Humanitas Colorectal Surgery

Division of Colorectal Surgery @humanitas milano

[Antonino Spinelli @AntoninoSpin]

So much a huge interest and high skills from our participants here in @HUNIMED @HumanitasCRS @3isac @mic_carvello @YouESCP @MatSac00 @caterina_foppa @ArgIoannid @maria_ak1 @fede_mazzotti @EleMollica @mcgillu

[Antonino Spinelli @AntoninoSpin]

@escp_tweets is organising its first multicity (Amsterdam, London, Milano) hybrid hands-on TAMIS course at five different sites in Europe on Friday 19 November 2021.

https://t.co/ZOsNoKNZAM

Few places available in @HumanitasMilano @HumanitasCRS!!!

[Antonino Spinelli @AntoninoSpin]

Deep dive into physiopathology, biomatkers, new Tx, alternative outcome measures, role of surgery, TDM, future treatment strategies in #IBD.

All of this and more will be discussed in Amsterdam Johan Cruijff ArenA in December!

[Ugo Grossi @DrUgoGrossi]

Solid talk by @AntoninoSpin at @YouSICCR IX National Congress 💪

[Antonino Spinelli @AntoninoSpin]

https://t.co/5hyIkeMKha

[International Coloproctology @IntColoproct]

@AntoninoSpin @HUNIMED @HumanitasMilano @HumanitasCRS @CRHumanitas @MICORSorg Congratulations, Antonino!!!

[Nicolas Avellaneda @nlavellaneda]

Complex #IBD? Consider suggesting a plane ticket to #Italy . 🙌🙌🙌 case presentation in @escp_tweets virtual on EC fistula in #crohnsdisease by @HumanitasCRS @AntoninoSpin @caterina_foppa @YouESCP @GianlucaPellino

[European Society of Coloproctology @escp_tweets]

@colorectaldis what an interesting subject ‼️
On #ESCP2021 we will have an entire session on difficult cases, inclusive:
💥Perianal Sepsis💥
👇Do not miss it👇
https://t.co/WHIqZj3Al3

#SoMe4Surgery #education

[DCRjournal @DCRjournal]

#DCRJournal latest visual abstract highlights Rectal Cancer in Young Adults: https://t.co/fQIpx7laCp

@AntoninoSpin @caterina_foppa @mic_carvello @humanitasCRS @hunimed @humanitasmilano @JISBMD @ConorDelaneyMD @KyleCologne @dubaicolorectal @SamAtallahMD @debby_keller

[Updates in Surgery @UpdatesSurgery]

Now #available: Surgical coaching applied to laparoscopic TME for continuous
professional development in #rectal #surgery: proof of concept.

An intriguing paper by I. Montroni et al.
@3isac

https://t.co/W3TtECmX1U

[Antonino Spinelli @AntoninoSpin]

Our most recent approach for rectal cancer, for those who asked:

If RESTORATIVE
-high Rectum ➡️PME ➡️DS
-mid & low R ➡️ full TME➡️TTSS
-ultra low R, too low for stapled anast. ➡️TME+partial ISR➡️Pull through

If NON RESTORATIVE bcs of

-onco ➡️APR/ELAPE
-fx ➡️TME +complete ISR

[Alaa El-Hussuna @AlaaEl_Hussuna]

@SWexner @AntoninoSpin @HumanitasCRS @HumanitasMilano @ProfessorHeald @AntoninoSpin = innovation + dedication
Made in Italy ���🇹 like Ferrai 🏁
@OPSORE
@lucagordini @GianlucaPellino @drfrancescopata @Gae_Gallo

[European Journal of Surgical Oncology @ejsotweets]

Transanal Transection and Single-Stapled Anastomosis (TTSS): A comparison of anastomotic leak rates with double-stapled technique & TaTME

@AntoninoSpin @ESSOnews @escp_tweets @ASCRS_1 @colo_research @juliomayol @SWexner @3isac @debby_keller @MISIRG1

https://t.co/cbyDx29I7R

[Steven D Wexner MD, PhD @SWexner]

“...preoperative tofacitinib exposure may present an increased risk of postoperative VTE events.” @AmyLightnerMD @HolubarStefan @AntoninoSpin @colorectal_jay @KarenZaghiyanMD @ColorectalDis @CleClinicMD @HumanitasCRS @IBDCedarsSinai @PhilFleshnerMD https://t.co/2BXaF8hot4

[Antonino Spinelli @AntoninoSpin]

@M_GomezRuiz @smoralesconde @eloiespin @sbiondo60 If you’re not already connected, do so! Amazing video meeting
Congrats @eloiespin @sbiondo60 and all friends in Barcelona!

[Antonino Spinelli @AntoninoSpin]

Sam, happy you like it!!
Roel and I first spoke about it 2.5 years ago in Leuven and then discussed the concept and refined the technique.

...and, yes, it’s definitely provocative, hopefully raising the discussion😜!

@RoelHompes @caterina_foppa @HumanitasCRS @CRSugergyAUMC

[Steven D Wexner MD, PhD @SWexner]

Differences in management and outcome for colon and rectal carcinoma with synchronous liver metastases: a population‐based cohort study https://t.co/lS8Sxm5XzN @ColorectalDis @ACPGBI

[Roel Hompes @RoelHompes]

@jcpatron @AntoninoSpin @caterina_foppa @CRSugergyAUMC @amsterdamumc @CRHumanitas @HumanitasCRS @HumanitasMilano @marianaberho @SWexner @juliomayol @pakotze @NicoRotholtz @GianlucaPellino @josepereag @eloiespin @d_hahnd @GabrielaMoslein @QDenost @m_pera_roman @MICORSorg @MISIRG1 By injection with blue dye, muscular layers can be very well distinguished and dissected. More difficult prox rectum as layers tend to fuse

[Juan C Patrón Uriburu @jcpatron]

@AntoninoSpin @RoelHompes @caterina_foppa @CRSugergyAUMC @amsterdamumc @CRHumanitas @HumanitasCRS @HumanitasMilano @marianaberho @SWexner @juliomayol @pakotze @NicoRotholtz @GianlucaPellino @josepereag @eloiespin @d_hahnd @GabrielaMoslein @QDenost @m_pera_roman @MICORSorg @MISIRG1 Very interesting point of view!! Congrats @AntoninoSpin I completely agree with you. But I think that will be not an easy task to find the correct IMD plane, just a new learning curve....

[Antonino Spinelli @AntoninoSpin]

The advantages are
1-you give the pathologist the chance to assess the whole sm layer (differently from ESD)
2-even if unfavorable pathology, you have not compromised the mesorectal plane for dissection (differently from full thickness), especially important if anterior.