G Torzilli

Summary

Affiliation: University of Milan
Country: Italy

Publications

  1. ncbi request reprint Intraoperative ultrasonography in liver cancer
    Guido Torzilli
    Liver Surgery Unit, Reparto di Chirurgia Generale 1, Ospedale Maggiore di Lodi, Azienda Ospedaliera della Provincia di Lodi, Largo Donatori di Sangue 2, I 26900 Lodi, Italy
    Surg Oncol Clin N Am 12:91-103. 2003
  2. doi request reprint Effect of billroth II or Roux-en-Y reconstruction for the gastrojejunostomy on delayed gastric emptying after pancreaticoduodenectomy: a randomized controlled study
    Mitsugi Shimoda
    Second Department of Surgery, Dokkyo Medical University, Tochigi, Japan
    Ann Surg 257:938-42. 2013
  3. doi request reprint A snapshot of the effective indications and results of surgery for hepatocellular carcinoma in tertiary referral centers: is it adherent to the EASL/AASLD recommendations?: an observational study of the HCC East-West study group
    Guido Torzilli
    Liver Surgery Unit, Department of Surgery, University of Milan School of Medicine, Humanitas Clinical and Research Center, Rozzano, Milan, Italy
    Ann Surg 257:929-37. 2013
  4. doi request reprint Anatomical resection of segment 8 by means of ultrasound-guided vessel compression
    Guido Torzilli
    Department of Surgery, Hepatobiliary Surgery Unit, Humanitas Cancer Center, Istituto Clinico Humanitas, IRCCS, University of Milan, Milan, Italy
    Ann Surg Oncol 20:474. 2013
  5. doi request reprint Safety of intermittent Pringle maneuver cumulative time exceeding 120 minutes in liver resection: a further step in favor of the "radical but conservative" policy
    Guido Torzilli
    Liver Surgery Unit, Third Department of Surgery, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas HUMANITAS CANCER CENTER, Rozzano, Milan, Italy
    Ann Surg 255:270-80. 2012
  6. ncbi request reprint Technical tricks for radical but conservative liver resection. The ultrasound guidance
    G Torzilli
    3rd Department of General Surgery Unit, Faculty of Medicine Humanitas Clinical Institute, IRCCS, University of Milan, Rozzano, Italy
    Minerva Chir 60:159-65. 2005
  7. ncbi request reprint Ultrasonographically guided surgical approach to liver tumours involving the hepatic veins close to the caval confluence
    G Torzilli
    Third Department of Surgery, University of Milan, Faculty of Medicine, Istituto Clinico Humanitas Istituto di Ricerca e Cura a Carattere Scientifico, Rozzano, Milan, Italy
    Br J Surg 93:1238-46. 2006
  8. doi request reprint Systematic subsegmentectomy by ultrasound-guided finger compression for hepatocellular carcinoma in cirrhosis
    Guido Torzilli
    Third Department of Surgery, Liver Surgery Unit, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Ann Surg Oncol 16:1843. 2009
  9. ncbi request reprint Contrast-enhanced intraoperative ultrasonography during hepatectomies for colorectal cancer liver metastases
    Guido Torzilli
    Third Department of Surgery, Faculty of Medicine, University of Milan, Istituto Clinico Humanitas, IRCCS, Rozzano Milano, Italy
    J Gastrointest Surg 9:1148-53; discussion 1153-4. 2005
  10. doi request reprint One-stage ultrasonographically guided hepatectomy for multiple bilobar colorectal metastases: a feasible and effective alternative to the 2-stage approach
    Guido Torzilli
    Third Department of General Surgery, University of Milan, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Surgery 146:60-71. 2009

Collaborators

Detail Information

Publications71

  1. ncbi request reprint Intraoperative ultrasonography in liver cancer
    Guido Torzilli
    Liver Surgery Unit, Reparto di Chirurgia Generale 1, Ospedale Maggiore di Lodi, Azienda Ospedaliera della Provincia di Lodi, Largo Donatori di Sangue 2, I 26900 Lodi, Italy
    Surg Oncol Clin N Am 12:91-103. 2003
    ..The American College of Surgeons has recently recognized the need for surgeons to have specific training in ultrasonography. Meanwhile, dedicated monographs on IOUS have been published in the United States, Chile, and Europe [39-42]...
  2. doi request reprint Effect of billroth II or Roux-en-Y reconstruction for the gastrojejunostomy on delayed gastric emptying after pancreaticoduodenectomy: a randomized controlled study
    Mitsugi Shimoda
    Second Department of Surgery, Dokkyo Medical University, Tochigi, Japan
    Ann Surg 257:938-42. 2013
    ..The objective of this study was to evaluate the superiority of Billroth II (B-II) to Roux-en Y (R-Y) reconstruction on decreasing the incidence of delayed gastric emptying DGE after SSPPD by a prospective randomized controlled trial...
  3. doi request reprint A snapshot of the effective indications and results of surgery for hepatocellular carcinoma in tertiary referral centers: is it adherent to the EASL/AASLD recommendations?: an observational study of the HCC East-West study group
    Guido Torzilli
    Liver Surgery Unit, Department of Surgery, University of Milan School of Medicine, Humanitas Clinical and Research Center, Rozzano, Milan, Italy
    Ann Surg 257:929-37. 2013
    ..The aim of this study was to investigate in a retrospective setting the patients' profile and results of those undergoing surgery for hepatocellular carcinoma (HCC) in high-volume surgical centers throughout the world...
  4. doi request reprint Anatomical resection of segment 8 by means of ultrasound-guided vessel compression
    Guido Torzilli
    Department of Surgery, Hepatobiliary Surgery Unit, Humanitas Cancer Center, Istituto Clinico Humanitas, IRCCS, University of Milan, Milan, Italy
    Ann Surg Oncol 20:474. 2013
    ..We demonstrate how to obtain a S8 demarcation by means of ultrasound-guided vessel compression...
  5. doi request reprint Safety of intermittent Pringle maneuver cumulative time exceeding 120 minutes in liver resection: a further step in favor of the "radical but conservative" policy
    Guido Torzilli
    Liver Surgery Unit, Third Department of Surgery, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas HUMANITAS CANCER CENTER, Rozzano, Milan, Italy
    Ann Surg 255:270-80. 2012
    ..We retrospectively compared the short-term outcome of a consecutive cohort of patients who underwent hepatectomy with intermittent clamping ranging between 60 and 120 minutes with those having a clamping time exceeding 120 minutes...
  6. ncbi request reprint Technical tricks for radical but conservative liver resection. The ultrasound guidance
    G Torzilli
    3rd Department of General Surgery Unit, Faculty of Medicine Humanitas Clinical Institute, IRCCS, University of Milan, Rozzano, Italy
    Minerva Chir 60:159-65. 2005
    ..Tricks for safe and radical IOUS-guided liver resections are here discussed...
  7. ncbi request reprint Ultrasonographically guided surgical approach to liver tumours involving the hepatic veins close to the caval confluence
    G Torzilli
    Third Department of Surgery, University of Milan, Faculty of Medicine, Istituto Clinico Humanitas Istituto di Ricerca e Cura a Carattere Scientifico, Rozzano, Milan, Italy
    Br J Surg 93:1238-46. 2006
    ..The aim of this study was to determine whether IOUS and colour Doppler IOUS might reduce the rate of major hepatectomy and vascular reconstruction in patients with such tumours...
  8. doi request reprint Systematic subsegmentectomy by ultrasound-guided finger compression for hepatocellular carcinoma in cirrhosis
    Guido Torzilli
    Third Department of Surgery, Liver Surgery Unit, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Ann Surg Oncol 16:1843. 2009
    ..This video shows systematic subsegmentectomy by IOUS-guided finger compression for a case of hepatocellular carcinoma (HCC) in cirrhosis...
  9. ncbi request reprint Contrast-enhanced intraoperative ultrasonography during hepatectomies for colorectal cancer liver metastases
    Guido Torzilli
    Third Department of Surgery, Faculty of Medicine, University of Milan, Istituto Clinico Humanitas, IRCCS, Rozzano Milano, Italy
    J Gastrointest Surg 9:1148-53; discussion 1153-4. 2005
    ..No adverse effects were observed in relation with CEIOUS. In conclusion, CEIOUS improves IOUS accuracy with a significant impact on surgical strategy and radicality in patients who undergo surgery for CRC liver metastases...
  10. doi request reprint One-stage ultrasonographically guided hepatectomy for multiple bilobar colorectal metastases: a feasible and effective alternative to the 2-stage approach
    Guido Torzilli
    Third Department of General Surgery, University of Milan, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Surgery 146:60-71. 2009
    ..Using experience gained from our policy of ultrasonographically guided resection, we explored the safety and effectiveness of 1-stage operative procedures in patients otherwise recommended for the 2-stage approach...
  11. ncbi request reprint Utility of the hooking technique for cases of major hepatectomy
    G Torzilli
    3rd Department of Surgery, University of Milan, Istituto Clinico Humanitas, IRCCS, I 20089 Rozzano, Milan, Italy
    Surg Endosc 19:1156-7. 2005
    ..This report describes a further application of this technique to allow safe ligation of portal vein main branches invaded by tumor thrombi during major hepatectomies...
  12. ncbi request reprint Bilirubin level fluctuation in drain discharge after hepatectomies justifies long-term drain maintenance
    Guido Torzilli
    Hepatobiliary Surgery Unit, Reparto di Chirurgia Generale 1, Azienda Ospedaliera della Provincia di Lodi Lodi, Italy
    Hepatogastroenterology 52:1206-10. 2005
    ..The aim of this study was to validate this policy checking the bilirubin concentration in the drain discharge and serum along the postoperative course...
  13. ncbi request reprint Right inferior phrenic vein indicating the right hepatic vein confluence into the inferior vena cava
    Guido Torzilli
    3rd Department of Surgery, Istituto Clinico Humanitas, IRCCS, University of Milan, Via Manzoni, 56, I 20089 Rozzano, Milano, Italy
    Am J Surg 192:690-4. 2006
    ..We verified the presence and trajectory of the right inferior phrenic vein (RIPV), which could be a useful anatomic landmark to guide surgeons in targeting the extrahepatic right hepatic vein (RHV) before dissection...
  14. ncbi request reprint Surgical strategy for liver tumors located at the hepato-caval confluence
    Guido Torzilli
    3rd Department of Surgery, University of Milan Faculty of Medicine, Istituto Clinico Humanitas, IRCCS, Rozzano, Italy
    Ann Ital Chir 77:323-8. 2006
    ..This approach to complex presentations of liver tumors by the use of IOUS-guidance is a further confirmation of the importance of this tool for accomplishing a safe and effective surgical treatment...
  15. ncbi request reprint Salvage hepatic resection after incomplete interstitial therapy for primary and secondary liver tumours
    G Torzilli
    Third Department of Surgery, University School of Medicine, Istituto Clinico Humanitas, Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy
    Br J Surg 94:208-13. 2007
    ..To validate the safety and effectiveness of salvage hepatectomy, patients who had undergone PAT or no treatment before hepatectomy were compared...
  16. ncbi request reprint Contrast-enhanced intraoperative ultrasonography during surgery for hepatocellular carcinoma in liver cirrhosis: is it useful or useless? A prospective cohort study of our experience
    Guido Torzilli
    3rd Department of Surgery, Istituto Clinico Humanitas, IRCCS, University of Milan, Via Manzoni, 56, I 20089 Rozzano, Milan, Italy
    Ann Surg Oncol 14:1347-55. 2007
    ..The aim of the study was to prospectively validate the role of CEIOUS on the basis of a larger experience and to establish a new classification that takes into account its findings...
  17. doi request reprint Hepatectomy for stage B and stage C hepatocellular carcinoma in the Barcelona Clinic Liver Cancer classification: results of a prospective analysis
    Guido Torzilli
    Third Department of Surgery, University of Milan, Istituto Clinico Humanitas Istituto di Ricovero e Cura a Carattere Scientifico, Via Manzoni 56, 20089 Rozzano, Milan, Italy
    Arch Surg 143:1082-90. 2008
    ..Using an algorithm for selection of patients with hepatocellular carcinoma (HCC) for surgery, Barcelona Clinic Liver Cancer (BCLC) classification stage B and stage C disease is not a contraindication...
  18. doi request reprint Monopolar floating ball versus bipolar forceps for hepatic resection: a prospective randomized clinical trial
    Guido Torzilli
    Third Department of Surgery, University of Milan, School of Medicine, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, 20089, Rozzano, Milan, Italy
    J Gastrointest Surg 12:1961-6. 2008
    ..We compared in a prospective randomized study the standard Pean-clasia with bipolar forceps (BF) versus Pean-clasia with MFB in patients undergoing hepatic resection...
  19. ncbi request reprint Intraoperative ultrasound in surgery for hepatocellular carcinoma
    Guido Torzilli
    Liver Surgery Unit, 3rd Department of Surgery, University of Milan, Faculty of Medicine, Istituto Clinico Humanitas IRCCS, Rozzano, Milano, Italy
    Ann Ital Chir 79:99-106. 2008
    ..Techniques for safe and radical IOUS-guided liver resections for HCC are here discussed...
  20. ncbi request reprint Back-flow bleeding control during resection of right-sided liver tumors by means of ultrasound-guided finger compression of the right hepatic vein at its caval confluence
    Guido Torzilli
    3rd Department of Surgery, Istituto Clinico Humanitas, IRCCS, University of Milan, Rozzano, Milano, Italy
    Hepatogastroenterology 54:1364-7. 2007
    ..Limiting the backflow bleeding from the hepatic veins is a priority in liver resections. We describe an ultrasound-guided technique for backflow bleeding control from the right hepatic vein (RHV) during right-sided liver resection...
  21. doi request reprint Systematic extended right posterior sectionectomy: a safe and effective alternative to right hepatectomy
    Guido Torzilli
    Third Department of General Surgery, University of Milan, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Ann Surg 247:603-11. 2008
    ..We herein describe an alternative approach to RH consisting in ultrasound-guided systematic extended right posterior hepatic sectionectomy (SERPS)...
  22. doi request reprint Anatomical segmental and subsegmental resection of the liver for hepatocellular carcinoma: a new approach by means of ultrasound-guided vessel compression
    Guido Torzilli
    Third Department of Surgery, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Ann Surg 251:229-35. 2010
    ..We herein describe a novel technique for the demarcation of the resection area by means of IOUS-guided finger compression to systematically accomplish anatomic segmental and subsegmental resections...
  23. doi request reprint Minimesohepatectomy for colorectal liver metastasis invading the middle hepatic vein at the hepatocaval confluence
    Guido Torzilli
    Liver Surgery Unit, Third Department of Surgery, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Ann Surg Oncol 17:483. 2010
    ..We describe a new ultrasound-guided conservative operation for patients with colorectal liver metastasis (CLM) invading the MHV at the HC...
  24. pmc Total or partial anatomical resection of segment 8 using the ultrasound-guided finger compression technique
    Guido Torzilli
    Liver Surgery Unit, 3rd Department of Surgery, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas HUMANITAS CANCER CENTER, Razzano, Milan, Italy
    HPB (Oxford) 13:586-91. 2011
    ..However, this technique does not allow disclosure of the subsegmental ventral (S8v) and dorsal (S8d) portions of segment 8 (S8). Another technique that overcomes these limitations is described...
  25. doi request reprint A new systematic small for size resection for liver tumors invading the middle hepatic vein at its caval confluence: mini-mesohepatectomy
    Guido Torzilli
    Third Department of General Surgery, University of Milan, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Ann Surg 251:33-9. 2010
    ..We describe a new ultrasound guided conservative procedure for patients with liver tumors invading the middle hepatic vein (MHV) at its caval confluence...
  26. doi request reprint Surgical technique: new advancements for expanding indications and safety: the Western experience
    Guido Torzilli
    Liver Surgery Unit, Third Department of Surgery, IRCCS Istituto Clinico Humanitas, University of Milan School of Medicine, Via Manzoni 56, 20089 Rozzano, Milan, Italy
    J Hepatobiliary Pancreat Sci 17:394-8. 2010
    ....
  27. ncbi request reprint 17th World Congress of the International Association of Surgeons, Gastroenterologists and Oncologists
    Guido Torzilli
    University of Milan, Faculty of Medicine, 3rd Department of General Surgery, Istituto Clinico Humanitas, IRCCS Via Manzoni, 56 I 20089 Rozzano Milano, Italy
    Future Oncol 3:605-7. 2007
  28. ncbi request reprint Ultrasound guided liver resection: does this approach limit the need for portal vein embolization?
    Guido Torzilli
    Third Department of Surgery, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Hepatogastroenterology 56:1483-90. 2009
    ..However, PVE itself has associated drawbacks. The use of ultrasound-guided liver resection minimizes the need for major resection, and might reduce the use of PVE. The aim of this study was to validate this hypothesis...
  29. doi request reprint Intraoperative ultrasonographic detection of communicating veins between adjacent hepatic veins during hepatectomy for tumours at the hepatocaval confluence
    G Torzilli
    Third Department of General Surgery, University of Milan, IRCCS Istituto Clinico Humanitas, Via Manzoni 56, 20089 Rozzano, Milan, Italy
    Br J Surg 97:1867-73. 2010
    ..Taking advantage of improvements in ultrasound technology, such as e-flow modality, a study of the presence of communicating veins was conducted in patients with hepatic tumours at the caval confluence...
  30. doi request reprint Anatomical right posterior sectionectomy: a further expansion of the ultrasound-guided compression technique
    Guido Torzilli
    IRCCS Istituto Clinico Humanitas, Humanitas Cancer Center, University of Milan School of Medicine, Via Manzoni 56, Rozzano, 20089 Milan, Italy
    Updates Surg 63:91-5. 2011
    ..Blood transfusions were not given. Ultrasound-guided finger compression of sectional portal pedicle feeding the right posterior section is a feasible, safe, and effective method, and introduces a new modality for performing RPS...
  31. pmc Liver resection without total vascular exclusion: hazardous or beneficial? An analysis of our experience
    G Torzilli
    Hepato Biliary Pancreatic Surgery Division, Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Japan
    Ann Surg 233:167-75. 2001
    ..To evaluate retrospectively the safety and radicality of liver resection performed without total vascular exclusion (TVE)...
  32. ncbi request reprint p27(Kip1) expression in normal epithelia, precancerous lesions, and carcinomas of the gallbladder: association with cancer progression and prognosis
    A M Hui
    Hepato Biliary Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Japan
    Hepatology 31:1068-72. 2000
    ..034; risk ratio, 3.9; 95% confidence interval, 1.1-13.7). In conclusion, decreased p27(Kip1) expression significantly correlates with tumor progression and predicts poor prognosis in gallbladder carcinomas...
  33. ncbi request reprint Contrast-enhanced ultrasonography during liver surgery
    G Torzilli
    Hepatobiliary Surgery Unit, First Department of Surgery, Azienda Ospedaliera della Provincia di Lodi, Lodi, Italy
    Br J Surg 91:1165-7. 2004
  34. ncbi request reprint Ultrasound-guided liver resections for hepatocellular carcinoma
    Guido Torzilli
    Liver Surgery Unit, Reparto di Chirurgia Generale 1 Ospedale Maggiore di Lodi, Azienda Sanitaria Locale della Provincia di Lodi Largo Donatori di Sangue, 2, I 26900, Lodi, Italy
    Hepatogastroenterology 49:21-7. 2002
    ..Then, with the intraoperative ultrasonography guidance liver resection remains the treatment of choice of hepatocellular carcinoma...
  35. ncbi request reprint Survivin gene expression in chronic liver disease and hepatocellular carcinoma
    Marco Montorsi
    3rd Division of General Surgery, University of Milan School of Medicine, Istituto Clinico Humanitas IRCCS Rozzano, Milan
    Hepatogastroenterology 54:2040-4. 2007
    ..The aim of this study was to evaluate the diagnostic and clinical significance of Survivin expression in hepatocellular carcinoma and non-neoplastic liver tissues in a series of surgical patients...
  36. ncbi request reprint [Surgical treatment of liver metastases from colorectal carcinoma]
    M Donadon
    Sezione di Chirurgia Epatica, Chirurgia Generale 3, Facolta di Medicina e Chirurgia, Universita degli Studi di Milano, Istituto Clinico Humanitas IRCCS, Rozzano, Milano, Italy
    Minerva Chir 62:257-67. 2007
    ..Hepatobiliary surgeons and medical oncologists should work together to evaluate patients with colorectal liver metastases to individualize the treatment strategy to maximize the chances of long-term survival...
  37. ncbi request reprint Liver resection for primary hepatic neuroendocrine tumours: report of three cases and review of the literature
    M Donadon
    3rd Department of General Surgery, University of Milan School of Medicine, Istituto Clinico Humanitas IRCCS, Via Manzoni 56, 20085 Rozzano, Milan, Italy
    Eur J Surg Oncol 32:325-8. 2006
    ..We report three cases of primary hepatic neuroendocrine tumours, which underwent hepatic resection. Review of the diagnostic and therapeutic approaches to these tumours are discussed...
  38. ncbi request reprint Ultrasound-guided finger compression in liver subsegmentectomy for hepatocellular carcinoma
    G Torzilli
    Hepatobiliary Surgery Unit, Department of General Surgery 1, Hospital of Lodi, Azienda Ospealiera della Provincia di Lodi, Largo Donatori del Sangue 2, I 26900 Lodi, Italy
    Surg Endosc 18:136-9. 2004
    ..Its main advantages are that it is easy, fast, and reversible. We believe that it has the potential to lead to new opportunities in subsegmental anatomic liver resection...
  39. ncbi request reprint Organ targeted mini-invasive approach in the treatment of colorectal cancer liver metastases: role of intraoperative ultrasonography as guidance in liver resection
    F Procopio
    Liver Surgery Unit, Department of Surgery, University of Milan, Humanitas Cancer Center, Rozzano, Milan, Italy
    Minerva Chir 68:41-7. 2013
    ....
  40. ncbi request reprint US guided biliary drainage during hepatopancreatico-jejunostomy for diffuse bile duct carcinoma
    G Torzilli
    Department of Surgery, University of Tokyo, Faculty of Medicine, Japan
    Hepatogastroenterology 46:863-6. 1999
    ..If a nasobiliary catheter is positioned pre-operatively, biliary drainage can be maintained during hepatopancreato-duodenectomy by introducing a transhepatic drain under sonographic guidance. This original technique is described herein...
  41. ncbi request reprint Contrast-enhanced intraoperative ultrasonography in surgery for hepatocellular carcinoma in cirrhosis
    Guido Torzilli
    Hepatobiliary Surgery Unit, Reparto di Chirurgia Generale 1, Ospedale Maggiore di Lodi, Azienda Ospedaliera della Provincia di Lodi, Lodi, Italy
    Liver Transpl 10:S34-8. 2004
    ..Furthermore, a wider experience with vascular enhancement patterns with CE-IOUS could provide a new classification for HCC nodules...
  42. ncbi request reprint Cyclin D1 overexpression is a critical event in gallbladder carcinogenesis and independently predicts decreased survival for patients with gallbladder carcinoma
    A M Hui
    Department of Surgery, Graduate School of Medicine, University of Tokyo, Japan
    Clin Cancer Res 6:4272-7. 2000
    ..In conclusion, cyclin D1 overexpression is an early event in gallbladder carcinogenesis and independently predicts decreased survival for patients with GBC...
  43. ncbi request reprint History of intraoperative ultrasound
    M Makuuchi
    Second Department of Surgery, Faculty of Medicine, University of Tokyo, Japan
    Ultrasound Med Biol 24:1229-42. 1998
    ..For better surgical practice, education of surgeons in the use of ultrasound is the most important issue...
  44. pmc Inhibitors of apoptosis proteins (IAPs) expression and their prognostic significance in hepatocellular carcinoma
    Claudia Augello
    Department of Medicine, Surgery and Dentistry, Division of Pathology, University of Milan, AO S Paolo e Fondazione IRCCS Ospedale Maggiore Policlinico, Regina Elena e Mangiagalli, Milan, Italy
    BMC Cancer 9:125. 2009
    ..This study aimed to investigate the gene and protein expression pattern of IAP family members and their antagonists in a series of human HCCs and to assess their clinical significance...
  45. ncbi request reprint Protective effect of methylprednisolone and of intermittent hepatic pedicle clamping during liver vascular inflow occlusion in the rat
    Antonio C Chiappa
    General Surgery, European Institute of Oncology Milan, University of Milan, Italy
    Hepatogastroenterology 51:1439-44. 2004
    ..This study assessed the effects of intermittent or continuous hepatic ischemia and reperfusion with or without methylprednisolone pretreatment in the rat...
  46. ncbi request reprint Contrast-enhanced intraoperative ultrasonography in surgery for liver tumors
    Guido Torzilli
    Hepatobiliary Surgery Unit, First Department of General Surgery, Azienda Ospedaliera della Provincia di Lodi, Largo Donatori del Sangue, 2 I 26900, Lodi, Italy
    Eur J Radiol 51:S25-9. 2004
    ..Furthermore, a wider experience with vascular enhancement patterns at CE-IOUS could provide new classification for liver lesions...
  47. ncbi request reprint "Radical but conservative" is the main goal for ultrasonography-guided liver resection: prospective validation of this approach
    Guido Torzilli
    Third Department of Surgery, University of Milan Faculty of Medicine, Istituto Clinico Humanitas IRCCS, Rozzano, Milan, Italy
    J Am Coll Surg 201:517-28. 2005
    ..To verify whether intraoperative ultrasonography (IOUS) minimizes the rate of major hepatectomies while maintaining treatment radicality, we have prospectively validated our policy, based on extensive use of IOUS resection guidance...
  48. doi request reprint Sorafenib in patients with Child-Pugh class A and B advanced hepatocellular carcinoma: a prospective feasibility analysis
    T Pressiani
    Medical Oncology and Haematology Unit, Humanitas Cancer Center, Istituto Clinico Humanitas, IRCCS, Rozzano, Italy
    Ann Oncol 24:406-11. 2013
    ..Sorafenib has shown survival benefits in patients with advanced hepatocellular carcinoma (HCC) and Child-Pugh (CP) class A liver function. There are few prospective data on sorafenib in patients with HCC and CP class B...
  49. ncbi request reprint Inflammatory pseudotumors of the liver: prevalence and clinical impact in surgical patients
    G Torzilli
    Hepato Biliary Pancreatic Surgery Division, Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Japan
    Hepatogastroenterology 48:1118-23. 2001
    ..To estimate their prevalence and clinical impact in surgical series we evaluate retrospectively our experience...
  50. ncbi request reprint Ultrasound-guided reduction of an incarcerated Spigelian hernia
    G Torzilli
    Reparto di Chirurgia Generale 1, Ospedale Maggiore di Lodi, Azienda Sanitaria Locale della Provincia di Lodi, Lodi, Italy
    Ultrasound Med Biol 27:1133-5. 2001
    ..In conclusion, if an incarcerated Spigelian hernia is suspected, a US examination should be done on an emergency basis to confirm the diagnosis and to attempt US-guided reduction...
  51. ncbi request reprint Complete response in 5 out of 38 patients with advanced hepatocellular carcinoma treated with stem cell differentiation stage factors: case reports from a single centre
    Tito Livraghi
    Department of Interventional Radiology, Istituto Clinico Humanitas, Via Manzoni 56, Rozzano, Milan, Italy
    Curr Pharm Biotechnol 12:254-60. 2011
    ..1%). Improvement on PS was obtained in 17 patients (34.6%). No side effects occurred. SCDSF treatment confirmed its efficacy in patients with "advanced" HCC, in terms of PS and tumoral response...
  52. ncbi request reprint The vascular control in liver resection: revisitation of a controversial issue
    Guido Torzilli
    Liver Surgery Unit, Reparto di Chirurgia Generale 1 Ospedale Maggiore di Lodi, Azienda Sanitaria Locale della Provincia di Lodi Largo Donatori di Sangue, 2, I 26900, Lodi, Italy
    Hepatogastroenterology 49:28-31. 2002
    ..In conclusion, up to now intermittent warm ischemia is the most appropriate approach to carry out safe liver resections...
  53. ncbi request reprint Indication and contraindication for hepatic resection for liver tumors without fine-needle biopsy: validation and extension of an Eastern approach in a Western community hospital
    Guido Torzilli
    Hepatobiliary Surgery Unit, 1st Department of Surgery, Ospedale Maggiore di Lodi, Azienda Ospedaliera della Provincia di Lodi, Lodi, Italy
    Liver Transpl 10:S30-3. 2004
    ....
  54. ncbi request reprint Tricks for ultrasound-guided resection of colorectal liver metastases
    Guido Torzilli
    Liver Surgery Unit, Reparto di Chirurgia Generale 1 Ospedale Maggiore di Lodi, Largo Donatori di Sangue, 2, I 26900, Lodi, Italy
    Hepatogastroenterology 50:1-3. 2003
    ..The technical tricks needed to perform a real intraoperative ultrasound-guided hepatectomy in the management of liver metastases from colorectal cancer are described...
  55. ncbi request reprint Techniques for hepatectomies without blood transfusion, focusing on interpretation of postoperative anemia
    Guido Torzilli
    Hepatobiliary Surgery Unit, First Department of Surgery, Ospedale Maggiore di Lodi, Azienda Ospedaliera della Provincia di Lodi, I 26900 Lodi, Italy
    Arch Surg 139:1061-5. 2004
    ....
  56. ncbi request reprint FDG-PET positive granuloma of the liver mimicking local recurrence after hepatic resection of colorectal liver metastasis
    Matteo Donadon
    Third Department of Surgery, University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
    Hepatogastroenterology 57:138-9. 2010
    ..This report described a case of false-positive FDG-PET uptake of the liver mimicking local recurrence after resection of colorectal liver metastasis...
  57. ncbi request reprint Utility of 18F-FDG PET and contrast-enhanced CT scan in the assessment of residual liver metastasis from colorectal cancer following adjuvant chemotherapy
    Carlo Carnaghi
    Department of Oncology, IRCCS Humanitas, Rozzano Milano, Italy
    Nucl Med Rev Cent East Eur 10:12-5. 2007
    ..Our aim was to assess the value of this imaging modality in the selection of patients with colorectal liver metastasis for surgery following adjuvant chemotherapy...
  58. ncbi request reprint Differences and similarities in the approach to hepatocellular carcinoma between Eastern and Western institutions
    Guido Torzilli
    Hepatobiliary Surgery Unit, 1st Department of Surgery, Ospedale Maggiore di Lodi, Azienda Ospedaliera della Provincia di Lodi, Lodi, Italy
    Liver Transpl 10:S1-2. 2004
  59. ncbi request reprint Endoscopic ultrasonography and magnetic resonance in preoperative staging of rectal cancer: comparison with histologic findings
    Paolo P Bianchi
    Department of General Surgery, University of Milan, Istituto Clinico Humanitas IRCCS, Rozzano, Italy
    J Gastrointest Surg 9:1222-7; discussion 1227-8. 2005
    ..Although none of the results differed significantly, phased-array coil MRI seems to be the best single method for the preoperative staging of rectal cancer...
  60. ncbi request reprint Laparoscopic lymphatic mapping and sentinel lymph node detection in colon cancer: technical aspects and preliminary results
    Paolo Pietro Bianchi
    Department of General Surgery, University of Milan, Istituto Clinico Humanitas IRCCS, Rozzano, Milano, Italy
    Surg Endosc 21:1567-71. 2007
    ..Laparoscopic colectomy for colon cancer has been validated in multicentric trials. This study assessed the feasibility of lymph node mapping in laparoscopic colectomy for colon cancer...
  61. ncbi request reprint Diagnostic value of HSP70, glypican 3, and glutamine synthetase in hepatocellular nodules in cirrhosis
    Luca Di Tommaso
    Department of Pathology, University of Milan School of Medicine and IRCCS Humanitas Clinical Institute, Rozzano, Milan, Italy, and Institute of Pathology, University Hospital Basel, Switzerland
    Hepatology 45:725-34. 2007
    ..CONCLUSION: The adopted panel of 3 markers is very helpful in distinguishing eHCC-G1 from dysplastic nodules arising in cirrhosis...
  62. ncbi request reprint Hepatic resection for hepatocellular carcinoma in cirrhosis
    Masatoshi Makuuchi
    Japanese Red Cross Medical Center, Tokyo, Japan
    Ann Ital Chir 79:111-5. 2008
    ..This article reviews the current state of the art of the surgical treatment of HCC...
  63. doi request reprint Treatment of large and advanced hepatocellular carcinoma
    Eddie K Abdalla
    Department of Surgical Oncology, The University of Texas M D Anderson Cancer Center, Houston, TX, USA
    Ann Surg Oncol 15:979-85. 2008
  64. pmc Contrast-enhanced intraoperative ultrasonography: a valuable and not any more monocentric diagnostic technique performed in different ways
    Guido Torzilli
    Ann Surg 245:152-3; author reply 152-3. 2007
  65. ncbi request reprint Reasons for an exchange between eastern and western approach to patients with HCC
    Masatoshi Makuuchi
    Hepatogastroenterology 49:5-6. 2002
  66. ncbi request reprint The surgical margin in liver resection for hepatocellular carcinoma: a real problem or not?
    Guido Torzilli
    Ann Surg 246:690-1; author reply 691-2. 2007
  67. ncbi request reprint Accuracy of the preoperative determination of tumor markers in the differentiation of liver mass lesions in surgical patients
    Guido Torzilli
    Hepato Biliary Pancreatic Surgery Division, Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
    Hepatogastroenterology 49:740-5. 2002
    ..The diagnostic accuracy of tumor markers for differentiating focal liver lesions is not yet defined. Therefore, we carried out a retrospective analysis to address this issue...
  68. ncbi request reprint Inferior vena cava thrombosis: an unusual complication of a large simple non-parasitic liver cyst requiring an integrated approach
    Guido Torzilli
    Hepatobiliary Unit, University of Milano, Ospedale San Paolo Via A di Rudinu, 8 20143 Milano, Italy
    Hepatogastroenterology 50:2188-91. 2003
    ..This case is paradigmatic of the possible complexity of the diagnosis and treatment of cystic lesions of the liver and should induce physicians to consider a therapeutic approach if a clear tendency to enlarge can be recognized...
  69. ncbi request reprint Adverse effects associated with SonoVue use
    Guido Torzilli
    Expert Opin Drug Saf 4:399-401. 2005
    ..Improved diagnostic results and diagnostic confidence achieved in conventional CEUS studies of the liver and during the investigational use in the intraoperative CEUS exploration appear to justify the use of this promising modality...
  70. ncbi request reprint p16INK4A hypermethylation is associated with hepatitis virus infection, age, and gender in hepatocellular carcinoma
    Xin Li
    Hepato Biliary Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
    Clin Cancer Res 10:7484-9. 2004
    ..The possible clinical impact of p16INK4A methylation and the potential risk factors for this epigenetic alteration have not been thoroughly investigated...
  71. doi request reprint Selection for resection of hepatocellular carcinoma and surgical strategy: indications for resection, evaluation of liver function, portal vein embolization, and resection
    Dario Ribero
    Department of Surgical Oncology, The University of Texas M D Anderson Cancer Center, 1515 Holcombe Blvd, Houston, Texas 77030 4009, USA
    Ann Surg Oncol 15:986-92. 2008