Luigi Marano

Calibrated Reliance on Large Language Models for Personalized Surgical Care: A Critical Narrative Review of Confidence, Clinical Reasoning and Decision Support

Large language models can synthesize clinical records, identify phenotypic features and support patient-specific decisions, but fluent explanations may obscure uncertainty. Surgical practice provides a demanding setting in which to examine this problem because decisions combine h...

The robotic PIANO: a critical narrative review of surgeon-controlled operative polyphony, human factors, and robotic training

Abstract Robotic surgery can concentrate control of several technical functions at the console, but such concentration does not itself confer clinical independence, reduce dependence on the perioperative team, or improve patient outcomes. We define surgeon-controlled operative po...

Association of the 5-item modified frailty index and chronological age with postoperative length of stay after CRS–HIPEC: a single-centre cohort study

Frailty assessment may inform selection for cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS–HIPEC), but its association with hospitalization in functionally selected patients remains uncertain. To evaluate the association of the 5-item modified frailty i...

Predicting the risk of dehydration and readmission among rectal cancer patients with ileostomy: a multicenter observational study

Abstract Dehydration is a frequent complication among rectal cancer patients after ileostomy, often resulting in hospital readmission. The Dehydration Readmission after Ileostomy Prediction (DRIP) score was used to identify patients at risk of dehydration-related readmission. The...