Acta Chirurgica Belgica最新文献

Is Uniportal-VATS a feasible approach for pericardial cyst treatment? Comment on: "A case series: Uniportal VATS excision of pericardial cyst in symptomatic patients". 致编辑的信：单孔VATS治疗心包囊肿可行吗？评论"一个病例系列：无症状患者的单孔 VATS 心包囊肿切除术 "的评论。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-11-19 DOI: 10.1080/00015458.2024.2430070

Antonio Giulio Napolitano, Dania Nachira, Adriana Nocera, Claudia Bellettati, Maria Letizia Vita, Stefano Margaritora

引用次数: 0

A pulmonary mass extending into the left atrium through the pulmonary vein: a rare diagnosis with an unusual origin. 通过肺静脉延伸至左心房的肺部肿块：一种起源不寻常的罕见诊断。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-08-01 Epub Date: 2023-07-26 DOI: 10.1080/00015458.2023.2239550

Muhammet Ali Beyoglu, Mehmet Furkan Sahin, Muhammet Fethi Saglam, Huseyin Unsal Ercelik, Servet Guresci, Erdal Yekeler

{"title":"A pulmonary mass extending into the left atrium through the pulmonary vein: a rare diagnosis with an unusual origin.","authors":"Muhammet Ali Beyoglu, Mehmet Furkan Sahin, Muhammet Fethi Saglam, Huseyin Unsal Ercelik, Servet Guresci, Erdal Yekeler","doi":"10.1080/00015458.2023.2239550","DOIUrl":"10.1080/00015458.2023.2239550","url":null,"abstract":"Introduction: Myxofibrosarcoma usually occurs in the extremities of middle-aged to older adults. Metastatic myxofibrosarcomas generally emerge in the lung. In this case report, we aim to present a case of primary pulmonary myxofibrosarcoma with tumor thrombus extending into the left atrium without pulmonary vein or atrial invasion.Case presentation: A 55-year-old male who was being followed up due to a pulmonary nodule presented with a mass extending from the left lower lobe to the left atrium. No extrathoracic malignancy was detected in the pre-operative examination. The mass extending into the left atrium without invasion was excised with the lower lobe of the left lung. A post-operative histopathological examination revealed myxofibrosarcoma.Conclusion: Very few cases of cervical, thoracic wall, mediastinum and cardiac primary myxofibrosarcoma have been documented, and to the best of our knowledge, only one primary pulmonary myxofibrosarcoma case has previously been reported in the English literature. Here, we present a case of primary pulmonary myxofibrosarcoma that extended to the left atrium through the pulmonary vein. In such rare clinical presentations, intracardiac tumor resection should precede pulmonary resection due to the possibility of catastrophic tumor embolisms.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"312-315"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10228123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bowel obstruction by sigmoid strangulation as complication after laparoscopic adjustable gastric banding. 腹腔镜可调节胃束带术后并发症之乙状结肠绞窄性肠梗阻。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-08-01 Epub Date: 2023-07-10 DOI: 10.1080/00015458.2023.2234146

Sebastien Michiels, Jean-Luc Engelholm

{"title":"Bowel obstruction by sigmoid strangulation as complication after laparoscopic adjustable gastric banding.","authors":"Sebastien Michiels, Jean-Luc Engelholm","doi":"10.1080/00015458.2023.2234146","DOIUrl":"10.1080/00015458.2023.2234146","url":null,"abstract":"Background: Laparoscopic adjustable gastric banding (LAGB) has been widely performed in the past, however, given its limited weight loss compared to some other procedures, this technique is less often used. Furthermore, a number of complications leading to band removal have been reported in the past few years.Methods: We present a late acute bowel obstruction by sigmoid strangulation in a female patient with the LAGB performed 15 years ago.Results: The laparoscopic exploration displayed a post-LAGB intestinal strangulation of the sigmoid loop which was caused by the connecting tube. Since the bowel was still viable, the tube was cut and the obstruction has been successfully resolved. The patient was discharged three days after the surgery.Conclusion: Although less often performed, knowledge of LAGB complications can be of importance. We believe that, the present strangulation of the sigmoid by the LAGB tubing is the world's first ever case reported. Nevertheless, when it is still proposed to selected patients, an adequate length of the intra-abdominal tubing could reduce the risk of loop formation and prevent this kind of obstruction by internal hernia.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"307-311"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9761049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The dawn of Urology as a separate surgical specialty in France. 泌尿外科在法国成为独立外科专科的曙光。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-08-22 DOI: 10.1080/00015458.2023.2236835

Philip Van Kerrebroeck

{"title":"The dawn of Urology as a separate surgical specialty in France.","authors":"Philip Van Kerrebroeck","doi":"10.1080/00015458.2023.2236835","DOIUrl":"10.1080/00015458.2023.2236835","url":null,"abstract":"Background: Urology as a separate surgical specialty is a nineteenth century European development. The background of the origins of this new specialty and the elements that were responsible for it have not been studied in detail, although this information is relevant in view of contemporary challenges.Methods: The existing literature on the history of Urology and original contemporary documents have been researched and analysed. The information gathered has been matched with documentation on general history.Results: Urology started as a specialty on its own, separate from (general) surgery, as a consequence of events and decisions after the French Revolution. Before the French Revolution (<1789) there was no well organised healthcare in France, but the French political revolution caused also a medical revolution. The need for further subspecialisation, also within surgery, as a consequence of the revolutionary principles, prompted some brave individuals to limit their activities to specific organs. Several revolutionaries were surgeons specialised in urogenital surgery, and prepared the way for a surgical subspecialty. Jean Civiale developed and promoted specific skills in open and endoscopic interventions of the urogenital tract. Finally Felix Guyon was accepted at the University of Paris as 'Professeur d'Urologie' in 1890, and changed the name of his department into 'Service d'Urologie'. Urology was a fact.Conclusion: Urology as a separate surgical specialty is the consequence of medical and non-medical developments after the French revolution.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"187-190"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10039705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rapidly evolving pelvic lymphangioleiomyomatosis (LAM) mimicking bilateral hydrosalpinx: report of a rare case and literature review. 快速发展的盆腔淋巴管瘤（LAM）模仿双侧鞘膜积液：一例罕见病例的报告和文献综述。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-07-14 DOI: 10.1080/00015458.2023.2232687

Fabiana Divina Fascilla, Domenico Piscitelli, Domenico De Palma, Michele Mongelli, Ferdinando Murgia, Jose Carugno, Amerigo Vitagliano, Stefano Bettocchi

{"title":"Rapidly evolving pelvic lymphangioleiomyomatosis (LAM) mimicking bilateral hydrosalpinx: report of a rare case and literature review.","authors":"Fabiana Divina Fascilla, Domenico Piscitelli, Domenico De Palma, Michele Mongelli, Ferdinando Murgia, Jose Carugno, Amerigo Vitagliano, Stefano Bettocchi","doi":"10.1080/00015458.2023.2232687","DOIUrl":"10.1080/00015458.2023.2232687","url":null,"abstract":"Lymphangioleiomyomatosis (LAM) represents a rare neoplasm affecting almost exclusively women of reproductive age. This condition mainly affects the lungs, but extrapulmonary locations such as the pelvis and the retroperitoneum are possible. Clinical evaluation and ultrasound imaging are usually non-specific, and the diagnosis is obtained through surgical excision and histopathological examination. We report a very rare case of abdominal LAM in a young female patient. A thorough literature review of this rare condition with emphasis on gynecologic implications will be presented. The patient was referred for gynecologic consultation due to pelvic pain and infertility. Unfortunately, despite prompt diagnosis and treatment, the course of the disease was severe and led to patient's exitus in a short time. We encountered an extremely rare deadly pathology mimicking a very common gynecologic condition. The gynecologist must always be alert of possible unexpected conditions that will require prompt attention.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"223-228"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9781128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive surgery for paraduodenal hernias: report of a case and mini-review of operative techniques. 十二指肠旁疝气微创手术：一例病例报告和手术技术小综述。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-07-31 DOI: 10.1080/00015458.2023.2240106

Charalampos Lampropoulos, Dimitrios Kehagias, Aggeliki Bellou, Stylianos Tsochatzis, Ioannis Kehagias

{"title":"Minimally invasive surgery for paraduodenal hernias: report of a case and mini-review of operative techniques.","authors":"Charalampos Lampropoulos, Dimitrios Kehagias, Aggeliki Bellou, Stylianos Tsochatzis, Ioannis Kehagias","doi":"10.1080/00015458.2023.2240106","DOIUrl":"10.1080/00015458.2023.2240106","url":null,"abstract":"Background: Paraduodenal hernias (PDHs) are the most common congenital internal hernias. Herein, we present a successful laparoscopic repair of a left PDH and we review the minimally invasive techniques that have been used to treat PDHs.Materials and methods: An 18-year-old female patient with multiple visits to the emergency department for abdominal pain was ultimately diagnosed with a left PDH. She underwent a four-port laparoscopic repair. In order to review the minimally invasive PDH repair techniques used, we searched the PubMed® database and found 53 original studies with a total of 66 minimally invasive PDH repairs (51 left PDH repairs, 15 right PDH repairs) over a period of 24 years (1998-2022).Results: The patient's postoperative course was uneventful and she was discharged on the 7th postoperative day. The literature review showed that closure of the hernia orifice was performed in 88% of left PDH repairs, whereas wide opening of the hernia orifice with or without mobilization of the right colon was performed in 81% of right PDH repairs. Of the patients with available postoperative data, none experienced complications other than grade Ι according to the Clavien-Dindo classification in the early postoperative period, and only one patient presented symptomatic hernia recurrence at a median follow-up of 1 year.Conclusions: Based on limited publications and our own experience, minimally invasive repair of PDHs has so far been shown to be feasible and safe in the great majority of cases without irreversible small intestine ischemia/peritonitis.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"234-242"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9895619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients. 早期腹腔镜胆囊切除术与经皮经肝胆囊引流术治疗老年急性结石性胆囊炎的疗效比较。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-08-14 DOI: 10.1080/00015458.2023.2232672

Wenhao Huang, Haisong Xu, Yuehua Guo, Mingyue Li, Gongze Peng, Tianchong Wu

{"title":"Efficacy of early laparoscopic cholecystectomy compared with percutaneous transhepatic gallbladder drainage in treating acute calculous cholecystitis in elderly patients.","authors":"Wenhao Huang, Haisong Xu, Yuehua Guo, Mingyue Li, Gongze Peng, Tianchong Wu","doi":"10.1080/00015458.2023.2232672","DOIUrl":"10.1080/00015458.2023.2232672","url":null,"abstract":"Background: Acute calculous cholecystitis is a common acute disease in elderly patients. This study aimed to evaluate the efficacy of early laparoscopic cholecystectomy (ELC) compared to percutaneous transhepatic gallbladder drainage (PTGD) for treating acute calculous cholecystitis in elderly patients.Methods: This retrospective study compared the clinical outcomes of two groups of elderly patients treated with ELC (group A) and PTGD (group B) from January 2018 to December 2021. Preoperative clinical characteristics and postoperative treatment outcomes were analyzed for both groups.Results: There were no statistically significant differences in preoperative clinical characteristics between the ELC and PTGD groups. ELC took longer to perform (69.8 ± 15.9 min vs. 29.6 ± 5.3 min, p < 0.001) but resulted in a significantly shorter duration of pain (1.9 ± 0.9 days vs. 3.9 ± 1.0 days, p < 0.001) and hospital stay (6.3 ± 2.5 days vs. 9.9 ± 3.6 days, p < 0.001), and a lower rate of sepsis (3.4% vs. 16.9%, p < 0.019). Time to soft diet was faster in the ELC group (1.5 ± 0.9 days vs. 3.0 ± 1.6 days, p < 0.001). Fewer patients in the ELC group experienced surgical reintervention than in the PTGD group (0% vs. 5.6%, p = 0.043). The incidence of postoperative complications and readmission rates in the ELC group were significantly lower than those in the PTGD group (ELC, 3.6%; PTGD, 25.4%, p = 0.001).Conclusions: ELC is an effective treatment option for acute calculous cholecystitis in elderly patients, and has the added benefits of low postoperative complication rates, rapid recovery, shorter duration of pain, and excellent curative effects as compared to PTGD.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"178-186"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9990919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictive factors of surgery in metastatic colorectal cancer: a retrospective cohort study. 转移性结直肠癌手术的预测因素：一项回顾性队列研究。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-08-22 DOI: 10.1080/00015458.2023.2231211

Raffaele Calicis, Antoine Dubois, Christian Ritter, Nicolas Tinton, Benjamin Calicis, Yves Hoebeke, David Lepore, Francisco Da Rocha De Sousa, Emmanuel Cambier, Fabrice Corbisier

{"title":"Predictive factors of surgery in metastatic colorectal cancer: a retrospective cohort study.","authors":"Raffaele Calicis, Antoine Dubois, Christian Ritter, Nicolas Tinton, Benjamin Calicis, Yves Hoebeke, David Lepore, Francisco Da Rocha De Sousa, Emmanuel Cambier, Fabrice Corbisier","doi":"10.1080/00015458.2023.2231211","DOIUrl":"10.1080/00015458.2023.2231211","url":null,"abstract":"Introduction: Current management of metastatic colorectal cancer is based on neoadjuvant chemotherapy. Few studies have reported on surgery procedures in patients with metastatic colorectal cancer. The objective of this study was to describe our institutional experience with emergency surgery performed in patients with metastatic colorectal cancer during chemotherapy.Patients and methods: This was a retrospective cohort study including adult patients of ≤80 years with a metastatic colorectal cancer between 2017 and 2020 and undergoing surgery during chemotherapy. Statistical analyses were based on Kaplan-Meier's curve and Cox proportional hazard model. The surgery statistical risk during chemotherapy was studied through all tumor and patient's characteristics. Multivariable logistic regression models were used to identify predictive factors of emergency surgery in these patients.Results: Seventy-two cases were identified and 60% patients undergone an emergency surgery. By Kaplan-Meier's analyses, intestinal surgery was much more frequent and early in patients who have severe stenosis (either blocking or only permeable using a gastroscope) at the time of diagnosis. Patients with severe malignant stenosis presented a 6.28 time higher surgery risk (p < .0001). The median time between admission and surgery was 54 days in patients with severe stenosis who were operated.Conclusion: The degree of colorectal tumor stenosis measured by endoscopy was a risk factor for emergency surgery in patients with metastatic colorectal cancer during neoadjuvant chemotherapy. In this group of patients presenting low survival outcomes, further studies are needed to define the place of preventive surgery, avoiding emergency surgery and morbidity in such fragile patients.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"170-177"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10042584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can stage-IIB lung cancer be divided into subgroups in terms of prognosis? A modelling study^. 从预后角度看，能否将 IIB 期肺癌分为若干亚组？一项建模研究。

IF 0.8 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-08-28 DOI: 10.1080/00015458.2023.2251802

Necati Çitak, Volkan Erdoğu, Yunus Aksoy, Atilla Pekçolaklar, Muzaffer Metin, Adnan Sayar

{"title":"Can stage-IIB lung cancer be divided into subgroups in terms of prognosis? A modelling study.","authors":"Necati Çitak, Volkan Erdoğu, Yunus Aksoy, Atilla Pekçolaklar, Muzaffer Metin, Adnan Sayar","doi":"10.1080/00015458.2023.2251802","DOIUrl":"10.1080/00015458.2023.2251802","url":null,"abstract":"Introduction: Whether changes should be made to the TNM classification of non-small cell lung cancer (NSCLC) according to the newly proposed nodal classification is unclear. We aim to compare the survival between stage-IIB subsets using a modelling study performed using the newly proposed nodal classification.Patients and methods: A total of 682 patients with stage-IIB NSCLC based on the 8th TNM classification were analysed. Hazard ratio (HR) values calculated from survival comparisons between stage-IIB subgroups were used to create a model for patients with stage-IIB NSCLC, and modelling was performed according to the HR values that were close to each other.Results: Patients with T1N1a cancer had the best survival rate (58.2%), whereas the worst prognosis was observed in those with T2bN1b cancer (39.2%). The models were created using the following HR results: Model A (T1N1a, n = 85; 12.4%), Model B (T2a/T2bN1a and T3N0, n = 438; 64.2%), and Model C (T1/T2a/T2bN1b, n = 159; 23.4%). There was a significant difference between the models in terms of overall survival (p = 0.03). The median survival time was 69 months in Model A, 56 months in Model B, and 47 months in Model C (Model A vs. Model B, p = 0.224; Model A vs. Model C, p = 0.01; and Model B vs. Model C, p = 0.04). Multivariate analysis showed that age (p < 0.001), pleural invasion (p < 0.001), and the developed modelling system (p = 0.02) were independently negative prognostic factors.Conclusion: There was a prognostic difference between stage-IIB subsets in NSCLC patients. The model created for stage-IIB lung cancer showed a high discriminatory power for prognosis.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"191-199"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10103645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful multimodal management of a large hepatocellular carcinoma in a non-cirrhotic liver: a case report. 非肝硬化大肝细胞癌的成功多模式治疗：病例报告。

IF 0.6 4区医学

Acta Chirurgica Belgica Pub Date : 2024-06-01 Epub Date: 2023-07-23 DOI: 10.1080/00015458.2023.2234724

Clara Bihain, Jean Delwaide, Paul Meunier, Laurent Gerard, Alexandre Jadoul, Olivier Detry

{"title":"Successful multimodal management of a large hepatocellular carcinoma in a non-cirrhotic liver: a case report.","authors":"Clara Bihain, Jean Delwaide, Paul Meunier, Laurent Gerard, Alexandre Jadoul, Olivier Detry","doi":"10.1080/00015458.2023.2234724","DOIUrl":"10.1080/00015458.2023.2234724","url":null,"abstract":"Background: Hepatocellular carcinoma (HCC) found in a non cirrhotic liver represents a minority of HCC cases and remains poorly studied. Due to its specific characteristics and evolution, this tumour requires a different management compared to HCC in a cirrhotic liver.Case report: The authors describe the case of a 68-year-old man diagnosed with a large giant and only mildly symptomatic HCC in a non-cirrhotic liver. The 23 cm HCC was discovered when a thoracoabdominal computed tomography was performed following mild abdominal pain. After a multidisciplinary discussion the tumour was judged to be borderline, but potentially resectable after neoadjuvant therapy and preparation for surgery. The patient underwent selective internal radiation therapy radioembolization of the right hepatic artery lobe with 5,5 GBq of 90Y-labeled glass microspheres. It was followed by extended right hepatectomy after preparation by embolization of the right portal and the right hepatic veins. Thirty months after surgical resection the patient showed neither clinical, radiological nor biological signs of HCC recurrence.Discussion: HCC in non-cirrhotic liver is less common than in cirrhotic liver but has a better prognosis, thanks to a greater opportunity for surgical resection. The symptoms often emerge late and are unspecific, thus delaying the HCC diagnosis. Advances in surgical resection by laparotomy or laparoscopy, and neoadjuvant therapy in preparation for surgery, have proven to be effective. However, high mortality persists due to late diagnosis linked to the inability of identifying groups at risk of HCC in the non-cirrhotic population and inadequate screening.","PeriodicalId":6935,"journal":{"name":"Acta Chirurgica Belgica","volume":" ","pages":"229-233"},"PeriodicalIF":0.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0