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The role of surgical approach in recovery from extrahepatic cholangiocarcinoma: hemihepatectomy vs. pancreatoduodenectomy.
Langenbecks Arch Surg
December 2024
Division of Hepato-biliary-pancreatic Surgery, Shizuoka Cancer Center, 1007, Shimo-Nagakubo, Sunoto-Nagaizumi, Shizuoka, 411-8777, Japan.
Background: This study compared short- and mid-term outcomes of hemihepatectomy (HH) and pancreatoduodenectomy (PD) in patients with extrahepatic cholangiocarcinoma, focusing on surgical outcomes, body composition, and nutritional status.
Method: A retrospective review was conducted to assess short-term outcomes, including operative time, blood loss, complications, and mortality. Body composition and nutritional parameters were analyzed preoperatively and 1 year postoperatively.
The dorsal approach to the middle hepatic vein from the hilar plate in laparoscopic hemihepatectomy (with video).
World J Surg
December 2024
Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang-si, Gyeonggi-do, South Korea.
Background: Although laparoscopic hemihepatectomy has gained prominence, one of the critical challenges in this procedure is the approach to the middle hepatic vein (MHV). The MHV, which runs in the midplane of the liver, is situated above the hilar plate and serves as an anatomical landmark in hemihepatectomy. We have introduced dorsal approach to the MHV from the hilar plate in laparoscopic hemihepatectomy under the laparoscopic caudo-dorsal view.
View Article and Find Full Text PDFAlveolar Echinococcosis - Diagnostic challenges of a parasitic disease on the rise in Europe - a case report.
Z Gastroenterol
January 2025
Division of Hepatology, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.
Article Synopsis
- A 45-year-old man exhibited symptoms of jaundice, abdominal pain, and weight loss, leading to the diagnosis of Caroli syndrome through imaging.
- Subsequent MRI suggested the presence of a mass and bile duct stenosis that raised concerns for cholangiocarcinoma, but serology indicated an echinococcus infection instead.
- The patient ultimately underwent liver surgery, which confirmed the diagnosis of alveolar echinococcosis, emphasizing the challenges in diagnosing this neglected disease, especially in rising incidence areas like Germany.
Reassessment of palliative surgery in conversion therapy of previously unresectable hepatocellular carcinoma: Two case reports and review of literature.
World J Gastrointest Surg
October 2024
Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.
Background: Most patients with hepatocellular carcinoma (HCC) have lost the opportunity for direct surgery at the time of diagnosis. Transarterial chemoembolization (TACE) combined with immune checkpoint inhibitors or tyrosine kinase inhibitors (TKI) can partially transform some unresectable HCC and improve the prognosis effectively. However, based on the promising prospects of combined targeted and immunotherapy for the effective treatment of HCC, the positive role of palliative surgery in the conversion treatment of advanced HCC urgently needs further intensive re-assessment.
View Article and Find Full Text PDF[A Case of Hepatocellular Carcinoma Relapse in the Lungs 17 Years after Liver Resection].
Gan To Kagaku Ryoho
October 2024
Dept. of Surgery, Noshiro Yamamoto Medical Association Hospital.
A 77-year-old man underwent a right hemihepatectomy for hepatocellular carcinoma in 2002. The patient remained alive without recurrence for 17 years after surgery. In September 2019, he was diagnosed with a tumor in the lower lobe of the right lung by follow-up CT.
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