Background: Complete cytoreductive surgery (CRS), combining organ resection and peritonectomy, is the only treatment that could offer cure for patients with peritoneal carcinomatosis. Initially, when the Glisson's capsule was involved without deep liver parenchyma invasion, either electroevaporation or Glisson's capsule resection was proposed. The objective of this study is to present and evaluate the safety of this standardized digital glissonectomy.
Methods: Since 2009, the peritonectomy of the Glisson's capsule, or digital glissonectomy, has been standardized at our institution.
Results: Among 655 patients who underwent a complete CRS between 2009 and 2014, 91 (14 %) glissonectomies were performed. Pseudomyxoma peritonei was the primary indication, and a glissonectomy was more frequently performed for patients with high peritoneal cancer index. The morbidity and mortality of CRS were not increased after glissonectomy (p = 0.069 and 0.949, respectively).
Conclusions: Digital glissonectomy is feasible and safe, when proposed for superficial deposits on Glisson's capsule.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1245/s10434-016-5342-9 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Novel techniques of liver segmental and subsegmental pedicle anatomy from segment 1 to segment 8.
World J Gastrointest Surg
December 2024
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Background: Laparoscopic anatomical liver resection has become more challenging because some subsegmental Glissonean pedicles are hard to dissect. Here, we introduce how to dissect every (sub) segmental Glissonean pedicle from the first porta hepatis and perform standardized (sub) segmentectomy [from segment 1 (S1) to S8].
Aim: To summarize our methods of laparoscopic anatomical segmental and subsegmental liver resection.
[Redo right ventricular outflow tract repair for destruction of xenopericardial patch with monocusp].
Khirurgiia (Mosk)
October 2024
Petrovsky National Research Center of Surgery, Moscow, Russia.
Article Synopsis
- Tetralogy of Fallot is a common heart defect categorized as a "blue type," meaning it can cause cyanosis (bluish skin due to lack of oxygen).
- Surgical correction aims to close a hole between the heart's ventricles and rebuild the pathway for blood to flow from the right ventricle.
- The success of these surgeries is influenced by factors such as the patient's age, the materials used, and the size of the components involved, and some patients may need additional surgeries later on due to issues with the initial repair.
Migrating pseudolipoma of Glisson's capsule: A case report.
Radiol Case Rep
November 2024
Department of Radiology, Third People's Hospital of Zigong, Sichuan Province, China.
Pseudolipoma of Glisson's capsule is a rare, benign subcapsular liver lesion that typically occurs in older adult men. It comprises degenerated fat tissue that likely originates from detached mesothelial appendages or degenerated liver lipomas. We report the case of a 58-year-old female patient with a gastric malignant tumor after admission.
View Article and Find Full Text PDFLeft Hemi-Hepatectomy to Resect Metastatic Tumor of Round Ligament of Liver in Patients with Ovarian Cancer.
Cancers (Basel)
August 2024
Center for Gynecologic Cancer, National Cancer Center, Goyang 10408, Republic of Korea.
The objective of this study is to investigate the surgical, clinical and pathological outcomes of left hemi-hepatectomy during cytoreductive surgery (CRS) in patients with primary ovarian cancer. The electronic medical charts of patients with primary ovarian cancer who received CRS including left hemi-hepatectomy from 2000 to 2023 were reviewed and retrospectively analyzed. A total of 17 patients underwent left hemi-hepatectomy for resection of a deep peritoneal implant in the round ligament of the liver during primary CRS.
View Article and Find Full Text PDFPrognosis and recurrence of spontaneously ruptured hepatocellular carcinoma treated after hepatectomy: A single institution experience.
Medicine (Baltimore)
June 2024
Department of Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.
Article Synopsis
- Spontaneously ruptured hepatocellular carcinoma (srHCC) is a serious condition with uncertain outcomes after surgery, leading researchers to analyze its prognosis compared to unruptured HCC.
- In a study of 86 patients who had surgery for HCC, 11 had srHCC, which was characterized by larger tumor sizes and higher rates of vascular invasion and Glisson capsule involvement.
- Results showed that 73% of srHCC patients experienced recurrence, with lower median recurrence-free and overall survival times compared to 45% recurrence in unruptured cases, indicating that srHCC leads to worse clinical outcomes.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!