Browse Health
Surgical Specialist
21 years of experience
Video profile
Accepting new patients

Education ?

Medical School Score Rankings
University of Pennsylvania (1989)
  • Currently 4 of 4 apples
Top 25%
Residency
Thomas Jefferson University Hospital *
Surgery
* This information was reported to Vitals by the doctor or doctor's office.

Awards & Distinctions ?

Awards  
Fellow, Association of Minimal Access Surgeons of India 2009
Paul G Curcillo II Biology Award – Established Temple University 2007
Consumer Research Council of America – Top Surgeons 2007, 2008
Departmental Honors in Biology, Temple University,1984
Best Doctors - America’s Best Surgeons
Castle Connelly Top Docs 2008
Best Doctors 2007-2008, 2008-2009, 2009-2010 (Best Doctors in America Database)
Top Doctors in Philadelphia, Philadelphia Magazine 2009
Who’s Who – The Global Directory of Who’s Who, 2009 (Top Doctors)
Temple University Gallery of Success, 2009
Castle Connolly America's Top Doctors® (2010 - 2014)
Castle Connolly America's Top Doctors® for Cancer (2009, 2012, 2014)
Patients' Choice 5th Anniversary Award (2012)
Patients' Choice Award (2008 - 2012)
Compassionate Doctor Recognition (2009 - 2012)
On-Time Doctor Award (2009)
Associations
American Board of Surgery

Affiliations ?

Dr. Curcillo is affiliated with 4 hospitals.

Hospital Affilations

Score

Rankings

  • Thomas Jefferson University Hospital
    111 S 11th St, Philadelphia, PA 19107
    • Currently 4 of 4 crosses
    Top 25%
  • Methodist Hospital
    2301 S Broad St, Philadelphia, PA 19148
    • Currently 3 of 4 crosses
    Top 50%
  • Hahnemann University Hospital
    230 N Broad St, Philadelphia, PA 19102
    • Currently 2 of 4 crosses
  • Fox Chase Cancer Center
    333 Cottman Ave, Philadelphia, PA 19111
  • Publications & Research

    Dr. Curcillo has contributed to 23 publications.
    Title The Road to Reduced Port Surgery: from Single Big Incisions to Single Small Incisions, and Beyond.
    Date October 2011
    Journal World Journal of Surgery
    Excerpt

    Single-port surgery has seen almost as rapid an application as multiport laparoscopy during the early 1990s. Hopefully, we will learn from our predecessors to apply the dictums of safety and science as we move forward with this new technique to ensure adequate adoption and successful outcomes with limited errors and concerns along the way.

    Title Single-incision Laparoscopic Right Hemicolectomy.
    Date December 2010
    Journal The British Journal of Surgery
    Title Initial Surgeon Training for Single Port Access Surgery: Our First Year Experience.
    Date November 2010
    Journal Jsls : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
    Excerpt

    We have developed a single port access (SPA) surgical technique that allows for procedures to be done through a single umbilical port incision <20 mm in length. For a new approach to be universally beneficial, it needs to be easily learned and applied.

    Title Re: Single Incision Multiport Laparoendoscopic (simple) Surgery.
    Date November 2010
    Journal Surgical Endoscopy
    Title Single-port-access (spa) Cholecystectomy: a Multi-institutional Report of the First 297 Cases.
    Date November 2010
    Journal Surgical Endoscopy
    Excerpt

    An important aspect of a new surgical technique is whether it can be performed by other surgeons in other institutions. The authors report the first 297 cases in a multi-institutional and multinational review of laparoscopic cholecystectomy performed via a single portal of entry.

    Title Single Port Access (spa) Laparoscopic Ventral Hernia Repair: Initial Report of 30 Cases.
    Date October 2010
    Journal Surgical Endoscopy
    Excerpt

    Laparoscopic ventral hernia repair has been demonstrated to be an acceptable and successful technique. Aside from similar, albeit fewer, complications compared to open hernia repair, the laparoscopic technique has the additional complication of port site hernia to its follow-up criteria. Our initial experience with reduced port surgery in hernias was described as a two-port one-stitch repair technique in 2002. We initially applied our Single Port Access (SPA) technique to ventral hernia repairs and reported it at the American Hernia Society meeting in 2008. Now we present the first 30 cases, some with 6-24-month follow-up.

    Title Single Port Access (spa) Technique: Video Summary.
    Date October 2010
    Journal Surgical Endoscopy
    Title Reply To: 10.1007/s00464-009-0382-x: Single Port Access (spa) Gastrostomy Tube in Patients Unable to Receive Percutaneous Endoscopic Gastrostomy Placement (2009 (23) 1142-1145).
    Date October 2010
    Journal Surgical Endoscopy
    Title Single Port Access (spa) Surgery--a 24-month Experience.
    Date July 2010
    Journal Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
    Excerpt

    In April 2007, we performed our first single port access (SPA) surgical procedure. Beginning with simple procedures, we progressed to more complex procedures employing modifications of the initial technique.

    Title Consensus Statement of the Consortium for Laparoendoscopic Single-site Surgery.
    Date July 2010
    Journal Surgical Endoscopy
    Title Single Port Access (spa) Splenectomy.
    Date July 2010
    Journal Jsls : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
    Excerpt

    Over the last decade, laparoscopic splenectomy has become the standard of care for spleen removal. Elimination of a large incision and difficult exposure has decreased postoperative morbidity and length of stay. Single port access (SPA) surgery was developed as an alternative to traditional multiport laparoscopy, potentially exploiting the already proven benefits of minimally invasive surgery. We apply the SPA technique to splenectomy via a single umbilical incision.

    Title Single Port Access (spa) Cholecystectomy: Two Year Follow-up.
    Date May 2010
    Journal Jsls : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
    Excerpt

    Laparoscopy is a constantly evolving field of surgery. New technology, applications, and benefits prompt continual improvement. We have developed a Single Port Access (SPA) surgical technique that allows for the entire cholecystectomy to be performed through a single incision within the umbilicus while maintaining safe standard dissection and retraction techniques of currently performed multiport laparoscopic cholecystectomy.

    Title Single Port Access (spa) Cholecystectomy: a Completely Transumbilical Approach.
    Date July 2009
    Journal Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
    Excerpt

    We have seen substantial changes in minimally invasive surgery since its development in the early 1900s. Over the past 10 years, the addition of natural orifice transluminal endoscopic surgery and robotics has turned our attention to improved cosmesis and advancements in instrumentation. We have developed a new technique-single port access (SPA) surgery-and have applied it to the cholecystectomy. In this paper, we present and review the application of this access technique to the first 5 consecutive patients that underwent an SPA cholecystectomy. All 5 patients were female, with an average age of 45 years and an average weight of 172 pounds. Indications included biliary dyskinesia and symptomatic cholelithiasis. Average operative time was 121 minutes in these initial 5 cases. All but 1 patient was discharged in 24 hours. At 6 months, no umbilical hernias were observed. This new technique allows for a complete cholecystectomy to be performed entirely through the umbilicus without the need for additional retraction sites or transabdominal sutures. This procedure utilizes the same basic technique of the laparoscopic cholecystectomy already employed by general surgeons. Therefore, the SPA cholecystectomy can be readily learned and performed by many surgeons without the need for expensive or experimental equipment. Using a single portal of entry to the abdominal cavity, the umbilicus, cosmesis, and scar reduction is achieved.

    Title Single Port Access (spa) Gastrostomy Tube in Patients Unable to Receive Percutaneous Endoscopic Gastrostomy Placement.
    Date July 2009
    Journal Surgical Endoscopy
    Excerpt

    Access procedures for alimentation have been performed both endoscopically and surgically. In those patients in whom endoscopic tubes cannot be placed, the minimally invasive approach is a viable alternative. To minimize incisions and their sequelae, we have developed a single port access (SPA) technique in which minimal access surgery can be done through one portal of entry, often the umbilicus.

    Title Breast Conservation After Neoadjuvant Chemotherapy for Stage Ii Carcinoma of the Breast.
    Date October 2005
    Journal Journal of the American College of Surgeons
    Excerpt

    BACKGROUND: Neoadjuvant chemotherapy has become the standard treatment for stage III breast cancer. Gratifying results in these patients prompted this prospective, nonrandomized study of neoadjuvant chemotherapy in stage II breast cancer. This study presents our experience with neoadjuvant chemotherapy in 127 patients with stage II carcinoma of the breast. STUDY DESIGN: Patients with stages IIA (T > 3.0 cm) and IIB carcinoma were considered for this study and underwent treatment with cyclic chemotherapy until a plateau of response was achieved. Responders underwent breast conservation or mastectomy according to conventional assessment. Chemotherapy was continued in the adjuvant setting. Survival data were compared with historic controls. RESULTS: Between 1981 and 2001, 127 women between the ages of 22 and 80 years (mean age 52, median age 50), with stage II breast cancer were enrolled, with median followup of 60 months. One hundred twenty-two patients (96.1%) responded to chemotherapy. Of this group, 35 (29.2%) experienced complete pathologic responses or had only microscopic foci of disease after treatment. Sixty-two patients (52.5%) had negative lymph nodes at the time of the operation; 28 of these patients were previously considered N-1 clinically. Seventy-six patients (62%) underwent breast conservation. Overall survivals at 5 years for stage IIA and IIB disease were 94.7% and 88%, respectively. Disease-free survival at 5 years was 85.2% for stage IIA patients and 69.1% for stage IIB patients. CONCLUSIONS: Neoadjuvant chemotherapy can be effectively applied to patients with stage II disease, and breast conservation becomes feasible in the majority of patients. When compared with historic controls, the current study suggests a statistically significant overall survival advantage (p < 0.007) at 5 years.

    Title Functional Magnetic Resonance Cholangiography (fmrc) of the Gallbladder and Biliary Tree with Contrast-enhanced Magnetic Resonance Cholangiography.
    Date January 2004
    Journal Journal of Magnetic Resonance Imaging : Jmri
    Excerpt

    PURPOSE: To determine the diagnostic performance of functional magnetic resonance cholangiography (fMRC) for the evaluation of anatomic and functional biliary disorders. MATERIALS AND METHODS: At 1.5 T, 39 MR examinations with conventional MRC and mangafodipir trisodium-enhanced fMRC were retrospectively reviewed by three observers who recorded anatomic (duct dilation, stricture, filling defects) and functional (cholecystitis, obstruction) abnormalities in three modes: MRC alone, fMRC alone, and MRC and fMRC images together (combined-MRC). Performance was determined by comparing findings with each mode to findings of invasive cholangiography (IC) and surgery. RESULTS: Among 75 biliary segments (correlated with IC), the sensitivity/specificity for diagnosing dilation (N = 41) with MRC was 95%/97%; with fMRC, 90%/100%; with combined-MRC, 100%/97%. For stricture (N = 7), the sensitivity/specificity of MRC was 86%/98%; of fMRC, 43%/100%; of combined-MRC, 86%/100%. For filling defects (N = 9), the sensitivity/specificity of MRC was 91%/98%; of fMRC, 82%/100%; of combined-MRC, 91%/100%. For diagnosing obstruction (N = 9), the sensitivity/specificity of MRC, fMRC, and combined-MRC were 89%/100%, 100%/100%, and 100%/100%, respectively. For surgically proven cholecystitis (N = 13), positive predictive values for diagnosing acute/chronic cholecystitis for MRC were 33%/40%; for fMRC, 100%/50%; for combined-MRC, 100%/50%. CONCLUSION: Although single-shot fast spin echo (SSFSE)-MRC is valuable, the addition of fMRC increased diagnostic performance for functional biliary disorders.

    Title Unusual "to-and-fro" Doppler Spectral Waveform in Lymph Node Metastasis.
    Date November 2002
    Journal Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
    Title Automated, Eight-cage Indirect Calorimetry in Rats.
    Date December 1998
    Journal Nutrition (burbank, Los Angeles County, Calif.)
    Excerpt

    We have constructed an automated, eight-cage indirect calorimeter (AIC) for the measurement of energy expenditure in rats. We compared the measurements of resting energy expenditure (REE) in rats during a 30-h fast obtained with the AIC with those obtained with a manual indirect calorimetry (MIC) system. There was both a high degree of correlation between the two techniques during the initial 18 h of the fast (r = 0.90, P < 0.05) and strong intertechnique agreement. REE (AIC) decreased during the final 12 h of the 30-h fast (79.6 +/- 2.7-72.0 +/- 4.4 kcal.kg-0.75.d-1 [mean +/- SD, P < 0.01]). REE (MIC) did not show a significant decrease during this part of the fast (79.7 +/- 2.6 - 75.2 +/- 4.7 kcal.kg-0.75.d-1 [P = NS]). During the final 12 h of the fast agreement between the two systems gradually dissipated and correlation was poor (r = 0.375, P < 0.05). The frequency of animal handling necessitated by MIC may have resulted in a stress-induced increase in metabolic work that would mask the animals' adaptive response to starvation. This investigation demonstrates the advantages of the AIC and calls into question the accuracy of manual methods under long-term starvation conditions.

    Title Resting Energy Expenditure of Patients with Gynecologic Malignancies.
    Date January 1996
    Journal Journal of the American College of Nutrition
    Excerpt

    OBJECTIVE: To evaluate resting energy expenditure compared to predicted energy expenditure in patients with cervical or ovarian carcinoma who require specialized nutritional support. DESIGN: Women with biopsy-proven cervical or ovarian carcinoma referred to the Nutrition Support Service were studied. Resting energy expenditure was measured by indirect calorimetry and compared to predicted energy expenditure (PEE) as determined by the Harris-Benedict equation for females. RESULTS: Sixty one patients were studied. Patients with ovarian cancer (n = 31) had a significantly higher measured resting energy expenditure (% PEE) than patients with cervical cancer (109 +/- 18% vs. 98 +/- 16%, p < 0.02, respectively). This difference in measured resting energy expenditure between groups could not be explained by differences in the extent of disease, nutritional status, body temperature, or nutrient intake between groups. A greater proportion of patients with ovarian cancer were hypermetabolic (> 110% of predicted) in comparison to patients with cervical cancer (55% vs. 13%, p < 0.01, respectively). Measured resting energy expenditure varied between 53% and 157% of predicted for the entire population. CONCLUSION: Ovarian cancer patients are more hypermetabolic than cervical cancer patients. The Harris-Benedict equation for females is a unreliable estimate of caloric expenditure in patients with cervical or ovarian cancer receiving specialized nutritional support.

    Title Transabdominal Esophagomyotomy and Partial Fundoplication for Treatment of Achalasia.
    Date November 1991
    Journal Surgery, Gynecology & Obstetrics
    Excerpt

    The most common surgical treatment for achalasia is a modified anterior extramucosal esophagomyotomy. Unfortunately, a poor outcome may result secondary to recurrent dysphagia or gastroesophageal reflux. The reported incidence of reflux is 4 to 50 per cent. Our treatment for achalasia is an esophagomyotomy carried onto the cardia combined with a partial gastric fundoplication. Of 22 patients who presented with achalasia and moderate to severe symptoms of dysphagia and odynophagia, 19 had this procedure performed. Of these 19 patients, only two required a second procedure (postoperative dilatation) for recurrent symptoms. All three patients who had a full fundoplication required further surgical correction. Although fundoplication has been condemned in the past as treatment of achalasia to avoid the postoperative outcome of reflux, we have been successful with a partial fundoplication added to the standard esophagomyotomy. Given the fine line that needs to be tread to prevent recurrent signs and symptoms of achalasia or reflux when performing esophagomyotomy, our procedure offers a viable alternative to transthoracic esophagomyotomy alone.

    Title The Ontogeny of Sex Appeal in Drosophila Melanogaster Males.
    Date June 1987
    Journal Behavior Genetics
    Title Single Port Access Adrenalectomy.
    Date
    Journal Journal of Endourology / Endourological Society
    Excerpt

    OBJECTIVE: To report the first single port access (SPA) adrenalectomy to minimize patient discomfort through a less invasive procedure. METHODS/RESULTS: We performed the first SPA in a 63-year-old, otherwise healthy Caucasian female who had a 4.5-cm left adrenal mass that was incidentally discovered on computed tomography scan of the abdomen and pelvis. Through a 2-cm single longitudinal supraumbilical incision extended down to the abdominal fascia, three 5-mm ports were placed through separate facial entry points, to make a triangular port arrangement. The adrenal vein was identified and ligated using hemoclips. The remainder of the dissection was done using hemocoagulation. The adrenal gland was extracted via an EndoCatch bag device by removing one 5-mm port and upsizing to a 12-mm port. CONCLUSION: We report on the first SPA adrenalectomy. Although this technology is still in its infancy, the use of a single port for surgery provides a means to provide a potentially better patient outcome with a less invasive procedure.

    Title Reduced-port Surgery: Preservation of the Critical View in Single-port-access Cholecystectomy.
    Date
    Journal Surgical Endoscopy
    Excerpt

    Over the past 3 years, minimal-access surgery has seen movement toward single-port-access (SPA) surgery. Since its inception in the spring of 2007, a number of differing approaches and technologies for reduced-port surgery have become available to move the field toward "scarless" surgery. As with any advance, a cautious eye needs to observe changes with respect to the risks and benefits of new procedures or devices. Although the adoption of reduced-port techniques in cholecystectomy may move the field of surgery forward, there is a need to ensure that basic tenets of safety are not left behind. In cholecystectomy, one of the gold standards for safety is preservation of the critical view of safety during cystic duct dissection and transection.

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