Laparoscopy VAR ‣ Dr. Marco Lotti

INFO

the Ultrasound Diagnosis of Pseudomyxoma Peritonei

A Healthy Colon: How Should I Eat?

A Healthy Colon: how to preserve It?

Paraganglioma: a personalized procedure

Reasons for a Posterior Retroperitoneoscopic Adrenalectomy

Ultrasonography and the Surgeon

Surgical complications of intestinal COVID-19

tecnica LE-HIPEC per la carcinosi peritoneale, the laparoscopy enhanced hipec technique

the Laparoscopy Enhanced HIPEC (LE-HIPEC) technique

the Ultrasound Diagnosis of Pseudomyxoma Peritonei

A Healthy Colon: How Should I Eat?

A Healthy Colon: how to preserve It?

Paraganglioma: a personalized procedure

Reasons for a Posterior Retroperitoneoscopic Adrenalectomy

Ultrasonography and the Surgeon

Surgical complications of intestinal COVID-19

the Laparoscopy Enhanced HIPEC (LE-HIPEC) technique

Advanced Surgical Oncology

Laparoscopy VAR (video assistant referee) is a page where I propose the review of clinical cases through film, to clarify doubtful situations.

LapVAR 1: exploratory laparoscopy for suspected peritoneal recurrence from Gastric Signet Ring Cell Carcinoma.

This is a very interesting exploratory laparoscopy performed after second-line chemotherapy in a patient with metachronous peritoneal carcinomatosis from gastric signet ring cell carcinoma.

Things are not always as they appear at first sight. A laparoscopy must be a thorough examination, especially for this kind of neoplasm.

Laparoscopy VAR: Gastric Signet Ring Cell carcinomatosis . YouTube video

I am a Surgeon with 30 years of experience in General Surgery, Laparoscopic and Minimally Invasive Surgery, Advanced Surgical Oncology and Emergency and Trauma Surgery. I worked as Tutor for Residents in General Surgery, and in Master Courses of Laparoscopic Surgery. I am the Author of several didactic works, innovative techniques of Laparoscopic Surgery, and reviewer for several scientific journals.
In July 2025 I was awarded the "Geppino Micheletti" Prize at Palazzo Montecitorio (Rome), established to celebrate "high professional and spiritual virtues, self-sacrifice, a sense of duty, dedication, and courage in the medical profession."
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Graduated in 1995 at the University of Milan and trained at the General Surgery of the San Paolo Hospital in Milan, in 2000 I obtained the Board Certification in Emergency Surgery.

From 1994 to 1999 I worked at the Department of General Surgery of the European Institute of Oncology in Milan, dedicating myself to the surgical oncology of the gastrointestinal district in a multidisciplinary team, and I was member of the Scientific Technical Committee in colorectal cancer prevention studies. I also carried out continuous home care activities for incurable cancer patients, working at the VIDAS Association in Milan.

In 1999 I moved to the General Surgery of the Papa Giovanni XXIII Hospital in Bergamo, where I specialized in Laparoscopic and Minimally Invasive Surgery with Dr. Lorenzo Novellino, pioneer of Italian Laparoscopic Surgery, participating as Lecturer and Tutor in Master Courses of Minimally Invasive Surgery for Specialists in surgical disciplines.

In 2010 I started the Peritoneal Surface Oncology Surgery Program at the Papa Giovanni XXIII Hospital in Bergamo, becoming the reference specialist for the Gynecology and Obstetrics and Urology Units.

In 2014 I created the Advanced Surgical Oncology Unit of the Papa Giovanni XXIII Hospital in Bergamo, and directed it until 2020, devising and promoting innovative laparoscopic techniques in cancer surgery and introducing new Endocrine Surgical Oncology techniques.

At the Papa Giovanni XXIII Hospital in Bergamo I worked as a Tutor in Emergency Surgery and was a member of the Trauma Team and of the COVID Unit, where I carried out clinical and research activities on abdominal complications of the SARS-CoV2 infection.

In October 2020 i moved to the Fatebenefratelli Hospital in Milan, where I'm the Interim Director of the Division of General Surgery and Lead Clinician of the Laparoscopic and Minimally Invasive Surgery Unit.