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Laparoscopic liver resection for malignancies confined to Couinaud's segment VII in the robotic surgery era

Hepatobiliary Surgery and Nutrition 2019年第4期8卷 439-441页

作者： Maurizio Zizzo Lara Ugoletti Carolina Castro Ruiz Magda Zanelli Loredana De Marco Claudio Pedrazzoli valerio annessi Surgical Oncology Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaArcispedale Santa Maria Nuova di Reggio EmiliaReggio EmiliaItaly Clinical and Experimental Medicine PhD Program University of Modena and Reggio EmiliaModenaItaly General Surgery Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaOspedale Civile di GuastallaReggio EmiliaItaly Pathology Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaArcispedale Santa Maria Nuova di Reggio EmiliaReggio EmiliaItaly

We read with pleasure papers by Cai et al. and Jia et al. published in HepatoBiliary Surgery and Nutrition, 2018, Volume 7, Issue 2 and 4, respectively (1,2). Both papers introduced comprehensive up-to-date literature reviews on indications and patient selection, surgical instruments, techniques, and outcomes of laparoscopic liver resections (LLRs) (1,2). Papers mentioned final statements by 2008 Louisville Statement and 2014 Morioka Consensus Conference (1,2). They stressed LLR non-inferiority to open procedures, in both minor and major liver resections as far as oncological and intraoperative/perioperative outcomes are concerned: reduced blood loss, lower postoperative morbidity and shorter length of hospitalization (1,2). Such results were corroborated by recent meta-analyses (3,4). Furthermore, some previous limitations for LLR look like they have been recently overcome (1-5). For example, tumor size, patient's old age and high BMI are no longer limitations for LLR, as Southampton Consensus guidelines suggested (5). Likewise, cirrhosis has been suggested as a further indication of LLR in highly selected patients with hepatocellular carcinoma and where it was performed by experienced surgeons (1-5).

关键词： Surgery overcome mentioned

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Prevention of bile spillage during cholecystectomy: current evidences and considerations

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Hepatobiliary Surgery and Nutrition 2020年第1期9卷 109-111页

作者： Maurizio Zizzo Lorenzo Manzini Magda Zanelli Loredana De Marco Carolina Castro Ruiz Antonio Manenti valerio annessi Surgical Oncology Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaArcispedale Santa Maria Nuova di Reggio EmiliaReggio EmiliaItaly Clinical and Experimental Medicine PhD Program University of Modena and Reggio EmiliaModenaItaly Pathology Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaArcispedale Santa Maria Nuova di Reggio EmiliaReggio EmiliaItaly General Surgery Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaOspedale Civile di GuastallaReggio EmiliaItaly Department of General Surgery Azienda Ospedaliero-Universitaria-PoliclinicoModenaItaly

We really appreciated Geramizadeh, " Bile spillage and incidental gall bladder adenocarcinoma ", and Sandstrom et al. ,"Bile spillage should be avoided in elective cholecystectomy " (1,2). Both papers have been recently published in HepatoBiliary Surgery and Nutrition, 2019 (1,2). Starting from an analysis of the recent paper by Horkoff et al. "Adverse outcomes after bile spillage in incidental gall bladder cancer " in Annals of Surgery April 2019, they introduced a comprehensive discussion about epidemiology, diagnosis, therapy, prognostic factors and outcomes of incidental gallbladder cancer (1-3). They analyzed the possible risks related to bile spillage after cholecystectomy, in particular (1,2).

关键词： Surgery cholecystectomy epidemiology diagnosis

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