Marcello Romeo

Publications (2)0.46 Total impact

• Article: [Bronchial carcinoid: a review of the recent literature].

  Girolamo Geraci, Franco Pisello, Francesco Li Volsi, Carmelo Sciumè, Massimo Cajozzo, Marcello Romeo, Giuseppe Modica
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  ABSTRACT: To evaluate methods of diagnosis and treatment, and the long term survival of patients treated for bronchial carcinoid tumor by the review of recent literature. The Authors conducted a retrospective study on internet-based-evidence of patients treated for bronchial carcinoid tumor since 1993 to 2004. Symptoms, diagnosis, operative approach and survival were assessed. On the basis of the review of the international literature, the Authors affirm that the 5 and 10-year probability of survival are closely linked to the histological type of carcinoid, to the presence of nodal and distant metastasis. Owing to the potential malignancy of these tumours, preference should be given to radical exeresis.
  Annali italiani di chirurgia 76(3):213-8. · 0.23 Impact Factor
• Article: [Complication of flexible fiberoptic bronchoscopy. Literature review].

  Girolamo Geraci, Franco Pisello, Carmelo Sciumè, Francesco Li Volsi, Marcello Romeo, Giuseppe Modica
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  ABSTRACT: Fiberoptic bronchoscopy is the gold standard to study and eventually treat tracheo-bronchial pathology. Performance of fiberoptic bronchoscopy enhances diagnostic precision and has not well documentated risks for the patients. This review examines the international literature of the last 30 yrs about the indication, complications and their prevention during bronchoscopy. We reviewed by Internet 50 scientific articles, 23 of those were reporting or citing other experiences. We included as metasearch criteria "flexible", "fiberoptic", "bronchoscopy" and "complications" from 1974 to 2006, and as exclusions terms "pediatry", "pregnancy" and "urgency/emergency". Thus, we reported for every complication the incidence range, the characteristics and the indications for the bronchoscopy. On 107969 bronchoscopies, the incidence of complication of local anaesthesia was 0.3-0.5%; hypoxiaemia 0.2-21%; arrhythmia 1-10%; post-biopsy bleeding 0.12-7.5%; pneumothorax or pneumomediastinum 1-6%; fever 0.9-2.5%; death 0.1-0.2%. The majority of these complications were not life threatening. Flexible bronchoscopy is an extremely safe procedure as long as some basic precautions are taken: complications incidence may be reduced by accurate patient selection, correct indication to bronchoscopy with an adequate anaesthesia or analgosedation and the correct endoscope. Is safe and useful virtual bronchoscopy in selected cases. Equipe cooperation and the responsibility of performing endoscopes are basilar. The gain of informed consensus is imperative before the bronchoscopy.
  Annali italiani di chirurgia 78(3):183-92. · 0.23 Impact Factor