Hepatobiliary surgery and nutrition最新文献_第2页

Liver venous deprivation (LVD) before extended hepatectomy: a French multicentric retrospective cohort. 扩大肝切除术前的肝静脉剥夺术（LVD）：法国多中心回顾性队列。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-05 DOI: 10.21037/hbsn-24-315

Mehdi Boubaddi, Arthur Marichez, Florian Pecquenard, Charlotte Maulat, Emmanuel Buc, Laurent Sulpice, Ahmet Ayav, Stéphanie Truant, Fabrice Muscari, Laurence Chiche, Christophe Laurent

{"title":"Liver venous deprivation (LVD) before extended hepatectomy: a French multicentric retrospective cohort.","authors":"Mehdi Boubaddi, Arthur Marichez, Florian Pecquenard, Charlotte Maulat, Emmanuel Buc, Laurent Sulpice, Ahmet Ayav, Stéphanie Truant, Fabrice Muscari, Laurence Chiche, Christophe Laurent","doi":"10.21037/hbsn-24-315","DOIUrl":"10.21037/hbsn-24-315","url":null,"abstract":"Background: Post-hepatectomy liver failure (PHLF) is the first cause of death after major hepatectomy, and future liver remnant (FLR) volume is the main factor predicting PHLF. Liver venous deprivation (LVD) via portal and hepatic vein embolization has been suggested to induce a better hypertrophy of the FLR than portal vein embolization. The aim of this retrospective multicentric study was to assess safety, feasibility and efficacity of LVD in a French national multicentric register.Methods: Between 2016 and 2023, LVD was performed in 7 expert centers, for patients with liver malignancies requiring major hepatectomy with an FLR percentage of total liver volume (FLR%) ≤25% for a healthy liver or <30% for a diseased liver. FLR volumetry was assessed before and 4 weeks after the procedure.Results: One hundred and ninety-two patients were included in the study. The technical success rate was 100% and severe complication rate post-LVD was 2.6% (5/192). The FLR% increased by 61.7% over an average of 27±9.7 days. Major hepatectomy was performed 40 days after LVD on 161 (83.8%) patients. Hepatectomy was not performed on 31 (16.2%) patients, mostly because of oncological progression. Severe postoperative complications (Clavien-Dindo grade ≥ IIIA) occurred in 21.1% (34/161) of patients. Postoperative mortality rate was 4.3% (7/161).Conclusions: This study is the largest to confirm that LVD is a safe, reproducible, efficient technique that induces rapid major FLR growth. However, this new technique needs to be standardized and harmonized between centers to ensure uniform results.","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":"13 6","pages":"937-949"},"PeriodicalIF":6.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surrogate endpoints in clinical trials: when is good...good enough? 临床试验的替代终点：何时为好……足够好?

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-21 DOI: 10.21037/hbsn-24-607

Jamie Olapo Schnuck, Sardar Shahmir B Chauhan, Jonathan G Sham

引用次数: 0

Treatment of locally advanced pancreatic cancer with irreversible electroporation and intraoperative radiotherapy. 不可逆电穿孔及术中放疗治疗局部晚期胰腺癌。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-21 DOI: 10.21037/hbsn-24-526

Lingmin Jiang, Xin Huang, Xin Hua, Qiaoqiao Li, Yujing Zhang, Jun Wang, Shengping Li

引用次数: 0

Continuous normothermic machine perfusion of donor livers in the United States: the challenging road from the trial-world into the real-world. 美国供肝持续恒温机器灌注：从试验世界到现实世界的挑战之路。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.21037/hbsn-24-521

Otto B van Leeuwen, Philipp Dutkowski, Diethard Monbaliu, Vincent E de Meijer

引用次数: 0

Recurrence-free or progression-free survival as a surrogate endpoint for overall survival in hepatobiliary-pancreatic cancers: would be associated with time change. 无复发或无进展生存期作为肝胆胰癌总生存期的替代终点：将与时间变化相关。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-21 DOI: 10.21037/hbsn-24-597

Ning Peng, Chuang Qin, Shao-Ping Liu, Jun-Liang Nong, Teng-Meng Zhong, Jian-Hong Zhong

引用次数: 0

Acute coil migration in upper gastrointestinal bleeding. 上消化道出血的急性线圈移位。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-21 DOI: 10.21037/hbsn-24-538

Ziying Han, Kun He, Qingwei Jiang, Dong Wu

引用次数: 0

Emergency pancreaticoduodenectomy with portal vein reconstruction using polytetrafluoroethylene graft for fatal duodenal malignant ulcer bleeding due to pancreatic cancer: an aggressive, but precise surgical approach. 急诊胰十二指肠切除术合并门静脉重建聚四氟乙烯移植治疗胰腺癌致致命的十二指肠恶性溃疡出血：一种积极但精确的手术方法。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-21 DOI: 10.21037/hbsn-24-355

Bingcheng Meng, Weitao Chen, Banghao Xu, Hai Zhu, Jilong Wang, Zongrui Jin, Weimin Mao, Ling Zhang, Rui Song, Tingting Lu, Ya Guo, Zhang Wen

引用次数: 0

Validating the prognostic value of muscle changes in patients with cirrhosis undergoing transjugular intrahepatic portosystemic shunt. 验证接受经颈静脉肝内门体分流术的肝硬化患者肌肉变化的预后价值。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-13 DOI: 10.21037/hbsn-24-418

Zhang Wen, Shuyue Tuo, Ying Liu, Jia Yuan, Yong Li, Lu Li, Shejiao Dai, Xinxing Tantai

引用次数: 0

A European expert consensus surgical technique description for robotic hepatectomy. 欧洲专家一致同意的机器人肝切除术手术技术描述。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-07-11 DOI: 10.21037/hbsn-23-510

Gabriela Pilz da Cunha, Daan J Lips, Jawad Ahmad, Niclas Kvarnström, Luca Aldrighetti, Mathieu D'Hondt, Jeroen Hagendoorn, Rutger-Jan Swijnenburg

{"title":"A European expert consensus surgical technique description for robotic hepatectomy.","authors":"Gabriela Pilz da Cunha, Daan J Lips, Jawad Ahmad, Niclas Kvarnström, Luca Aldrighetti, Mathieu D'Hondt, Jeroen Hagendoorn, Rutger-Jan Swijnenburg","doi":"10.21037/hbsn-23-510","DOIUrl":"10.21037/hbsn-23-510","url":null,"abstract":"The robotic platform enables surgeons to operate with a similar level of freedom and control as in open surgery, while still providing the patient with the benefits of a minimally invasive approach. More centres continue to adopt robotic liver surgery however standardized training materials and consensus on the surgical technique are currently lacking. The availability of a standardized surgical protocol could benefit the further dissemination of the robotic approach while promoting safe and effective operating techniques. We present a comprehensive surgical technique description for robotic hepatectomy agreed upon by seven expert robotic liver surgeons in Europe. They contributed insights from their extensive experience with the robot to develop this report, highlighting the key steps and important considerations for performing robotic hepatectomy. We describe the surgical technique for four most common hepatectomy types with varying complexity: partial anterolateral resections, partial posterosuperior resections, left hepatectomy and right hepatectomy. This report encompasses recommendations from the experts, covering the preparatory steps such as patient selection and pre-operative imaging, and extending through to care in the postoperative phase. The step-by-step surgical technique description serves as a compendium of best practice methods presently utilized in robotic liver surgery. Although some variations in technique cannot be eliminated from practice, general recommendations in a structured form will help to homogenize the technique, safeguarding surgical quality. This paper aims to inform and advise surgeons in the process of adopting robotic liver surgery and can act as a starting point for further optimization and refinement of the technique.","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":"13 6","pages":"991-1006"},"PeriodicalIF":6.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hepatic tuberculosis. 肝结核。

IF 6.1 2区医学

Hepatobiliary surgery and nutrition Pub Date : 2024-12-01 Epub Date: 2024-11-12 DOI: 10.21037/hbsn-24-431

Yuqing Wu, Zhiquan Wang, Yongmei Liao

引用次数: 0