Guido Baietto
University of Eastern Piedmont
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Featured researches published by Guido Baietto.
Ejso | 2013
Ottavio Rena; Fabio Davoli; Renzo Boldorini; Alberto Roncon; Guido Baietto; Esther Papalia; Davide Turello; Fabio Massera; Caterina Casadio
BACKGROUND The present study was carried out to evaluate the characteristics of solitary pulmonary nodule (SPN) in patients with previous cancer(s) and to analyse the outcome of its surgical treatment. METHODS We retrospectively analysed 131 patients with history of previous malignancy submitted to lung surgery for new identified SPN between January 2004 and December 2009. RESULTS The diagnosis was metastasis in 65 patients, primary lung cancer in 57, benign lesion in 9. Primary lung cancers were significantly larger, had higher maxSUV at CT-PET scanning, occurred after a longer disease-free interval in patients older and with worse lung function when compared with metastatic lesions. Overall survival at 5-year was 67% for benign lesions, 62% for primary lung cancer, 48% for metastatic disease. Histological subtype, SPN diameter less than 2 cm and DFI >36 months were factors influencing long-term prognosis of metastatic patients. Histological subtype and pathological staging were factors influencing long-term outcome of primary lung cancer patients. DISCUSSION Surgical resection of solitary pulmonary nodule is essential in patients with history of previous cancer to rule out benign lesions, to offer diagnostic confirmation and local control of the disease in metastatic tumours and to correctly stage and treat primary lung cancer.
Tumori | 2013
Ottavio Rena; Fabio Massera; Renzo Boldorini; Esther Papalia; Davide Turello; Fabio Davoli; Guido Baietto; Alberto Roncon; Mario Robustellini; Caterina Casadio
AIM AND BACKGROUND To determine whether female patients operated on for non-small cell lung cancer (NSCLC) have a survival advantage compared to male patients. METHODS AND STUDY DESIGN We analyzed data from 1,426 prospectively collected patients submitted to lung resection for NSCLC between 1999 and 2008. RESULTS Two groups, including 1,014 male and 412 female patients, were compared. Female patients were significantly younger, were more frequently asymptomatic, were less likely to be smokers, had better preoperative respiratory function, had a lower frequency of COPD, and were less commonly affected by cardiovascular comorbidity than men. Adenocarcinoma was more frequently present and early pathological stage (stage IA) more frequently detected in women at diagnosis. The operative mortality was significantly lower among women (1.6% vs 4.6%) (P = 0.012), and women underwent significantly more segmentectomies and fewer pneumonectomies (P = 0.001). The disease-related 5-year survival rate was significantly higher in women (66% vs 51%) (P = 0.0008). At univariate analysis the absence of symptoms at presentation, lower pathological stage, squamous cell type, and female gender were positive factors influencing long-term survival. At multivariate analysis low pathological stage, squamous cell type and female gender were confirmed as independent positive prognostic predictors. Women had a significant survival advantage irrespective of the histological subtype at pathological stage IA, IB, IIB and IIIA disease (P <0.05). CONCLUSIONS Female gender was confirmed to be a particular subset amongst patients affected by NSCLC and exerted a positive effect on disease-related survival of patients submitted to surgical resection. This important effect of gender should be cautiously kept in mind in analyzing the results of current and future trials for lung cancer therapy.
Heart Lung and Circulation | 2016
Fabio Davoli; Davide Turello; Guido Valente; Ottavio Rena; Alberto Roncon; Guido Baietto; Caterina Casadio
We report a case of extralobar pulmonary sequestration (ELS) in a young woman, presenting with right recurring massive pleural effusion. The patient initially underwent a diagnostic Video Assisted Thoracic Surgery (VATS) for a suspected diffuse malignancy. After the aspiration of the pleural effusion we observed a highly vascularised cystic mass, with its origin from the right lower lobe. As we tried to retract the right lower lobe, the mass broke with massive bleeding requiring emergency right lateral thoracotomy. The mass was succesfully excised, resembling an extra-lobar pulmonary sequestration. The patient was discharged on post-operative day 5.
Journal of Thoracic Disease | 2017
Ottavio Rena; Sara Parini; Esther Papalia; Fabio Massera; Davide Turello; Guido Baietto; Caterina Casadio
Background Pleural drainage is required after pulmonary lobectomy to evacuate air-leak and fluid. We compared the performance of the new Redax® Coaxial Drain (CD) (Redax, Mirandola, Italy) with a standard chest tube (CT) in terms of fluid and air-leak evacuation. Methods Fifty-two patients receiving a 24-F CD under water-seal after pulmonary lobectomy through open surgery or video-assisted thoracic surgery (VATS) were matched according to demographic, clinical and pathological variables with 104 patients receiving a 24-F CT. Fluid evacuation and post-operative day 0 (POD0) fluid evacuation rate, air-leak rate, tension pneumothorax or increasing subcutaneous emphysema, tube occlusion at removal, visual analog scale (VAS) score at rest and during cough, chest drain duration, pleural fluid accumulation or residual pleural cavity after tube removal, post-operative morbidity and mortality rate were recorded and compared between the two groups. Results No differences were recorded in post-operative morbidity and mortality rates. Fluid drainage rates on POD0 were significantly higher in CD group (73% vs. 48%; P=0.004); air-leak occurrence was similar in both groups and no differences were recorded in terms of tension pneumothorax or increasing subcutaneous emphysema rates; VAS score was lower for CD when compared with CT and it reached significant difference in the subgroups of patients operated on by VATS; no cases of occlusion at removal were recorded in CD patient. Conclusions Redax® CD is safe and efficient in air-leak and fluid evacuation; due to its design and constituting material it is superior to standard CTs in terms of fluid evacuation rate and patient post-operative comfort.
Archivos De Bronconeumologia | 2015
Guido Baietto; Fabio Davoli; Davide Turello; Ottavio Rena; Alberto Roncon; Esther Papalia; Fabio Massera; Caterina Casadio
1. de Perrot M, Fischer S, Bründler MA, Sekine Y, Keshavjee S. Solitary fibrous tumors of the pleura. Ann Thorac Surg. 2002;74:285–93. 2. Marak CP, Dorokhova O, Guddati AK. Solitary fibrous tumor of the pleura. Med Oncol. 2013;30:573. 3. England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol. 1989;13:640–58. 4. De Pass T, Toffaloiro F, Colomo P, Trifirò G, Pelosi G, Vigna PD, et al. Brief report: Activity of imatinib in a patient with platelet-derived-growth-factor receptor positive malignant solitary fibrous tumor of the pleura. J Thorac Oncol. 2008;3:938–41.
Archivos De Bronconeumologia | 2012
Ottavio Rena; Gian Mauro Sacchetti; Antonio Ramponi; Alberto Roncon; Guido Baietto; Caterina Casadio
Primary thymic tumors are rare, but secondary ones are exceptionally uncommon. We report the case of a single metastasis within the thymic gland from a lung adenocarcinoma that had been completely resected 3 years before. There was high diagnostic doubt because the thymic lesion was not associated with the recurrence of the paraneoplastic syndrome or the increased CEA levels described at the moment of the treatment of the primary tumor. The lesion was diagnosed and treated at the same time by transcervical thymectomy. At the one-year follow-up, the patient is alive and disease-free.
The Annals of Thoracic Surgery | 2015
Ottavio Rena; Renzo Boldorini; Esther Papalia; Rosanna Mezzapelle; Guido Baietto; Alberto Roncon; Caterina Casadio
The Annals of Thoracic Surgery | 2014
Ottavio Rena; Renzo Boldorini; Esther Papalia; Davide Turello; Fabio Massera; Fabio Davoli; Alberto Roncon; Guido Baietto; Caterina Casadio
The Annals of Thoracic Surgery | 2014
Ottavio Rena; Esther Papalia; Davide Turello; Fabio Massera; Alberto Roncon; Guido Baietto; Caterina Casadio
Archivos De Bronconeumologia | 2015
Alberto Roncon; Fabio Davoli; Caterina Casadio; Guido Baietto; Ottavio Rena; Davide Turello