Update on perioperative management of patients undergoing surgery for liver cancer

Kaibori, Masaki; Matsui, Kosuke; Shimada, Mitsuo; Kubo, Shoji; Hasegawa, Kiyoshi

doi:10.1002/ags3.12529

Cited by 5 publications

(3 citation statements)

References 115 publications

(196 reference statements)

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“…Intra-abdominal drainage catheters were routinely placed in all patients, with the drainage catheter removed when the drainage fluid was minimal and not bile-stained. Systemic antibiotics (usually second-generation cephalosporin) were routinely given during treatment ( 5 ).…”

Section: Methodsmentioning

confidence: 99%

Surgical treatment of postoperative intractable bile leakage after liver tumor surgery in children

et al. 2023

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AimTo summarize systematically our six-year experience in the surgical treatment of postoperative bile leakage after liver tumor surgery in children, and explore its reoperation approach and treatment effect.MethodsThe clinical data of 6 patients with postoperative bile leakage cured by surgery from January 2016 to January 2022 were reviewed retrospectively.ResultsAmong the six pediatric patients with postoperative bile leakage cured by surgery, four were male (67%) and two were female (33%). All patients underwent complex segmentectomy. The median time to bile leakage was 14 days (range, 10 to 32), and the daily drainage volume was stable from 170 ml to 530 ml per day. After conservative treatment failed, four patients received biliary-enteric anastomosis (patients 1, 3, 4, and 6), and two patients received bilio-cholecyst anastomosis (patients 2 and 5). All six patients were successfully treated with reoperation, and five patients were alive and without recurrence, while one patient was lost to follow-up due to abandoned treatment.ConclusionOur study suggests that surgery is a reliable and effective treatment for postoperative intractable bile leakage in children undergoing complex segmentectomy. Bilioenteric anastomosis is the most common technique for bile leakage, and bilio-cholecyst anastomosis is a feasible and effective surgical approach. These findings have important implications for the management of postoperative complications in pediatric patients undergoing complex segmentectomy.

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Section: Methodsmentioning

confidence: 99%

Surgical treatment of postoperative intractable bile leakage after liver tumor surgery in children

et al. 2023

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“…Additionally, imaging can detect the signs of portal hypertension, which may be present even in the absence of cirrhosis. In these cases, a surgical resection may be performed after controlling portal pressure, such as through TIPS placement, or alternative therapeutic options can be considered [46].…”

Section: Imaging Findingsmentioning

confidence: 99%

Focal Liver Lesions in Budd-Chiari Syndrome: Spectrum of Imaging Findings

Rizzetto,

Rutanni,

Carbonaro

et al. 2023

Diagnostics

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Budd–Chiari syndrome (BCS) is a rare clinical entity characterized by hepatic venous outflow obstruction, resulting in liver congestion and subsequent chronic parenchymal damage. This condition often leads to the development of focal liver lesions, including benign focal nodular hyperplasia-like regenerative nodules, hepatocellular carcinoma, and perfusion-related pseudo-lesions. Computed tomography, ultrasound, and magnetic resonance are the commonly employed imaging modalities for the follow-up of BCS patients and for the detection and characterization of new-onset lesions. The accurate differentiation between benign and malignant nodules is crucial for optimal patient management and treatment planning. However, it can be challenging due to the variable and overlapping characteristics observed. This review aims to provide a comprehensive overview of the imaging features and differential diagnosis of focal liver lesions in BCS, emphasizing the key findings and discussing the challenges associated with their interpretation, with the purpose of facilitating the subsequent clinical decision-making.

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“…O desafio da ressecção cirúrgica para o CHC é a avaliação préoperatória otimizada, de modo a indicar a ressecção equilibrando as características tumorais e a função hepática. Ressecção ampla com o objetivo de promover a cura com menor risco de recorrência, porém que exceda o limite funcional hepático, pode levar à insuficiência hepática; por outro lado, ressecção demasiadamente cautelosa com intuito de reduzir o risco de insuficiência hepática pode levar a um maior risco de recidiva (34) . Daí a importância de aperfeiçoar a avaliação pré-operatória de modo a entender qual extensão de ressecção o paciente é capaz de suportar, para que se obtenha o melhor equilíbrio entre o risco de recidiva tumoral e o risco de insuficiência hepática.…”

Section: Ressecção Cirúrgicaunclassified

Avaliação do Escore Plaqueta-Albumina (PAL) como preditor de risco e sobrevida pós-operatória em pacientes com carcinoma hepatocelular submetidos a ressecção hepática

Meira Júnior

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Update on perioperative management of patients undergoing surgery for liver cancer

Cited by 5 publications

References 115 publications

Surgical treatment of postoperative intractable bile leakage after liver tumor surgery in children

Surgical treatment of postoperative intractable bile leakage after liver tumor surgery in children

Focal Liver Lesions in Budd-Chiari Syndrome: Spectrum of Imaging Findings

Avaliação do Escore Plaqueta-Albumina (PAL) como preditor de risco e sobrevida pós-operatória em pacientes com carcinoma hepatocelular submetidos a ressecção hepática

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