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Mr Aresu undertook his Cardiothoracic specialist training in Padua, Udine (Italy) and in Bristol (UK).

In November 2011 he started working as consultant thoracic surgeon in Udine where he developed the minimally invasive program (VATS and robotic) for lung resections and thymectomies introducing in January 2014 the uniportal vats lobectomy program and in September 2015 the uniportal subxiphoid thymectomy program.

Between 2015 and 2017 he spent several periods of training in the Shanghai Pulmonary Hospital the biggest thoracic surgery Unit in the world.

During his fellowship in minimally invasive thoracic surgery in Shanghai he further improved his clinical expertise in key hole uniportal VATS lobectomy, uniportal vats segmental lung resections and uniportal VATS subxiphoid approach for lung resections and thymectomies.

Mr Aresu has been appointed Consultant Thoracic Surgeon at Papworth from July 2016.
Up to now (August 2017) the overall 30 days mortality rate for the operations performed by his team at the Papworth Hospital is 0%.
 

Specialist Clinical and Research Interests

 

  • Key hole minimally invasive surgery: about  90% of my cases are done using a minimally invasive approach with benefit in terms of reduction of the post operative pain and overall perioperative complications and faster recovery
    • Uniportal VATS:  operation done using only one 2 to 4 cm intercostal incision
    • Subxiphoid VATS: operation done using only one 2 to 4 cm incision at the level of the subxiphoid region with potential benefits in terms of reduction of acute and chronic pain, faster recovery and better quality of life after the operation.
       
  • Lung cancer surgery:
    • VATS Lobectomies: about 90% of the anatomical lung resections performed by my team are done using a minimally invasive approach:
    • Uniportal VATS or Subxiphoid VATS.
    • Minimally invasive uniportal VATS approach for lung segmentectomies.
    • Minimally invasive uniportal VATS approach in patients with poor lung function
    • Maximally invasive thoracic surgery for locally advanced lung cancer.
       
  • Mediastinal surgery:
    • Minimally invasive Uniportal VATS subxiphoid thymectomy for myasthenia gravis and thymoma resection: operation done using only one 2 to 4 cm incision at the level of the subxiphoid region with potential benefits in terms of reduction of acute and chronic pain, faster recovery and better quality of life after the operation.
    • Surgery for advanced thymomas
       
  • Surgery for chest wall
    • Rib fixation
    • Chest wall resection and reconstruction
    • Repair of congenital chest wall deformity:
      • Pectus excavatum: minimally invasive Nuss procedure, Ravitch procedure.
      • Pectus carenatum
         
  • Surgery for pneumothorax and emphysematous disease of the lung using a
    • minimally invasive approach, Uniportal VATS or Subxiphoid VATS, in the 100% of the patients.
    • Minimalive invasive uniportal subxiphoid VATS approach for bilateral pneumothorax or bilateral enphisematous disease: using this approach is possible to perform bilateral operation through a single hole in the subxiphoid region with potential benefits in terms of reduction of acute and chronic pain, faster recovery and better quality of life after the operation
       
  • Mesothelioma surgery
  • Airway surgery
  • Resection of metastatic cancer to the chest
  • Surgery for palmar hyperhidrosis
Education and Training

May 2015   Doctor of Philosophy  (PhD)
University of Udine
Thesis title: "Inflammasome and pro-inflammatory cytokines in the pathophysiology of idiopathic dilated cardiomyopathy before and after ventricular assist device insertion"

January 2010 - Postgraduate Diploma in Cardiac Surgery
University of Padua, Italy
Equivalent to the FRCS (C-Th) as per Council Directive 93/16/EEC of 5 April 1993

October 2004 - Medical Doctorate (MD), Magna cum laude
University of Cagliari, Italy,
Thesis on: “Importance of a composite prognostic score (HFSS) on stratification of patients waiting for heart transplantation”.
 

Current membership(s) of professional, national and regional bodies and university posts

UK GMC registration n 7028476
UK GMC Specialist registration as cardiothoracic surgeon from 06 June 2013
Albo Medici Chirurghi  (Italian GMC) registration n 1001;
European Association for Cardiothoracic Surgery (EACTS)
European Society of Thoracic Surgery (ESTS)

Recent and Important Publications

Aresu G, Jiang L, Bertolaccini L. Subxiphoid video-assisted major lung resections: the Believers' speech.
J Thorac Dis. 2017 Apr;9(4):E387-E389. doi: 10.21037/jtd.2017.03.161. No abstract available.

Aresu G, Weaver H, Wu L, Lin L, Jiang G, Jiang L. The Shanghai Pulmonary Hospital uniportal subxiphoid approach for lung segmentectomies. J Vis Surg 2016;2:172.

Aresu G, Wu L, Lin L, Jiang G, Jiang L.  The Shanghai Pulmonary Hospital subxiphoid approach for lobectomies.
J Vis Surg 2016;2:135.

Aresu G, Weaver H, Wu L, Lin L, Sponga S, Jiang G, Jiang L. Uniportal subxiphoid video-assisted thoracoscopic bilateral segmentectomy for synchronous bilateral lung adenocarcinomas.  J Vis Surg 2016;2:170.

Hernandez-Arenas LA, Lin L, Wu L, Aresu G, Jiang G, Jiang L. Subxiphoid uniportal video-assisted thoracoscopic trisegmentectomy.  Hernandez-Arenas LA, Lin L, Wu L, Aresu G, Jiang G, Jiang L. J Vis Surg 2016;2:90.

Aresu G. Subxiphoid approach, a new prospective to see the minimally invasive thoracic surgery.
 J Vis Surg 2016;2:107.

Avolio E1, Gianfranceschi G, Cesselli D, Caragnano A, Athanasakis E, Katare R, Meloni M, Palma A, Barchiesi A, Vascotto C, Toffoletto B, Mazzega E, Finato N, Aresu G, Livi U, Emanueli C, Scoles G, Beltrami CA, Madeddu P, Beltrami AP. Ex vivo molecular rejuvenation improves the therapeutic activity of senescent human cardiac stem cells in a mouse model of myocardial infarction. Stem Cells. 2014 May 6. doi: 10.1002/stem.1728.

Birla R, Patel P, Aresu G, Asimakopoulos G Ann R. Minimally invasive direct coronary artery bypass versus off-pump coronary surgery through sternotomy.  Coll Surg Engl. 2013 Oct;95(7):481-5. doi: 10.1308/003588413X13629960047119.

Shukla R, Bruno VD, Aresu G, Ascione R. Right ventricular injury due to displaced sternal wire. J Card Surg. 2012 Nov;27(6):719. doi: 10.1111/jocs.12000. Epub 2012 Sep 23. No abstract available. PMID: 22998027 [PubMed - indexed for MEDLINE]

Miceli A, Duggan SM, Aresu G, de Siena PM, Romeo F, Glauber M, Caputo M, Angelini GD. Infarction, blood loss and reoperation for bleeding in patients undergoing coronary artery bypass grafting. Eur J Cardiothorac Surg. 2013 Apr;43(4):722-8. doi: 10.1093/ejcts/ezs369. Epub 2012 Jun 24.
PMID: 22733842 [PubMed - in process]

Murzi M, Caputo M, Aresu G, Duggan S, Angelini GD. Training residents in off-pump coronary artery bypass surgery: a 14-year experience. J Thorac Cardiovasc Surg. 2012 Jun;143(6):1247-53. doi: 10.1016/j.jtcvs.2011.09.049. Epub 2011 Nov 3. PMID: 22050988 [PubMed - indexed for MEDLINE]

Murzi M, Caputo M, Aresu G, Duggan S, Miceli A, Glauber M, Angelini GD. On-pump and off-pump coronary artery bypass grafting in patients with left main stem disease: a propensity score analysis. J Thorac Cardiovasc Surg. 2012 Jun;143(6):1382-8. doi: 10.1016/j.jtcvs.2011.07.035. Epub 2011 Aug 16. PMID: 21843893 [PubMed - indexed for MEDLINE]

Guzzi G, Maiani M, Aresu G, Tursi V, Spagna E, Livi U. The clinical risk in heart transplantation: is it evaluable?
Transplant Proc. 2011 Jan-Feb;43(1):307-10. doi: 10.1016/j.transproceed.2010.09.108. PMID: 21335211 [PubMed - indexed for MEDLINE]

Contact details:

SwitchBoard: 01223 638000

Secretary

Keely Robinson

Telephone: 01223 639766

Email: keely.robinson@nhs.net

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