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Journal of Hepato-biliary-pancreatic Sciences

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https://www.readbyqxmd.com/read/30428161/comparison-between-autologous-and-homologous-blood-transfusions-in-liver-resection-for-biliary-tract-cancer-a-propensity-score-matching-analysis
#1
Shunsuke Onoe, Yukihiro Yokoyama, Tomoki Ebata, Tsuyoshi Igami, Takashi Mizuno, Junpei Yamaguchi, Nobuyuki Watanabe, Masato Nagino
BACKGROUND: It remains unclear whether preoperative blood donation is truly beneficial in liver surgery. The aim of this study was to compare surgical outcomes between patients receiving autologous and homologous transfusions during liver resection for biliary tract cancer (BTC). METHODS: Patients who underwent hepatectomy for BTC were retrospectively reviewed (2006-2017). Patients who deposited autologous blood and underwent resection without homologous blood transfusion intraoperatively (Autologous-group) were compared with non-depositing patients who required homologous transfusion during hepatectomy (Homologous-group)...
November 14, 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30328297/clinical-significance-of-drain-fluid-culture-after-pancreaticoduodenectomy
#2
Feng Yang, Chen Jin, Ji Li, Yang Di, Jing Zhang, Deliang Fu
BACKGROUND: The mechanism of infected postoperative pancreatic fistula (POPF) following PD is undefined. Drain amylase has been used to predict POPF, whereas little data is available about the value of drain fluid culture. The aim was to investigate the incidence, risk factors and association with surgical outcomes of positive drainage culture (PDC) after pancreaticoduodenectomy (PD). METHODS: A single-center retrospective analysis was conducted of prospectively collected data from patients who underwent PD between January 2005 and December 2015...
October 16, 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30328288/characteristics-management-and-outcomes-of-congenital-biliary-dilatation-in-neonates-and-early-infants-a-20-year-single-institution-study
#3
Naoto Urushihara, Koji Fukumoto, Masaya Yamoto, Hiromu Miyake, Toshiaki Takahashi, Akihide Nomura, Akinori Sekioka, Yutaka Yamada, Kengo Nakaya
PURPOSE: To investigate the characteristics, management, and outcomes of congenital biliary dilatation (CBD) in neonates and infants (< 1 year old) in a single institution over the past 20 years. METHODS: From 1997 to 2016, 21 patients < 1 year old underwent definitive surgery for CBD. Open surgery (OS) was performed between 1997 and 2008, and laparoscopic surgery (LS) has been performed since 2009. RESULTS: The bile duct showed cystic dilatation in all patients...
October 16, 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30312537/effect-of-antithrombic-therapy-on-bleeding-complications-in-patients-receiving-emergency-cholecystectomy-for-acute-cholecystitis
#4
Yusuke Kawamoto, Takahisa Fujikawa, Yusuke Sakamoto, Norio Emoto, Ryo Takahashi, Yuichiro Kawamura, Akira Tanaka
BACKGROUND: The risk of developing hemorrhagic complications during or after emergency cholecystectomy in patients with antithrombic therapy (ATT) remains uncertain. In this study, we evaluate outcomes in patients with ATT undergoing emergency cholecystectomy and assess the relevance between ATT and perioperative complications including bleeding complications. STUDY DESIGN: We retrospectively evaluated 296 patients who were diagnosed as acute cholecystitis and underwent emergency cholecystectomy between 2005 and 2017...
October 12, 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30311741/outcomes-of-1639-hepatectomies-for-non-colorectal-non-neuroendocrine-liver-metastases-a-multicenter-analysis
#5
Keiji Sano, Masakazu Yamamoto, Tetsushige Mimura, Itaru Endo, Shoji Nakamori, Masaru Konishi, Masaru Miyazaki, Toshifumi Wakai, Masato Nagino, Keiichi Kubota, Michiaki Unno, Naohiro Sata, Junji Yamamoto, Hiroki Yamaue, Tadahiro Takada
BACKGROUND: Whether non-colorectal non-neuroendocrine liver metastasis (NCNNLM) should be treated surgically remains unclear. METHODS: Data regarding 1639 hepatectomies performed between 2001 and 2010 for 1539 patients with NCNNLM were collected from 124 institutions. Patient characteristics, types of primary tumor, characteristics of liver metastases, and post-hepatectomy outcomes were analyzed. RESULTS: The 5 most frequent primary tumors were gastric carcinoma (540 patients [35%]), gastrointestinal stromal tumor (204 patients [13%]), biliary carcinoma (150 patients [10%]), ovarian cancer (107 patients [7%]), and pancreatic carcinoma (77 patients [5%])...
October 12, 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30291768/learning-curve-and-surgical-factors-influencing-the-surgical-outcomes-during-the-initial-experience-with-laparoscopic-pancreaticoduodenectomy
#6
Yuichi Nagakawa, Yoshiharu Nakamura, Goro Honda, Yoshitaka Gotoh, Takao Ohtsuka, Daisuke Ban, Kohei Nakata, Yatsuka Sahara, Vittoria Vanessa Dm Velasquez, Kyoichi Takaori, Takeyuki Misawa, Tamotsu Kuroki, Manabu Kawai, Takanori Morikawa, Hiroki Yamaue, Minoru Tanabe, Yiping Mou, Woo-Jung Lee, Shailesh V Shrikhande, Claudius Conrad, Ho-Seong Han, Chung Ngai Tang, Chinnusamy Palanivelu, David A Kooby, Horacio J Asbun, Go Wakabayashi, Akihiko Tsuchida, Tadahiro Takada, Masakazu Yamamoto, Masafumi Nakamura
BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) requires sufficient laparoscopic training for optimal outcomes. Our aim is to determine the learning curve and investigate the factors influencing surgical outcomes during the learning curve. METHODS: We analyzed surgical results of 150 consecutive cases of LPD performed by three hepatopancreatobiliary (HBP) surgeons during their 50 first cases. Learning curves were constructed by cumulative sum (CUSUM) analysis...
October 6, 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30289200/clinical-characteristics-and-risk-factors-for-stent-stone-complex-formation-following-biliary-plastic-stent-placement-in-patients-with-common-bile-duct-stones
#7
Junichi Kaneko, Kazuhito Kawata, Shinya Watanabe, Takeshi Chida, Masahiro Matsushita, Takafumi Suda, Yoshimasa Kobayashi
BACKGROUND: Stent-stone complex (SSC) formation is one of the complications of endoscopic biliary stent placement. This study aimed to clarify the clinical characteristics and risk factors for SSC formation following plastic stent (PS) placement in patients with common bile duct (CBD) stones. METHODS: We retrospectively reviewed the charts of 78 patients with CBD stones who had undergone 107 biliary stent placements as palliative treatment. Demographic, historical, and stent-related data were collected and analyzed...
October 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30264495/the-pucker-sign-an-operative-and-radiological-indicator-of-impending-operative-difficulty-due-to-severe-chronic-contractive-inflammation-in-cholecystectomy
#8
Steven M Strasberg, Sanjeev Bhalla, Chet W Hammill
INTRODUCTION: Marked inflammatory contraction of the gallbladder at the time of cholecystectomy is associated with biliary injury. METHODS: The evolution of contraction is traced in two patients who developed acute cholecystitis. RESULTS: Within months the gallbladder became fibrotically contacted and in doing so pulled the adjacent liver down, puckering the surface of the liver. This puckering could be observed preoperatively on computed tomography and also visually at the time of surgery...
October 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30259697/cholangiopathy-in-children-with-extrahepatic-portal-venous-obstruction
#9
Moinak Sen Sarma, Surender Kumar Yachha, Praveer Rai, Zafar Neyaz, Anshu Srivastava, Ujjal Poddar
BACKGROUND: Portal cavernoma cholangiopathy (PCC), a surgical-endoscopic dilemma, has not been studied comprehensively, more so in children. Our study aimed to evaluate PCC in children using a combination of magnetic resonance cholangiography-portovenography (MRC-MRPV) and endoscopic ultrasonography (EUS). METHODS: In this prospective cross-sectional study, recruited children with extrahepatic portal venous obstruction (EHPVO) underwent MRC-MRPV and radial array EUS...
October 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30218495/ex-vivo-magnifying-endoscopic-observation-of-bile-duct-mucosa-using-narrowband-imaging
#10
Yusuke Ishida, Yoshinobu Okabe, Makiko Yasumoto, Yoshiki Naito, Yohei Nakama, Yuhei Kitasato, Hiroto Ishikawa, Toru Hisaka, Osamu Tsuruta, Takuji Torimura
BACKGROUND: Detailed endoscopic findings of the bile duct mucosa have not been fully established. This fundamental ex vivo study assesses the relationship between magnified endoscopic findings and pathological findings of the bile duct mucosa. METHODS: Forty-one surgically resected common bile duct mucosae were investigated. Each common bile duct was cut open longitudinally for ex vivo endoscopic observation. A magnifying endoscope commonly used for the gastrointestinal tract was used, using both white light imaging and narrowband imaging...
October 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30118171/multinational-validation-of-the-american-joint-committee-on-cancer-8th-edition-pancreatic-cancer-staging-system-in-a-pancreas-head-cancer-cohort
#11
Wooil Kwon, Jin He, Ryota Higuchi, Donghee Son, Seung Yeoun Lee, Jaeri Kim, Hongbeom Kim, Sun-Whe Kim, Christopher L Wolfgang, John L Cameron, Masakazu Yamamoto, Jin-Young Jang
BACKGROUND: The aim of the present study was to compare the 7th and 8th editions of the American Joint Committee on Cancer (AJCC) staging system for pancreas head cancer and to validate the 8th edition using three multinational tertiary center data. METHODS: Data of 2,864 patients with pancreas head cancer were collected from Korea (571), Japan (824), and the USA (1,469). Survival analysis was performed to compare the 7th and 8th editions. Validation was performed by log-rank tests and test for trend repeated 1,000 times with random sets...
September 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30091279/chronic-pancreatitis-correlates-with-increased-risk-of-herpes-zoster-in-a-population-based-retrospective-cohort-study
#12
Shih-Wei Lai, Cheng-Li Lin, Kuan-Fu Liao
BACKGROUND: The association between chronic pancreatitis and herpes zoster has not been fully investigated. The objective of the study was to investigate whether there is an association between chronic pancreatitis and herpes zoster in Taiwan. METHODS: Using the claim data of the Taiwan National Health Insurance Program, we identified 1,545 participants aged 20-84 years with a new diagnosis of chronic pancreatitis from 2000 to 2012 as the chronic pancreatitis group...
September 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30091239/significance-of-hepatic-resection-and-adjuvant-hepatic-arterial-infusion-chemotherapy-for-hepatocellular-carcinoma-with-portal-vein-tumor-thrombus-in-the-first-branch-of-portal-vein-and-the-main-portal-trunk-a-project-study-for-hepatic-surgery-of-the-japanese
#13
Etsuro Hatano, Shinji Uemoto, Hiroki Yamaue, Masakazu Yamamoto
BACKGROUND: The prognosis of hepatocellular carcinoma (HCC) with tumor thrombus in the major portal vein (PV) is extremely poor. The purpose of this study was to clarify the impact of hepatic resection for HCC with tumor thrombus in the major PV. PATIENTS: Four hundred patients undergoing macroscopic curative resection for HCC involving the first branch or trunk of the PV between 2001 and 2010 at the 22 institutions were enrolled. We examined the effect of adjuvant hepatic arterial infusion chemotherapy (HAIC) on prognosis and validated the prognostic index consisting of ascites, prothrombin activity, and maximal tumor diameter...
September 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30076767/validity-of-the-iwate-criteria-for-patients-with-hepatocellular-carcinoma-undergoing-minimally-invasive-liver-resection
#14
Felix Krenzien, Simon Wabitsch, Philipp Haber, Can Kamali, Philipp Brunnbauer, Christian Benzing, Georgi Atanasov, Go Wakabayashi, Robert Öllinger, Johann Pratschke, Moritz Schmelzle
BACKGROUND: Recently proposed by the International Consensus Conference on Laparoscopic Liver Resection, the Iwate criteria (IC) can be used by surgeons to predict the operative difficulty of laparoscopic liver resection (LLR) and were validated in patients with hepatocellular carcinoma (HCC), the most common indication for LLR. METHODS: The IC comprise six preoperative factors that allow the grading of operative difficulty as low, intermediate, advanced, or expert...
September 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30118575/difficulty-scoring-system-in-laparoscopic-distal-pancreatectomy
#15
Takao Ohtsuka, Daisuke Ban, Yoshiharu Nakamura, Yuichi Nagakawa, Minoru Tanabe, Yoshitaka Gotoh, Vittoria Vanessa D M Velasquez, Kohei Nakata, Yatsuka Sahara, Kyoichi Takaori, Goro Honda, Takeyuki Misawa, Manabu Kawai, Hiroki Yamaue, Takanori Morikawa, Tamotsu Kuroki, Yiping Mou, Woo-Jung Lee, Shailesh V Shrikhande, Chung Ngai Tang, Claudius Conrad, Ho-Seong Han, Chinnusamy Palanivelu, Horacio J Asbun, David A Kooby, Go Wakabayashi, Tadahiro Takada, Masakazu Yamamoto, Masafumi Nakamura
BACKGROUND: Several factors affect the level of difficulty of laparoscopic distal pancreatectomy (LDP). The purpose of this study was to develop a difficulty scoring (DS) system to quantify the degree of difficulty in LDP. METHODS: We collected clinical data for 80 patients who underwent LDP. A 10-level difficulty index was developed and subcategorized into a three-level difficulty index; 1-3 as low, 4-6 as intermediate, and 7-10 as high index. The automatic linear modeling (LINEAR) statistical tool was used to identify factors that significantly increase level of difficulty in LDP...
August 17, 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30160060/congenital-absence-of-the-portal-vein-translated-version
#16
REVIEW
Yukihiro Sanada, Koichi Mizuta
Congenital portosystemic shunt (CPS) is classified into type I (congenital absence of the portal vein) and type II, depending on the presence or absence of the intrahepatic portal vein. Reports still exist on cases in which psychiatric diseases or mental retardation was diagnosed or cases in which diagnosis and treatment are not performed until severe pulmonary complications occur, indicating the need to recognize CPS. Herein, we reviewed epidemiology, etiology, classification, symptom, diagnosis, and treatment based on clinical view points of CPS...
August 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/30051596/polymorphisms-in-trail-predict-long-term-survival-and-extrahepatic-recurrence-following-initial-hepatectomy-for-hepatocellular-carcinoma
#17
Yuki Imaoka, Masahiro Ohira, Takuya Yano, Ryosuke Nakano, Naoki Tanimine, Seiichi Shimizu, Shintaro Kuroda, Hiroyuki Tahara, Tsuyoshi Kobayashi, Hideki Ohdan
BACKGROUND: Liver natural killer (NK) cells are the first cells to respond to infections and malignancies, such as intraoperative tumor spill. Liver NK cells express tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), a marker for hepatocellular carcinoma (HCC). However, the influence of TRAIL single-nucleotide polymorphisms (SNPs) on hepatectomy patients with HCC remains unclear. METHODS: Here, we investigated TRAIL SNPs (rs1131568, rs1131579, and rs1131580) located at positions 1525, 1588, and 1595 of exon 5 of the TNFSF10 gene...
August 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/29953731/evolution-of-living-donor-liver-transplantation-a-global-perspective
#18
EDITORIAL
Taizo Hibi, Susumu Eguchi, Hiroto Egawa
No abstract text is available yet for this article.
August 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/29949221/preoperative-assessment-of-frailty-predicts-age-related-events-after-hepatic-resection-a-prospective-multicenter-study
#19
Shogo Tanaka, Masaki Ueno, Hiroya Iida, Masaki Kaibori, Takeo Nomi, Fumitoshi Hirokawa, Hisashi Ikoma, Takuya Nakai, Hidetoshi Eguchi, Shoji Kubo
BACKGROUND: Age-related events, such as cardiopulmonary complications, delirium, transfer to a rehabilitation facility, and dependency are a major problem after hepatic resection in the elderly. This prospective multicenter study aimed to preoperatively evaluate frailty in the elderly according to a phenotypic frail index, named the "Kihon Checklist (KCL)," to predict "age-related events" after hepatic resection. METHODS: Between May 2016 and September 2017, 217 independently living patients who consented among all patients aged ≥65 years who planned to undergo hepatic resection were included in the study...
August 2018: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/29974674/anterior-approach-in-right-hepatectomy
#20
EDITORIAL
Shun-Ichi Ariizumi, Atsushi Nanashima, Masakazu Yamamoto
No abstract text is available yet for this article.
July 2018: Journal of Hepato-biliary-pancreatic Sciences
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