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James Hogarth Pringle and his time-honored maneuver

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Hepatobiliary Surgery and Nutrition 2024年第3期13卷 391-392页

作者： thomas m.van gulik Department of Surgery Amsterdam University Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands

The classical method to control blood loss during parenchymal transection of the liver is the Pringle *** his landmark article in the Annals of Surgery in 1908,James Hogarth Pringle occluded the afferent vessels to the liver by compressing the hepatoduodenal ligament between his thumb and index finger(1).He applied this maneuver in eight patients who required emergency laparotomy for major hemorrhage after severe liver *** he succeeded in controlling blood loss,the eight patients he described unfortunately all *** outcome did not prevent the Annals of Surgery from publishing his report after which James Hogarth Pringle was ready to enter the‘Hall of Fame’.Vascular inflow occlusion,applied in a continuous or intermittent fashion,became the mainstay technique for reducing blood loss during liver transection,and has remained so in the present era of laparoscopic and robotic liver resection(2).

关键词： Pringle Surgery patients

The lymphatic vessels of the liver observed by Frederik Ruysch

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Hepatobiliary Surgery and Nutrition 2024年第5期13卷 757-758页

作者： thomas m.van gulik Department of Surgery Amsterdam University Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands

The Dutch physician and anatomist Frederik Ruysch[1638-1731]was back in the 17th century,one of the first to discover the lymphatic vessels and associated lymph *** exposed the inguinal lymph nodes during dissection of a human cadaver;however,most of his observations were based on anatomical dissections of living animals(1).He had a wide reputation for his exceptional anatomical dissection *** performed an anatomical dissection of a horse three hours after the animal had eaten,and noted‘white vessels’with a milky content in the mesentery of the *** prepared these lymphatic vessels and after tying off on two sides,he filled a vessel with air using a fine *** observed‘crescent-shaped’valves in the lymphatic vessels and concluded that the flow of lymph was directed into one direction(2).

关键词： Dutch white exceptional

Couinaud’s corrosion casts of the liver

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Hepatobiliary Surgery and Nutrition 2022年第2期11卷 174-175页

作者： thomas m.van gulik Department of Surgery Amsterdam University Medical CentersUniversity of AmsterdamAmsterdamThe Netherlands

Claude Couinaud[1922-2008],a French surgeon-anatomist,became famous for his classification of the segmental division of the *** defined each segment by its distinct portal venous anatomy and its intersegmental,watershed *** segment would function as an independent functional unit with its own biliary ductal system draining into the central bile *** from all segments is collected into the three main hepatic veins that drain into the caval vein.

关键词： drain watershed Blood

Babylonian clay tablet of the liver

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Hepatobiliary Surgery and Nutrition 2023年第1期12卷 1-2页

作者： thomas m.van gulik Department of Surgery Amsterdam University Medical CentersUniversity of AmsterdamAmsterdamThe Netherlands

The Babylonians were an ancient people living from approximately 2000 BC to 1600 BC in southern mesopotamia,a fertile region situated between the Tigris and Euphrates river,an area for the greater part corresponding with modern *** reached a high level of civilization with their own Akkadian language,writings and *** the realm of their religion,they worshipped a host of gods and goddesses,each with different names and distinct functions.

关键词： situated approximate realm

Liver anatomy by Francis Glisson

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Hepatobiliary Surgery and Nutrition 2022年第4期11卷 502-503页

作者： thomas m.van gulik Department of Surgery Amsterdam University Medical CentersUniversity of AmsterdamAmsterdamThe Netherlands

Francis Glisson(1598-1677)was born in Bristol and studied to become a doctor at Caius College,Cambridge,where he eventually was appointed as professor of *** wrote the first monograph on the anatomy of the liver in hi... 详细信息

关键词： anatomy College eventually

*** of Assisi receives the stigma on his liver

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Hepatobiliary Surgery and Nutrition 2023年第3期12卷 300-301页

作者： thomas m.van gulik Department of Surgery Amsterdam University Medical CentersUniversity of AmsterdamAmsterdamThe Netherlands

A remarkable painting of *** of Assisi is on display in the Indianapolis museum of Art at Newfields,USA,painted by the Italian master Pietro da Rimini around 1330(Figure 1)(1).The painting is entitled‘Saint Francis receives the stigmata’,and depicts the saint experiencing a vision as he *** sees Christ,bearing the wounds from his crucifixion,flying with an angel-like creature called a *** wounds of Christ represent the four places where nails were driven through his hands and feet during his crucifixion,each denoting a stigma.A fifth stigma appears as a wound on the right side of his chest,where he was stabbed with a lance between the ribs by the Roman soldier who wanted to ascertain his death.

关键词： Italian Figure painting

Tumor progression in two-stage liver resections—is the shorter inter-stage period in associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) of benefit to the patient?

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Hepatobiliary Surgery and Nutrition 2019年第3期8卷 316-317页

作者： Ernesto Sparrelid thomas m.van gulik Division of Surgery Department of Clinical ScienceIntervention and TechnologyKarolinska InstitutetKarolinska University HospitalStockholmSweden Department of Surgery Amsterdam UMCUniversity of AmsterdamAmsterdamThe Netherlands

A two-stage liver resection is a surgical option in patients with bilobar liver tumors in whom a single procedure is not feasible because of insufficient functional volume of the future liver *** use of unilateral portal vein occlusion,such as portal vein embolization,induce hypertrophy of the future liver remnant in order to enable subsequent *** enhancement of tumor growth along with the hypertrophy response has raised concerns regarding oncological outcomes of the procedure.

关键词： occlusion portal partition

Obstructive jaundice due to hepatobiliary cystadenoma or cystadenocarcinoma

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World Journal of Gastroenterology 2006年第35期12卷 5735-5738页

作者： Deha Erdogan Olivier RC Busch Erik AJ Rauws Otto m van Delden Dirk J Gouma thomas m van gulik Department of Surgery Academic Medical Center University of Amsterdam The Netherlands Department of Hepatology Academic Medical Center University of Amsterdam The Netherlands Department of Surgery Radiology Academic Medical Center University of Amsterdam The Netherlands

Hepatobiliary cystadenomas (HBC) and cystadenocarci- nomas are rare cystic lesions. most patients with these lesions are asymptomatic, but presentation with ob- structive jaundice may occur. The first patient presented with intermittent colicky pain and recurrent obstructive jaundice. Imaging studies revealed a polypoid lesion in the left hepatic duct. The second patient had recurrent jaundice and cholangitis. Endoscopic retrograde cholan- giopancreatography (ERCP) showed a cystic lesion at the confluence of the hepatic duct. In the third patient with intermittent jaundice and cholangitis, cholangioscopy re- vealed a papillomatous structure protruding into the left bile duct system. In the fourth patient with obstructive jaundice, CT-scan showed slight dilatation of the intrahe- patic bile ducts and dilatation of the common bile duct of 3 cm. ERCP showed filling of a cystic lesion. All patients underwent partial liver resection, revealing HBC in the specimen. In the fifth patient presenting with obstructive jaundice, ultrasound examination showed a hyperecho- genic cystic lesion centrally in the liver. The resection specimen revealed a hepatobiliary cystadenocarcinoma. HBC and cystadenocarcinoma may give rise to obstruc- tive jaundice. Evaluation with cross-sectional imaging techniques is useful. ERCP is a useful tool to differentiate extraductal from intraductal obstruction.

关键词： Liver Hepatobiliary cystadenoma Cystadenocarcinoma Obstructive jaundice Endoscopic retrograde cholangiopancreatography

Results of percutaneous sclerotherapy and surgical treatment in patients with symptomatic simple liver cysts and polycystic liver disease

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World Journal of Gastroenterology 2007年第22期13卷 3095-3100页

作者： Deha Erdogan Otto m van Delden Erik AJ Rauws Olivier RC Busch Johan S Lameris Dirk J Gouma thomas m van gulik Department of Surgery Academic Medical Center University of Amsterdam The Netherlands Department of Radiology Academic Medical Center University of Amsterdam The Netherlands Department of Gastroenterology Academic Medical Center University of Amsterdam The Netherlands

AIm: To evaluate the results of the treatment of simple liver cysts (solitary and multiple) and polycystic liver disease (PLD) using percutaneous sclerotherapy and/or surgical procedures in a single tertiary referral centre. mETHODS: Retrospective analysis of 54 patients referred for evaluation and possible treatment of simple liver cysts (solitary and multiple) and PLD, from January 1997 to July 2006. RESULTS: Simple liver cysts were treated in 41 pts (76/) with a mean size of 12.6 cm. The most common reason for referral was abdominal pain or discomfort (85/). Percutaneous sclerotherapy was performed as initial treatment in 30 pts, showing cyst recurrence in 6 pts (20/). Surgical treatment was initially performed in 11 pts with cyst recurrence in 3 pts (27/). PLD was treated in 13 pts (24/) with a mean size of the dominant cyst of 13 cm. Percutaneous sclerotherapy for PLD was performed in 9 pts with recurrence in 7 pts (77.8/). Surgical treatment for PLD was undertaken in 4 pts (30.8/) with recurrence in all. Eventually, 2 pts with PLD in the presence of polycystic kidney disease underwent liver-and kidney transplantation because of deterioration of liver and kidney function. CONCLUSION: The majority of patients with simple liver cysts and PLD are referred for progressive abdominal pain. As initial treatment, percutaneous sclerotherapy is appropriate. Surgical deroofing is indicated in caseof cyst recurrence after percutaneous sclerotherapy. However, the results of percutaneous sclerotherapy and surgical treatment for PLD are disappointing. Partial liver resection is indicated when there is suspicion of a pre-malignant lesion.

关键词： Simple liver cyst Polycystic liver disease Percutaneous sclerotherapy Deroofing Complications