Portal vein arterialization: a possibility in cholangiocarcinomas infiltrating the right hepatic artery?

Marino, Rebecca; Ratti, Francesca; Catena, Marco; Aldrighetti, Luca

doi:10.1007/s13304-022-01292-8

Cited by 5 publications

(4 citation statements)

References 10 publications

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“…Additional techniques include transposition of another artery by end-to-end anastomosis between a reversed splenic artery, left gastric or gastroduodenal artery and the hepatic artery stump (16). Lastly, in cases where all possible reconstruction techniques are not feasible, PV arterialization can be performed as a salvage procedure for dearterialized grafts (16,21). This technique have been particularly useful in cases where there is hepatic artery encasement by the tumor as well as CCA involving the bile duct and biliary confluence.…”

Section: Inflow: Vascular Resection and Reconstruction Of Hilar Struc...mentioning

confidence: 99%

“…This technique have been particularly useful in cases where there is hepatic artery encasement by the tumor as well as CCA involving the bile duct and biliary confluence. Successful PV arterialization with achievement of R0 resection was recently reported as salvage inflow surgical technique in a 78-year-old woman with CCA originating from the cystocholedocal junction (21). The group performed surgical resection of segments 4b/5 en-bloc with the gallbladder, biliary confluence and common bile duct.…”

Section: Inflow: Vascular Resection and Reconstruction Of Hilar Struc...mentioning

confidence: 99%

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Surgical approach to achieve R0 resections in primary and metastatic liver tumors: a literature review

Vargas¹,

Dar²,

Fernandes³

et al. 2023

J Gastrointest Oncol

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Background and Objective: Primary and metastatic liver tumors are a significant cause of mortality worldwide. Regardless of the etiology of the tumor, macro-and microscopically clear margins (R0) while preserving adequate function of the remaining organ are the main goals after liver resections. However, technically challenging procedures are required to achieve R0 resection. Currently, there is no consensus of which should be the ideal minimal safety margin for liver tumor resections, with contrasting reports in regards of safety, tumor recurrence and overall outcomes following R0. Therefore, we aim to review current worldwide surgical practices to achieve R0 resections for primary and metastatic liver tumors in challenging surgical techniques and their reported outcomes.Methods: PubMed database, Google Scholar, and OVID Medline were searched for peer-reviewed original articles related to surgical techniques performed to achieve R0 resections in the setting of primary and/or metastatic liver tumors. An up-to-date review of English-language articles published between 2015 to July 2022 was performed.

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Section: Inflow: Vascular Resection and Reconstruction Of Hilar Struc...mentioning

confidence: 99%

Section: Inflow: Vascular Resection and Reconstruction Of Hilar Struc...mentioning

confidence: 99%

Surgical approach to achieve R0 resections in primary and metastatic liver tumors: a literature review

Vargas¹,

Dar²,

Fernandes³

et al. 2023

J Gastrointest Oncol

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show abstract

“…Despite the challenging nature of this task, conducting a differential diagnosis between ICC and other liver lesions, especially concerning HCC and combined hepatocellular cholangiocarcinoma ( Figure 1 ), is mandatory to conduct appropriate treatment planning [ 9 , 10 ]. To help radiologists and clinicians, several authors have proposed radiomics models to better define tumor characteristics and disease progression [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Update on the Applications of Radiomics in Diagnosis, Staging, and Recurrence of Intrahepatic Cholangiocarcinoma

et al. 2023

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Background: This paper offers an assessment of radiomics tools in the evaluation of intrahepatic cholangiocarcinoma. Methods: The PubMed database was searched for papers published in the English language no earlier than October 2022. Results: We found 236 studies, and 37 satisfied our research criteria. Several studies addressed multidisciplinary topics, especially diagnosis, prognosis, response to therapy, and prediction of staging (TNM) or pathomorphological patterns. In this review, we have covered diagnostic tools developed through machine learning, deep learning, and neural network for the recurrence and prediction of biological characteristics. The majority of the studies were retrospective. Conclusions: It is possible to conclude that many performing models have been developed to make differential diagnosis easier for radiologists to predict recurrence and genomic patterns. However, all the studies were retrospective, lacking further external validation in prospective and multicentric cohorts. Furthermore, the radiomics models and the expression of results should be standardized and automatized to be applicable in clinical practice.

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“…Furthermore, even if patient death undoubtfully represents a failure of the surgical approach, it is not a sufficient reason to prevent a patient from undergoing surgery in cases of perihilar cholangiocarcinoma, where surgical resection is often the only potential chance for a cure 3 . Each preoperative score predicting the risk of morbidity or mortality has a certain degree of accuracy, which means that potentially high-risk patients identified preoperatively may not actually experience a futile outcome.…”

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confidence: 99%

Reply: How to define the futile outcome in patients undergoing surgery for perihilar cholangiocarcinoma

Ratti,

Marino,

Koerkamp

et al. 2023

Hepatology

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Portal vein arterialization: a possibility in cholangiocarcinomas infiltrating the right hepatic artery?

Cited by 5 publications

References 10 publications

Surgical approach to achieve R0 resections in primary and metastatic liver tumors: a literature review

Surgical approach to achieve R0 resections in primary and metastatic liver tumors: a literature review

Update on the Applications of Radiomics in Diagnosis, Staging, and Recurrence of Intrahepatic Cholangiocarcinoma

Reply: How to define the futile outcome in patients undergoing surgery for perihilar cholangiocarcinoma

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