Perioperative Management of Hepatic Resection Toward Zero Mortality and Morbidity: Analysis of 793 Consecutive Cases in a Single Institution

Kamiyama, Toshiya; Nakanishi, Koji; Yokoo, Hideki; Kamachi, Hirofumi; Tahara, Munenori; Yamashita, Kazuo; Taniguchi, Masahiko; Shimamura, Tsuyoshi; Matsushita, Michiaki; Todo, Satoru

doi:10.1016/j.jamcollsurg.2010.06.005

Cited by 160 publications

(141 citation statements)

References 30 publications

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“…A previous study reported overall 3-year survival rates ranging from 30% to 63% and a 3-year disease-free survival range of 24%-54% (29,34,35). Our results are in line with their data.…”

Section: Discussionsupporting

confidence: 92%

“…We also observed that the postoperative 90-day overall morbidity rate of 28.6% was in line with previously reported rates of 16.7% to 54%, and the overall mortality rate (within 30 days after operation) of 3.5% was consistent with previously reported rates of 8.9% to 19.6% for liver resection (27)(28)(29). The overall morbidity and mortality rates did not differ between the patients who underwent RFLR and those who underwent CCLR in this study.…”

Section: Discussionsupporting

confidence: 92%

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Short- and long-term outcomes of hepatectomy with or without radiofrequency-assist for the treatment of hepatocellular carcinomas: a retrospective comparative cohort study

Guo

Feng

Xiao

et al. 2015

BST

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“…A previous study reported overall 3-year survival rates ranging from 30% to 63% and a 3-year disease-free survival range of 24%-54% (29,34,35). Our results are in line with their data.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Short- and long-term outcomes of hepatectomy with or without radiofrequency-assist for the treatment of hepatocellular carcinomas: a retrospective comparative cohort study

Guo

Feng

Xiao

et al. 2015

BST

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“…9 Our algorithm, which incorporates the indocyanine green retention rate at 15 minutes (ICGR15) and remnant liver volume, was used to determine the operative procedure, as previously described. 9 If the ICGR15 is less than 15% and the resected liver volume is less than 60%, hemihepatectomy or extended hemihepatectomy can be performed. However, if the ICGR15 is less than 15% and the resected liver volume is greater than 60%, then percutaneous transhepatic portal embolization is performed before surgery.…”

Section: Preoperative Managementmentioning

confidence: 99%

Hepatectomy for Hepatocellular Carcinoma with Bile Duct Tumor Thrombus, Including Cases with Obstructive Jaundice

et al. 2016

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SynopsisHepatectomy should be considered for hepatocellular carcinoma with bile duct tumor thrombus.3 Abstract Purpose: The purpose of this study was to evaluate the short-and long-term outcomes of hepatectomy for hepatocellular carcinoma (HCC) with bile duct tumor thrombus (BDTT), including cases with obstructive jaundice. Methods:We reviewed 42 HCC patients with BDTT, including 6 patients who needed preoperative biliary drainage due to obstructive jaundice and 732 HCC patients without BDTT. We analyzed the impact of BDTT on the surgical outcomes and assessed the outcomes of hepatectomy for patients presenting with obstructive jaundice.

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“…This syndrome has a reported incidence of 1.2%-32% [7][8][9] . As mentioned above, the posthepatectomy mortality reported in recent years varies between 0% and 5% and the onset of PHLF remains the main cause [10][11][12] . Factors that contribute to the onset of PHLF can be divided into three groups: patient-related factors (age, diabetes, obesity) [13,14] ; parenchyma-related factors (cirrhosis, cholestasis, steatosis, chemotherapy effects) [15][16][17] ; surgery-related factors (bleeding, ischemiareperfusion damage, sepsis, insufficient FLRV) [18][19][20][21] .…”

Section: Introductionmentioning

confidence: 99%

Liver volumetry: Is imaging reliable? Personal experience and review of the literature

D’Onofrio

Robertis

Demozzi

et al. 2014

WJR

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The amount of the future liver remnant volume is fundamental for hepato-biliary surgery, representing an important potential risk-factor for the development of post-hepatectomy liver failure. Despite this, there is no uniform consensus about the amount of hepatic parenchyma that can be safely resected, nor about the modality that should be chosen for this evaluation. The pre-operative evaluation of hepatic volume, along with a precise identification of vascular and biliar anatomy and variants, are therefore necessary to reduce surgical complications, especially for extensive resections. Some studies have tried to validate imaging methods [ultrasound, computed tomography (CT), magnetic resonance imaging] for the assessment of liver volume, but there is no clear evidence about the most accurate method for this evaluation. Furthermore, this volumetric evaluation seems to have a certain degree of error, tending to overestimate the actual hepatic volume, therefore some conversion factors, which should give a more reliable evaluation of liver volume, have been proposed. It is widespread among non-radiologists the use of independent software for an off-site volumetric analysis, performed on digital imaging and communications in medicine images with their own personal computer, but very few studies have provided a validation of these methods. Moreover, while the pre-transplantation volumetric assessment is fundamental, it remains unclear whether it should be routinely performed in all patients undergoing liver resection. In this editorial the role of imaging in the estimation of liver volume is discussed, providing a review of the most recent literature and a brief personal series of correlations between liver volumes and resection specimens' weight, in order to assess the precision of the volumetric CT evaluation.

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Perioperative Management of Hepatic Resection Toward Zero Mortality and Morbidity: Analysis of 793 Consecutive Cases in a Single Institution

Cited by 160 publications

References 30 publications

Short- and long-term outcomes of hepatectomy with or without radiofrequency-assist for the treatment of hepatocellular carcinomas: a retrospective comparative cohort study

Short- and long-term outcomes of hepatectomy with or without radiofrequency-assist for the treatment of hepatocellular carcinomas: a retrospective comparative cohort study

Hepatectomy for Hepatocellular Carcinoma with Bile Duct Tumor Thrombus, Including Cases with Obstructive Jaundice

Liver volumetry: Is imaging reliable? Personal experience and review of the literature

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