Publications by authors named "Marco Realis Luc"

This study aims to compare the short-term outcomes after minimally invasive gastrectomy between obese and non-obese population. Our analysis included data of 713 patients from ten departments of surgery. They were divided in non-obese group and obese group with 617 and 96 patients respectively.

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Introduction: Evidence regarding staging laparoscopy (SL) for clinical metastatic (cM+) gastric cancer (GC) patients is limited. Recently, an Italian Gastric Cancer Research Group (GIRCG) study showed SL changed peritoneal status in over 20% of cases. This study aimed to evaluate SL's role in cM+ patients and refine its indications.

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Article Synopsis
  • There has been a concerning rise in early-onset colorectal cancer (EO-CRC) cases, prompting research into how prognosis compares to late-onset colorectal cancer (LO-CRC).
  • A systematic review of 26 studies found that EO-CRC patients are more likely to be diagnosed at advanced stages, yet they have better overall survival rates compared to LO-CRC patients, while other survival metrics like cancer-specific survival remain similar.
  • The study highlights the need for better early detection methods for EO-CRC due to the differences in stage at diagnosis between the two groups.
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  • Increased survival rates for gastric cancer patients after total gastrectomy have led to research on improving long-term outcomes, comparing J-pouch (JP) reconstruction to traditional Roux-en-Y (RY) esophagojejunostomy.
  • A systematic review included 892 patients from 15 studies, showing that JP has a lower incidence of dumping syndrome and heartburn compared to RY, while other symptoms and weight loss were similar between both methods.
  • JP reconstruction is deemed as safe as RY, with potential benefits in reducing specific postgastrectomy symptoms, although it involves a longer surgical time.
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Purpose: Pre-operative diagnosis and staging of small intestine neuroendocrine tumors (SI-NETs) remain sub-optimal, with open palpation during surgery still considered the gold standard. This limits a standardized implementation of minimally invasive surgery (MIS). The aim of this single-center retrospective study was to assess a tailored diagnostic work-up to identify candidates at low risk of undetected disease who may benefit from MIS.

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Textbook outcome (TO) has been proposed as a tool to evaluate surgical quality. Textbook oncological outcome (TOO) adds chemotherapeutic compliance to TO. This study was conducted to analyze the TO and TOO of patients with gastric adenocarcinoma who underwent surgery at our center.

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