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Author Giovanni Roviglione

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Author's reply to: Comments on the utilization of Mann-Whitney U test and Kaplan-Meier method.

Marcello Ceccaroni, Giovanni Roviglione, Simone Garzon, Francesco Bruni, Stefano Uccella,

J Gynecol Oncol (Journal of gynecologic oncology)
[2021, 32(3):e54]

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Correction to: Minimally invasive treatment of diaphragmatic endometriosis: a 15-year single referral center's experience on 215 patients.

Marcello Ceccaroni, Giovanni Roviglione, Antonino Farulla, Pietro Bertoglio, Roberto Clarizia, Andrea Viti, Daniele Mautone, Matteo Ceccarello, Anna Stepniewska, Alberto Claudio Terzi,

Surg Endosc (Surgical endoscopy)
[2021, :]

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Nerve-sparing laparoscopic disc excision of deep endometriosis involving the bowel: a single-center experience on 371 consecutives cases.

Marcello Ceccaroni, Matteo Ceccarello, Roberto Clarizia, Enrico Fusco, Giovanni Roviglione, Daniele Mautone, Camilla Cavallero, Simone Orlandi, Roberto Rossini, Giuliano Barugola, Giacomo Ruffo,

<h4>Background</h4>Bowel endometriosis is the most common pattern of Deep Endometriosis (DE). Arising from the posterior portion of the cervix and spreading to the recto-vaginal septum, utero-sacral and parametrial ligaments could lead to a distortion of normal pelvic anatomy, causing pain and infertility. Hormonal therapy is the first-line treatment in non-symptomatic patient. Conversely, laparoscopic ... Read more >>

Surg Endosc (Surgical endoscopy)
[2020, :]

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Minimally invasive treatment of diaphragmatic endometriosis: a 15-year single referral center's experience on 215 patients.

Marcello Ceccaroni, Giovanni Roviglione, Antonino Farulla, Pietro Bertoglio, Roberto Clarizia, Andrea Viti, Daniele Mautone, Matteo Ceccarello, Anna Stepniewska, Alberto Claudio Terzi,

<h4>Background</h4>Diaphragmatic endometriosis (DE) is a rare and often misdiagnosed condition. Most of the times it is asymptomatic and due to the low accuracy of diagnostic tests, it is almost always detected during surgery for pelvic endometriosis. Its management is challenging and, until now, there are not guidelines about its treatment.<h4>Methods</h4>We ... Read more >>

Surg Endosc (Surgical endoscopy)
[2021, :]

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Total laparoscopic vs. conventional open abdominal nerve-sparing radical hysterectomy: clinical, surgical, oncological and functional outcomes in 301 patients with cervical cancer.

Marcello Ceccaroni, Giovanni Roviglione, Mario Malzoni, Francesco Cosentino, Emanuela Spagnolo, Roberto Clarizia, Paolo Casadio, Renato Seracchioli, Fabio Ghezzi, Daniele Mautone, Francesco Bruni, Stefano Uccella,

<h4>Objective</h4>Total laparoscopic nerve-sparing radical hysterectomy (TL-NSRH) has been considered a promising approach, however, surgical, clinical, oncological and functional outcomes have not been systematically addressed. We present a large retrospective multi-center experience comparing TL-NSRH vs. open abdominal NSRH (OA-NSRH) for early and locally-advanced cervical cancer, with particular emphasis on post-surgical pelvic ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2021, 32(1):e10]

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Bowel resection for intestinal endometriosis.

Simone Ferrero, Cesare Stabilini, Fabio Barra, Roberto Clarizia, Giovanni Roviglione, Marcello Ceccaroni,

Over the last twenty years, segmental resection (SR) has been the technique most frequently used to treat bowel endometriosis. Nowadays, it is most commonly performed by laparoscopy; however, there is evidence that it can be safely performed by robotic-assisted laparoscopic surgery. Rectovaginal fistula and anastomotic leakage are the two major ... Read more >>

Best Pract Res Clin Obstet Gynaecol (Best practice & research. Clinical obstetrics & gynaecology)
[2021, 71:114-128]

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Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women.

Roberto Clarizia, Tommaso Capezzuoli, Matteo Ceccarello, Carlotta Zorzi, Anna Stepniewska, Giovanni Roviglione, Daniele Mautone, Felice Petraglia, Marcello Ceccaroni,

<h4>Objective</h4>To study possible associations between endometriosis and pelvic inflammatory disease (PID).<h4>Design</h4>Retrospective cohort analysis over 14 consecutive years, based on medical records and insurance coding in a tertiary care endometriosis reference center.<h4>Setting</h4>Tertiary care reference center for endometriosis.<h4>Patients</h4>Retrospective analysis on all women submitted to laparoscopy in our Unit MAIN OUTCOME MEASURES: Intra-operative ... Read more >>

J Gynecol Obstet Hum Reprod (Journal of gynecology obstetrics and human reproduction)
[2021, 50(3):101811]

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Endometriosis Involving the Diaphragm: A Patient-Tailored Minimally Invasive Surgical Treatment.

Andrea Viti, Pietro Bertoglio, Giovanni Roviglione, Roberto Clarizia, Giacomo Ruffo, Marcello Ceccaroni, Alberto C Terzi,

<h4>Background</h4>Diaphragmatic endometriosis is a rare presentation of endometriosis and no standardized technique for surgical treatment is available so far. We aim to verify and describe feasibility, safety and post-operative outcomes of patients affected by diaphragmatic endometriosis treated with a minimally invasive video-assisted thoracic approach.<h4>Methods</h4>We prospectively collected data of all patients ... Read more >>

World J Surg (World journal of surgery)
[2020, 44(4):1099-1104]

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Total laparoscopic bladder resection in the management of deep endometriosis: "take it or leave it." Radicality versus persistence.

Marcello Ceccaroni, Roberto Clarizia, Matteo Ceccarello, Paola De Mitri, Giovanni Roviglione, Daniele Mautone, Giuseppe Caleffi, Alberto Molinari, Giacomo Ruffo, Stefano Cavalleri,

<h4>Background</h4>Bladder endometriosis (BE) is the most common external site of deep-infiltrating endometriosis (DIE) affecting the urinary tract. Frequently associated with other DIE lesions, it can be strongly related to a ventral spread of adenomyosis. Possible symptoms are urinary frequency, tenesmus and hematuria, and they are frequently related to DIE of ... Read more >>

Int Urogynecol J (International urogynecology journal)
[2020, 31(8):1683-1690]

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Nerve-sparing Surgery for Deep Infiltrating Endometriosis: Laparoscopic Eradication of Deep Infiltrating Endometriosis with Rectal and Parametrial Resection According to the Negrar Method.

Marcello Ceccaroni, Roberto Clarizia, Giovanni Roviglione,

<h4>Objective</h4>To show technical highlights of a nerve-sparing laparoscopic eradication of deep infiltrating endometriosis with rectal and parametrial resection according to the Negrar method.<h4>Design</h4>Stepwise demonstration of the technique with narrated video footage.<h4>Setting</h4>Tertiary care endometriosis unit. Bowel endometriosis accounts for about 12% of the total cases of endometriosis. Most frequently, rectal infiltration ... Read more >>

J Minim Invasive Gynecol (Journal of minimally invasive gynecology)
[2020, 27(2):263-264]

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Sentinel Lymph Node Biopsy in the Treatment of Endometrial Cancer: Why We Fail? Results of a Prospective Multicenter Study on the Factors Associated with Failure of Node Mapping with Indocyanine Green.

Manuel Maria Ianieri, Andrea Puppo, Antonia Novelli, Federica Campolo, Tommaso Staniscia, Giuseppe Di Martino, Elisa Piovano, Francesco Bruni, Giovanni Roviglione, Daniele Mautone, Marcello Ceccaroni,

<h4>Background</h4>The sentinel lymph node (SLN) mapping for endometrial cancer staging is gaining wide diffusion, but there is no definitive evidence on the factors associated with the failure of mapping.<h4>Objectives</h4>To analyze the factors associated with the possible failure of bilateral SLN mapping with indocyanine green (ICG).<h4>Methods</h4>A prospective observational study without control ... Read more >>

Gynecol Obstet Invest (Gynecologic and obstetric investigation)
[2019, 84(4):383-389]

Cited: 1 time

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Survival in clinical stage I endometrial cancer with single vs. multiple positive pelvic nodes: results of a multi-institutional Italian study.

Stefano Uccella, Francesca Falcone, Stefano Greggi, Francesco Fanfani, Pierandrea De Iaco, Giacomo Corrado, Marcello Ceccaroni, Vincenzo Dario Mandato, Stefano Bogliolo, Jvan Casarin, Giorgia Monterossi, Ciro Pinelli, Giorgia Mangili, Gennaro Cormio, Giovanni Roviglione, Alice Bergamini, Anna Pesci, Luigi Frigerio, Silvia Uccella, Enrico Vizza, Giovanni Scambia, Fabio Ghezzi,

<h4>Objective</h4>To investigate survival outcomes in endometrioid endometrial cancer (EEC) patients with single vs. multiple positive pelvic lymph nodes.<h4>Methods</h4>We performed a retrospective evaluation of all consecutive patients with histologically proven International Federation of Gynecology and Obstetrics (FIGO) stage IIIC1 EEC who underwent primary surgical treatment between 2004 and 2014 at seven ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2018, 29(6):e100]

Cited: 0 times

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Laparoscopy for primary cytoreduction with multivisceral resections in advanced ovarian cancer: prospective validation. "The times they are a-changin"?

Marcello Ceccaroni, Giovanni Roviglione, Francesco Bruni, Roberto Clarizia, Giacomo Ruffo, Matteo Salgarello, Michele Peiretti, Stefano Uccella,

BACKGROUND:Primary cytoreduction is the mainstay of treatment for advanced ovarian cancer (AOC). We developed and prospectively evaluated an algorithm to investigate the possible role of laparoscopic primary cytoreduction (LPC) in carefully selected patients, with AOC. METHODS:From June 2007 to July 2015, all patients with stage III-IV ovarian cancer and clinical ... Read more >>

Surg Endosc (Surgical endoscopy)
[2018, 32(4):2026-2037]

Cited: 4 times

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The effect of a uterine manipulator on the recurrence and mortality of endometrial cancer: a multi-centric study by the Italian Society of Gynecological Endoscopy.

Stefano Uccella, Matteo Bonzini, Mario Malzoni, Francesco Fanfani, Stefano Palomba, Giovanni Aletti, Giacomo Corrado, Marcello Ceccaroni, Renato Seracchioli, Fevzi Shakir, Annamaria Ferrero, Roberto Berretta, Raffaele Tinelli, Enrico Vizza, Giovanni Roviglione, Lucia Casarella, Eugenio Volpi, Ettore Cicinelli, Giovanni Scambia, Fabio Ghezzi,

<h4>Background</h4>Although widely adopted, the use of a uterine manipulator during laparoscopic treatment of endometrial cancer represents a debated issue, and some authors hypothesize that it potentially may cause an increased risk of relapse, particularly at specific sites.<h4>Objective</h4>Our aim was to evaluate the risk and site of disease recurrence, overall survival, ... Read more >>

Am J Obstet Gynecol (American journal of obstetrics and gynecology)
[2017, 216(6):592.e1-592.e11]

Cited: 6 times

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Laparoscopic vs. open treatment of endometrial cancer in the elderly and very elderly: An age-stratified multicenter study on 1606 women.

Stefano Uccella, Matteo Bonzini, Stefano Palomba, Francesco Fanfani, Mario Malzoni, Marcello Ceccaroni, Renato Seracchioli, Annamaria Ferrero, Roberto Berretta, Enrico Vizza, Davide Sturla, Giovanni Roviglione, Giorgia Monterossi, Paolo Casadio, Eugenio Volpi, Daniele Mautone, Giacomo Corrado, Francesco Bruni, Giovanni Scambia, Fabio Ghezzi,

<h4>Unlabelled</h4>Objective To investigate in depth the effect of increasing age on the peri-operative outcomes of laparoscopic treatment for endometrial cancer, compared to open surgery, with stratification of patients according to the different definitions of elderly age used in the literature.<h4>Methods</h4>Data of consecutive patients who underwent surgery for endometrial cancer staging ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2016, 141(2):211-217]

Cited: 14 times

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Impact of Obesity on Surgical Treatment for Endometrial Cancer: A Multicenter Study Comparing Laparoscopy vs Open Surgery, with Propensity-Matched Analysis.

Stefano Uccella, Matteo Bonzini, Stefano Palomba, Francesco Fanfani, Marcello Ceccaroni, Renato Seracchioli, Enrico Vizza, Annamaria Ferrero, Giovanni Roviglione, Paolo Casadio, Giacomo Corrado, Giovanni Scambia, Fabio Ghezzi,

<h4>Objective</h4>To evaluate the impact of obesity on the outcomes of surgical treatment for endometrial cancer in general and also comparing laparoscopic and open abdominal approach.<h4>Design</h4>Retrospective case-control study (Canadian Task Force classification II-1).<h4>Setting</h4>Obstetrics and Gynecology Department, University of Insubria, Varese, Catholic University of the Sacred Heart, Rome, International School of Surgical ... Read more >>

J Minim Invasive Gynecol (Journal of minimally invasive gynecology)
[2016, 23(1):53-61]

Cited: 23 times

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Total laparoscopic hysterectomy of very enlarged uterus (3030 g): case report and review of the literature.

Marcello Ceccaroni, Giovanni Roviglione, Anna Pesci, Sara Quintana, Francesco Bruni, Roberto Clarizia,

Fibromatosis is the most frequent benign uterine pathology of fertile women, rarely causing anomalous enlargement of the uterus. Traditionally the surgical treatment has been abdominal hysterectomy. However, development of minimally invasive techniques has led to major safeness of the laparoscopic route. We report a case of total laparoscopic hysterectomy performed ... Read more >>

Wideochir Inne Tech Maloinwazyjne (Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques)
[2014, 9(2):302-307]

Cited: 3 times

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Neuro-anatomy of the posterior parametrium and surgical considerations for a nerve-sparing approach in radical pelvic surgery.

Marcello Ceccaroni, Roberto Clarizia, Giovanni Roviglione, Giacomo Ruffo,

<h4>Background</h4>Efforts to improve approaches to the so called "parametrium" with minimally invasive and less dangerous techniques have led to a better study of the anatomic location and composition of that region. Nevertheless, many misconceptions and confusions about the anatomy of the posterior parametrium and its structures still remain. This study ... Read more >>

Surg Endosc (Surgical endoscopy)
[2013, 27(11):4386-4394]

Cited: 7 times

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Laparoscopic surgical treatment of diaphragmatic endometriosis: a 7-year single-institution retrospective review.

Marcello Ceccaroni, Giovanni Roviglione, Pierluigi Giampaolino, Roberto Clarizia, Francesco Bruni, Giacomo Ruffo, Tito Silvio Patrelli, Giuseppe De Placido, Luca Minelli,

<h4>Background</h4>Diaphragmatic endometriosis is a rare condition that may cause invalidating epigastric or thoracic pain and catamenial pneumothorax. During the past decades, laparoscopy has been proposed as an optimal tool for diagnosis and surgical eradication of the disease.<h4>Methods</h4>We present a retrospective series of consecutive patients affected by diaphragmatic endometriosis, treated by ... Read more >>

Surg Endosc (Surgical endoscopy)
[2013, 27(2):625-632]

Cited: 15 times

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Vaginal cuff dehiscence in a series of 12,398 hysterectomies: effect of different types of colpotomy and vaginal closure.

Stefano Uccella, Marcello Ceccaroni, Antonella Cromi, Mario Malzoni, Roberto Berretta, Pierandrea De Iaco, Giovanni Roviglione, Giorgio Bogani, Luca Minelli, Fabio Ghezzi,

<h4>Objective</h4>To investigate the risk of vaginal cuff dehiscence after different routes of hysterectomy and methods of cuff closure.<h4>Methods</h4>A multi-institutional analysis of 12,398 patients who underwent hysterectomy for both benign and malignant disease between 1994 and 2008 was performed. We analyzed how different routes of hysterectomy and approaches to cuff suture ... Read more >>

Obstet Gynecol (Obstetrics and gynecology)
[2012, 120(3):516-523]

Cited: 63 times

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Pelvic dysfunctions and quality of life after nerve-sparing radical hysterectomy: a multicenter comparative study.

Marcello Ceccaroni, Giovanni Roviglione, Emanuela Spagnolo, Paolo Casadio, Roberto Clarizia, Michele Peiretti, Francesco Bruni, Inge Peters, Giovanni Aletti,

<h4>Aim</h4>To analyze pelvic dysfunctions, quality of life, and survival after nerve-sparing radical hysterectomy (NSRH) compared to classical radical hysterectomy (RH) for cervical cancer.<h4>Patients and methods</h4>All cervical cancer patients undergoing a RH or a NSRH were evaluated for pelvic dysfunctions and filled in a quality-of-life questionnaire.<h4>Results</h4>A total of 56 women were ... Read more >>

Anticancer Res (Anticancer research)
[2012, 32(2):581-588]

Cited: 31 times

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Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial.

Marcello Ceccaroni, Roberto Clarizia, Francesco Bruni, Elisabetta D'Urso, Maria Lucia Gagliardi, Giovanni Roviglione, Luca Minelli, Giacomo Ruffo,

<h4>Background</h4>The weight of surgical radicality, together with a lack of anatomical theoretical basis for surgery and inappropriate practical skills, can lead to serious impairments to bladder, rectal, and sexual functions after laparoscopic excision of deep infiltrating endometriosis. Although the "classical" laparoscopic technique for endometriosis excision involving segmental bowel resection has ... Read more >>

Surg Endosc (Surgical endoscopy)
[2012, 26(7):2029-2045]

Cited: 38 times

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Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a case report and review of the literature.

Marcello Ceccaroni, Giovanni Roviglione, Piergiorgio Rosenberg, Anna Pesci, Roberto Clarizia, Francesco Bruni, Claudio Zardini, Giacomo Ruffo, Angelo Placci, Stefano Crippa, Luca Minelli,

Diaphragmatic endometriosis is a rare entity, often asymptomatic, which has been described only in small series. It is almost always associated with severe pelvic involvement. The most plausible theory about this condition is based on retrograde menstruation and subsequent transportation of viable cells in peritoneal fluid from the pelvis up ... Read more >>

Wideochir Inne Tech Maloinwazyjne (Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques)
[2012, 7(2):122-131]

Cited: 3 times

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Vaginal cuff dehiscence after hysterectomy: a multicenter retrospective study.

Marcello Ceccaroni, Roberto Berretta, Mario Malzoni, Marco Scioscia, Giovanni Roviglione, Emanuela Spagnolo, Martino Rolla, Antonio Farina, Carmine Malzoni, Pierandrea De Iaco, Luca Minelli, Luciano Bovicelli,

<h4>Objective</h4>This study estimates the incidence of vaginal cuff dehiscence resulting from different approaches to hysterectomy.<h4>Study design</h4>This multicentric study was carried out retrospectively. We retrospectively analyzed 8635 patients; 37% underwent abdominal hysterectomy, 31.2% vaginal hysterectomy, and 31.8% laparoscopic hysterectomy. All the hysterectomies were considered, vaginal evisceration was registered and analyzed for ... Read more >>

Eur J Obstet Gynecol Reprod Biol (European journal of obstetrics, gynecology, and reproductive biology)
[2011, 158(2):308-313]

Cited: 33 times

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Laparoscopic nerve-sparing transperitoneal approach for endometriosis infiltrating the pelvic wall and somatic nerves: anatomical considerations and surgical technique.

Marcello Ceccaroni, Roberto Clarizia, Carlo Alboni, Giacomo Ruffo, Francesco Bruni, Giovanni Roviglione, Marco Scioscia, Inge Peters, Giuseppe De Placido, Luca Minelli,

<h4>Purpose</h4>Endometriotic or fibrotic involvement of sacral plexus and pudendal and sciatic nerves may be quite frequently the endopelvic cause of ano-genital and pelvic pain. Feasibility of a laparoscopic transperitoneal approach to the somatic nerves of the pelvis was determined and showed by Possover et al. for diagnosis and treatment of ... Read more >>

Surg Radiol Anat (Surgical and radiologic anatomy : SRA)
[2010, 32(6):601-604]

Cited: 17 times

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