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Journals HPB Surgery : a World Journal ...

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery

https://read.qxmd.com/read/26491217/preoperative-diagnostic-angiogram-and-endovascular-aortic-stent-placement-for-appleby-resection-candidates-a-novel-surgical-technique-in-the-management-of-locally-advanced-pancreatic-cancer
#21
JOURNAL ARTICLE
N Trabulsi, J S Pelletier, C Abraham, T Vanounou
Background. Pancreatic adenocarcinoma of the body and tail usually presents late and is typically unresectable. The modified Appleby procedure allows resection of pancreatic body carcinoma with celiac axis (CA) invasion. Given that the feasibility of this technique is based on the presence of collateral circulation, it is crucial to confirm the presence of an anatomical and functional collateral system. Methods. We here describe a novel technique used in two patients who were candidates for Appleby resection...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/26457000/effect-of-the-human-amniotic-membrane-on-liver-regeneration-in-rats
#22
JOURNAL ARTICLE
Mesut Sipahi, Sevinç Şahin, Ergin Arslan, Hasan Börekci, Bayram Metin, Nuh Zafer Cantürk
Introduction. Operations are performed for broader liver surgery indications for a better understanding of hepatic anatomy/physiology and developments in operation technology. Surgery can cure some patients with liver metastasis of some tumors. Nevertheless, postoperative liver failure is the most feared complication causing mortality in patients who have undergone excision of a large liver mass. The human amniotic membrane has regenerative effects. Thus, we investigated the effects of the human amniotic membrane on regeneration of the resected liver...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/26420916/the-surgical-management-of-concomitant-gallbladder-and-common-bile-duct-stones
#23
JOURNAL ARTICLE
J H Darrien, K Connor, A Janeczko, J J Casey, S Paterson-Brown
Background. The management of choledocholithiasis has evolved from open common bile duct exploration (OCBDE) to therapeutic endoscopic retrograde cholangiopancreatography (ERCP) to laparoscopic common bile duct exploration (LCBDE). Each entails a degree of difficulty. Aim. To review 5-year results of bile duct exploration in an UGI unit. Methods. Common bile duct explorations (CBDEs) performed between January 2008 and January 2013 were identified from a prospectively collected clinical audit system and results reviewed retrospectively...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/26351405/feasibility-of-comparing-the-results-of-pancreatic-resections-between-surgeons-a-systematic-review-and-meta-analysis-of-pancreatic-resections
#24
REVIEW
Kurinchi Gurusamy, Clare Toon, Bhavisha Virendrakumar, Steve Morris, Brian Davidson
Background. Indicators of operative outcomes could be used to identify underperforming surgeons for support and training. The feasibility of identifying HPB surgeons with poor operative performance ("outliers") based on the results of pancreatic resections is not known. Methods. A systematic review of Medline, Embase, and the Cochrane library was performed to identify studies on pancreatic resection including at least 100 patients and published between 2004 and 2014. Proportions that lay outside the upper 95% and 99...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/26106254/assessment-of-liver-remnant-using-icg-clearance-intraoperatively-during-vascular-exclusion-early-experience-with-the-aliive-technique
#25
JOURNAL ARTICLE
Lawrence Lau, Christopher Christophi, Mehrdad Nikfarjam, Graham Starkey, Mark Goodwin, Laurence Weinberg, Loretta Ho, Vijayaragavan Muralidharan
Background. The most significant risk following major hepatectomy is postoperative liver insufficiency. Current preoperative assessment of the future liver remnant relies upon assumptions which may not be valid in the setting of advanced resection strategies. This paper reports the feasibility of the ALIIVE technique which assesses the liver remnant with ICG clearance intraoperatively during vascular exclusion. Methods. 10 patients undergoing planned major liver resection (hemihepatectomy or greater) were recruited...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25918455/the-changing-spectrum-of-surgically-treated-cystic-neoplasms-of-the-pancreas
#26
JOURNAL ARTICLE
Jennifer K Plichta, Jacqueline A Brosius, Sam G Pappas, Gerard J Abood, Gerard V Aranha
Introduction. While the incidence of pancreatic cystic lesions has steadily increased, we sought to evaluate the changes in their surgical management. Methods. Patients with pancreatic cystic lesions who underwent surgical resection from 2003 to 2013 were identified. Clinicopathologic factors were analyzed and compared to a similar cohort from 1992 to 2002. Results. There were 134 patients with pancreatic cystic lesions who underwent surgical resection from 2003 to 2013, compared to 73 from 1992 to 2002. The most common preoperative imaging was a CT scan, although 66% underwent EUS and 63% underwent biopsy...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25873753/surgery-for-cystic-pancreatic-lesions-in-the-post-sendai-era-a-single-institution-experience
#27
JOURNAL ARTICLE
Jörg Kleeff, Christoph Michalski, Bo Kong, Mert Erkan, Susanne Roth, Jens Siveke, Helmut Friess, Irene Esposito
Introduction. The management of cystic pancreatic lesions has changed in recent years as a result of increasing knowledge of their biological behaviour, better diagnostic options, and international guidelines. Methods. Retrospective analysis of a cohort of 86 patients operated for cystic pancreatic lesions during a seven-year period (2007-2014). Results. Final histopathology revealed 53 intraductal papillary mucinous neoplasms (19 branch duct IPMNs, 15 mixed type IPMNs, and 19 main duct IPMNs), 14 serous and 13 mucinous cystic neoplasms, 3 solid pseudopapillary neoplasms, and 3 other lesions...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25788760/the-impact-of-changed-strategies-for-patients-with-cholangiocarcinoma-in-this-millenium
#28
JOURNAL ARTICLE
Per Lindnér, Magnus Rizell, Lo Hafström
Background. Cholangiocarcinoma is a cancer with a poor prognosis. In this millennium there are new diagnostic and therapeutic strategies for these patients. Aim. The aim of this study was to find if these changes influenced survival of individuals with proximal cholangiocarcinoma. Material. 627 individuals with a diagnosis of cholangiocarcinoma (not including distal common duct cancer) during the period from 2000 to 2011 were registered in Sweden's Western Region. The material was divided into three consecutive time periods...
2015: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25548432/laparoscopic-versus-open-liver-resection-differences-in-intraoperative-and-early-postoperative-outcome-among-cirrhotic-patients-with-hepatocellular-carcinoma-a-retrospective-observational-study
#29
JOURNAL ARTICLE
Antonio Siniscalchi, Giorgio Ercolani, Giulia Tarozzi, Lorenzo Gamberini, Lucia Cipolat, Antonio D Pinna, Stefano Faenza
Introduction. Laparoscopic liver resection is considered risky in cirrhotic patients, even if minor surgical trauma of laparoscopy could be useful to prevent deterioration of a compromised liver function. This study aimed to identify the differences in terms of perioperative complications and early outcome in cirrhotic patients undergoing minor hepatic resection for hepatocellular carcinoma with open or laparoscopic technique. Methods. In this retrospective study, 156 cirrhotic patients undergoing liver resection for hepatocellular carcinoma were divided into two groups according to type of surgical approach: laparoscopy (LS group: 23 patients) or laparotomy (LT group: 133 patients)...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25505821/primary-leiomyoma-of-the-liver-a-review-of-a-rare-tumour
#30
REVIEW
Ayodeji Oluwarotimi Omiyale
Context. Primary leiomyoma of the liver is a rare tumour with uncertain pathogenesis with similar presentation with other tumours of the liver. Little is known about its clinical course. Objectives. To review the literature for case reports of primary leiomyoma of the liver. Methods. Extensive literature search was carried out for case reports of primary leiomyoma of the liver. Results. A total of 36 cases of primary leiomyoma of the liver were reviewed. The mean age of presentation is 43 years with slight female sex affectation; females accounted for 55...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25505820/risk-factors-associated-with-reoperation-for-bleeding-following-liver-transplantation
#31
JOURNAL ARTICLE
Maxwell A Thompson, David T Redden, Lindsey Glueckert, A Blair Smith, Jack H Crawford, Keith A Jones, Devin E Eckhoff, Stephen H Gray, Jared A White, Joseph Bloomer, Derek A DuBay
Introduction. This study's objective was to identify risk factors associated with reoperation for bleeding following liver transplantation (LTx). Methods. A retrospective study was performed at a single institution between 2001 and 2012. Operative reports were used to identify patients who underwent reoperation for bleeding within 2 weeks following LTx (operations for nonbleeding etiologies were excluded). Results. Reoperation for bleeding was observed in 101/928 (10.8%) of LTx patients. The following characteristics were associated with reoperation on multivariable analysis: recipient MELD score (OR 1...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25477707/use-of-pharmacologic-agents-for-modulation-of-ischaemia-reperfusion-injury-after-hepatectomy-a-questionnaire-study-of-the-livermetsurvey-international-registry-of-hepatic-surgery-units
#32
JOURNAL ARTICLE
Santhalingam Jegatheeswaran, Saurabh Jamdar, Thomas Satyadas, Aali J Sheen, Rene Adam, Ajith K Siriwardena
Objectives. This study is a questionnaire survey on the use of pharmacological agents to modify liver ischaemia-reperfusion (IR) injury in patients undergoing hepatectomy for colorectal liver metastases with the target population being those units participating in the LiverMetSurvey international registry. Methods. Members of LiverMetSurvey were sent an online questionnaire using SurveyMonkey comprising ten questions on the use of pharmacological agents to modulate hepatic IR injury in the perioperative period after hepatectomy...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25435672/iatrogenic-biliary-injuries-multidisciplinary-management-in-a-major-tertiary-referral-center
#33
JOURNAL ARTICLE
Ibrahim Abdelkader Salama, Hany Abdelmeged Shoreem, Sherif Mohamed Saleh, Osama Hegazy, Mohamed Housseni, Mohamed Abbasy, Gamal Badra, Tarek Ibrahim
Background. Iatrogenic biliary injuries are considered as the most serious complications during cholecystectomy. Better outcomes of such injuries have been shown in cases managed in a specialized center. Objective. To evaluate biliary injuries management in major referral hepatobiliary center. Patients & Methods. Four hundred seventy-two consecutive patients with postcholecystectomy biliary injuries were managed with multidisciplinary team (hepatobiliary surgeon, gastroenterologist, and radiologist) at major Hepatobiliary Center in Egypt over 10-year period using endoscopy in 232 patients, percutaneous techniques in 42 patients, and surgery in 198 patients...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25202167/the-interaction-between-diabetes-body-mass-index-hepatic-steatosis-and-risk-of-liver-resection-insulin-dependent-diabetes-is-the-greatest-risk-for-major-complications
#34
JOURNAL ARTICLE
M G Wiggans, J T Lordan, G Shahtahmassebi, S Aroori, M J Bowles, D A Stell
Background. This study aimed to assess the relationship between diabetes, obesity, and hepatic steatosis in patients undergoing liver resection and to determine if these factors are independent predictors of major complications. Materials and Methods. Analysis of a prospectively maintained database of patients undergoing liver resection between 2005 and 2012 was undertaken. Background liver was assessed for steatosis and classified as <33% and ≥33%. Major complications were defined as Grade III-V complications using the Dindo-Clavien classification...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25104878/the-association-between-survival-and-the-pathologic-features-of-periampullary-tumors-varies-over-time
#35
JOURNAL ARTICLE
Jennifer K Plichta, Anjali S Godambe, Zachary Fridirici, Sherri Yong, James M Sinacore, Gerard J Abood, Gerard V Aranha
Introduction. Several histopathologic features of periampullary tumors have been shown to be correlated with prognosis. We evaluated their association with mortality at multiple time points. Methods. A retrospective chart review identified 207 patients with periampullary adenocarcinomas who underwent pancreaticoduodenectomy between January 1, 2001 and December 31, 2009. Clinicopathologic features were assessed, and the data were analyzed using univariate and multivariate methods. Results. In univariate analysis, perineural invasion had a strong association with 1-year mortality (OR 3...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25100899/surgical-strategy-for-isolated-caudate-lobectomy-experience-with-16-cases
#36
JOURNAL ARTICLE
Gendong Tian, Qiong Chen, Yuan Guo, Mujian Teng, Jie Li
Introduction. Surgical resection is the most effective treatment for neoplasm in the caudate lobe. Isolated caudate lobectomy is still a challenge for hepatobiliary surgeons. No widely accepted surgical strategy for the procedure has been developed yet. Objective. To get a better understanding of isolated caudate lobectomy and to optimize the procedure. Materials and Methods. 16 cases of isolated caudate lobectomy were reviewed to summarize the surgical experience. Results. All the 16 cases of isolated caudate lobectomy were carried out successfully, among which left side approach was adopted in two cases (12...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/25009367/debakey-forceps-crushing-technique-for-hepatic-parenchymal-transection-in-liver-surgery-a-review-of-100-cases-and-ergonomic-advantages
#37
JOURNAL ARTICLE
Sundeep Jain, Bharat Sharma, Mitesh Kaushik, Lokendra Jain
Introduction and Objective. Bleeding is an important complication in liver transections. To determine the safety and efficacy of Debakey forceps for liver parenchymal transection and its ergonomic advantages over clamp crushing method we analysed our data. Methods. We used Debakey crushing technique in 100 liver resections and analysed data for transection time, transfusion rate, morbidity, mortality, hospital stay, influence of different types of liver conditions, and ergonomi features of Debakey forceps. Results...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/24963215/the-prognostic-significance-of-lymphatics-in-colorectal-liver-metastases
#38
JOURNAL ARTICLE
Vijayaragavan Muralidharan, Linh Nguyen, Jonathan Banting, Christopher Christophi
Background. Colorectal Cancer (CRC) is the most common form of cancer diagnosed in Australia across both genders. Approximately, 40%-60% of patients with CRC develop metastasis, the liver being the most common site. Almost 70% of CRC mortality can be attributed to the development of liver metastasis. This study examines the pattern and density of lymphatics in colorectal liver metastases (CLM) as predictors of survival following hepatic resection for CLM. Methods. Patient tissue samples were obtained from the Victorian Cancer Biobank...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/24723741/prognostic-factors-for-long-term-survival-in-patients-with-ampullary-carcinoma-the-results-of-a-15-year-observation-period-after-pancreaticoduodenectomy
#39
JOURNAL ARTICLE
Fritz Klein, Dietmar Jacob, Marcus Bahra, Uwe Pelzer, Gero Puhl, Alexander Krannich, Andreas Andreou, Safak Gül, Olaf Guckelberger
Introduction. Although ampullary carcinoma has the best prognosis among all periampullary carcinomas, its long-term survival remains low. Prognostic factors are only available for a period of 10 years after pancreaticoduodenectomy. The aim of this retrospective study was to identify factors that influence the long-term patient survival over a 15-year observation period. Methods. From 1992 to 2007, 143 patients with ampullary carcinoma underwent pancreatic resection. 86 patients underwent pylorus-preserving pancreaticoduodenectomy (60%) and 57 patients underwent standard Kausch-Whipple pancreaticoduodenectomy (40%)...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://read.qxmd.com/read/24723740/metabolomic-analysis-of-liver-tissue-from-the-vx2-rabbit-model-of-secondary-liver-tumors
#40
JOURNAL ARTICLE
R Ibarra, J-E Dazard, Y Sandlers, F Rehman, R Abbas, R Kombu, G-F Zhang, H Brunengraber, J Sanabria
Purpose. The incidence of liver neoplasms is rising in USA. The purpose of this study was to determine metabolic profiles of liver tissue during early cancer development. Methods. We used the rabbit VX2 model of liver tumors (LT) and a control group consisting of sham animals implanted with Gelfoam into their livers (LG). After two weeks from implantation, liver tissue from lobes with and without tumor was obtained from experimental animals (LT+/LT-) as well as liver tissue from controls (LG+/LG-). Peaks obtained by Gas Chromatography-Mass Spectrometry were subjected to identification...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
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