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Contrast-enhanced ultrasonography for intrahepatic cholangiocarcinoma: A cost-effective alternative for low-resource settings

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Hepatobiliary & Pancreatic Diseases International 2021年第3期20卷 304-305页

作者： Charlie Fife Michael Pitcairn michal kawka Department of Medicine Imperial College LondonSouth Kensington CampusLondon SW72AZUK

To the Editor: We would like to congratulate Tian and colleagues on their recent article: Diagnostic value of contrast-enhanced ultrasonography for intrahepatic cholangiocarcinoma with tumor diameter larger than 5 cm [1]. They argued that, despite not being included in the American Association for the Study of Liver Diseases(AASLD) guidelines for the diagnosis of liver diseases, contrast-enhanced ultrasonography(CEUS) can be of use for diagnosis of large(>5 cm), mass-forming intrahepatic cholangiocarcinoma(ICC).

关键词： diagnosis ultrasonography intrahepatic

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Minimum invasive associating liver partition and portal vein ligation for staged hepatectomy

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Laparoscopic, Endoscopic and Robotic Surgery 2020年第1期3卷 1-5页

作者： michal kawka Tamara M.H.Gall Long R.Jiao Hepato-pancreato-biliary Surgical Unit Department of Surgery&CancerImperial CollegeHammersmith Hospital CampusLondonW120HSUnited Kingdom

Associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)has gained interest,as the potential alternative to portal vein embolisation for inducing future liver remnant hypertrophy in patients at risk of post-hepatectomy liver failure but is associated with high morbidity and *** a result,several variant ALPPS have been reported to reduce ALPPS related morbidity and *** is able to induce more extensive hypertrophy in a shorter time-period than portal vein ***-invasive surgery,which has known benefits with regards to morbidity and mortality,has also been applied to ALPPS,with promising results regarding safety and feasibility and patient *** suggests that both laparoscopic and robot-assisted ALPPS present technically feasible and safe options for ***-invasive ALPPS offers a clear benefit to patients,including reduction of fibrous adhesions,shorter length of hospital stay,and lower ***,the technical difficulty of the procedure still limits its wide application,even to experienced hepato-pancreato-biliary centres.

关键词： ALPPS Robotic hepatectomy Laparoscopic hepatectomy Staged liver resection

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