Full Text Journal Articles by
Author Roberto Tozzi

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The "CIV Classification," a New Proposal for the Architectural Grading of Vulvar Lichen Sclerosus.

Veronica Boero, Carlo A Liverani, Massimiliano Brambilla, Ermelinda Monti, Roberto Tozzi, Filippo Murina, Eugenia Di Loreto, Sonia Cipriani, Giada Libutti, Giulia E Cetera, Maria Iorio, Andrea Dell'Acqua, Fabio Parazzini,

<h4>Objectives</h4>The purpose of this cross-sectional study was to prepare a reliable and easy-to-use architectural classification for vulvar lichen sclerosus (VLS) aimed at defining the morphological patterns of this condition.<h4>Materials and methods</h4>An expert panel composed by 7 physicians with expertise in clinical care of vulvar conditions outlined the architectural criteria for ... Read more >>

J Low Genit Tract Dis (Journal of lower genital tract disease)
[2021, 25(4):291-295]

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Rectosigmoid resection during Visceral-Peritoneal Debulking (VPD) in patients with stage IIIC-IV ovarian cancer: morbidity of gynecologic oncology vs. colorectal team.

Roberto Tozzi, Gaetano Valenti, Daniele Vinti, Riccardo Garruto Campanile, Massimo Cristaldi, Federico Ferrari,

<h4>Objective</h4>This study investigates the specific morbidity of rectosigmoid resection (RSR) during Visceral-Peritoneal Debulking (VPD) in a consecutive series of patients with stage IIIC-IV ovarian cancer and compares the results of the colo-rectal vs. the gynaecologic oncology team.<h4>Methods</h4>All patients with the International Federation of Gynecology and Obstetrics (FIGO) stage IIIC-IV ovarian ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2021, 32(3):e42]

Cited: 1 time

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A prospective study on the diagnostic pathway of patients with stage IIIC-IV ovarian cancer: Exploratory laparoscopy (EXL) + CT scan VS. CT scan.

Roberto Tozzi, Zoe Traill, Gaetano Valenti, Federico Ferrari, Kumar Gubbala, Riccardo Garruto Campanile,

<h4>Objective</h4>To compare the diagnostic power of CT scan to a combination of exploratory laparoscopy (EXL) and CT scan in patients with stage IIIC-IV Ovarian Cancer (OC) by anatomic areas. To investigate if adding EXL to CT can reduce unnecessary laparotomy.<h4>Methods</h4>In the period 2009-2017, 350 consecutive patients with FIGO Stage IIIC-IV ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2021, 161(1):188-193]

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Feasibility of laparoscopic diaphragmatic peritonectomy during Visceral-Peritoneal Debulking (VPD) in patients with stage IIIC-IV ovarian cancer.

Roberto Tozzi, Hooman Soleymani Majd, Riccardo Garruto Campanile, Federico Ferrari,

<h4>Objective</h4>To describe the surgical technique and evaluate the safety, feasibility and efficacy of laparoscopic diaphragmatic peritonectomy during Visceral-Peritoneal Debulking (VPD) in patients with stage IIIC-IV ovarian cancer (OC).<h4>Methods</h4>This report is part of a Service Evaluation Protocol (Trust number 3267) on laparoscopy in patients with OC following neo-adjuvant chemotherapy. Between April ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2020, 31(5):e71]

Cited: 2 times

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Comparison of surgical and pathological parameters after laparoscopic transperitoneal pelvic/para-aortic lymphadenectomies.

Anna Jacob, Andrea Plaikner, Achim Schneider, Giovanni Favero, Roberto Tozzi, Peter Mallmann, Christian Domröse, Peter Martus, Simone Marnitz, Jana Barinoff, Christhardt Kohler,

<h4>Objective</h4>Lymphadenectomy is an integral part of surgical staging and treatment for patients with gynecologic malignancies. Since its introduction, laparoscopic lymphadenectomy has proved feasible, safe, and oncologically adequate compared with open surgery while morbidity is lower and hospital stay considerably shorter. The aim of this study was to examine if surgical ... Read more >>

Int J Gynecol Cancer (International journal of gynecological cancer : official journal of the International Gynecological Cancer Society)
[2020, 30(11):1798-1802]

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Interval Debulking Surgery for Advanced Ovarian Cancer in Elderly Patients (≥70 y): Does the Age Matter?

Ciro Pinelli, Matteo Morotti, Jvan Casarin, Roberto Tozzi, Fabio Ghezzi, Vasileios K Mavroeidis, Moiad Alazzam, Hooman Soleymani Majd,

<h4>Background</h4>Elderly ovarian cancer (OC) patients are more likely to be managed suboptimally, with worse clinical outcomes as a result. Strategies to decrease morbidity are lacking.<b>Methodology:</b> Consecutive patients with advanced stage OC (IIIC-IV) who were managed in our center between January 2016 and July 2018 were retrospectively analyzed. All patients underwent ... Read more >>

J Invest Surg (Journal of investigative surgery : the official journal of the Academy of Surgical Research)
[2021, 34(9):1023-1030]

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The Feasibility of Cardiophrenic Lymphnode Assessment and Removal in Patients Requiring Diaphragmatic Resection During Interval Debulking Surgery for Ovarian Cancer.

Ciro Pinelli, Matteo Morotti, Jvan Casarin, Roberto Tozzi, Moiad Alazzam, Vasileios K Mavroeidis, Hooman Soleymani Majd,

<h4>Background</h4>Several studies have demonstrated the feasibility and role of bulky cardiophrenic lymph nodes (CPLNs) resection during primary debulking surgery (PDS) for stage IV ovarian cancer (OC). However, no studies, to date, investigated the accuracy and feasibility of CPLNs assessment and removal during interval debulking surgery (IDS) after neoadjuvant chemotherapy (NACT).<h4>Material ... Read more >>

J Invest Surg (Journal of investigative surgery : the official journal of the Academy of Surgical Research)
[2021, 34(7):756-762]

Cited: 3 times

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Morbidity of multiple bowel resection compared to single bowel resection after debulking surgery for ovarian cancer.

Roberto Tozzi, Jvan Casarin, Ahmet Baysal, Ciro Pinelli, Luka Matak, Nahid Ghanbarzadeh, Moiad Alazzam, Riccardo Garruto-Campanile, Hooman Soleymani Majd, Yakup Kilic, Matteo Morotti,

<h4>Objectives</h4>To assess the impact of multiple bowel resections on postoperative outcomes in stage IIIC-IV ovarian cancer (OC).<h4>Methods</h4>From the Oxford OC database we retrieved consecutive patients who underwent bowel resection between January 2009 and November 2017. Patients were divided into two groups: single bowel resection (SBR) and MBR (≥2 bowel resections). ... Read more >>

Eur J Obstet Gynecol Reprod Biol (European journal of obstetrics, gynecology, and reproductive biology)
[2019, 240:215-219]

Cited: 1 time

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Tozzi classification of diaphragmatic surgery in patients with stage IIIC-IV ovarian cancer based on surgical findings and complexity.

Roberto Tozzi, Federico Ferrari, Joost Nieuwstad, Riccardo Garruto Campanile, Hooman Soleymani Majd,

<h4>Objective</h4>To introduce a systematic classification of diaphragmatic surgery in patients with ovarian cancer based on disease spread and surgical complexity.<h4>Methods</h4>For all consecutive patients who underwent diaphragmatic surgery during Visceral-Peritoneal debulking (VPD) in the period 2009-2017, we extracted: initial surgical finding, extent of liver mobilization and type of procedure. Combining these ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2020, 31(2):e14]

Cited: 3 times

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Diagnostic flow-chart to identify bowel involvement in patients with stage IIIC-IV ovarian cancer: Can laparoscopy improve the accuracy of CT scan?

Roberto Tozzi, Zoe Traill, Riccardo Garruto Campanile, Yakup Kilic, Ahmet Baysal, Raffaella Giannice, Matteo Morotti, Hooman Soleymani Majd, Gaetano Valenti,

<h4>Objective</h4>This study investigates the diagnostic power of CT scan combined with exploratory laparoscopy (EXL) at identifying large bowel involvement in patients with stage IIIC-IV primary Epithelial Ovarian Cancer (EOC) by comparing with the macroscopic surgical findings at laparotomy.<h4>Methods</h4>All patients with FIGO Stage IIIC-IV EOC who had Visceral Peritoneal Debulking (VPD) ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2019, 155(2):207-212]

Cited: 0 times

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Erratum: Bowel resection rate but not bowel related morbidity is decreased after interval debulking surgery compared to primary surgery in patents with stage IIIC-IV ovarian cancer.

Roberto Tozzi, Jvan Casarin, Ahmet Baysal, Gaetano Valenti, Yakup Kilic, Hooman Soleymani Majd, Matteo Morotti,

This corrects the article on e25 in vol. 30, PMID: 30740956. ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2019, 30(5):e101]

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Surgical treatment of large adnexal masses: a retrospective analysis of 330 consecutive cases.

Jvan Casarin, Antonio Simone Laganà, Stefano Uccella, Antonella Cromi, Ciro Pinelli, Baldo Gisone, Camilla Borghi, Selene Cominotti, Simone Garzon, Matteo Morotti, Roberto Tozzi, Fabio Ghezzi,

<b>Introduction:</b> In the present study, perioperative outcomes of laparoscopy (LPS) were compared to open surgery (OS) for the treatment of large adnexal masses (AM).<b>Material and methods:</b> Retrospective observational cohort study. Data of consecutive patients who underwent ovarian cystectomy or salpingo-oophorectomy for large AM (diameter ≥10 cm) at a referral minimally invasive ... Read more >>

Minim Invasive Ther Allied Technol (Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy)
[2020, 29(6):366-374]

Cited: 3 times

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Bowel resection rate but not bowel related morbidity is decreased after interval debulking surgery compared to primary surgery in patents with stage IIIC-IV ovarian cancer.

Roberto Tozzi, Jvan Casarin, Ahmet Baysal, Gaetano Valenti, Yakup Kilic, Hooman Soleymani Majd, Matteo Morotti,

<h4>Objective</h4>To assess the morbidity associate with rectosigmoid resection (RSR) in patients with stage IIIC-IV ovarian cancer (OC) undergone primary debulking surgery (PDS) vs. interval debulking surgery (IDS) after neoadjuvant chemotherapy (NACT).<h4>Methods</h4>From the Oxford Advanced OC database, we retrieved all patients who underwent surgery between January 2009 and July 2016 and ... Read more >>

J Gynecol Oncol (Journal of gynecologic oncology)
[2019, 30(2):e25]

Cited: 2 times

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Concomitant Laparoscopic and Thoracoscopic Resection of Recurrent High-Grade Ovarian Cancer.

Roberto Tozzi, Jvan Casarin, Elizabeth Belcher, Riccardo Garruto Campanile, Lamiese Ismail, Hooman Soleymani Majd, Matteo Morotti, Marcello Desgro,

STUDY OBJECTIVE:To describe the first case of combined endoscopic management of a thoracic and abdominal recurrence of ovarian cancer. DESIGN:An instructive video showing the combined thoracic and abdominal surgical procedure. SETTING:Department of Gynecological Oncology, Churchill Hospital, Oxford University, UK. PATIENTS:A 64-year-old woman undergoing endoscopic treatment for a third recurrence of ... Read more >>

J Minim Invasive Gynecol (Journal of minimally invasive gynecology)
[2018, 25(7):1148]

Cited: 0 times

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Uterine Scar Healing After Cesarean Section: Managing an Old Surgery in an Evidence-Based Environment.

Antonio Simone Laganà, Antonella Cromi, Roberto Tozzi, Massimo Franchi, David Lukanović, Fabio Ghezzi,

J Invest Surg (Journal of investigative surgery : the official journal of the Academy of Surgical Research)
[2019, 32(8):770-772]

Cited: 4 times

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Morbidity and reversal rate of ileostomy after bowel resection during Visceral-Peritoneal Debulking (VPD) in patients with stage IIIC-IV ovarian cancer.

Roberto Tozzi, Jvan Casarin, Riccardo Garruto-Campanile, Hooman Soleymani Majd, Matteo Morotti,

To investigate the morbidity of diverting loop ileostomy (DLI) performed during Visceral Peritoneal Debulking (VPD) for stage IIIC-IV ovarian cancer and to report the rate, timing, and morbidity of DLI reversal.We retrieved the data of all consecutive patients who underwent sigmoid-rectum resection (SRR) followed by DLI. Morbidity was defined as ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2018, 148(1):74-78]

Cited: 4 times

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Focal Muscle Vibration and Physical Exercise in Postmastectomy Recovery: An Explorative Study.

Claudia Celletti, Maria Antonietta Fara, Guido Maria Filippi, Giuseppe La Torre, Roberto Tozzi, Nicola Vanacore, Filippo Camerota,

<i>Background</i>. Physical activity initiation and maintenance are particular challenges in the postmastectomy recovery and in particular Dragon Boat racing seems to be a useful sport activity. The aim of this study was to evaluate the role of focal muscle vibration as a proprioceptive input to improve upper limb functioning in ... Read more >>

Biomed Res Int (BioMed research international)
[2017, 2017:7302892]

Cited: 3 times

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En-bloc resection of the pelvis (EnBRP) in patients with stage IIIC-IV ovarian cancer: A 10 steps standardised technique. Surgical and survival outcomes of primary vs. interval surgery.

Roberto Tozzi, Kieran Hardern, Kumar Gubbala, Riccardo Garruto Campanile, Hooman Soleymani Majd,

<h4>Objective</h4>In this study we describe the technique of the En-bloc resection of the pelvis (EnBRP) in 10 standardised and reproducible steps, whereby all pelvic organs, except the bladder, are removed together with the peritoneum. In addition, we compare the surgical and survival outcomes of patients who underwent upfront vs. interval ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2017, 144(3):564-570]

Cited: 2 times

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Pre-operative CT-guided wire localization of a retroperitoneal mass for laparoscopic surgery.

Hsi-Ping Chi, Roberto Tozzi, Niall R Moore,

A 48-year-old female with a 9-year history of granulosa cell tumour presented with progression of a mass in the left flank after the recent gradual rise of her inhibin B levels. She had experienced multiple recurrences and had undergone multiple operations to resect previous tumour recurrences. Initial laparoscopy did not ... Read more >>

BJR Case Rep (BJR case reports)
[2017, 3(1):20150416]

Cited: 1 time

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Porta hepatis peritonectomy and hepato-celiac lymphadenectomy in patients with stage IIIC-IV ovarian cancer: Diagnostic pathway, surgical technique and outcomes.

Roberto Tozzi, Zoe Traill, Riccardo Garruto Campanile, Federico Ferrari, Hooman Soleymani Majd, Joost Nieuwstad, Kieran Hardern, Kumar Gubbala,

<h4>Objective</h4>To report the surgical technique of ovarian cancer resection at the porta hepatis (PH) and hepato-celiac lymph nodes (HCL). To assess surgical and survival outcomes. Define the accuracy of an integrated diagnostic pathway.<h4>Methods</h4>Patients with FIGO stage IIIC-IV ovarian cancer that underwent Visceral-Peritoneal Debulking (VPD). Data of patients with disease at ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2016, 143(1):35-39]

Cited: 8 times

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Interval Laparoscopic En-Bloc Resection of the Pelvis (L-EnBRP) in patients with stage IIIC-IV ovarian cancer: Description of the technique and surgical outcomes.

Roberto Tozzi, Kumar Gubbala, Hooman Soleymani Majd, Riccardo Garruto Campanile,

<h4>Objective</h4>To describe the technique and evaluate the feasibility, efficacy and morbidity of the Laparoscopic En-Bloc Resection of the Pelvis (L-EnBRP) during Visceral-Peritoneal Debulking (VPD) at time of interval surgery.<h4>Methods</h4>This report is part of a prospective non randomized study (service evaluation protocol) on the feasibility and safety of laparoscopy in patients ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2016, 142(3):477-483]

Cited: 5 times

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Diaphragmatic peritonectomy vs. full thickness resection with pleurectomy during Visceral-Peritoneal Debulking (VPD) in 100 consecutive patients with stage IIIC-IV ovarian cancer: A surgical-histological analysis.

Hooman Soleymani Majd, Federico Ferrari, Sanjiv Manek, Kumar Gubbala, Riccardo Garruto Campanile, Kieran Hardern, Roberto Tozzi,

<h4>Objective</h4>To compare the surgical and histological outcomes of diaphragmatic peritonectomy vs. full thickness resection with pleurectomy during Visceral-Peritoneal Debulking.<h4>Methods</h4>Service evaluation protocol (Trust number 3265). All patients with stage IIIC-IV ovarian cancer who had diaphragmatic surgery between April 2009 and November 2013 were included. Clinical notes and histology reports were reviewed. ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2016, 140(3):430-435]

Cited: 11 times

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Neo-adjuvant chemotherapy does not increase the rate of complete resection and does not significantly reduce the morbidity of Visceral-Peritoneal Debulking (VPD) in patients with stage IIIC-IV ovarian cancer.

Roberto Tozzi, Raffaella Giannice, Stefano Cianci, Sarah Tardino, Riccardo Garruto Campanile, Kumar Gubbala, Giorgio Fachechi, Federico Ferrari, Igor Martinek, Hooman Soleymani Majd,

<h4>Objective</h4>To measure the efficacy and the safety of Visceral-Peritoneal Debulking (VPD) in patients with stage IIIC-IV ovarian cancer and to compare the outcomes before and after chemotherapy.<h4>Methods</h4>Between 2008 and 2013, 200 consecutive patients were offered VPD for stage IIIC/IV ovarian cancer. Exclusion criteria were: metastases in the lungs or 3 ... Read more >>

Gynecol Oncol (Gynecologic oncology)
[2015, 138(2):252-258]

Cited: 18 times

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Latest developments and techniques in gynaecological oncology surgery.

Hooman Soleymani Majd, Federico Ferrari, Kumar Gubbala, Riccardo Garruto Campanile, Roberto Tozzi,

<h4>Purpose of review</h4>To highlight the advances and the data published in the field of gynaecological oncology surgery in the last few years. The review includes not only newly introduced surgical techniques but also data that consolidate recent developments.<h4>Recent findings</h4>Ultimate data on the use of laparoscopy in the treatment of gynaecologic ... Read more >>

Curr Opin Obstet Gynecol (Current opinion in obstetrics & gynecology)
[2015, 27(4):291-296]

Cited: 6 times

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Tubal primary metastatic choriocarcinoma coexistent with a viable early pregnancy: a case report.

Stefano Cianci, Salvatore Giovanni Vitale, Roberto Tozzi, Pietro Cignini, Francesco Padula, Laura D'Emidio, Lucia Mangiafico, Claudio Giorlandino, Luigi Frigerio, Diego Rossetti, Salvatore Caruso,

<h4>Introduction</h4>fallopian tube choriocarcinoma coexistent with viable intrauterine pregnancy is an extremely rare condition.<h4>Case report</h4>we present the first case reported in literature of tubal choriocarcinoma coexistent with viable intrauterine pregnancy detected at early gestational age (20 weeks) and successfully managed by seriate monitoring of maternal and fetal health status until 31 ... Read more >>

J Prenat Med (Journal of prenatal medicine)
[2014, 8(3-4):47-49]

Cited: 4 times

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