General Surgery

Policlinico San Donato

key figures 

CLINICAL SERVICES:

  • Upper GI surgery
  • General thoracic surgery
  • Hepatobiliary and Pancreatic surgery
  • Colorectal surgery and proctology
  • Abdominal wall surgery
  • Advanced diagnostic and therapeutic endoscopy section
  • Diagnostic and therapeutic ultrasound section
  • Esophageal pathophysiology section

The Department of Surgery at Policlinico San Donato is a high-volume, tertiary care referral center for esophageal disease which is recognized at national and international level. 90% of the surgical procedures are performed via minimally invasive techniques through a transoral, laparoscopic, or thoracoscopic approach. It is the only center in Italy and one of the few in the world where magnetic sphincter augmentation (LINX procedure) is performed in selected patients with gastroesophageal reflux disease.

 

treatmentS

Upper Gastrointestinal Surgery

The Upper Gastrointestinal Team provides care for patients with functional and neoplastic disorders of the oesophagus, stomach and duodenum. Diagnosing and treating Upper GI cancers requires a multidisciplinary team of experts who work together to ensure that patients receive the most appropriate treatment. Our multidisciplinary team is made up of expert medical professionals (surgeon, medical oncologist, gastroenterologist, radiotherapist, nutritionist) who meet together every week to make decisions about patients' management.

Main Pathologies Treated:

  • Gastroesophageal reflux disease
  • Hiatus hernia
  • Diaphragmatic hernia
  • Short oesophagus
  • Barrett's oesophagus
  • Oesophageal achalasia
  • Cricopharyngeal spasm
  • Zenker's diverticulum
  • Midthoracic and epiphrenic diverticula
  • Diffuse spasm
  • Benign oesophageal stricture
  • Short oesophagus  
  • Gastrointestinal stromal tumours
  • Oesophageal leiomyoma
  • Oesophageal adenocarcinoma
  • Oesophageal squamous-cell carcinoma
  • Gastric carcinoma               

Top Procedures:

  • Antireflux video laparoscopic procedures (LINX™, Nissen/Toupet Fundoplication, Endostim®, Collis gastroplasty)
  • Laparoscopic Heller extra mucosal myotomy and Dor fundoplication
  • Transoral Septum division (Stapled or Thulium laser)
  • Thoracoscopic/Laparoscopic diverticulectomy
  • Enucleation of oesophageal leiomyoma
  • Endoscopic Barrett's ablation (BARRX™ Radiofrequency Ablation System)
  • Minimally invasive esophagectomy, Laparoscopic gastric wedge resection, Laparoscopic gastrectomy.

Colorectal Surgery

We provide surgical care for patients with disease affecting colon, rectum and anus.

Main Pathologies Treated:

  • Colorectal Cancer
  • Diverticular Disease
  • Haemorrhoids
  • Inflammatory Bowel Disease
  • Rectal Prolapse

Top Procedures:

  • Laparoscopic right and left hemicolectomy (Knight Griffen or Hartmann procedure)
  • Laparoscopic drainage for non-complicated diverticulitis; colonic resection +/- colostomy or ileostomy for complicated diverticulitis
  • Milligan Morgan or PPH procedure for haemorrhoids
  • Colonic resection +/- colostomy or ileostomy for inflammatory bowel disease
  • Laparoscopic Rectopexy

Hepatobiliary and Pancreatic Surgery

We provide surgical care for patients with disease affecting liver and pancreas.

Main Pathologies Treated:

  • Cholecystitis / cholelithiasis
  • Hepatocellular carcinoma, hepatic metastasis
  • Pancreatitis, pancreatic cancer

Top Procedures:

  • Videolaparocholecistectomy
  • Liver resection, hepatic microwave ablation
  • Open treatment for acute pancreatitis
  • Pancreaticoduodenectomy, distal pancreatectomy with or without splenectomy   

 

NOTABLE ADVANCED TECHNOLOGICAL EQUIPMENT

  • Olympus medical system: VISERA II - advanced laparoscopic equipment
  • Linx™ Reflux Management System (Torax - Ethicon)
  • BRAVO™ Reflux Testing System (MEDTRONIC)
  • Evident™ Microwave Ablation System
  • STRETTA® and SECCA® (Restech)
  • EndoStim® (EndoStim Inc.)
  • Thulium Laser (Quanta System spa)
  • Contrast-Enhanced Ultrasound (Sonovue - Bracco)
  • BARRX™ Radiofrequency Ablation System  (Medtronic)
  • HIPEC - PRS® (COMBAT)
  • High Resolution Oesophageal Manometry (Sierra, Medtronic)