Ante-situm resection: a novel approach to avoid extracorporeal circulation using a transient portacaval shunt

Santibañés, Eduardo de; Cristiano, Agustín; Santibañes, Martín de; Yanzon, Alejandro; Santos, Fanny Rodríguez; Ardiles, Victoria; Pekolj, Juan

doi:10.1111/hpb.12337

Cited by 12 publications

(3 citation statements)

References 12 publications

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“…After full text assessment, 2 more studies were excluded because they did not provide adequate data for calculating the HR and 95% CI, and 8 studies were excluded because they were either conference abstracts or not relevant. Thus, 9 studies that met our selection criteria with a total of 2093 patients with CCA 13 16 17 18 19 20 21 22 23 were finally included in this meta-analysis. Among the 9 articles included, 1 article by Hamed et al could be divided into two “sub-groups,” given that it provided survival data related to NLR and OS categorized as ampullary carcinoma and cholangiocarcinoma depending on the anatomic location of the tumour; thus, we designated them as Hamed1 and Hamed2.…”

Section: Resultsmentioning

confidence: 99%

Prognostic Significance of Neutrophil to Lymphocyte Ratio in Oncologic Outcomes of Cholangiocarcinoma: A Meta-analysis

Tan

et al. 2016

Sci Rep

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Increasing evidence indicates that the neutrophil to lymphocyte ratio (NLR) is a useful biomarker of long-term outcomes in patients with cholangiocarcinoma. However, the prognostic role of NLR in patients with cholangiocarcinoma remains unclear. Thus, the current meta-analysis was undertaken to clarify the correlation between NLR and overall survival (OS) in cholangiocarcinoma, and a comprehensive literature research was conducted to understand the association of NLR and prognosis of cholangiocarcinoma. The hazard ratio (HR) with 95% confidence interval (CI) was used to assess OS. The synthesized HR of 1.449 (95% CI: 1.296–1.619, P < 0.001) indicated that a high NLR had an unfavourable effect on OS. Overall, this meta-analysis suggested that elevated preoperative NLR is associated with poorer rates of survival in cholangiocarcinoma patients.

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Section: Resultsmentioning

confidence: 99%

Prognostic Significance of Neutrophil to Lymphocyte Ratio in Oncologic Outcomes of Cholangiocarcinoma: A Meta-analysis

Tan

et al. 2016

Sci Rep

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“…Both groups used an in-situ liver perfusion to perform the hepatectomy with good results as well as liver function. On the other hand, other authors defend the use of ante situm resection, avoiding in-situ hypoperfusion or veno-venous bypass during the ischemic phase of resection (13,14). Recently, Cillo et al describe the first experience in humans of ante situm surgery using hypothermic oxygenated machine perfusion with the advantage of a more efficient and widespread diffusion of cold perfusate and oxygen than cold flushing (15).…”

Section: Editorialmentioning

confidence: 99%

The challenge of hepatic vein reconstruction in surgical oncology

López-López¹,

Ferreras²,

Eshmuminov³

et al. 2022

Hepatobiliary Surg Nutr

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“…Some groups have proposed the immediate reconstruction of the IVC with a temporary PCS and without bypass [49]. Other authors used this technique without PCS, while others did not reconstruct the IVC immediately or used bypass; only a temporary PCS was utilised [50,51].…”

Section: Figurementioning

confidence: 99%

Vascular Involvements in Cholangiocarcinoma: Tips and Tricks

Angelico

Sensi

Parente

et al. 2021

Cancers

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Cholangiocarcinoma (CCA) is an aggressive malignancy of the biliary tract. To date, surgical treatment remains the only hope for definitive cure of CCA patients. Involvement of major vascular structures was traditionally considered a contraindication for resection. Nowadays, selected cases of CCA with vascular involvement can be successfully approached. Intrahepatic CCA often involves the major hepatic veins or the inferior vena cava and might necessitate complete vascular exclusion, in situ hypothermic perfusion, ex situ surgery and reconstruction with autologous, heterologous or synthetic grafts. Hilar CCA more frequently involves the portal vein and hepatic artery. Resection and reconstruction of the portal vein is now considered a relatively safe and beneficial technique, and it is accepted as a standard option either with direct anastomosis or jump grafts. However, hepatic artery resection remains controversial; despite accumulating positive reports, the procedure remains technically challenging with increased rates of morbidity. When arterial reconstruction is not possible, arterio-portal shunting may offer salvage, while sometimes an efficient collateral system could bypass the need for arterial reconstructions. Keys to achieve success are represented by accurate selection of patients in high-volume referral centres, adequate technical skills and eclectic knowledge of the various possibilities for vascular reconstruction.

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Ante-situm resection: a novel approach to avoid extracorporeal circulation using a transient portacaval shunt

Abstract: A video abstract of this article can be viewed at http://youtu.be/iXD7859w-bU

Cited by 12 publications

References 12 publications

Prognostic Significance of Neutrophil to Lymphocyte Ratio in Oncologic Outcomes of Cholangiocarcinoma: A Meta-analysis

Prognostic Significance of Neutrophil to Lymphocyte Ratio in Oncologic Outcomes of Cholangiocarcinoma: A Meta-analysis

The challenge of hepatic vein reconstruction in surgical oncology

Vascular Involvements in Cholangiocarcinoma: Tips and Tricks

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