slaughterhouse for training residents in the technical aspects of performing percutaneous dilatational tracheostomy. The satisfaction of the residents’ training experience ...

Two Different Serum MiRNA Signatures Correlate with the Clinical Outcome and Histological Subtype in Pleural Malignant Mesothelioma Patients

Pleural malignant mesothelioma (MPM) is a detrimental neoplasm affecting pleural sheets and determining a high rate of mortality. In this study, we have enrolled 14 consecutive patients (13 males and 1 female) with MPM (mean age: 70.3 ± 4.6 years). We have collected serum for the determination of a miRNA profiling using a low-density microarray real time PCR system in the serum of ...

A comparative analysis of Pancoast tumour resection performed via video-assisted thoracic surgery versus standard open approaches†

Francesco Paolo Caronia 5 Alfonso Fiorelli 3 Enrico Ruffini 4 Maurizio Nicolosi 1 0 Presented at the 21st European Conference on General Thoracic Surgery , Birmingham, UK , 26-29 May 2013 1

The digital AcuBlade laser system to remove huge vocal fold granulations following subglottic airway stent

We report a case of granulations that complicated subglottic stent placement and completely destroyed vocal folds with luminal stent obstruction. A microbial aetiology significantly contributed to the occurrence of granulations associated with mechanical irritation. The granulations were successfully resected using a digital AcuBlade laser system, a new generation of CO2 laser used ...

A simple technique to control placement of Dumon stent in subglottic tracheal stenosis†

Airway stenting is the chosen treatment for patients affected by subglottic tracheal stenosis and unfit for surgery. Among the different types of prostheses, the Dumon stent is a valid option especially in patients without tracheotomy. Insertion is usually achieved by pushing the stent off from a loader using a prosthesis pusher. If the stent is expelled below the stenosis, rigid ...

Negative-pressure pulmonary edema presented with concomitant spontaneous pneumomediastinum: Moore meets Macklin

Negative-pressure pulmonary edema is an unusual complication mainly associated with general anesthesia. It is caused by excessive negative intrathoracic pressure following a deep inspiration against an acute airway obstruction. The resultant decreased intrathoracic pressure amplifies venous return to the right heart and increases pulmonary capillary wedge pressure that can be ...

The value of matrix metalloproteinase-9 and vascular endothelial growth factor receptor 1 pathway in diagnosing indeterminate pleural effusion†

OBJECTIVES Our aim was to determine the diagnostic value of the matrix metalloproteinase-9/vascular endothelial grow factor receptor-1 pathway in differentiating pleural effusions (PE) of varying origin.

Vascular endothelial growth factor in pleural fluid for differential diagnosis of benign and malignant origin and its clinical applications☆

Our goal was to determine the role of vascular endothelial growth factor (VEGF) in diagnosing of pleural effusion (PE) in order to select patients deserving of more aggressive procedures. Seventy-nine consecutive patients with undiagnosed unilateral PE were enrolled. Pleural VEGF levels, measured using enzyme-linked immunosorbent assay (ELISA), were correlated to etiology of PEs ...