Central Hepatectomy for Biliary Cystadenoma: Parenchyma-Sparing Approach for Benign Lesions

Araújo, Raphael L. C.; Cesconetto, Danielle Menezes; Jeismann, Vagner Birk; Fonseca, Gilton Marques; Coelho, Fabrício Ferreira; Krüger, Jaime Arthur Pirola; Herman, Paulo

doi:10.1590/0102-6720201600040021

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…In Brazil, the interest in liver surgery has been growing in recent years leading to an increase in performance of hepatic resections throughout the country, although there are challenges to provide access for all patients requiring this kind of procedure 2 , 3 , 12 . Knowledge of the profile of liver surgery in a continental developing country can provide valuable information to guide actions toward improvement in training and acquisition of resources.…”

Section: Introductionmentioning

confidence: 99%

Liver Resection in Brazil: A National Survey

Fonseca

Jeismann

Krüger

et al. 2018

ABCD, arq. bras. cir. dig.

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Background:Liver surgery has developed significantly in the past decades. In Brazil, the interest on it has grown significantly, but there is no study regarding its clinical practice. Despite intrinsic limitations, surveys are well suited to descriptive studies and allow understanding the current scenario. Aim:To provide an overview on the current spread of liver surgery in Brazil, focusing on groups´ profile, operative techniques and availability of resources. Method:From May to November 2016, was conducted a national survey about liver surgery profile in Brazil composed by 28 questions concerning surgical team characteristics, technical preferences, surgical volume, results and available institutional resources. The survey was sent by e-mail to 84 liver surgery team leaders from different centers including all regions of the country. Results:Forty-three study participants (51.2%), from all Brazilian regions, responded the survey. Most centers have residency/fellowship programs (86%), perform and do laparoscopic procedures (91%); however, laparoscopy is still responsible for a little amount of surgeries (1-9% of laparoscopic procedures over all liver resections in 39.5% of groups). Only seven centers (16.3%) perform more than 50 liver resections/year. Postoperative mortality rate is between 1-3% in 55% of the centers. Conclusion:This is the first depiction of liver surgery in Brazil. It showed a surgical practice aligned with worldwide excellence centers, concentrated on hospitals dedicated to academic practice.

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Section: Introductionmentioning

confidence: 99%

Liver Resection in Brazil: A National Survey

Fonseca

Jeismann

Krüger

et al. 2018

ABCD, arq. bras. cir. dig.

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“…Currently, there is a tendency to perform parenchymal-spearing LRs, obtaining oncologic resection with minimal margins, decreasing the risk of postoperative liver failure and allowing future LRs when necessary [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Liver resections for metastasis: surgical outcomes of a single center academic institution

et al. 2020

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Background Hepatic metastasis are frequent and liver resection may be an option for some cases, despite the high complexity of the procedure and the possibility of postoperative complications. Methods This retrospective comparative descriptive study aims to evaluate a series of 86 consecutive liver resections (LRs) performed for the treatment of metastatic liver tumors, comparing the results between patients undergoing major and minor LR. All patients submitted to LR from October 2010 to July 2015 at the Erasto Gaertner Hospital in Curitiba-PR were included. Quantitative numerical variables were analyzed with the Student t-test. The nonparametric Mann–Whitney U test was used for numerical variables of non-normal distribution. Categorical variables were analyzed with the Chi-square test with Fisher's correction. The data were analyzed with the SPSS 23.0 and STATA 15 programs, being p < 0.05 considered statistically significant. Results Eighty-six LR were performed, 56 cases by colorectal metastasis. The major LR corresponded to 68 cases, with 13.2% of Clavien-Dindo III–V complications and 2.9% of reoperation rate. Eighteen minor LR were performed and one patient had a postoperative complication requiring reoperation. Conclusion Preoperative elevation of transaminases and jaundice negatively influence surgical outcomes in patients undergoing LR. Tumors greater than 3 cm presented worse postoperative survival. Major LR did not significantly increase the surgical morbidity rate. Institutional Review Board registration 1.122.319/2015

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“…Hepatic lesions can be benign or malignant and both may require resection 3 . Benign lesions of the liver can be hemangiomas, adenomas, or focal nodular hyperplasia.…”

Section: Introductionmentioning

confidence: 99%

Open, Laparoscopic, and Robotic-Assisted Hepatectomy in Resection of Liver Tumors: A Non-Systematic Review

Rodrigues

Silveira

Tavares

et al. 2017

ABCD, arq. bras. cir. dig.

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Introduction: Several factors have made hepatectomy an increasingly safe surgery and new drugs allowed surgical treatment for patients who initially were not candidates for resection. Lesions often require resection, which can be performed by open, laparoscopic, or robotic assisted hepatectomy. Aim: Compare the surgical techniques in open, laparoscopic, and robotic assisted hepatectomy for resection of liver tumors. Methods: Literature review based on scientific papers published on Lilacs/Pubmed/Scielo in the last 17 years regarding the indications of these techniques for liver tumor resections and on papers comparing such techniques. Results:The comparative study shows the benefits of laparoscopic surgery over open surgery, such as smaller incisions, less postoperative pain, shorter recovery time, smaller immune and metabolic response, and quicker restoration of oral ingestion as well as lower morbidity rates. However, the need for a specialized surgical team and the reduction in handling area still remain as disadvantages in the laparoscopic technique. It is yet not clear whether robotic assistance presents considerable benefits over the laparoscopic technique considering that high acquisition and maintenance costs are limiting factors.Conclusion: Despite all challenges, laparoscopic hepatectomy presents many benefits over open surgery. The robotic assisted technique is still in evolution as many centers in the world perform hepatic resections with the platforms but only after a thorough patient selection. Thus, laparoscopy stands as the best option, unless there is some contraindication to the procedure.

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Central Hepatectomy for Biliary Cystadenoma: Parenchyma-Sparing Approach for Benign Lesions

Cited by 4 publications

References 10 publications

Liver Resection in Brazil: A National Survey

Liver Resection in Brazil: A National Survey

Liver resections for metastasis: surgical outcomes of a single center academic institution

Open, Laparoscopic, and Robotic-Assisted Hepatectomy in Resection of Liver Tumors: A Non-Systematic Review

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