Right Liver Resection Techniques for Advanced Alveolar Echinococcosis with Vascular Invasion

Поршенников, И. А.

doi:10.17691/stm2017.9.1.05

Cited by 5 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…AE is a helminthiasis caused by the Echinococcus multilocularis larvae, which are retained by the liver while passing into the portal bloodstream from the bowel and form tumor‐like neoplasms. Treating patients with liver AE is difficult as it shows signs of a slowly growing malignant tumor with infiltrative growth, possible invasion of adjacent organs, and ability to metastasize 4 . Endemic hotbeds are Western Siberia, Far East, Yakutia, Central Asia, Central Europe, Alaska, and Northern Canada.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The first case of combined heart‐liver transplantation in a patient with alveolar echinococcosis

Chernyavskiy¹,

Альсов

Гуляева

et al. 2020

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The adjacent organs, and ability to metastasize. 4 Endemic hotbeds are Western Siberia, Far East, Yakutia, Central Asia, Central Europe, Alaska, and Northern Canada. Radical surgery associated with antiparasitic chemotherapy is the only curative option for liver AE.…”

Section: Case Reportmentioning

confidence: 99%

The first case of combined heart‐liver transplantation in a patient with alveolar echinococcosis

Chernyavskiy¹,

Альсов

Гуляева

et al. 2020

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

Outcomes of ex vivo liver resection and autotransplantation: A systematic review and meta-analysis

Zawistowski

Nowaczyk

Jakubczyk

et al. 2020

Surgery

View full text Add to dashboard Cite

Background: Many patients with hepatic tumors cannot benefit from resection owing to the difficult anatomic sites of their lesions. Some of these patients might be eligible for ex vivo liver resection and autotransplantation. This procedure consists of complete hepatectomy, extracorporeal liver resection, and autotransplantation of the remnant liver. Methods: Four databases were searched for studies reporting cases of ex vivo liver resection and autotransplantation. Outcomes of this procedure were evaluated by meta-analysis of proportions with random effects model and individual participant data analysis. Results: Fifty-three studies were assessed. Meta-analysis revealed an R0 resection rate of 93.4% (95% confidence interval: 81.0e97.9%, I 2 ¼ 0%), a frequency of major surgical complications of 24.5% (95% confidence interval, 16.9e34.3%, I 2 ¼ 26%), a 30-day mortality of 9.5% (95% confidence interval: 5.9e14.9%, I 2 ¼ 0%), and a 1-year survival of 78.4% (95% confidence interval: 62.2e88.8%, I 2 ¼ 64%). We were able to obtain the individual participant data in 244 patients; R0 resection was achieved in 98.6%, with no obvious difference between analyzed subgroups. The 30-day mortality and 1-year survivals were 7.9% and 82.1%, respectively. For groups with malignant and nonmalignant tumors, the 30-day mortalities were 11.3% vs. 6.3% (P ¼ .181), and 1-year survivals were 65.0% vs. 89.7% (P < .001). When comparing those with malignant versus those with nonmalignant lesions, major surgical complications occurred in 50.0% vs. 21.0%; P < .001). Regression analysis revealed that outcomes of patients with benign tumors were better compared with those with malignant tumors (1-year survival, odds ratio: 4.629; 95% confidence interval: 2.181e10.097, P < .001). Conclusion: Ex vivo liver resection and autotransplantation facilitates radical treatment in selected patients with conventionally unresectable hepatic tumors and normal liver function. The outcomes of treatment of malignant lesions appear to be less satisfactory.

show abstract

Surgical treatment of liver alveococcosis

Bebezov

Umetaliev

et al. 2019

Ann. hir. gepatol.

View full text Add to dashboard Cite

Aim. To improve the results of diagnosis and surgical treatment of liver alveococcosis.Material and methods. There were 415 patients with liver alveococcosis for the period 2009–2018. Liver resection was performed in 364 patients. Metastases in the brain were detected in 7 patients, lungs – in 3 cases, soft tissues involvement – in another 3 ones. Hepatic-bronchial fistula occurred in 2 cases. Mean age of patients was 41 ± 2.3 years. There were 128 (30.8%) men and 287 (69.2%) women.Results. Advanced liver resection was performed in 187 patients, atypical resection – in 177 cases. R0-resection was carried out in 62.4% of cases, R1–2 procedures – in 37.6%, diagnostic laparotomy – in 4.4%. Four patients died in early postoperative period.Conclusion. The final decision about resectability may be made after intraoperative assessment, intraoperative ultrasound, Doppler sonography and liver mobilization. Liver resection for advanced alveococcosis is extensive, needs for resection and replacement of great vessels, as well as bile ducts repair. Radical treatment is R0-resection if distant metastases are absent. Redo surgery is advisable for liver alveococcosis.

show abstract

Right Liver Resection Techniques for Advanced Alveolar Echinococcosis with Vascular Invasion

Cited by 5 publications

References 10 publications

The first case of combined heart‐liver transplantation in a patient with alveolar echinococcosis

The first case of combined heart‐liver transplantation in a patient with alveolar echinococcosis

Outcomes of ex vivo liver resection and autotransplantation: A systematic review and meta-analysis

Surgical treatment of liver alveococcosis

Contact Info

Product

Resources

About