Annals of HPB Surgery最新文献_第10页

Resolution of XXVIII International Congress of Hepato-Pancreato-Biliary Association of Commonwealth of Independent States 23–24 September 2021 2021年9月23日至24日独立国家联合体肝胆胰协会第二十八届国际大会决议

Annals of HPB Surgery Pub Date : 2021-12-14 DOI: 10.16931/1995-5464.2021-4-136-142

A. Editorial

引用次数: 0

Splenic artery aneurysms and extrahepatic portal hypertension during pregnancy 妊娠期脾动脉瘤和肝外门静脉高压症

Annals of HPB Surgery Pub Date : 2021-11-18 DOI: 10.16931/1995-5464.2021-4-120-125

A. E. Markarov, G. V. Manukyan, R. Musin, E. Kitsenko, S. Apresyan, V. M. Lebezev, S. B. Zhigalova, S. Rizaeva, A. A. Shchukina

引用次数: 0

Simultaneous transoral parathyroidectomy and laparoscopic pancreatic resection in type 1 Multiple Endocrine Neoplasia syndrome 经口甲状旁腺切除术和腹腔镜胰腺切除术同时治疗1型多发性内分泌肿瘤综合征

Annals of HPB Surgery Pub Date : 2021-11-18 DOI: 10.16931/1995-5464.2021-4-126-132

S. E. Gryaznov, I. M. Buriev, G. Melkonyan, N. S. Malyuga, B. Laypanov

引用次数: 0

Method of forming a pancreatogastric anastomosis after pancreatoduodenal resection 胰十二指肠切除术后形成胰胃吻合的方法

Annals of HPB Surgery Pub Date : 2021-11-18 DOI: 10.16931/1995-5464.2021-4-97-104

V. Y. Lishchishin, A. G. Barishev, A. Petrovsky, A. N. Lishchenko, A. Popov, V. Porhanov

{"title":"Method of forming a pancreatogastric anastomosis after pancreatoduodenal resection","authors":"V. Y. Lishchishin, A. G. Barishev, A. Petrovsky, A. N. Lishchenko, A. Popov, V. Porhanov","doi":"10.16931/1995-5464.2021-4-97-104","DOIUrl":"https://doi.org/10.16931/1995-5464.2021-4-97-104","url":null,"abstract":"Aim. To evaluate the reproducibility and safety of the developed pancreatogastric anastomosis with various surgical approaches during pancreatoduodenectomy.Materials and methods. The experience of surgical treatment of 47 patients with malignant tumours of the periampullary zone, who underwent pancreatoduodenectomy, was considered. The proposed variant of anastomose was performed to 14 (29.8%) patients: in 7 cases with a minimally invasive approach to perform pancreatoduodenectomy; and in 7 cases with an open approach. To compare retrospectively 33 (70.2%) patients who underwent pancreatogastric anastomosis according to the Bassi technique: 9 – with minimally invasive surgery, 24 – with open surgery. The frequency of pancreatic fistulas, the number of repeated interferences, and hospital mortality were taken into account.Results. A significant advantage of the new method of forming an anastomosis in the duration of the operation was noted in comparison with the Bassi technique. There were no statistically significant differences in blood loss while various types of anastomoses (p > 0.05). When using the proposed technique, the formation of pancreatic fistulas was not revealed. The development of pancreatic fistula was observed in 4 (16.7%) patients after open surgery and in 7 (77.8%) patients after minimally invasive Bassi anastomose formation. Reoperations were performed after open surgery in 3 (12.5%) cases and in 4 (44.4%) cases of minimally invasive surgery according to the Bassi technique. There were 2 (22.2%) deaths in the minimally invasive group.Conclusion. The proposed pancreatogastric anastomosis is applicable in clinical practice. This method allows to create relatively fast and less challenging anastomosis, including with a minimally invasive approach. The use of this technique makes it possible to reduce mortality and postoperative complications in patients with a “complex” pancreas.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47738935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic and open operations in the treatment of hepatic echinococcosis. Analysis of short- and long-term results 腹腔镜和开放式手术治疗肝棘球蚴病。短期和长期结果分析

Annals of HPB Surgery Pub Date : 2021-11-18 DOI: 10.16931/1995-5464.2021-4-69-76

M. Efanov, N. I. Pronina, R. Alikhanov, O. Melekhina, Y. Kulezneva, I. Kazakov, A. Vankovich, A. Koroleva, D. Kovalenko, N. Kulikova, A. Petrin, V. Tsvirkun

{"title":"Laparoscopic and open operations in the treatment of hepatic echinococcosis. Analysis of short- and long-term results","authors":"M. Efanov, N. I. Pronina, R. Alikhanov, O. Melekhina, Y. Kulezneva, I. Kazakov, A. Vankovich, A. Koroleva, D. Kovalenko, N. Kulikova, A. Petrin, V. Tsvirkun","doi":"10.16931/1995-5464.2021-4-69-76","DOIUrl":"https://doi.org/10.16931/1995-5464.2021-4-69-76","url":null,"abstract":"Aim: to evaluate the short- and long-term outcomes of laparoscopic and open operations in the treatment of hepatic echinococcosis.Materials and methods. The results of laparoscopic and open echinococcectomies performed from 2013 to 2020 were retrospectively studied. Laparoscopic operations were considered the method of choice. Open operations were performed in cases with contraindications to the laparoscopic approach.Results. In total, 57 patients were operated: 47 laparoscopically (including robotic approach in 4 cases), 9 patients underwent open surgery. Radical procedures prevailed among laparoscopic cystectomies: 46 (98%). In the groups of laparoscopic/open cystectomies, partial pericystectomy was performed in 1/3 of patients, subtotal – in 24/4, total – in 13/0, and liver resection – in 9/2 patients, respectively. Laparoscopic procedures were performed mainly for types 1 and 3 of cysts, open procedures – for type 2 (WHO), recurrent and extrahepatic abdominal cysts were indication for open surgery. The frequency of severe complications did not differ between the groups. In the laparoscopic group, 1 (2%) patient died. After laparoscopic cystectomies, the mean (median) hospital stay (8 vs 10 days) and duration of abdominal drainage (10 vs 12 days) were significantly shorter. Relapse occurred only after conservative cystectomies, in one patient in each group.Conclusion. Laparoscopic radical surgery for liver hydatid cysts may be the method of choice if performed in a specialized HPB center. Patient selection criteria should be based on the center's experience in laparoscopic liver surgery.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46200086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Clinical and pathogenetic aspects of the complications after surgical treatment of hepatic echinococcosis 肝包虫病手术治疗后并发症的临床及发病机制分析

Annals of HPB Surgery Pub Date : 2021-11-03 DOI: 10.16931/1995-5464.2021-4-51-60

F. Nazyrov, A. Babadjanov, F. R. Yakubov

{"title":"Clinical and pathogenetic aspects of the complications after surgical treatment of hepatic echinococcosis","authors":"F. Nazyrov, A. Babadjanov, F. R. Yakubov","doi":"10.16931/1995-5464.2021-4-51-60","DOIUrl":"https://doi.org/10.16931/1995-5464.2021-4-51-60","url":null,"abstract":"Aim. To identify factors influencing effectiveness of surgical approaches in hepatic echinococcosis, depending on the location, size and stage of development of the cyst.Material and methods. From 2015 to 2017 the experience of surgical treatment of 98 patients with liver echinococcosis who underwent percutaneous (PAIR – 23 and PEVAC – 29 patients) and laparoscopic (46 patients) interventions was considered.Results. After the PAIR, a complication was noted in 1 (16.7%) case of isolated use with a CE3 cyst. Various complications were noted in 3 (60%) cases with a cyst puncture of more than 4 cm, and in 2 of them with CE2 and CE3. The average time for evacuating the cysts contents when performing the PEVAC technique was 5 days. Hemorrhagic fluid in drainage was noted in 6.9% of cases, biliary fistula – in 13.8%. Accumulation of fluid and suppuration in the residual cavity were identified in 34.5%. Taking into account the size of the cysts, the complication rate after PEVAC was 9.1% for cysts ≤6 cm vs 50% for cysts >6 cm. Various difficulties with manipulations during laparoscopic echinococcectomy were noted more often with CE2–4. So, difficulties with aspiration or removal of cyst contents more often arose with CE4. The incidence of complications after drainage removal was 17.9%, of which fluid accumulation was in 14.3% and residual cavity suppuration in 3.6% of cases.Conclusion. The US criteria, main indications and tactical and technical aspects for performing PAIR and PEVAC methods, as well as for performing laparoscopic echinococcectomy, and criteria for assessing the required volume of percytectomy for an adequate abdominalization of fibrous capsule have been clarified.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42603538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Results of minimally invasive treatment of liver echinococcosis in comparison with traditional surgical methods 微创治疗肝棘球蚴病与传统手术方法的疗效比较

Annals of HPB Surgery Pub Date : 2021-10-29 DOI: 10.16931/1995-5464.2021-4-61-68

M. Nagasbekov, Zhasulan Baimakhanov, S. Kaniyev, E. Nurlanbayev, A. Chormanov, B. Baimakhanov

{"title":"Results of minimally invasive treatment of liver echinococcosis in comparison with traditional surgical methods","authors":"M. Nagasbekov, Zhasulan Baimakhanov, S. Kaniyev, E. Nurlanbayev, A. Chormanov, B. Baimakhanov","doi":"10.16931/1995-5464.2021-4-61-68","DOIUrl":"https://doi.org/10.16931/1995-5464.2021-4-61-68","url":null,"abstract":"Aim. To analyze the effectiveness of PAIR in comparison with traditional surgical methods.Materials and methods. A retrospective analysis of 199 patients who underwent surgical treatment of hepatic echinococcosis was carried out. Pericystectomy was performed on 95 (47.7%) patients (1st group), traditional echinococcectomy – 55 (27.6%; 2nd group), PAIR – 49 (24.6%; 3rd group). All patients received antihelmintic therapy for 2 months in the postoperative period.Results. Patients of the group 3 had significantly more CE1 cysts compared with the groups 2 and 1 – 38 (77.5%) versus 19 (34.5%) and 44 (46.3%; p < 0.05) respectively. In group 2, CE2 and CE3 cysts were predominant. The duration of the operation in group 3 was significantly shorter than in group 1 and 2 – 58.2 (25–170), 194.8 (85–440) and 217 (75–540) minutes (p < 0.05). In group 1, intraoperative blood loss was higher than in group 2 – 165.4 ml (10–1000) and 106.7 ml (10–500; p < 0.05). There were no statistically significant differences between the groups in postoperative complications according to Clavien–Dindo. The duration of postoperational hospital stay of patients from the group 3 was shorter than for 1 and 2 groups – 4.3 (2–11) days, 8.03 (5–16) days and 8.08 (4–20) days (p < 0.05) respectively. There was no disease recurrence during the follow-up period.Conclusion. The optimal treatment should be based on the stage of the disease. In CE1, the most effective method is PAIR, which is characterized by a shorter postoperational hospital stay and early recovery. In multivesicular cysts (CE2-CE3b), traditional methods of treatment are effective.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47448524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Optimization of surgical tactics in hepatic echinococcosis 肝包虫病手术策略的优化

Annals of HPB Surgery Pub Date : 2021-10-29 DOI: 10.16931/1995-5464.2021-4-41-50

S. Voskanyan, E. Naidenov, A. Bashkov, S. Cholakyan

{"title":"Optimization of surgical tactics in hepatic echinococcosis","authors":"S. Voskanyan, E. Naidenov, A. Bashkov, S. Cholakyan","doi":"10.16931/1995-5464.2021-4-41-50","DOIUrl":"https://doi.org/10.16931/1995-5464.2021-4-41-50","url":null,"abstract":"Aim. Optimization of the surgical tactics in hepatic echinococcosis.Material and methods. From 2009 to 2021, 56 patients with hepatic echinococcosis have been operated: 6 patients underwent PAIR, 7 – open echinococcectomy, 18 – pericystectomy (“ideal echinococcectomy”) and 16 – anatomical hepatectomy (S2/3, S6/7 bisegmentectomy) or atypical resection. In 7 cases hemigepatectomy has been performed, in 2 – combined interventions have been performed for echinococcosis relapse of the abdominal cavity.Results. The duration of minor hepatic resection was shorter than pericystectomy and major hepatic resection. The smallest blood loss was noted in patients who underwent open echinococcectomy, anatomical and atypical hepatectomy. No complications after PAIR were noticed. The lowest incidence of postoperative complications, including biliary complications, was found after hepatic resection interventions. The lenths of hospital stay after hepatic resections was significantly shorter compared to ecinococcectomy and pericystectomy. The reccurence of hepatic echinococcosis relapse was detected in 4 (66.7%) patients after PAIR and 2 (28.6%) patients after ecinococcectomy.Conclusion. Organ-preserving techniques should be a priority in the surgical treatment of hepatic echinococcosis. The best results in terms of the early postoperative complications frequency in the hepatic echinococcosis treatment were demonstrated by minor hepatic resections. Open echinococcectomy should be performed only for central location of large cysts and (or) their massive contact with the liver vessels. Minimally invasive resection technologies demonstrate optimal short- and long-term results. Major hepatectomy should be performed very selectively and only in those cases when they have advantages over other methods, and their implementation does not lead to a loss of more than 20% of healthy hepatic parenchyma. The best long-term results showed pericystectomy and hepatectomy in comparison with echinococcectomy.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48091337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Сurrent status of the surgical treatment of liver echinococcosis Сurrent肝包虫病的外科治疗现状

Annals of HPB Surgery Pub Date : 2021-10-28 DOI: 10.16931/1995-5464.2021-4-87-96

A. Shabunin, S. S. Lebedev, Ju. A. Kovalenko, A. A. Karpov

引用次数: 2

Hepatic echinococcosis: difficulties in diagnosis at the early stages of progression and with complications (literature review) 肝包虫病:早期诊断困难及并发症(文献复习)

Annals of HPB Surgery Pub Date : 2021-10-27 DOI: 10.16931/1995-5464.2021-4-18-23

Минздрава России, Большая Серпуховская, Российская Федерация, G. KarmazanovskyG., Stepanova Yu

{"title":"Hepatic echinococcosis: difficulties in diagnosis at the early stages of progression and with complications (literature review)","authors":"Минздрава России, Большая Серпуховская, Российская Федерация, G. KarmazanovskyG., Stepanova Yu","doi":"10.16931/1995-5464.2021-4-18-23","DOIUrl":"https://doi.org/10.16931/1995-5464.2021-4-18-23","url":null,"abstract":"To demonstrate the possible difficulties in the diagnosis of hepatic echinococcosis, that a specialist in ultrasound diagnostics and a radiologist may encounter in everyday practice, russian and foreign literature as well as our own experience have been reviewed. With high accuracy and specificity of ultrasonography in the differential diagnosis of echinococcal cysts, incorrect interpretation is possible in the presence of mural hemorrhages and (or) hemorrhagic clots in a nonparasitic cyst, which aren’t also visible in ultrasonography and can imitate elements of the chitinous membrane. The degree of prevalence of the process, the exclusion of damage to the lungs and other organs of the abdominal cavity are important. In such cases CT scan is the most convenient and accurate diagnostic method due to its high spatial and temporal resolution, standardization and availability. In the most difficult cases the capabilities of MRI are used in the comparison of diffusion-weighted images and apparent diffusion coefficient, which also makes it possible to diagnose cystic neoplasms. Ultrasonography is a diagnostic technology that is still the most commonly used to differentiate cavity structures; however, all dubious clinical observations should be further examined by using CT or MRI.","PeriodicalId":36549,"journal":{"name":"Annals of HPB Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44918810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1