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liver resection and postoperative complication

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https://www.readbyqxmd.com/read/27902606/preoperative-aspartate-aminotransferase-to-platelet-ratio-index-apri-is-a-predictor-on-postoperative-outcomes-of-hepatocellular-carcinoma
#1
JiWen Cheng, Pu Zhao, JiangBo Liu, Xi Liu, XuanLin Wu
Preoperative aspartate aminotransferase-to-platelet ratio index (APRI) has been identified as a biochemical marker for histological fibrogenesis and fibrosis in cirrhosis and prognosis of hepatocellular carcinoma (HCC). Whether preoperative APRI can predict postoperative short-term outcomes has not been studied. The purpose of this study was to investigate the ability of preoperative APRI to predict short-term outcomes following liver resection for HCC. APRI was evaluated in 360 patients undergoing liver resection for HCC...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27891251/the-role-of-the-single-incision-laparoscopic-approach-in-liver-and-pancreatic-resectional-surgery
#2
REVIEW
Nikolaos A Chatzizacharias, Khaled Dajani, Jun Kit Koong, Asif Jah
Introduction. Single incision laparoscopic surgery (SILS) has gained increasing support over the last few years. The aim of this narrative review is to analyse the published evidence on the use and potential benefits of SILS in hepatic and pancreatic resectional surgery for benign and malignant pathology. Methods. Pubmed and Embase databases were searched using the search terms "single incision laparoscopic", "single port laparoscopic", "liver surgery", and "pancreas surgery". Results. Twenty relevant manuscripts for liver and 9 for pancreatic SILS resections were identified...
2016: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/27885425/intrathecal-morphine-versus-intravenous-opioid-administration-to-impact-postoperative-analgesia-in-hepato-pancreatic-surgery-a-randomized-controlled-trial
#3
Sara Dichtwald, Menahem Ben-Haim, Laila Papismedov, Shoshana Hazan, Anat Cattan, Idit Matot
PURPOSE: Inadequate analgesia following abdominal surgery may affect outcome. Data in patients undergoing liver surgery suggested that postoperative coagulopathy might delay epidural catheter removal. Thus, alternative analgesic techniques should be evaluated. METHODS: We compared the analgesic efficacy of intraoperative intrathecal morphine [single injection 4 µg/kg before skin incision (ITM group, n = 23)] to intravenous opioids [iv remifentanil infusion during surgery followed by i...
November 24, 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/27885325/current-role-of-minimally-invasive-radical-cholecystectomy-for-gallbladder-cancer
#4
REVIEW
Giuseppe Zimmitti, Alberto Manzoni, Francesca Guerini, Marco Ramera, Paola Bertocchi, Francesca Aroldi, Alberto Zaniboni, Edoardo Rosso
Background. For Tis and T1a gallbladder cancer (GbC), laparoscopic cholecystectomy can provide similar survival outcomes compared to open cholecystectomy. However, for patients affected by resectable T1b or more advanced GbC, open approach radical cholecystectomy (RC), consisting in gallbladder liver bed resection or segment 4b-5 bisegmentectomy, with locoregional lymphadenectomy, is considered the gold standard while minimally invasive RC (MiRC) is skeptically considered. Aim. To analyze current literature on perioperative and oncologic outcomes of MiRC for patients affected by GbC...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/27882510/planned-treatment-of-advanced-metastatic-disease-with-completion-ablation-after-hepatic-resection
#5
Bruno C Odisio, Suguru Yamashita, Livia Frota, Steven Y Huang, Scott E Kopetz, Kamran Ahrar, Yun Shin Chun, Thomas A Aloia, Marshall E Hicks, Sanjay Gupta, Jean-Nicolas Vauthey
PURPOSE: The aim of this study is to describe a modified treatment strategy with image-guided percutaneous ablation after hepatic resection as a completion method to surgical eradication of liver metastases ("completion ablation [CA]"). METHODS: We conducted a retrospective analyses of patients who underwent CA within 180 days from the liver surgical resection to eradicate liver metastases present on the pre-surgical cross-sectional imaging or identified during intraoperative ultrasound that were not resected due to various reasons...
November 23, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27878349/operation-start-times-and-postoperative-morbidity-from-liver-resection-a-propensity-score-matching-analysis
#6
Qiang Lu, Yuan Shen, Jing Zhang, Yi-Fan Ren, Jian Dong, Zhao-Qing Du, Xue-Min Liu, Zheng Wu, Yi Lv, Xu-Feng Zhang
BACKGROUND: Surgeons are likely to get progressively fatigued and work less effectively during the course of a normal workday. We sought to examine the effects of surgery start times (morning vs. afternoon) and workload of the surgeons on morbidity of patients after partial liver resection (LR). METHODS: A total of 155 pairs of the patients from 383 patients undergoing LR were generated by propensity score analysis (PSM) according to the start times of surgery: group M (morning surgery, 8 a...
November 22, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27877012/simultaneous-hepatic-resection-benefits-patients-with-synchronous-colorectal-cancer-liver-metastases
#7
Yuan Li, Xinyu Bi, Jianjun Zhao, Zhen Huang, Jianguo Zhou, Zhiyu Li, Yefan Zhang, Hong Zhao, Jianqiang Cai
OBJECTIVE: The safety of the simultaneous resection of synchronous colorectal cancer liver metastases (SCRLM) is still being debated. However, this simultaneous operative approach is more commonly adopted at present than in the past. Therefore, we compared simultaneous hepatic resection with delayed hepatic resection in this study. METHODS: All patients with SCRLM diagnosed before initial treatment between January 2009 and September 2013 were retrospectively included in our study...
October 2016: Chinese Journal of Cancer Research, Chung-kuo Yen Cheng Yen Chiu
https://www.readbyqxmd.com/read/27871684/the-utility-of-5-aminolevulinic-acid-mediated-photodynamic-diagnosis-in-the-detection-of-intraoperative-bile-leakage
#8
Yoshihiro Inoue, Yoshiro Imai, Kensuke Fujii, Fumitoshi Hirokawa, Michihiro Hayashi, Kazuhisa Uchiyama
PURPOSE: The purpose of this retrospective study was to evaluate the utility of the new intraoperative bile leakage test as a preventive measure of postoperative bile leakage. METHOD: 737 patients were retrospectively analyzed with respect to the management of intra- and post-operative bile leakage. RESULTS: Nine (8.3%) of 109 patients evaluated using conventional white light fluorescent imaging were recognized as having intra-operative bile leakage...
October 8, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27869486/enucleation-versus-hepatectomy-for-giant-hepatic-haemangiomas-a-meta-analysis
#9
W L Cheng, Y Q Qi, B Wang, L Tian, W Huang, Y Chen
INTRODUCTION Hepatic haemangiomas are the most common benign liver tumours. They can be treated with surgical resection such as enucleation or hepatectomy if necessary. However, controversy remains over the clinical outcome and safety of these two methods. In this study, we performed a comprehensive meta-analysis to compare the efficacy of liver resection with enucleation for giant haemangiomas. METHODS The online databases PubMed, Embase and CNKI (China National Knowledge Infrastructure) were searched for relevant original articles...
November 21, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27855267/laparoscopic-total-caudate-lobectomy-for-hepatocellular-carcinoma
#10
Kit-Man Ho, Ho-Seong Han, Yoo-Seok Yoon, Jai Young Cho, Young Rok Choi, Jae Seong Jang, Seong Uk Kwon, Sungho Kim, Jang Kyu Choi
BACKGROUND: Caudate lobe is located in the deep dorsal area of the liver between the portal triad and the inferior vena cava (IVC). Torrential bleeding can occur from the IVC and short hepatic veins during dissection. Isolated total caudate lobe resection is still rare and technically demanding. We herein present a video on the technical aspect of laparoscopic total caudate lobectomy. METHOD: A 61-year-old woman was admitted for recurrent hepatocellular carcinoma detected on imaging...
November 17, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27849659/a-new-proposal-of-criteria-for-the-future-remnant-liver-volume-in-older-patients-undergoing-major-hepatectomy-for-biliary-tract-cancer
#11
Yoshihiro Watanabe, Satoshi Kuboki, Hiroaki Shimizu, Masayuki Ohtsuka, Hideyuki Yoshitomi, Katsunori Furukawa, Masaru Miyazaki
OBJECTIVE: To evaluate whether advanced age increases the risk of severe complications after major hepatectomy with bile duct resection (BDR) in patients with biliary tract cancer, and to establish new criteria for the percentage of the future remnant liver volume (%FLV) in older patients undergoing this operation. BACKGROUND: Advanced age is reported to inhibit liver regeneration and suppress immune function; however, little is known about the risk of aging in high-stress surgery, such as biliary tract surgery...
November 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27846174/short-term-outcomes-of-laparoscopic-versus-open-right-hemihepatectomy-for-hepatocellular-carcinoma
#12
Yue Zhang, Xue-Min Chen, Dong-Lin Sun
BACKGROUND: Laparoscopic liver resection for hepatocellular carcinoma (HCC) is performed in a relatively small number of institutions. Its operative results have been reported to be comparable with that of open laparotomy; however, information on laparoscopic right hemihepatectomy (LRH) is scarce. This study aimed to compare the perioperative outcomes of the right hemihepatectomy via laparoscopic and open approach to treat HCC at a single institution. METHODS: From January 2010 to 2015, we performed right hemihepatectomy in 77 HCC patients...
November 14, 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27837237/patient-survival-after-simultaneous-alpps-and-colorectal-resection
#13
Kerollos Nashat Wanis, Suzana Buac, Michael Linecker, Victoria Ardiles, Mauro Enrique Tun-Abraham, Ricardo Robles-Campos, Massimo Malago, Eduardo de Santibañes, Pierre-Alain Clavien, Roberto Hernandez-Alejandro
BACKGROUND: Liver resection combined with colorectal surgery (CRS) is the only curative option in many patients presenting with synchronous colorectal cancer and liver metastases (CRLM). Simultaneous resection has been shown to offer benefits in patients with low hepatic tumor load; however, in the setting of in situ colorectal tumor with extensive CRLM and a small predicted future liver remnant (FLR), the use of simultaneous ALPPS and CRS is controversial, lacking outcome data. METHODS: Thirty-one cases of simultaneous ALPPS and CRS prospectively entered into the International ALPPS Registry were examined...
November 11, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27835570/prognostic-nutritional-index-predicts-short-term-outcomes-after-liver-resection-for-hepatocellular-carcinoma-within-the-milan-criteria
#14
Mengyun Ke, Tao Xu, Na Li, Yifan Ren, Aihua Shi, Yi Lv, Haiqi He
BACKGROUND: The prognostic nutritional index (PNI) is calculated based on the serum albumin concentration and the total lymphocyte count. The aim of this study was to investigate the prognostic ability of the PNI for postoperative complications after liver resection to treat hepatocellular carcinoma (HCC) within the Milan criteria. RESULTS: Postoperative complications were observed in 166 (44.6%) patients. The optimal cutoff value of the PNI was set at 45.6 for postoperative complications...
November 7, 2016: Oncotarget
https://www.readbyqxmd.com/read/27830178/diaphragmatic-hernia-after-living-donor-right-hepatectomy-proposal-for-a-screening-protocol
#15
Scott M Livingstone, Axel Andres, A M James Shapiro, Norman N Kneteman, David L Bigam
BACKGROUND: Living donor hepatectomy (LDH) is increasingly being used to improve access to liver transplantation for those with end-stage liver disease. Although recipient outcomes are equivalent, donor complication rates range from 10% to 41%. A rare, but potentially serious complication is occurrence of a diaphragmatic hernia (DH), of which 9 cases have been reported so far in the literature. The purpose of this work was to review the clinical impact of DH post-LDH, including risk factors (RF) in hope of mitigating impact...
July 2016: Transplantation Direct
https://www.readbyqxmd.com/read/27812143/perioperative-non-invasive-indocyanine-green-clearance-testing-to-predict-postoperative-outcome-after-liver-resection
#16
Stefanie Haegele, Silvia Reiter, David Wanek, Florian Offensperger, David Pereyra, Stefan Stremitzer, Edith Fleischmann, Christine Brostjan, Thomas Gruenberger, Patrick Starlinger
BACKGROUND: Postoperative liver dysfunction may lead to morbidity and mortality after liver resection. Preoperative liver function assessment is critical to identify preexisting liver dysfunction in patients prior to resection. The aim of this study was to evaluate the predictive potential of perioperative indocyanine green (ICG)-clearance testing to prevent postoperative liver dysfunction and morbidity using standardized outcome parameters in a routine Western-clinical-setting. STUDY DESIGN: 137 patients undergoing partial hepatectomy between 2011 and 2013, at the general hospital of Vienna, were included...
2016: PloS One
https://www.readbyqxmd.com/read/27811369/meta-analysis-of-laparoscopic-versus-open-liver-resection-for-colorectal-liver-metastases
#17
Zhi-Qiang Tian, Xiao-Fang Su, Zhi-Yong Lin, Meng-Chao Wu, Li-Xin Wei, Jia He
BACKGROUND: To compare surgical and oncological outcomes of laparoscopic versus open liver resection for colorectal liver metastases. RESULTS: A total of 14 retrospective studies with 1679 colorectal liver metastases patients were analyzed: 683 patients treated with laparoscopic liver resection and 996 patients with open liver resection. With respect to surgical outcomes, laparoscopic compared with open liver resection was associated with lower blood loss (MD, -216...
November 2, 2016: Oncotarget
https://www.readbyqxmd.com/read/27806436/impact-of-intraoperative-blood-transfusion-on-long-term-outcomes-of-liver-transplantation-for-hepatocellular-carcinoma
#18
Wing Chiu Dai, Kenneth S H Chok, Sui Ling Sin, Albert C Y Chan, Tan To Cheung, Tiffany C L Wong, Chung Mau Lo
OBJECTIVE: To investigate the impact of intraoperative blood transfusion on the long-term outcomes of liver transplantation for hepatocellular carcinoma. METHOD: Adult patients who had non-salvage liver transplantation at our centre between January 2005 and December 2012 for hepatocellular carcinomas that were within the University of California, San Francisco criteria and could not be resected or ablated were divided into groups with and without intraoperative blood transfusion...
November 2, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27797420/survival-analysis-after-liver-resection-for-hepatocellular-carcinoma-a-consecutive-cohort-of-1002-patients
#19
Eung Chang Lee, Seong Hoon Kim, Hyeongmin Park, Seung Duk Lee, Soon-Ae Lee, Sang-Jae Park
BACKGROUND AND AIM: The improvements in surgical technique and perioperative management in the recent decades may warrant revisit for survival outcomes and prognostic factors after liver resection for hepatocellular carcinoma (HCC). This study aimed to analyze the survival outcomes after liver resection for HCC for a consecutive cohort of 1,002 patients. METHODS: This study was performed by analyzing the clinicopathological and follow-up data of 1,002 consecutive patients who underwent liver resection for HCC from April 2001 to December 2013...
October 31, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27788201/meta-analysis-of-laparoscopic-versus-open-hepatectomy-for-live-liver-donors
#20
Jun Xu, Chen Hu, Hua-Li Cao, Mang-Li Zhang, Song Ye, Shu-Sen Zheng, Wei-Lin Wang
OBJECTIVE: To document the safety and efficacy of laparoscopic living donor hepatectomy in comparison with open liver resection for living donor liver transplantation. METHODS: Medline database, EMASE and Cochrane library were searched for original studies comparing laparoscopic living donor hepatectomy (LLDH) and open living donor hepatectomy (OLDH) by January 2015. Meta-analysis was performed to evaluate donors' perioperative outcomes. RESULTS: Nine studies met selection criteria, involving 1346 donors of whom 318 underwent LLDH and 1028 underwent OLDH...
2016: PloS One
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