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Hepatobiliary surgery and nutrition最新文献

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To drain or not to drain after distal pancreatectomy: reflexions on the PANDORINA trial. 胰腺远端切除术后引流与否：对 PANDORINA 试验的反思。
IF 6.1 2区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Hepatobiliary surgery and nutrition
Pub Date : 2024-08-01 Epub Date: 2024-07-23 DOI: 10.21037/hbsn-24-296
Maxime Constant, Alexandre Doussot
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引用次数: 0
Understanding acute kidney injury (AKI) in liver cirrhosis from the acute-on-chronic liver failure (ACLF) perspective. 从急性-慢性肝衰竭 (ACLF) 的角度了解肝硬化急性肾损伤 (AKI)。
IF 6.1 2区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Hepatobiliary surgery and nutrition
Pub Date : 2024-08-01 Epub Date: 2024-07-11 DOI: 10.21037/hbsn-24-307
Jeong-Ju Yoo, Sang Gyune Kim
{"title":"Understanding acute kidney injury (AKI) in liver cirrhosis from the acute-on-chronic liver failure (ACLF) perspective.","authors":"Jeong-Ju Yoo, Sang Gyune Kim","doi":"10.21037/hbsn-24-307","DOIUrl":"10.21037/hbsn-24-307","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11336529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035731","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
Non-invasive strategies to predict post-hepatectomy liver failure 预测肝切除术后肝功能衰竭的无创策略
IF 8 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 DOI: 10.21037/hbsn-24-219
Anna Cavazza, M A Heneghan
{"title":"Non-invasive strategies to predict post-hepatectomy liver failure","authors":"Anna Cavazza, M A Heneghan","doi":"10.21037/hbsn-24-219","DOIUrl":"https://doi.org/10.21037/hbsn-24-219","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":8.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141229703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Surgical management of metastatic neuroendocrine tumors: beyond the realm of evidence-based medicine 转移性神经内分泌肿瘤的外科治疗：超越循证医学的范畴
IF 8 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 DOI: 10.21037/hbsn-24-90
J. Strosberg, T. Al-Toubah
{"title":"Surgical management of metastatic neuroendocrine tumors: beyond the realm of evidence-based medicine","authors":"J. Strosberg, T. Al-Toubah","doi":"10.21037/hbsn-24-90","DOIUrl":"https://doi.org/10.21037/hbsn-24-90","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":8.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141234041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
3D laparoscopy and fluorescence imaging can improve surgical precision for hepatectomy. 三维腹腔镜和荧光成像可提高肝切除术的手术精确度。
IF 6.1 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 Epub Date: 2023-10-28 DOI: 10.21037/hbsn-23-223
Joshua Sheng Hao Lim, Vishal G Shelat
{"title":"3D laparoscopy and fluorescence imaging can improve surgical precision for hepatectomy.","authors":"Joshua Sheng Hao Lim, Vishal G Shelat","doi":"10.21037/hbsn-23-223","DOIUrl":"10.21037/hbsn-23-223","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11190511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442465","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
Inflammatory indicators such as systemic immune inflammation index (SIII), systemic inflammatory response index (SIRI), neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) as prognostic factors of curative hepatic resections for hepatocellular carcinoma. 将全身免疫炎症指数（SIII）、全身炎症反应指数（SIRI）、中性粒细胞与淋巴细胞比值（NLR）和血小板与淋巴细胞比值（PLR）等炎症指标作为肝细胞癌治愈性肝切除术的预后因素。
IF 6.1 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 Epub Date: 2024-05-20 DOI: 10.21037/hbsn-23-631
Paschalis Gavriilidis, Timothy M Pawlik
{"title":"Inflammatory indicators such as systemic immune inflammation index (SIII), systemic inflammatory response index (SIRI), neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) as prognostic factors of curative hepatic resections for hepatocellular carcinoma.","authors":"Paschalis Gavriilidis, Timothy M Pawlik","doi":"10.21037/hbsn-23-631","DOIUrl":"10.21037/hbsn-23-631","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11190525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442470","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
A single center analysis of long-term outcomes and survival related risk factors in liver retransplantation. 单中心分析肝脏再移植的长期疗效和与存活相关的风险因素。
IF 6.1 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 Epub Date: 2023-10-21 DOI: 10.21037/hbsn-23-178
Zhihao Li, Yi Ping Sng, Chao-Long Chen, Chih-Che Lin, Shih-Ho Wang, Chee-Chien Yong

Background: Liver retransplant is the only option to save a patient with liver graft failure. However, it is controversial due to its poor survival outcome compared to primary transplantation. Insufficient deceased organ donation in Taiwan leads to high waitlist mortality. Hence, living-donor grafts offer a valuable alternative for retransplantation. This study aims to analyze the single center's outcome in living donor liver retransplantation (re-LDLT) and deceased donor liver retransplantation (re-DDLT) as well as the survival related confounding risk factors.

Methods: This is a single center retrospective study including 32 adults who underwent liver retransplantation (re-LT) from June 2002 to April 2020. The cohort was divided into a re-LDLT and a re-DDLT group and survival outcomes were analyzed. Patient outcomes over different periods, the effect of timing on survival, and multivariate analysis for risk factors were also demonstrated.

Results: Of the 32 retransplantations, the re-LDLT group (n=11) received grafts from younger donors (31.3 vs. 43.75 years, P=0.016), with lower graft weights (688 vs. 1,457.2 g, P<0.001) and shorter cold ischemia time (CIT) (45 vs. 313 min, P<0.001). The 5-year survival was significantly better in the re-LDLT group than in the re-DDLT group (100% vs. 70.8%, P=0.02). This difference was adjusted when only retransplantation after 2010 was analyzed. Further analysis showed that the timing of retransplantation (early vs. late) did not affect patient survival. Multivariate analysis revealed that prolonged warm ischemia time (WIT) and intraoperative blood transfusion were related to poor long-term survival.

Conclusions: Retransplantation with living donor graft demonstrated good long-term outcomes with acceptable complications to both recipient and donor. It may serve as a choice in areas lacking deceased donors. The timing of retransplantation did not affect the long-term survival. Further effort should be made to reduce WIT and massive blood transfusion as they contributed to poor survival after retransplantation.

背景：肝脏再移植是挽救肝脏移植失败患者的唯一选择。然而，与初次移植相比，肝脏再移植的存活率较低，因此备受争议。台湾的死亡器官捐赠不足，导致等待移植的死亡率很高。因此，活体移植为再移植提供了一个宝贵的选择。本研究旨在分析单个中心的活体肝脏再移植（re-LDLT）和死者肝脏再移植（re-DDLT）的结果以及与存活率相关的混杂风险因素：这是一项单中心回顾性研究，包括2002年6月至2020年4月期间接受肝脏再移植（re-LT）的32名成人。研究组被分为再LDLT组和再DDLT组，并对生存结果进行了分析。此外，还对不同时期的患者预后、时间对存活率的影响以及风险因素的多变量分析进行了展示：在32例再移植中，再LDLT组（n=11）接受的移植物来自较年轻的供体（31.3岁对43.75岁，P=0.016），移植物重量较轻（688克对1457.2克，Pvs.313分钟，Pvs.70.8%，P=0.02）。如果只分析2010年后的再移植，这一差异将得到调整。进一步分析表明，再次移植的时间（早期与晚期）并不影响患者的存活率。多变量分析显示，温暖缺血时间（WIT）延长和术中输血与长期存活率较低有关：结论：活体移植物再移植显示出良好的长期疗效，受体和供体的并发症均可接受。结论：活体移植物再移植具有良好的长期疗效，受体和供体的并发症均可接受，可作为缺乏死亡供体地区的一种选择。再移植的时间并不影响长期存活率。由于WIT和大量输血导致再移植后存活率较低，因此应进一步努力减少WIT和大量输血。
{"title":"A single center analysis of long-term outcomes and survival related risk factors in liver retransplantation.","authors":"Zhihao Li, Yi Ping Sng, Chao-Long Chen, Chih-Che Lin, Shih-Ho Wang, Chee-Chien Yong","doi":"10.21037/hbsn-23-178","DOIUrl":"10.21037/hbsn-23-178","url":null,"abstract":"<p><strong>Background: </strong>Liver retransplant is the only option to save a patient with liver graft failure. However, it is controversial due to its poor survival outcome compared to primary transplantation. Insufficient deceased organ donation in Taiwan leads to high waitlist mortality. Hence, living-donor grafts offer a valuable alternative for retransplantation. This study aims to analyze the single center's outcome in living donor liver retransplantation (re-LDLT) and deceased donor liver retransplantation (re-DDLT) as well as the survival related confounding risk factors.</p><p><strong>Methods: </strong>This is a single center retrospective study including 32 adults who underwent liver retransplantation (re-LT) from June 2002 to April 2020. The cohort was divided into a re-LDLT and a re-DDLT group and survival outcomes were analyzed. Patient outcomes over different periods, the effect of timing on survival, and multivariate analysis for risk factors were also demonstrated.</p><p><strong>Results: </strong>Of the 32 retransplantations, the re-LDLT group (n=11) received grafts from younger donors (31.3 <i>vs.</i> 43.75 years, P=0.016), with lower graft weights (688 <i>vs.</i> 1,457.2 g, P<0.001) and shorter cold ischemia time (CIT) (45 <i>vs.</i> 313 min, P<0.001). The 5-year survival was significantly better in the re-LDLT group than in the re-DDLT group (100% <i>vs.</i> 70.8%, P=0.02). This difference was adjusted when only retransplantation after 2010 was analyzed. Further analysis showed that the timing of retransplantation (early <i>vs.</i> late) did not affect patient survival. Multivariate analysis revealed that prolonged warm ischemia time (WIT) and intraoperative blood transfusion were related to poor long-term survival.</p><p><strong>Conclusions: </strong>Retransplantation with living donor graft demonstrated good long-term outcomes with acceptable complications to both recipient and donor. It may serve as a choice in areas lacking deceased donors. The timing of retransplantation did not affect the long-term survival. Further effort should be made to reduce WIT and massive blood transfusion as they contributed to poor survival after retransplantation.</p>","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11190508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444081","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
Preoperative assessment of liver function and perioperative management of posthepatectomy liver failure 肝功能术前评估和肝切除术后肝功能衰竭的围手术期管理
IF 8 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 DOI: 10.21037/hbsn-24-83
Masahiro Shiihara, M. Shimoda, Shuji Suzuki
{"title":"Preoperative assessment of liver function and perioperative management of posthepatectomy liver failure","authors":"Masahiro Shiihara, M. Shimoda, Shuji Suzuki","doi":"10.21037/hbsn-24-83","DOIUrl":"https://doi.org/10.21037/hbsn-24-83","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":8.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141232303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Exocrine pancreatic insufficiency: more compromise than precision 胰腺外分泌功能不全：妥协多于精确
IF 8 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 DOI: 10.21037/hbsn-24-92
M. Tacelli, P. Arcidiacono, G. Capurso
{"title":"Exocrine pancreatic insufficiency: more compromise than precision","authors":"M. Tacelli, P. Arcidiacono, G. Capurso","doi":"10.21037/hbsn-24-92","DOIUrl":"https://doi.org/10.21037/hbsn-24-92","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":8.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141233415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Early bifurcation of hepatic artery in right-sided living-donor hepatectomy at Asan Medical Center: rarely a critical issue 牙山医疗中心右侧活体肝切除术中的肝动脉早期分叉：很少成为关键问题
IF 8 2区 医学
Hepatobiliary surgery and nutrition
Pub Date : 2024-06-01 DOI: 10.21037/hbsn-24-75
Deok-Bog Moon, G. Park, Sang Hoon Kim, Sung-Min Kim
{"title":"Early bifurcation of hepatic artery in right-sided living-donor hepatectomy at Asan Medical Center: rarely a critical issue","authors":"Deok-Bog Moon, G. Park, Sang Hoon Kim, Sung-Min Kim","doi":"10.21037/hbsn-24-75","DOIUrl":"https://doi.org/10.21037/hbsn-24-75","url":null,"abstract":"","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":null,"pages":null},"PeriodicalIF":8.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141229439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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