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Laparoscopic vs open approach to resection of hepatocellular carcinoma in patients with known cirrhosis:Systematic review and meta-analysis

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World Journal of Gastroenterology 2014年第25期20卷 8274-8281页

作者： Ahmed Twaij Philip H Pucher Mikael H Sodergren tamara gall Ara Darzi Long R Jiao Department of Surgery and Cancer QEQM BuildingSt Mary’s HospitalImperial CollegeLondon W2 1NY United Kingdom Department of Surgery Hammersmith HospitalImperial College LondonLondon SW7 2AZUnited Kingdom

AIM: To review the currently available literature comparing laparoscopic to open resection of hepatocellular carcinoma (HCC) in patients with known liver cirrhosis.

关键词： Laparoscopic Hepatocellular carcinoma Cirrhosis Hepatic resection Surgery Hepatobiliary Surgical oncology

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Surgical management of high-grade pancreatic injuries: Insights from a high-volume pancreaticobiliary specialty unit

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World Journal of Gastrointestinal Surgery 2023年第5期15卷 834-846页

作者： Juanita Noeline Chui Krishna Kotecha tamara MH gall Anubhav Mittal Jaswinder S Samra Department of Upper Gastrointestinal Surgery Royal North Shore HospitalSydney 2065NSWAustralia Faculty of Medicine and Health University of SydneySydney 2006NSWAustralia Department of Surgery University of Notre DameSydney 2006NSWAustralia

BACKGROUND The management of high-grade pancreatic trauma is *** To review our single-institution experience on the surgical management of blunt and penetrating pancreatic *** A retrospective review of records was performed on all patients undergoing surgical intervention for high-grade pancreatic injuries [American Association for the Surgery of Trauma(AAST) Grade Ⅲor greater] at the Royal North Shore Hospital in Sydney between January 2001 and December 2022. Morbidity and mortality outcomes were reviewed, and major diagnostic and operative challenges were *** Over a twenty-year period, 14 patients underwent pancreatic resection for highgrade injuries. Seven patients sustained AAST Grade Ⅲinjuries and 7 were classified as Grades Ⅳ or Ⅴ. Nine underwent distal pancreatectomy and 5 underwent pancreaticoduodenectomy(PD). Overall, there was a predominance of blunt aetiologies(11/14). Concomitant intra-abdominal injuries were observed in 11 patients and traumatic haemorrhage in 6 patients. Three patients developed clinically relevant pancreatic fistulas and there was one in-hospital mortality secondary to multi-organ failure. Among stable presentations, pancreatic ductal injuries were missed in two-thirds of cases(7/12) on initial computed tomography imaging and subsequently diagnosed on repeat imaging or endoscopic retrograde cholangiopancreatography. All patients who sustained complex pancreaticoduodenal trauma underwent PD without mortality. The management of pancreatic trauma is evolving. Our experience provides valuable and locally relevant insights into future management *** We advocate that high-grade pancreatic trauma should be managed in high-volume hepatopancreato-biliary specialty surgical units. Pancreatic resections including PD may be indicated and safely performed with appropriate specialist surgical, gastroenterology, and interventional radiology support in tertiary centres.

关键词： Pancreas Trauma Injury Pancreatectomy Pancreaticoduodenectomy Damage control surgery

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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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