Dr Paolo Ialongo, MD - University of Bari - Department of Emergency and Organ Transplantation

Dr Paolo Ialongo

MD

University of Bari

Department of Emergency and Organ Transplantation

BARI, Puglia | Italy

Additional Specialties: Surgery

ORCID logohttps://orcid.org/0000-0002-0973-8189


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Dr Paolo Ialongo, MD - University of Bari - Department of Emergency and Organ Transplantation

Dr Paolo Ialongo

MD

Introduction

Primary Affiliation: University of Bari - BARI, Puglia , Italy

Additional Specialties:


View Dr Paolo Ialongo’s Resume / CV

Education

Oct 1999 - Sep 2000
Centre Hospitalier Universitaire de Rennes
Assistant
Dipartimento di Chirurgia Generale e Trapianto d'Organo - Dir.Prof.J.P.Campion
Nov 1999
Assistant Department Hepatic Transplantation/digestive Surgery University Rennes, France
May 1996 - Nov 1996
Centre Hospitalier Universitaire de Nice
Interne
Dipartimento Chirurgia Generale e Trapianto d'Organo - Dir.:Prof. J. Mouiel
May 1996
Assistant Department Hepatic Transplantation/digestive Surgery University Nice, France
Nov 1995
Assistant Department Kidney/hepatic Transplantation/digestive Surgery University Rennes, France
Nov 1994
Stage, Department Hepatic Transplantation/Hepato-pancreato-biliary Hospital Paul Brousse Paris France

Experience

Oct 2000
Azienda Ospedale Policlinico
Dirigente Medico di Chirurgia Generale

Publications

19Publications

407Reads

684Profile Views

8PubMed Central Citations

Predictive factors for incidental gallbladder cancer in patients undergoing laparoscopic cholecystectomy for presumed benign disease

Ann Ital Chir 89(2):118-127

tract
Aim: The incidence of incidental gallbladder cancer (IGBC) is estimated at 0.3-2.1%. The purpose of our study is to evaluate IGBC incidence in our department and to establish its predictive factors, considering patients' clinical characteristics and pre-operative ultrasound gallbladder features. Material of Study: From January 2012 to December 2015, 434 patients (225 females and 209 males) were enrolled in this retrospective observational study in our General Surgery Department. To analyze potential predictive factors, we divided all the patients into two groups: patients with and without histological diagnosis of IGBC. We focused our attention on the patients' clinical characteristics and preoperative ultrasound gallbladder measurements. Results: Seven cases were post-operatively identified as incidental gallbladder cancer (IGBC) and after histological examination an IGBC incidence of 1.6% was encountered. Discussion: Considering the increasing numbers of video laparoscopic cholecystectomies (VLC) performed worldwide, cases of IGBC are appearing more frequently. In most cases of IGBC, a second surgical look will be necessary because of feasibility and safety procedures. Conclusions: There is no possibility to establish which risk factors might be predictive for IGBC because of a discordance in the literature and a statistical analysis with low sample size. An accurate surgical procedure needs to be performed to reduce the spread of neoplastic cells and, as a result, improve long-term outcomes.

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January 2018
3 Reads

Laparoscopic management of pancreatic cancer. Our experience.

Ann Ital Chir 2015 ;86:518-23

Aim: Minimally invasive techniques have a definite role in the surgical treatment of several gastrointestinal tract cancers but there is still no widespread use of the laparoscopic approach for cancers of the head of the pancreas. The aim of this retrospective study is to review our experience from 2003 to 2013 in the management of pancreatic cancer with particular emphasis on the clinical application of minimally invasive techniques.

Methods: One hundred fifty-eight pancreatic cancer patients (median age 69,7±12,6 years) with obstructive jaundice were enrolled in our study. One hundred eighteen (74,7%) had an endoscopic biliary stent, 68 patients (43,03%) were eligible for surgery. Only 22 of the patients eligible for surgical intervention underwent pancreaticoduodenectomy (PD): 14 had open PD and 8 had laparoscopic PD (LPD). Thirteen of the PD patients had a pylorus-preserving procedure (8 open and 5 laparoscopic procedures) whereas in 9 the pylorus was not preserved (6 open and 3 laparoscopic procedures). The other 46 patients had un-resectable tumors and 34 of them underwent palliative surgery consisting of gastrojejunal and hepatojejunal anastomosis (18 open and 6 laparoscopic procedures), and gastrojejunal anastomosis in 10 patients (4 open and 6 laparoscopic procedures). Ten patients had only explorative laparoscopy and 2 only explorative laparotomy.

Results: The resectability rate was 13,9%. The median age in patients treated with an endoscopic biliary stent was significantly higher than in those who underwent surgery (73,2±13,3 years vs 64,4±9,6 years; p < 0,05). Operative time in LPD patients was significantly longer than in PD patients (521±68 minutes vs 381±88 minutes; p<0.05). The hospital stay of patients who underwent PD was significantly longer than that of those who underwent palliative surgery (27±4 days vs 10±5 days; p < 0.05). in PD patients the morbidity rate was 22,72 % and the mortality rate 4.5%.

Conclusions: In recent years laparoscopic surgery has become very important in oncologic surgery because it is minimally invasive and reduces postoperative complications and because there is sufficient evidence based data showing that results in terms of complications and survival are as good as the results of conventional surgery. However the learning curve for laparoscopic cancer surgery of the head of the pancreas is steep and our results indicate that in LPD operative time is significantly longer than in PD, and moreover the laparoscopic approach is not associated with a shorter hospital stay. Therefore LPD should be performed only in well-established laparoscopic and oncological centers with a multidisciplinary team.

Key Words: Laparoscopy, Pancreatic cancer, Pancreaticoduodenectomy.

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September 2017
153 Reads
2 Citations
0.683 Impact Factor

Unusual liver abscess secondary to ingested foreign body: laparoscopic management.

G Chir 2015 Mar-Apr;36(2):74-5

Liver abscess is a cause of febrile abdominal pain and usually the origin of a liver abscess is ascending cholangitis, hemathological diffusion, via the portal vein or the hepatic artery, or superinfection of necrotic tissue. Solitary pyogenic abscess with no obvious systemic cause may be secondary to a local event such as the migration of an ingested foreign body. We report the case of a solitary liver abscess caused by an ingested foreign body, a fish bone, migrated through the gastric wall into the left lobe.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469211PMC
May 2016
8 Reads
5 Citations

[Overexpression of laminine-5( LN-5) in peritoneal lavage of colorectal cancer patients preliminary results].

G Chir 2011 Jan-Feb;32(1-2):59-63

Dipartimento d'Emergenza e Trapianti d'Organo Unita Operativa di Chirurgia Generale III Universitaria.

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March 2016
13 Reads

Incidental gallbladder carcinoma: our experience.

G Chir 2013 May-Jun;34(5-6):167-9

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915589PMC
December 2013
13 Reads
1 Citation

[Laparoscopic appendectomy. Our experience].

Ann Ital Chir 2012 May-Jun;83(3):253-7

Università Degli Studi di Bari, Dipartimento dell'Emergenza e dei Trapianti di Organi, Bari.

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August 2013
20 Reads
0.683 Impact Factor

Colorectal retained foreign bodies per anum introduced. Three years retrospective study at Emergency Surgery Unit.

G Chir 2012 Nov-Dec;33(11-12):411-4

Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.

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April 2013
11 Reads

Amebic liver abscess: report of three cases.

Parassitologia 2007 Jun;49(1-2):49-53

Department of Internal Medicine and Public Health, Unit of Hygiene, Medical School, University of Bari, Policlinico, Bari, Italy.

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June 2007
92 Reads

[Obstructive jaundice caused by hydatid cyst rupture in main bile duct].

Ann Ital Chir 1999 Sep-Oct;70(5):763-6

Facoltà di Medicina e Chirurgia, Università degli Studi di Bari.

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March 2000
8 Reads
0.683 Impact Factor

[The diagnostic and therapeutic strategy in the treatment of foreign bodies of the upper digestive tract: a report of a clinical case and a review of the literature].

Authors:
P Ialongo

G Chir 1999 Apr;20(4):181-4

Azienda Ospedaliera A. Di Summa, Brindisi.

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April 1999
6 Reads

[Splenic trauma: splenectomy in every case?].

G Chir 1999 Apr;20(4):169-73

Istituto di Chirurgia Generale II, Università degli Studi di Bari.

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April 1999
11 Reads

[Diverticula of the small intestine: the authors' own experience].

G Chir 1995 Aug-Sep;16(8-9):369-72

Istituto di Chirurgia d'Urgenza e Pronto Soccorso, Università degli Studi di Bari.

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July 1996
8 Reads

[Intrahepatic cholangiojejunostomy on the third segment in non-operable neoplasms of the hepatic hilum].

G Chir 1995 Jun-Jul;16(6-7):315-9

Cattedra di Chirurgia Generale, Università degli Studi di Bari.

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October 1995
11 Reads

[The large hiatal stomach hernia and its surgical correction: the authors' personal experience].

G Chir 1995 Jan-Feb;16(1-2):36-42

Istituto Policattedra di Chirurgia d'Urgenza e Chirurgia Plastica, Università degli Studi di Bari.

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July 1995
10 Reads

[Preliminary experience with the surgical treatment of inguinal hernias with the Shouldice procedure].

Ann Ital Chir 1994 Sep-Oct;65(5):563-7; discussion 567-8

Istituto Policattedra di Chirurgia d'Urgenza e Chirurgia, Università degli Studi di Bari.

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June 1995
9 Reads
0.683 Impact Factor

[Gastric diverticulum. Report of a clinical case and review of the literature].

Authors:
P Ialongo

Minerva Chir 1995 Mar;50(3):289-92

Istituto Policattedra di Chirurgia d'Urgenza, Università degli Studi, Bari.

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March 1995
9 Reads
0.710 Impact Factor

[The technical aspects of liver resection surgery: the authors' experience].

G Chir 1994 Jun-Jul;15(6-7):284-8

Istituto Policattedra di Chirurgia d'Urgenza e Chirurgia Plastica, Università degli Studi di Bari.

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November 1994
10 Reads

[Portal thrombosis: the diagnostic and therapeutic aspects and clinical cases].

G Chir 1994 May;15(5):247-54

Istituto Policattedra di Chirurgia d'Urgenza e Chirurgia Plastica, Università degli Studi di Bari.

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May 1994
9 Reads