Francesca Ratti

Hepatobiliary surgeon


Dr. Francesca Ratti Head of the Department of Hepatobiliary Surgery of the IRCCS Ospedale San Raffaele under the supervision of Professor Luca Aldrighetti.

After graduating in 2009 from the Faculty of Medicine and Surgery of the Vita Salute San Raffaele University of Milan, she specialized in general surgery at the same university in 2016.

Dr. Ratti's care and clinical research activities are mainly focused on the diagnosis and treatment of hepatobiliary neoplastic pathology, minimally invasive liver surgery, protocols for accelerated surgical management, the path of preoperative optimization in patients with perilar cholangiocarcinoma, programs for two-stage hepatectomy (two stage hepatectomy and ALPPS), treatment of portal hypertension and end-stage liver disease; and monitoring and management of critically ill surgical patients.

In terms of research, the doctor mainly deals with liver resection surgery and adjunctive/adjuvant treatment of primary and metastatic liver neoplasms, with particular emphasis on hepatocarcinoma, cholangiocarcinoma, colorectal and non-colorectal cancer metastases. In addition to this, she devotes herself to: surgery and adjunctive therapy of biliary tract neoplasms (intrahepatic cholangiocarcinoma, gallbladder tumor, Klatskin tumor); laparoscopic liver resections; LESS surgery in liver resection surgery; technical and biological aspects of resective liver surgery; pathophysiology of hepatic ischemia/reperfusion syndrome and the ERAS program (Enhanced Recovery After Surgery in liver resection surgery).

She constantly participates in national and international industry congresses. She is a member of the Executive Council of Scientific Societies (SPIGC – Italian Polyspecialized Society of Young Surgeons; WIS – Woman In Surgery; I Go MILS – Italian Group of Minimally Invasive Liver Surgery). Winner of the Crucitti Award (awarded by SPIGC to the best young surgeon of 2019. Lecturer at the Italian School of Minimally Invasive Liver Surgery (Ospedale San Raffaele – Coordination Center), the ACOI School of Liver Surgery "Lorenzo Capussotti" (Ospedale Mauriziano in Turin – Coordination Center) and training courses on open and laparoscopic national and international surgery held at the Ospedale San Raffaele.

She is the author and co-author of more than 230 scientific publications published in domestic and foreign journals. Her Hirsch Index is 21.

She is the author of more than 300 original scientific articles published in peer-reviewed international journals (Hirsch Index 58). She constantly participates as a speaker and moderator at national and international industry conferences.

Read moreRead less

Do you need an appointment?

Contact us and we will take care of you.


Latest publications

Appraisal of disease-specific benefits of minimally invasiveness in surgery of breast cancer liver metastases
J Surg Oncol. 2019 Dec;120(7):11
Ratti F, Serenari M, Zanello M, Prosperi E, Cipriani F, Ercolani G, Jovine E, Cescon M, Aldrighetti L.
Timing of Perioperative Chemotherapy Does Not Influence Long-Term Outcome of Patients Undergoing Combined Laparoscopic Colorectal and Liver Resection in Selected Upfront Resectable Synchronous Liver Metastases
World J Surg. 2019 Dec;43(12):31
Ratti F, Fuks D, Cipriani F, Gayet B, Aldrighetti L.
A stepwise learning curve to define the standard for technical improvement in laparoscopic liver resections: complexity-based analysis in 1032 procedure
Updates Surg. 2019 Jun;71(2):
Aldrighetti L, Cipriani F, Fiorentini G, Catena M, Paganelli M, Ratti F.
Perioperative and Long-Term Outcomes of Laparoscopic Versus Open Lymphadenectomy for Biliary Tumors: A Propensity-ScoreBased, Case-Matched Ana
Ann Surg Oncol. 2019 Feb;26(2):564-575.
Ratti F, Fiorentini G, Cipriani F, Paganelli M, Catena M, Aldrighetti L.
Safety of minimally invasive liver resections during live surgery: a propensity score based assessment
HPB (Oxford). 2019 Mar;21(3):328-334.
Ratti F, Fiorentini G, Cipriani F, Paganelli M, Catena M, Aldrighetti L.
Management of hilum infiltrating tumors of the liver: The impact of experience and standardization on outcome
Dig Liver Dis. 2019 Jan;51(1):135-141
Ratti F, Cipriani F, Fiorentini G, Hidalgo Salinas C, Catena M, Paganelli M, Aldrighetti L.
Laparoscopic vs Open Surgery for Colorectal Liver Metastases
JAMA Surg. 2018 Nov 1;153(11):1028-1035.
Ratti F, Fiorentini G, Cipriani F, Catena M, Paganelli M, Aldrighetti L.
The clinical and biological impacts of the implementation of fast-track perioperative programs in complex liver resections: A propensity score-based analysis between the open and laparoscopic approaches
Surgery. 2018 Sep;164(3):395-403.
Ratti F, Cipriani F, Reineke R, Comotti L, Paganelli M, Catena M, Beretta L, Aldrighetti L.
Diffusion, outcomes and implementation of minimally invasive liver surgery: a snapshot from the I Go MILS (Italian Group of Minimally Invasive Liver Surgery) Registry
Updates Surg. 2017 Sep;69(3):271-283.
Aldrighetti L, Ratti F, Cillo U, Ferrero A, Ettorre GM, Guglielmi A, Giuliante F, Calise F; Italian Group of Minimally Invasive Liver Surgery (I GO MILS).
Impact of totally laparoscopic combined management of colorectal cancer with synchronous hepatic metastases on severity of complications: a propensity-score-based analysis
Surg Endosc. 2016 Nov;30(11):4934-4945.
Ratti F, Catena M, Di Palo S, Staudacher C, Aldrighetti L.
Impact of ERAS approach and minimally-invasive techniques on outcome of patients undergoing liver surgery for hepatocellular carcinoma
Dig Liver Dis. 2016 Oct;48(10):1243-8.
Ratti F, Cipriani F, Reineke R, Catena M, Comotti L, Beretta L, Aldrighetti L.
Approach to hepatocaval confluence during laparoscopic right hepatectomy: three variations on a theme
Surg Endosc. 2017 Feb;31(2):949.
Ratti F, Cipriani F, Catena M, Paganelli M, Aldrighetti L.
Influence of body habitus on feasibility and outcome of laparoscopic liver resections: a prospective study
J Hepatobiliary Pancreat Sci. 2016 Jun;23(6):373-81.
Ratti F, D'Alessandro V, Cipriani F, Giannone F, Catena M, Aldrighetti L.
Intraoperative monitoring of stroke volume variation versus central venous pressure in laparoscopic liver surgery: a randomized prospective comparative trial
HPB (Oxford). 2016 Feb;18(2):136-144.
Ratti F, Cipriani F, Reineke R, Catena M, Paganelli M, Comotti L, Beretta L, Aldrighetti L.

Do you need an appointment?

Contact us and we will take care of you.