ADVANCES IN ABDOMINAL SURGERY 2002

ADVANCES IN ABDOMINAL SURGERY

~®®~

Edited by

Attilio Maria Farinon Professor of Surgery and Chairman,

Department of Surgery,

University of Rome "Tor Vergata ",

Rome, Italy

A survey of researches funded by the Italian Ministry of the University and of Scientific and Technological Research

SPRINGER-SCIENCE+BUSINESS MEDIA, B.V.

A c.I.P. Catalogue record for this book is available from the Library of Congress

ISBN 978-90-481-6135-5 ISBN 978-94-017-0637-7 (eBook) DOI 10.1007/978-94-017-0637-7

Printed an acid-free paper

All Rights Reserved © 2002 Springer Science+Business Media Dordrecht Originally published by Kluwer Academic Publishers in 2002 Softcover reprint ofthe hardcover Ist edition 2002 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permis sion from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work.

Dedication

To the memory of Pro foss or Everardo Zanella for his distinguished contribution to surgical sciences.

Contents --------------

List of Contributors Xl

Foreword XXl

SECTION I: SURGICAL INFECTIONS

Chapter 1 3 In vitro antimicrobial actlvttles of [3-lactams, aminoglycosides, quinolones, glycopeptides and trimethoprim-sulfamethoxazole against gram-negative and gram-positive bacteria isolated from patients with intraabdominal infections. Giovanna Branca, Teresa Spanu, Fiammetta Leone, Patrizia Mazzella, Giovanni Fadda

Chapter 2 13 Infected necrosis and pancreatic abscess. Domenico Marrano, Vincenzo Maria Greco, Andrea Conti, Nicola Marrano

Chapter 3 37 Effects of IL-2 immunomodulation on infectious complications in colorectal surgery Angelo Nespoli, Fernando Brivio, Luca Fattori, Manlio Valerio, Luca Nespoli, Valeria Arsena, Vittorio Corso, Mauro Totis

SECTION II: HEPATO-BILIARY AND PANCREATIC SURGERY

Chapter 4 55 Evaluation of renal tubular damage in rats with biliary obstruction. Attilio Maria Farinon, Francesco Rulli, Michele Grande, Marco Gallinella Muzi, Paolo De Sole, Mauro Piantelli, Mario Bosco, Antonio Villani

Chapter 5 67 The evolutionary pattern of primary sclerosing cholangitis: from a be-nign to severe disease. Sara D 'Jnnocenzo, Francesca Russo, Lucia Miglioresi, Marco Bacosi, Giovanni L. Ricci

viii

Chapter 6 85 Multidisciplinary management of liver metastases from colorectal can-cer. Giuseppe Sigismondo Sica, Achille Lucio Gaspari

Chapter 7 95 Morbidity and survival in liver resection for colorectal metastases. Gennaro Nuzzo, Felice Giuliante, Maria Vel/one, lvo Giovannini

Chapter 8 115 Hepatic metastases from non colorectal cancer: which ones should be resected? Angelo Benevento, Luigi Boni, Gianlorenzo Dionigi, Renzo Dionigi

Chapter 9 127 Radiochemotherapy of liver metastases from breast cancer: review of literature and personal experience. Giampiero Ausili Cefaro, Luigia Nardone, Gianluca Marmiroli, Stefania Manfrida, Giovanna Salvi

Chapter 10 141 Carcinoma of the papilla of vater: prognostic and therapeutic considerations. Giovanni Serio, Calogero Iacono, Luca Bortolasi, Ettore Montresor

Chapter 11 Splenectomy in haematological patients. Roberto Vecchioni, Elda Raggio, Claudio Zardini

SECTION III: COLO-RECTAL SURGERY

159

Chapter 12 17 5 Ischemic colitis: an attempt to defme the spectrum of disease. Attilio Maria Farinon, Michele Grande, Francesco Rulli, Italo Stroppa

Chapter 13 191 Advances in molecular genetics and clinical implications of sporadic colorectal cancer. Giuseppe Midiri, Fabrizio Consorti, Enrico Giarnieri, Alfredo Covotta, Lisa Luzzatto, Chiara Montana, Andrea Bertolotti, Aldo Vecchione, Vanni Beltrami

ix

Chapter 14 203 Analyses of the prognostic factors in colorectal cancer. preliminary re-sults of a possible new prognostic factor: mesenteric and antime­senteric tumor location. Renzo Dionigi, Angelo Benevento, Gianlorenzo Dionigi, Luigi Bani, Luigi Albarello, Carlo Capella

Chapter 15 213 Different role of the colonic pouch after low anterior resection or coloanal anastomosis. Francesco Tonelli, Alessandro Garcea, Jacopo Monaci, Giacomo Batignani

Chapter 16 225 Primary anorectal reconstruction after abdominoperineal excision by coloperineal pull-through and electrically stimulated graciloplasty: effi­ciency and limitations of a hard-to-catch-on procedure. , Vincenzo Violi, Adamo S. Boselli, Renata Costi, Luigi Roncoroni

Chapter 17 24 7 Local recurrence after resection of colorectal cancer. Leopolda Sarli, Giuseppe Sgobba, Renata Costi, Luigi Roncoroni

Chapter 18 265 Multimodal treatment for peritoneal carcinomatosis of digestive origin. Pierluigi Pilati, Simone Mace/lin, Carlo Riccardo Rossi, Laura Cadell a, Luca Pinciroli, Mirto Foletto, Donato Nitti, Mario Lise

SECTION IV: FECAL INCONTINENCE

Chapter 19 283 Anatomical and physiological bases of fecal continence. Attilio Maria Farinon

Chapter 20 289 Electrostimulated graciloplasty for faecal incontinence treatment. Massimo Seccia

Chapter 21 303 Restoration of anal continence with the artificial bowel sphincter (abs acticon ™). Vincenzo Memeo, Donato Francesco Altomare, Marcella Rinaldi, Antone/la Veglia, Maria Petrolino, Altomarino Guglielmi

X

SECTIONV: MINIMALLY-INVASIVE SURGERY

Chapter 22 315 Mini-laparotomy: a suitable minimally invasive technique for cholecystectomy. Mario Sianesi, Paolo Del Rio, Francesco Rulli

Chapter 23 321 Minimally invasive surgery for the treatment of function diseases of the gastroesophageal junction. Giovanni Zaninotto, Mario Costantini, Giuseppe Portale, Daniela Molena, Michela Costantino, Loredana Nicoletti, Cristian Rizzetto, Ermanno Ancona

Chapter 24 337 Laparoscopic management of pancreatic tumors. Andrea Pietrabissa, Ugo Boggi, Carlo Moretto, Franco Mosca

Chapter 25 34 7 Minimally invasive surgery for the treatment of rectal tumors: 10 years experience. Mario Guerrieri, Andrea Tamburini, Francesco Feliciotti, Alessandro Maria Paganini, Angelo De Sanctis, Francesco Crosta, Emanuele Lezoche

SECTION VI: TRANSPLANTATION

Chapter 26 359 Pancreas procurement from cadaveric donors of multiple grafts. Ugo Boggi, Fabio Vistoli, Marco Del Chiaro, Andrea Pietrabissa, Gabriele Catalano, Piero Marchetti, Stefano Del Prato, Franco Mosca

Chapter 27 385 Replacement therapy in acute liver failure. Giorgio Splendiani, Valentina Mazzarella, Carlo Meloni, Giuseppe Tisane, Franco Pisani, Silvia Cipriani, Stefano Pollicita, Carlo Umberto Casciani

Color Plates 393

Author index 401

Subject index 403

List of contributors

L. Albarello Department of Pathology, University of Insubria, Varese, Italy

D. F. Altomare Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Bari, Italy

E. Ancona Department of Medical and Surgical Sciences, 4th Surgical Clinic, University of Padua, Padua, Italy

V. Arsena 3rd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

G. Ausili Cefaro Institute of Radiology, Catholic University of the Sacred Heart, Rome, Italy

M. Bacosi Liver Pathophysiology Laboratory, Department of Clinical Sciences, Univer­sity of Rome "La Sapienza", Rome, Italy

E. Baggio Department of Surgical and Gastroenterological Sciences, University of Vero­na, Verona, Italy

G. Batignani Department of Clinical Physiopathology, Surgical Unit, University of Flor­ence, Florence, Italy

V. Beltrami Department of Surgical Sciences, University of Rome "La Sapienza", Rome, Italy

A. Benevento Department of Surgery, University of Insubria, Varese, Italy

A. Bertolotti Department of Surgical Sciences, University of Rome "La Sapienza", Rome, Italy

xii

U. Boggi Department of Surgery and Organ Transplantation, University of Pis a, Pisa, Italy

L. Boni Department of Surgery, University of Insubria, Varese, Italy

L. Bortolasi Department of Surgery, University of Verona, Verona, Italy

M. Bosco Institute of Anesthesiology, Catholic University of the Sacred Heart, Rome, Italy

A. S. Boselli Department of Surgery of Parma Hospital, University of Parma, Parma, Italy

G. Branca Institute of Microbiology, Catholic University of the Sacred Heart, Rome, Italy

F. Brivio 3rd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

C. Capella Department of Pathology, University of Insubria, Varese, Italy

C. U. Casciani Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

G. Catalano Department of Surgery and Organ Transplantation, University of Pisa, Pis a, Italy

S. Cipriani Department of Surgery, University of Rome "Tor Vergata", Rome, Italy

L. Codello Department of Surgery and Oncology, 2nd Surgical Clinics, University of Padua, Padua, Italy

F. Consorti Department of Surgical Sciences, University of Rome "La Sapienza", Rome, Italy

A. Conti Department of Surgery and Anesthesiology, 1st Surgical Clinic, University of Bologna, Bologna, Italy

V. Corso 3rd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

xiii

M. Costantini Department of Medical and Surgical Sciences, 4th Surgical Clinic, University of Padua, Padua, Italy

M. Costantino Department of Medical and Surgical Sciences, !Vth Surgical Clinics, Univer­sity of Padua, Padua, Italy

R. Costi Department of Surgery of Parma Hospital, University of Parma, Parma, Italy

A. Covotta Department of Surgical Sciences, University of Rome "La Sapienza", Rome, Italy

F. Crosta Institute of Surgical Sciences, University of Ancona, Ancona, Italy

M. Del Chiaro Department of Surgery and Organ Transplantation, University of Pis a, Pis a, Italy

S. Del Prato Department of Endocrinology and Metabolism, Section of Metabolism, Uni­versity of Pisa, Pisa, Italy

P. Del Rio Department of Surgery, University of Parma, Parma, Italy

A. De Sanctis Institute of Surgical Sciences, University of Ancona, Ancona, Italy

P. De Sole Institute of Physiology, Catholic University of the Sacred Heart, Rome, Italy

S. D'Innocenzo Liver Pathophysiology Laboratory, Department of Clinical Sciences, Univer­sity of Rome "La Sapienza", Rome, Italy

G. L. Dionigi Department of Surgery, University of Insubria, Varese, Italy

R. Dionigi Department of Surgery, University of Insubria, Varese, Italy

G.Fadda Institute of Microbiology, Catholic University of the Sacred Heart, Rome, Italy

A. M. Farinon Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

xiv

L. Fattori 3rd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

F. Feliciotti Institute of Surgical Sciences, University of Ancona, Ancona, Italy

M. Foletto Department of Surgery and Oncology, 2nd Surgical Clinics, University of Padua, Padua, Italy

M. Gallinella Muzi Department of Surgery, University of Rome "Tor Vergata", Rome, Italy

A. Garcea Department of Clinical Physiopathology, Surgical Unit, University of Florence, Florence, Italy

A. L. Gaspari Department of Surgery, University of Rome "Tor Vergata", Rome, Italy

P. Gazzella Institute of Microbiology, Catholic University of the Sacred Heart, Rome, Italy

E. Giarnieri Department of Experimental Medicine and Pathology, University of Rome "La Sapienza", Rome, Italy

I. Giovannini Institute of Surgical Pathology, Catholic University of the Sacred Heart, Rome, Italy

F. Giuliante Institute of Surgical Pathology, Catholic University of the Sacred Heart, Rome, Italy

M. Grande Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

V.M.Greco Department of Surgery and Anesthesiology, 1st Surgical Clinics, University of Bologna, Bologna, Italy

M. Guerrieri Institute of Surgical Sciences, University of Ancona, Ancona, Italy

A. Guglielmi Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Bari, Italy

XV

C. Iacono Department of Surgery, University of Verona, Verona, Italy

F. Leone Institute of Microbiology, Catholic University of the Sacred Heart, Rome, Italy

E. Lezoche 2nd Surgical Clinic, University of Rome "La Sapienza", Rome, Italy

M. Lise Department of Surgery and Oncology, 2nd Surgical Clinics, University of Padua, Padua, Italy

L. Luzzatto Department of Surgical Sciences, University of Rome "La Sapienza", Rome, Italy

S. Manfrida Institute of Radiology, Catholic University of the Sacred Heart, Rome, Italy

P. Marchetti Department of Endocrinology and Metabolism, Section of Metabolism, Uni­versity of Pisa, Pisa, Italy

G. Marmiroli Institute of Radiology, Catholic University of the Sacred Heart, Rome, Italy

D. Marrano Department of Surgery and Anesthesiology, 1st Surgical Clinics, University of Bologna, Bologna, Italy

N. Marrano Department of Surgery and Anesthesiology, 1st Surgical Clinic, University of Bologna, Bologna, Italy

V. Mazzarella CNR Institute, Rome, Italy

P. Mazzella Institute of Microbiology, Catholic of University of the Sacred Heart, Rome, Italy

C. Meloni CNR Institute, Rome, Italy

V.Memeo Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Bari, Italy

G. Midiri Department of Surgical Sciences, University of Rome "La Sapienza", Rome, Italy

xvi

L. Miglioresi Liver Pathophysiology Laboratory, Department of Clinical Sciences, Univer­sity of Rome "La Sapienza", Rome, Italy

S. Mocellin Department of Surgery and Oncology, 2nd Surgical Clinic, University of Padua, Padua, Italy

D. Molena Department of Medical and Surgical Sciences, 4th Surgical Clinics, University ofPadu~Padu~lialy

I. Monaci Department of Clinical Physiopathology, Surgical Unit, University of Florence, Florence, Italy

C. Montana Department of Surgical Sciences, University of Rome "La Sapienza", Rome, Italy

E. Montresor Department of Surgery, University of Verona, Verona, Italy

C. Moretto Department of Surgery and Organ Transplantation, University of Pis a, Pis a, Italy

F. Mosca Department of Surgery and Organ Transplantation, University of Pis a, Pis a, Italy

L. Nardone Institute of Radiology, Catholic University of the Sacred Heart, Rome, Italy

A. Nespoli 3rd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

L. Nespoli 3rd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

L. Nicoletti Department of Medical and Surgical Sciences, IVth Surgical Clinics, Univer­sity of Padua, Padua, Italy

D. Nitti Department of Surgery and Oncology, 2nd Surgical Clinics, University of Padua, Padua, Italy

xvii

G. Nuzzo Institute of Surgical Pathology, Catholic University of the Sacred Heart, Rome, Italy

A. M. Paganini Institute of Surgical Sciences, University of Ancona, Ancona, Italy

M. Petrolino Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Bari, Italy

M. Piantelli Institute of Pathology, Catholic University of the Sacred Heart, Rome, Italy

A. Pietrabissa Department of Surgery and Organ Transplantation, University of Pisa, Pisa, Italy

P. Pilati Department of Surgery and Oncology, 2nd Surgical Clinics, University of Padua, Padua, Italy

L. Pinciroli Department of Surgery and Oncology, 2nd Surgical Clinics, University of Padua, Padua, Italy

F. Pisani Department of Surgery, University of Rome "Tor Vergara", Rome, Italy

S. Pollicita Department of Surgery, University of Rome "Tor Vergata, Rome, Italy

G. Portale Department of Medical and Surgical Sciences, 4th Surgical Clinics, University ofPadu~Padu~ilaly

G. L. Ricci Liver Pathophysiology Laboratory, Department of Clinical Sciences, Univer­sity of Rome "La Sapienza", Rome, Italy

M. Rinaldi Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Bari, Italy

C. Rizzetto Department of Medical and Surgical Sciences, IVth Surgical Clinics, Univer­sity of Padua, Padua, Italy

L. Roncoroni Department of Surgery of Parma Hospital, University of Parma, Parma, Italy

xviii

C. R. Rossi Department of Surgery and Oncology, 2nd Surgical Clinics, University of Padua, Padua, Italy

F. Rulli Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

F. Russo Liver Pathophysiology Laboratory, Department of Clinical Sciences, Univer­sity of Rome "La Sapienza", Rome, Italy

G. Salvi Institute of Radiology, Catholic University of the Sacred Heart, Rome, Italy

L. Sarli Department of Surgery, University of Parma, Parma, Italy

M. Seccia Department of Surgery, University of Pis a, Pis a, Italy

G. Serio Department of Surgery, University of Verona, Verona, Italy

G. Sgobba Department of Surgery, University of Parma, Parma, Italy

M. Sianesi Department of Surgery, University of Parma, Parma, Italy

G. S. Sica Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

T.Spanu Institute of Microbiology, Catholic University of the Sacred Heart, Rome, Italy

G. Splendiani Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

I. Stroppa Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

A. Tamburini Institute of Surgical Sciences, University of Ancona, Ancona, Italy

G. Tisone Department of Surgery, University of Rome "Tor Vergata ", Rome, Italy

F. Tonelli Department of Clinical Physiopathology, Surgical Unit, University of Florence, Florence, Italy

xix

M. Totis Jrd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

M. Valerio 3rd Department of Surgery, S. Gerardo Hospital Monza, University of Milan, Bicocca, Italy

A. Vecchione Department of Experimental Medicine and Pathology, University of Rome "La Sapienza", Rome, Italy

R. V ecchioni Department of Surgical and Gastroenterological Sciences, University of Vero­na, Verona, Italy

A. Veglia Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Bari, Italy

M. Vellone Institute of Surgical Pathology, Catholic University of the Sacred Heart, Rome, Italy

A. Villani Institute of Anesthesiology, Catholic University of the Sacred Heart, Rome, Italy

V. Violi Department of Surgery of Parma Hospital, University of Parma, Parma, Italy

F. Vistoli Department of Surgery and Organ Transplantation, University of Pis a, Pis a, Italy

G. Zaninotto Department of Medical and Surgical Sciences, 4th Surgical Clinic, University ofPadu~Padu~lialy

C. Zardini Department of Surgical and Gastroenterological Sciences, University of Vero­na, Verona, Italy

Foreword

The sudden death of Professor Everardo Zanella occurred when the project of editing a second volume of"Advances in adominal surgery" represented his main interest.

He was so proud of the warm approbation that the first volume, edited 1999, earned by italian academic surgical community.

I worked so intimately and for so many years with him that the final tasks of editing this volume were immediately taken on by me, convinced that my views could not vastly differ from those that he would have expressed.

I truly hope that this book will be a fitting tribute to the memory of Professor Everardo Zanella, a man who contributed greatly to the education and practice of surgery.

ATTILIO MARIA FARINON Professor of General Surgery

University ofRome "Tor Vergata"

xxii

Scientific Secretariat

F .RULLI, M.LAZZARI Department of Surgery

University of Rome "Tor Vergata" Rome, Italy

Acknowledgments We are indebted with Mrs. W. Rubertelli for secretarial assistance, and with Mrs. M.A.

Smith for english revision.