检索结果-南通市图书馆

Trend of robot-assisted surgery system in gastrointestinal and liver surgery: A bibliometric analysis

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal surgery 2024年第9期16卷 3008-3019页

作者： Ze-Chuan Jin Zi-Qiang Wang Colorectal Cancer Center West China HospitalSichuan UniversityChengdu 610000Sichuan ProvinceChina Colorectal Cancer Center Department of General SurgeryWest China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina

BACKGROUND Robot-assisted gastrointestinal and liver surgery has been an important development direction in the field of surgery in recent years and it is also one of the fastest developing and most concerning fields in surgical *** To illustrate the major areas of research and forward-looking directions over the past twenty-six *** Using the Web of Science Core Collection database,a comprehensive review of scholarly articles pertaining to robot-assisted gastrointestinal and liver surgery was researched out between 2000 and *** used Citespace(Version 6.2.4)and Bibliometrix package(Version 4.3.0)to visualize the analysis of all publications including country,institutional affiliations,authors,and *** In total,346 articles were *** Endoscopy had with the largest number of publications and was cited in this *** United States was a core research country in this *** University was the most productive *** current focus of this field is on rectal surgery,long-term prognosis,perioperative management,previous surgical experience,and the learning *** The scientific interest in robot-assisted gastrointestinal and liver surgery has experienced a significant rise since *** study provides new perspectives and ideas for future research in this field.

关键词： Bibliometric analysis Robot-assisted surgery system Gastrointestinal surgery liver surgery Citespace

Prospective study to evaluate the prognostic value of different nutritional assessment scores in liver surgery: NURIMAS liver (DRKS00006340)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatobiliary surgery and Nutrition 2020年第4期9卷 400-413页

作者： Pascal Probst Juri Fuchs Michael R.Schön Georgios Polychronidis Christos Stravodimos Arianeb Mehrabi Markus K.Diener Philipp Knebel Markus W.Büchler Katrin Hoffmann Department of General Visceral and Transplantation SurgeryUniversity of HeidelbergIm Neuenheimer Feld 11069120 HeidelbergGermany Department of General and Visceral surgery Städtisches Klinikum KarlsruheMoltkestraße 9076133 KarlsruheGermany

Background:Malnutrition is recognised as a preoperative risk factor for patients undergoing hepatic *** is important to identify malnourished patients and take preventive therapeutic action before ***,there is no evidence regarding which existing nutritional assessment score(NAS)is best suited to predict outcomes of liver ***:All patients scheduled for elective liver resection at the surgical department of the University Hospital of Heidelberg and the Municipal Hospital of Karlsruhe were screened for *** NASs were calculated before operation,and patients were categorised according to each score as being either at risk or not at risk for *** association of malnutrition according to each score and occurrence of at least one major complication was the primary endpoint,which was achieved using a multivariate logistic regression analysis including established risk factors in liver surgery as ***:The population consisted of 182 *** percentage of patients deemed malnourished by the NAS varied among the different scores,with the lowest being 2.20%(Mini Nutritional Assessment)and the highest 52.20%(Nutritional Risk Classification).Forty patients(22.0%)had a major *** of the scores were significantly associated with major ***:None of the twelve investigated NAS defined a state of malnutrition that was independently associated with postoperative *** means of measuring malnutrition in liver surgery should be investigated prospectively.

关键词： Malnutrition liver surgery hepatic resection nutritional assessment

Management of hepatocellular carcinoma recurrence after liver surgery and thermal ablations:state of the art and future perspectives

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatobiliary surgery and Nutrition 2024年第1期13卷 71-88页

作者： Astrid Herrero Cyprien Toubert Jose Ursic Bedoya Eric Assenat Boris Guiu Fabrizio Panaro Thomas Bardol Gianluca Cassese Department of HPB surgery and liver Transplantation Saint Eloi HospitalMontpellier UniversityMontpellierFrance Department of Hepatology and liver Transplantation Saint Eloi HospitalMontpellier UniversityMontpellierFrance Department of Digestive Oncology Saint Eloi HospitalMontpellier UniversityMontpellierFrance Department of Radiology Saint Eloi HospitalMontpellier UniversityMontpellierFrance Laboratory of rare human Circulating Cells(LCCRH) University Medical Center of MontpellierMontpellierFrance Division of Minimally Invasive and Robotic HPB surgery Department of Clinical Medicine and SurgeryFederico II University HospitalNaplesItaly

Despite the improvements in surgical and medical therapy for hepatocellular carcinoma(HCC),recurrence still represents a major *** to 70%of patients can experience HCC recurrence after liver resection(LR),as well as 20%of them even after liver transplantation(LT).The patterns of recurrence are different according to both the time and the ***,the risk factors and the management can change not only according to these patterns,but also according to the underlying liver condition and to the first treatment *** knowledge of such correlation is fundamental,since prevention and effective management of recurrence are undoubtedly the most important strategies to improve the outcomes of HCC *** adjuvant therapy,maintaining very close monitoring during the first 2 years in order to diagnose curable recurrence and continue this monitoring beyond 5 years because late recurrences exist,remains our only possibility *** represents the cornerstone treatment for HCC,including both LT and ***,new interesting therapeutic opportunities are coming from immunotherapy that has shown encouraging results also in the adjuvant *** such a complex and evolutionary scenario,the aim of this review is to summarize current strategies for the management of HCC recurrence,focusing on the different possible scenarios,as well as on future perspectives.

关键词： Hepatocellular carcinoma recurrence hepatocellular carcinoma management liver surgery liver transplantation thermal ablation(TA) survival after recurrence

Machine learning in liver surgery:Benefits and pitfalls

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第12期12卷 2134-2137页

作者： Rafael Calleja Manuel Durán María Dolores Ayllón Ruben Ciria Javier Briceño Hepatobiliary surgery and liver Transplantation Unit Hospital Universitario Reina SofíaMaimonides Biomedical Research Institute of CordobaCórdoba 14004Spain

The application of machine learning(ML)algorithms in various fields of hepatology is an issue of ***,we must be cautious with the *** this letter,based on a published ML prediction model for acute kidney injury after liver surgery,we discuss some limitations of ML models and how they may be addressed in the *** the future faces significant challenges,it also holds a great potential.

关键词： Machine learning liver surgery Artificial intelligence Random forest Prediction model

Metabolic syndrome and non-alcoholic fatty liver disease in liver surgery: The new scourges?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Hepatology 2014年第5期6卷 306-314页

作者： Francois Cauchy David Fuks Alban Zarzavadjian Le Bian Jacques Belghiti Renato Costi Service de Chirurgie Hépato-Bilio-Pancréatique et Transplantation Hépatique Hopital BeaujonAssistance Publique-Hopitaux de Paris92110 ClichyFrance Laboratoire de Recherche en Ethique Médicale et Médecine Légale Universitéde Paris 5 Descar-tes75006 ParisFrance Dipartimento di Scienze Chirurgiche Univer-sitàdegli Studi di ParmaAzienda Ospedaliero-Universitaria diParma43100 ParmaItaly

The aim of this topic highlight is to review relevant evidence regarding the influence of the metabolic syndrome(MS) and its associated liver manifestation, non-alcoholic fatty liver disease(NAFLD), on the development of liver cancer as well as their impact on the results of major liver surgery. MS and NAFLD, whose incidences are significantly increasing in Western countries, are leading to a changing profile of the patients undergoing liver surgery. A MEDLINE search was performed for relevant articles using the key words "metabolic syndrome", "liver resection", "liver transplantation", "non alcoholic fatty liver disease", "non-alcoholic steatohepatitis" and "liver cancer". On one hand, the MS favors the development of primary liver malignancies(hepatocellular carcinoma and cholangiocarcinoma)either through NAFLD liver parenchymal alterations(steatosis, steatohepatitis, fibrosis) or in the absence of significant underlying liver parenchyma changes. Also, the existence of NAFLD may have a specific impact on colorectal liver metastases recurrence. On the other hand, the postoperative period following partial liver resection and liver transplantation is at increased risk of both postoperative complications and mortality. These deleterious effects seem to be related to the existence of liver specific complications but also higher cardio-vascular sensitivity in a setting of MS/NAFLD. Finally, the long-term prognosis after curative surgery joins that of patients operated on with other types of underlying liver diseases. An increased rate of patients with MS/NAFLD referred to hepatobiliary units has to be expected. The higher operative risk observed in this subset of patients will require specific improvements in their perioperative management.

关键词： Metabolic syndrome Non-alcoholic fatty liver disease Non-alcoholic steatohepatitis Neoplasia Hepatocarcinoma liver surgery Complications Morbidity

Indocyanine green kinetics to assess liver function: Ready for a clinical dynamic assessment in major liver surgery?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Hepatology 2016年第7期8卷 355-367页

作者： Andrea De Gasperi Ernestina Mazza Manlio Prosperi 2°Servizio Anestesia e Rianimazione Ospedale Niguarda Ca’GrandaGranda20162 MilanoItaly

Indocyanine green(ICG) kinetics(PDR/R15) used to quantitatively assess hepatic function in the perioperative period of major resective surgery and liver transplantation have been the object of an extensive, updated and critical review. New, non invasive bedside monitors(pulse dye densitometry technology) make this opportunity widely available in clinical practice. After having reviewed basic concepts of hepatic clearance, we analysed the most common indications ICG kinetic parameters have nowadays in clinical practice, focusing in particular on the diagnostic and prognostic role of PDR and R15 in the perioperative period of major liver surgery and liver transplantation. As recently pointed out, even if of extreme interest, ICG clearance parameters have still some limitations, to be considered when using these tests.

关键词： liver function tests Indocyanine green Hepatic clearance liver surgery liver transplantation Intraabdominal hypertension Portal hypertension

Clinical use of augmented reality,mixed reality,three-dimensionalnavigation and artificial intelligence in liver surgery

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Artificial Intelligence in Gastroenterology 2021年第4期2卷 94-104页

作者： Roger Wahba Michael N Thomas Alexander C Bunck Christiane J Bruns Dirk L Stippel Department of General VisceralCancer and Transplantation SurgeryUniversity of CologneFaculty of Medicine and University Hospital CologneCologne 50937Germany Department of Diagnostic and Interventional Radiology University of CologneFaculty of Medicine and University Hospital CologneCologne 50937Germany

A precise knowledge of intra-parenchymal vascular and biliary architecture and the location of lesions in relation to the complex anatomy is indispensable to perform liver ***,virtual three-dimensional(3D)-reconstruction models from computed tomography/magnetic resonance imaging scans of the liver might be helpful for *** reality,mixed reality and 3Dnavigation could transfer such 3D-image data directly into the operation theater to support the *** review examines the literature about the clinical and intraoperative use of these image guidance techniques in liver surgery and provides the reader with the opportunity to learn about these *** reality and mixed reality have been shown to be feasible for the use in open and minimally invasive liver surgery.3D-navigation facilitated targeting of intraparenchymal *** existing data is limited to small cohorts and description about technical details e.g.,accordance between the virtual 3D-model and the real liver *** controlled trials regarding clinical data or oncological outcome are not *** to now there is no intraoperative application of artificial intelligence in liver *** usability of all these sophisticated image guidance tools has still not reached the grade of immersion which would be necessary for a widespread use in the daily surgical *** there are many challenges,augmented reality,mixed reality,3Dnavigation and artificial intelligence are emerging fields in hepato-biliary surgery.

关键词： Augmented reality Mixed reality 3D Navigation Artificial intelligence liver surgery liver resection Image guided surgery

Safety and efficacy of acute normovolemic hemodilution during liver surgery: a Meta-analysis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Oncology and Translational Medicine 2019年第6期5卷 285-292页

作者： Ming Yang Jinlong Liu Department of Hepatobiliary surgery Affiliated Hospital of Chengde Medical College

Objective The aim of this study was to evaluate the safety and efficacy of acute normovolemic hemodilution(ANH) during liver *** Structured searches of the Pub Med,Chinese Biological Medicine Database,and Cochrane Library electronic databases were performed,followed by a meta-analysis of outcomes,including intraoperative blood transfusion(s),intraoperative bleeding,postoperative hematocrit(Hct) levels,postoperative prothrombin time(PT),and number of patients who underwent transfusions during liver *** In total,14 eligible studies were included in the meta-analysis,which revealed that ANH for liver resection was associated with a reduction in intraoperative blood transfusions [weighted mean difference(WMD)-1.99;95% confidence interval(CI)-2.82 to -1.16;Psurgery;therefore,ANH appears to be safe and effective during liver surgery.

关键词： safety and efficacy acute normovolemic hemodilution(ANH) liver surgery meta-analysis

Does enhanced recovery after surgery programs improve clinical outcomes in liver cancer surgery?

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Oncology 2024年第2期16卷 255-258页

作者： Belinda Sánchez-Pérez JoséM Ramia Department of General Digestive and Transplantation SurgeryUniversity Regional HospitalMálaga 29010MálagaSpain Department of surgery Hospital General Universitario Dr.BalmisAlicante 03010Spain

Enhanced recovery after surgery(ERAS)programs have been widely applied in liver surgery since the publication of the first ERAS guidelines in 2016 and the new recommendations in *** surgery is usually performed in oncological patients(liver metastasis,hepatocellular carcinoma,cholangiocarcinoma,etc.),but the real impact of liver surgery ERAS programs in oncological outcomes is not clearly *** advantages of ERAS programs are:ERAS decreases postoperative complication rates and has been demonstrated a clear relationship between complications and oncological outcomes;a better and faster posto-perative recovery should let oncologic teams begin chemotherapeutic regimens on time;prehabilitation and nutrition actions before surgery should also improve the performance status of the patients receiving ***,ERAS could be another way to improve our oncological *** will discuss the literature about liver surgery ERAS focusing on its oncological implications and future investigations projects.

关键词： Enhanced recovery after surgery programs liver surgery Key components Long-term oncological outcomes Enhanced recovery after surgery compliance