Prof. Lorenzo Spaggiari

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1 Prof. Lorenzo Spaggiari Personal Information Date of Birth: May 9,1961at CASINA (Reggio Emilia,Italy) Address of residence or domicile: Via G. Antonini 32, 20141Milan,Italy lorenzo.spaggiari@ieo.it Education and training: Degree in Medicine and Surgery, University of Parma. Title of the thesis: "The chemical lumbar sympathectomy in the treatment of ischemic syndromes of the lower limbs." Ph.D. in Pathophysiology Cardio-Thoracic Surgery, obtained at the University of Modena. Title of the thesis: "Analysis of the ischemic phase of the lung preservation through the study of cellular models in experimental controlled hypothermia." Specialization in General Surgery at the University of Parma. Title of the thesis: "Surgical treatment of pulmonary metastases from colorectal cancer." Exam for admission to the European Board of Thoracic and Cardio-Vascular Surgery Specialization in Thoracic Surgery at the University of Modena. Title of the thesis: "Resection of the superior vena cava for non-small cell lung cancer: results of a multicenter study." Associate Professor of Thoracic Surgery at the University of Milan National scientific certification as Full Professor in Thoracic Surgery at the University of Milan. Clinical Activity - From 1 January 1995 to 31December 1995 he held the position of "resident estranger" at the Department of Thoracic and Vascular Surgery, Hospital Lannelongue Marie, Paris, France. During this period he carried out as a first and second operator,approximately 400 major thoracic surgery. During this period he was elected a member of the medical committee of the hospital Marie Lannelongue.

2 - From 15 January 1996 to 31October 1996, he held the role of "chirurgien assistant" at the Department of Thoracic Surgery, HospitalMutualiste lnstitut Montsouris, Paris, France. During this time he performed as first operator about 200 major thoracic surgery (including surgery for Pancoast tumor, extended pneumonectomies after chemo-radiotherapy, and resection ofthe bronchial anastomosis) : Deputy Director of the Division of Thoracic Surgery at the European Institute of Oncology, Milan, Italy ad oggi: Director of the Division of Thoracic Surgery at the European Institute of Oncology, Milan, Italy : Lung Program Director at the European Institute of Oncology, Milan, Italy. Research activities From 2 April1991to 30 aprile1991,period of training at the Department of Digestive Surgery, Hospital Beaujon, Paris,France. From 19 May 1992 to 19 June 1992 period of training and research at the Department of Thoracic Surgery, Hospital Xavier-Arnozan, Bordeaux, France. Scholarship for PhD research abroad. From 1March 1993 to 31July 1993,period of training and research in the Department of Thoracic and Vascular Surgery, Hospital Lannelongue Marie, Paris,France. Scholarship for PhD research abroad. Principal Investigator (prospective studies authorized by the Ethics Committee of the European Institute of Oncology): 1. Breath Test in lung cancer patients (leo S683/112) 2. Randomized phase Ill study comparing lung resection sublobar versus lobectomy for the treatment of non-small cell lung cancer in stage la (leo S638/311) 3. Open-label, randomized,prospective,multicenter, parallel-group study comparing the efficacy and safety of TachoSil and standard surgical treatment in patients undergoing pulmonary lobectomy due to lung cancer and malignant requiring treatment for air leakage." International Study Tachosil (leo S282/605) 4. Phase II study of ALIMTA plus cisplatin as neoadjuvant followed by surgery and radiation in the treatment of pleural mesothelioma. leo {226/604)

3 5. Prospective randomized phase Ill trial: a comparison between surgery and surgery plus preoperative chemotherapy with cisplatin-gemcitabine in non-small cell lung cancer in early stage (T2NO,Tl-2N0-1,T3NO and T3N1) (leo S29/499) 6. Multicenter phase II pilot study: induction chemotherapy followed by surgery (with or without radiotherapy) for patients with small cell "very limited" (stage I,II and lila resectable) (leo S190/104) 7. Isolated lung perfusion with high-dose chemotherapy in lung cancer pretreated (primary or secondary) (leo S151/103) 8. Phase Ill study for the surgical treatment of pulmonary metastases: comparison between thoracotomy and minimally invasive approach (leo S010/199) Co-Investigator (prospective studies authorized by the Ethics Committee of the European Institute of Oncology): 1. COSMOS I study: Validation of spiral CT for early diagnosis of lung cancer- extension of the pilot study {leo S039/100) 2. COSMOS II study: Early diagnosis of lung cancer in high-risk subjects with low-dose CT and molecular markers {leo S669/511} 3. Validation of spiral CT for early diagnosis of lung cancer {leo S039/699) Co-investigator of national and international projects: Since 2003 he studies the application of patches of animal pericardium as a substitute for vascular (vena cava and pulmonary artery), and reconstructions of the diaphragm in the process of pleuropneumonectomia. Since 2003, is responsible for the tissue bank of thoracic oncology,thanks to which it was possible to study the role of some genes in carcinogenesis in lung cancer: "Multiple alterations of the Notch pathway are mechanistically involved-in lung cancer," in collaboration with prof. Pece University of Milan,Italy. Since 2006,there is an ongoing feasibility study on the use of the da Vinci Robotic System in lung resection surgery for cancer. He is in charge of the research unit (model B) PRIN 2008: "Clinical and surgical evaluation of the da Vinci master-slave manipulator in Northern Italy" Since 2008 he participates in a study with the University of Bern on the role of stem cell in lung adenocarcinoma.

4 Since 2008 collaborates with the medical oncology at the European Institute of Oncology for the study of a vaccine with adjuvant immunotherapy directed towards the antigen MAGE A3, in all patients with stage lib and lila NSCLC operated in a radical way Review activities of scientific journals: European Journal Cardio-Thoracic Surgery Annals of Thoracic Surgery Journal of Thoracic and Cardiovascular Surgery Chest Lung Cancer Member of Scientific Societies: European Association of Cardio-Thoracic Surgery European Society of Thoracic Surgery Society of Thoracic Surgeon Italian Society of Thoracic Surgery Since 2007 he is member of the editorial board of the Journal of Cardiovascular Surgery. Teaching Activities School of Specialization of Thoracic Surgery, General Surgery, Cardiac Surgery University of Milan,Italy. Coordinator and Lecturer of the Elective Course in Thoracic Oncology,University of Milan, Italy. Coordinator and Lecturer of the Elective Course in Pathophysiology of Chest Surgery, University of Milan, Italy. Coordinator and Professor of Thoracic Surgery (D3E553) for the internship carried out by students of the Faculty of Medicine and Surgery and Students of the Bachelor of Science Nursing Sciences of the University of Milan,Italy. Teacher of the degree course in "Techniques of Medical Radiology,Imaging and Radiotherapy",and responsible of the course of medical and surgical pathology of the University of Milan,Italy. Teacher of the course in thoracic surgery for a degree in Physiotherapy,University of Milan, Italy. Professor of Thoracic Surgery at the Doctoral School of Science Pneumo-Cardio-Thoracic of medical-surgical interest,university of Bologna, Italy.

5 Awards and Recognitions Degree award Alfonso Albrigi academic year 1993/1994,University of Parma, for clinical and experimental research on the Oncology Clinic with special reference to the respiratory system. International Award Vivisalute (studies in oncology), First Edition,Milan January 22, 2004

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