26
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Secco GB, Ferrari C, Pugliese V, Lapertosa G, Anfossi A. [Anorectal malignant melanoma. A case in the anorectal junction synchronous with adenocarcinoma of the sigmoid]. MINERVA CHIR 1981; 36:615-20. [PMID: 7254570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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27
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Anfossi A, Mortola GP, Parodi E, Percivale PL, Berti Riboli E. [Surgery of biliary lithiasis. I. Physiopathology and diagnosis]. MINERVA CHIR 1981; 36:355-60. [PMID: 7231742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Experimental studies and clinical observations are referred to in stressing the frequent correlation between duodenal, biliary and pancreatic disturbances, and the importance of the role of spontaneous or iatrogenic impairment of Oddi's sphincter in the origin of this pathology. These physiopathological concepts are regarded as fundamental in the correct surgical management of cholelithiasis. A pre- and postoperative diagnostic protocol designed to investigate the anatomofunctional aspects of the duodenum and pancreas as well as bile duct morphology and Oddi sphincter function is described. Its employment enabled 633 cases to be divided six well-defined groups for diversified treatment.
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28
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Berti Riboli E, Mortola GP, Anfossi A, Parodi E, Cafiero F. [Surgery of biliary lithiasis. II. Choice of operation and results]. MINERVA CHIR 1981; 36:361-6. [PMID: 7231743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
A pre-and intraoperative diagnostic protocol offering morphological and functional evaluation of the bile ducts, Oddi's sphincter, duodenum, and pancreas was employed to classify 633 patients with biliary lithiasis into 6 groups and hence the therapeutic application of 6 surgical techniques, namely: 1) cholecystectomy alone; 2) choledocholithotomy plus closure of the choledoch; 3) choledocholithotomy plus Kehr drainage; 4) papillosphincterotomy alone; 5) papillosphincterotomy plus anterior seclective duodenal vagotomy; 6) hepaticojejunostomy, so as to ensure a rational choice of the best operation fro each situation. Comparison with the literature and prior personal results substantiated the soundness of this approach, as shown by a marked reduction of complications, mortality and residual disease on both short and medium-term follow-up.
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29
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Anfossi A, Mari C, Parodi E, Mortola GP, Buccoliero F, Berti Riboli E. [Reoperations in surgery of biliary lithiasis (author's transl)]. CHIRURGIA ITALIANA 1981; 33:60-9. [PMID: 7261219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
The Authors report on their cases of biliary surgery reoperation, necessary in 267 cases out of 3193 primary operations. After a short discussion of the aetiological, diagnostic and therapeutic problems of relapsing biliary pathology, they compare their results with those of the most important sets of cases reported in world literature.
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30
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Mortola GP, Anfossi A, Parodi E, Cafiero F, Pezzoli F, Berti Riboli E. [The role and limitations of litholytic therapy of cholesterin cholecystolithiasis. Results in 86 cases treated with chenic acid]. Minerva Med 1980; 71:2283-91. [PMID: 7432661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
86 carefully selected patients with cholesterinic cholecystic lithiasis were submitted to litholytic treatment with chenodesoxycholic acid at a dose of 15 mg per kg of body weight as part of a multidisciplinary therapeutic approach to biliary lithiasis. Follow up of these patients up to 24 months showed the positive action of the drug on dyspeptic pain symptomatology, the absence of significant side effects, and the absence of hepatotoxic effects of chenic acid at therapeutic doses, as well as its effectiveness with respect to total or partial litholysis in 78% of patients. These data confirm the positive role of litholytic treatment as an alternative to cholecystectomy in highly selected patients treated at specialist centres.
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31
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Adami GF, Civalleri D, Bertoglio S, Anfossi A, Griffanti F. [Skin tests for delayed hypersensitivity to booster antigens. Secondary complication]. LA NOUVELLE PRESSE MEDICALE 1980; 9:967-8. [PMID: 7360637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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32
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Berti Riboli E, Anfossi A, Mortola GP, Percivale P, Moresco L, Barbanera M. [Clinical results of a new pre- and per-operative diagnostic procedure in biliary surgery]. Minerva Med 1980; 71:615-8. [PMID: 7360395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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33
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Anfossi A, Mortola GP, Cafiero F, Parodi E, Giusto F, Berti Riboli E. [Choice between litholytic and surgical treatment in cholesterin cholecystic calculosis]. Minerva Med 1980; 71:623-5. [PMID: 7360397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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34
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Scopinaro N, Gianetta E, Pandolfo N, Anfossi A, Berretti B, Bachi V. [Bilio-pancreatic bypass. Proposal and preliminary experimental study of a new type of operation for the functional surgical treatment of obesity]. MINERVA CHIR 1976; 31:560-6. [PMID: 972731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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35
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Scopinaro N, Anfossi A, Griffanti-Bartoli F, Civalleri D, Gianetta E, Sorice G, Germi MR, Caponnetto A, Bachi V. [Experience with the treatment of acute hepatic coma using extracorporeal perfusion of heterologous liver and exchange transfusion]. Minerva Med 1976; 67:1187-95. [PMID: 945519 DOI: 10.1203/00006450-198601000-000213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Extracorporeal pig liver perfusion was adopted in 2 patients with acute hepatic coma due to fulminant hepatitis. Exchange transfusion was used in a third patient, while a fourth was subjected to both procedures. A marked haematological improvement was noted in all cases. Yet, three patients died without showing any clinical benefit. In the fourth case, coma regressed and gradual improvement to the point of complete recovery was achieved. Liver perfusion and exchange transfusion in the same patient were attended by very different clinical effects, though each procedure produced a comparable improvement at the blood chemistry data. Careful analysis of the data suggests that the difference was attributable to discrepancies between the degree of tissue purification achieved.
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36
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Riboli EB, Mortola GP, Reboa G, Anfossi A, PANDOLFO N. Clinical and therapeutic applications of a new pathogenetic theory on the dumping syndrome. Int Surg 1976; 61:212-5. [PMID: 1270218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Based on experimental and clinical studies we have deduced the existence of a neuro-osmotic dumping syndrome and a truly osmotic dumping syndrome that differ in pathogenesis and clinical symptoms.
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37
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Berti Riboli E, Anfossi A, Reboa G, Scopinaro N. [Selective anterior vagotomy of the duodenum. Propositions, technics and experimental results]. MINERVA CHIR 1976; 31:8-13. [PMID: 1256668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Previous studies have demonstrated that changes in endoduodenal pressure may cause pancreatic alterations in biliary diseases. Anterior selective vagotomy of the duodenum was devised to reduce duodenal motility. An experimental study showed that such a surgical procedure is followed by a marked decrease in the overall duodenal kinesis, with disappearance of the highest pressure peaks.
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38
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Scopinaro N, Griffanti-Bartoli F, Anfossi A, Gianetta E, Bachi V. [New method for preparation of the totally hepatectomized dog. Critical review of the literature and surgical technics]. MINERVA CHIR 1975; 30:806-12. [PMID: 1221309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
A critical review of the relevant literature is followed by the presentation of a new method for total hepatectomy in the dog. This is carried out in a single stage. Its main advantage is there is no temporary interruption of the portal or portocaval flow. A synthetic prosthesis is anastomosed end-to-end with the subhepatic vena cava and end-to-side with the supradiaphragmatic cava. Next, the portal vein is anastomosed side-to-side with the prosthesis and ligated upstream. Hepatectomy is then performed.
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39
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Battezzati M, Belardi P, Anfossi A. [Phlebo-lymphatic surgery in the treatment of the post-phlebitic syndrome]. MINERVA CHIR 1975; 30:410. [PMID: 1128779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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40
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Scopinaro N, Anfossi A, Griffanti-Bartoli F, Civalleri D, Sorice G, Bonalumi U, Caponnetto A, Bachi V. [Success in a case of fulminant hepatitis treated with extracorporeal liver perfusion and exchange transfusion]. MINERVA CHIR 1975; 30:271-6. [PMID: 1241607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Extracorporeal perfusion of pig liver lasting 4 hr, followed by isovolaemic exchange (6 litres in 1 hr) were employed in the management of coma in a case of acute virus hepatitis. Liver perfusion led to temporary regression of coma, whereas transfusion was followed by gradual improvement in the clinical picture; this was apparently not a direct consequence of the procedure adopted. Assessment of the degree of purification obtained with these two methods offers an explanation for the difference in their clinical effectiveness.
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41
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Anfossi A, Mortola GP, Reboa G. Lymphangioma of the thoracic duct with chylothorax. Int Surg 1974; 59:486-8. [PMID: 4414531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
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42
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Anfossi A, Adami GF, Cavaliere P, Percivale PL, Tallero G, Gianetta E. [Lymph node-venous anastomosis. A new experimental method of decompression of portal hypertension]. CHIRURGIA E PATOLOGIA SPERIMENTALE 1973; 21:295-304. [PMID: 4802257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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43
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Bresadola F, Anfossi A, Sorice G, Liboni A. [Histological study of junction between the thoracic duct and the venous system in ascitogenic liver cirrhosis]. MINERVA CHIR 1973; 28:1193-6. [PMID: 4763731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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44
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Anfossi A, Adami GF, Tallero G, Cavaliere P, Gianetta E. [Experimental study on post-hepatic lymphodynamics during a course of portal hypertension]. CHIRURGIA E PATOLOGIA SPERIMENTALE 1973; 21:274-84. [PMID: 4794398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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45
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Bresadola F, Donini I, Anfossi A, Tallero G, Sorice G, Stabilini L. [Internal drainage of the thoracic duct in surgical treatment of portal hypertension. I. Experimental studies of lymphodynamics]. MINERVA CHIR 1971; 26:1317-21. [PMID: 5135676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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46
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Donini I, Bresadola F, Anfossi A, Nicolò G, Sorice G, Tallero G, Stabilini L. [Internal drainage of the thoracic duct in surgical treatment of portal hypertension. II. Lymphodynamics in experimental ascites]. MINERVA CHIR 1971; 26:1322-6. [PMID: 5135677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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47
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Donini I, Bresadola F, Anfossi A, Sorice G, Tallero G, Nicolò G. [Internal drainage of the thoracic duct in surgical treatment of portal hypertension. 3. Lymphodynamics in experimental ascites after transposition of the thoracic duct]. MINERVA CHIR 1971; 26:1327-30. [PMID: 5135678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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48
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Nasta AG, Sorice G, Anfossi A, Bernardini R. [Surgical arteriovenous fistula as a preventive method against thrombosis of vascular prosthetic grafts. (Experimental research)]. CHIRURGIA E PATOLOGIA SPERIMENTALE 1971; 19:61-76. [PMID: 4265011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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49
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Anfossi A, Griffanti Bartoli F, Nicolò G. [Plastic surgery with a serosa patch in lesions of the digestive tract. Experimental research]. CHIRURGIA E PATOLOGIA SPERIMENTALE 1970; 18:1-7. [PMID: 5519930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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50
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Berti-Riboli E, Anfossi A, Sorice G, Botto A. [Regional hemodynamic changes due to section and degenerative lesions of the peripheral nerves. Experimental study with the electromagnetic flowmeter]. CHIRURGIA E PATOLOGIA SPERIMENTALE 1969; 17:169-82. [PMID: 4320787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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