Elena Gia

6 Papers

15 Citations

Elena Gia is an academic researcher. The author has contributed to research in topics: Esophagectomy & Abdominal surgery. The author has an hindex of 1, co-authored 3 publications.

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Papers

Journal Article•10.1002/RCS.1902

Early experience with totally robotic esophagectomy for malignancy. Surgical and oncological outcomes.

Francesco Guerra, +6 more

- 01 Jun 2018

- International Journal of Medical Robotic...

TL;DR: The aim of this work was to investigate the perioperative, clinicopathologic, and oncological outcomes of robot‐assisted esophagectomy on a consecutive series of totally robotic procedures.

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•Journal Article

Robotic-Assisted Central Pancreatectomy for a Solid Pseudopapillary Neoplasm of the Pancreas: Clinical Case and Literature Review

Alessio Minuzzo, +6 more

- 01 Jan 2018

- Journal of the Pancreas

TL;DR: This single case describes the initial experience in performing a robotic central pancreatectomy to resect a solid pseudopapillary neoplasm of the pancreatic neck diagnosed in 49-years-old women during routine staging for a synchronous breast cancer.

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Journal Article•10.1016/s2214-109x(25)00476-0

Safety and equity in scaling minimally invasive surgery worldwide in 109 countries using cholecystectomy as a tracer procedure: a prospective cohort study.

Sivesh K. Kamarajah, +9916 more

- 01 Feb 2026

- The Lancet Global Health

Abstract: BACKGROUND Minimally invasive surgery is rapidly expanding globally, yet there is insufficient knowledge of how to scale this technology safely and equitably across diverse health systems. We aimed to identify health-system factors associated with safe implementation of minimally invasive surgery globally, using minimally invasive cholecystectomy as a tracer procedure. METHODS We conducted a multicentre, prospective cohort study of consecutive adults undergoing cholecystectomy between July 31 and Nov 19, 2023, in 1218 hospitals across 109 countries. Data were collected by more than 10 000 health-care workers using a core measurement set mapped to the WHO Health System Building Blocks and the Global Patient Safety Action Plan. The primary outcome was 30-day procedure-specific complications, with multilevel logistic regression used to examine associations between health-system features and patient outcomes. This study is registered on ClinicalTrials.gov (NCT06223061). FINDINGS Among 52 187 included patients, the adjusted procedure-specific complication rate varied 40-fold between hospitals, from 0·3% in the lowest risk quintile to 12·1% in the highest risk quintile. Despite large structural differences across income groups in access to minimally invasive surgery, diagnostics, and emergency services, country income level was not independently associated with complication rates (adjusted odds ratio [OR] 0·81 [95% CI 0·59-1·10] for upper-middle income vs high income and 0·99 [0·70-1·39] for lower-middle income or low income vs high income). Three modifiable hospital-level factors were strongly associated with safer outcomes: establishment of local simulation-based training facilities (adjusted OR 0·78 [0·71-0·86]; p<0·0001), adoption of intraoperative safety and communication strategies (0·87 [0·79-0·96]; p=0·0046), and on-site CT diagnostics (0·79 [0·65-0·97]; p=0·0220). Training facilities showed the greatest benefit in hospitals with limited infrastructure and an inexperienced workforce: the number needed to treat to prevent a procedure-specific complication was 21 (95% CI 14-35; p<0·0001). INTERPRETATION Safe implementation of minimally invasive surgery varies widely worldwide but is not defined by national income level; differences in outcomes reflect the ability of health systems to adopt and safely deploy new surgical techniques. We identified for the first time that the presence of local simulation-based training facilities is independently associated with improved patient outcomes. Simulation appears to be fundamental to the safe delivery of minimally invasive surgery, particularly in resource-constrained settings. Together with safety systems and diagnostic capacity, these findings offer actionable targets for health systems seeking to equitably scale up essential surgical technologies. FUNDING NIHR Global Health Research Unit and Wellcome Leap SAVE Programme.

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•Journal Article•10.1007/s00464-022-09344-1

Correction: ERas and COLorectal endoscopic surgery: an Italian society for endoscopic surgery and new technologies (SICE) national report

Marco Milone, +150 more

- 24 May 2022

- Surgical Endoscopy and Other Interventio...

•Journal Article•10.1007/s00464-022-09212-y

ERas and COLorectal endoscopic surgery: an Italian society for endoscopic surgery and new technologies (SICE) national report

Marco Milone, +150 more

- 02 May 2022

- Surgical Endoscopy and Other Interventio...

TL;DR: The ERCOLE (ERas and COLorectal endoscopic surgery) study as discussed by the authors evaluated the association between adherence to ERAS items and clinical outcomes after minimally invasive colon cancer surgery.

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