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Comment on:“Liver transplantation for iatrogenic bile duct injury during cholecystectomy:a French retrospective multicenter study”

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Hepatobiliary surgery and Nutrition 2022年第4期11卷 577-579页

作者： Salah Khayat Fabrizio Panaro Department of surgery/division of hbp surgery&Transplantation Montpellier University Hospital-School of MedicineMontpellierFrance

We read with great interest the national retrospective multicenter observational study recently published by Chiche and collaborators(1)aiming to review liver transplants related to iatrogenic bile duct injury(BDI)during cholecystectomy and the risk factors for adverse outcomes in order to improve management of *** this study,all liver transplantation(LT)patients between 1994 and 2017 for BDI during cholecystectomy were *** patients were included in 11 French LT centers representing 0.13%of LT indications over this period.

关键词： bile cholecystectomy injury

Clinical feasibility of modified extended left hemihepatectomy in advanced perihilar cholangiocarcinoma

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Hepatobiliary surgery and Nutrition 2024年第1期13卷 165-167页

作者： Hye-Sung Jo Dong-Sik Kim division of hbp surgery and Liver Transplantation Department of SurgeryKorea University College of MedicineSeoulRepublic of Korea

Curative resection is undoubtedly the most important prognostic factor in perihilar cholangiocarcinoma(1).The current consensus of surgical resection of perihilar cholangiocarcinoma consists of hemihepatectomy,including caudate lobectomy and aggressive lymphadenectomy,depending on the extent of bile duct *** decisions on whether to resect the right or left liver and whether to perform an extended hepatectomy or trisectionectomy are all aimed at obtaining negative radial and longitudinal margins(2,3).

关键词： Treatment outcome hepatectomy perihilar cholangiocarcinoma

Intra-operative trans-cystic indocyanine green(ICG)cholangiography:a high-sensitive method to identify bile Ieakage after hepatic resection

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Hepatobiliary surgery and Nutrition 2020年第2期9卷 260-262页

作者： Piera Leon Fabrizio Panaro division of hbp surgery and Transplantation Department of SurgerySt.Eloi HospitalMontpellier University Hospital-School of MedicineMontpellierFrance

Liver resections are more and more performed *** mortality for hepatic surgery is decreasing over the time,morbidity is still high and mostly affected by bile leak which remain the Achilles’heel of this type of ***,s... 详细信息

关键词： bile operative hepatic

Sengstaken-Blakemore tubes:a rescue system during liver transplantation

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Hepatobiliary surgery and Nutrition 2022年第1期11卷 171-172页

作者： Antonio Cubisino Fabrizio Panaro division of General Minimally Invasive and Robotic SurgeryUniversity of Illinois at ChicagoChicagoILUSA division of hbp surgery and Transplantation Department of SurgeryHôpital Saint EloiCHU-MontpellierMontpellierFrance

A 52-year-old woman has undergone liver transplantation(LT)owing to fulminant viral hepatitis,MELD *** first cadaveric graft allocated was a large-for-size *** was performed with a piggyback side-to-side cavocaval *** the end of the procedure,the removal of the abdominal retractor produced,due to a narrow ribcage,a caval compression with liver congestion because of a reduced caval outflow.

关键词： liver anastomosis graft

Clinical significance of surgical resection for hepatocellular carcinoma with portal vein invasion:a nationwide cohort study

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Hepatobiliary surgery and Nutrition 2024年第5期13卷 814-823,I0006-I0008页

作者： Hye-Sung Jo Pyoung-Jae Park Young-Dong Yu Yoo Jin Choi Se Hyeon Yu Dong-Sik Kim Korean Liver Cancer Association division of hbp surgery and Liver Transplantation Department of SurgeryKorea University College of MedicineSeoulRepublic of Korea division of Transplantation and Vascular surgery Department of SurgeryKorea University Guro HospitalKorea University College of MedicineSeoulRepublic of Korea

Background:Hepatocellular carcinoma(HCC)with portal vein invasion(PVI)is considered an advanced stage with a poor *** current guidelines recommend systemic treatment for HCC with PVI,surgical resection could produce acceptable outcomes in selected *** study aimed to identify the clinical significance of surgical resection for HCC with PVI patients using a large-scale nationwide ***:This retrospective,multicenter,observational cohort analyzed data from the Korean Primary Liver Cancer Registry.A total of 16,781 patients who were newly diagnosed with HCC between 2008 and 2018 were enrolled in this *** with worse Child-Turcotte-Pugh scores(≥7)or performance status(≥2)were *** them,998 patients who received treatment for HCC with PVI were included in the analysis and were divided into two groups:resection group of 151(15.1%)and palliative group of 847(84.9%)who received transarterial and systemic therapy according to the treatment *** matching the number and size of the tumors and model for end-stage liver disease(MELD)score between the groups,the final study cohort for analysis comprised 151(26.6%)patients in the resection group and 417(73.4%)in the palliative *** primary endpoints were overall survival(OS)and cancer-specific survival(CSS).Results:The number and maximum size of HCC did not differ between the resection and palliative groups after matching[1(range,1-5)vs.1(range,1-6),P=0.11 and 5.5(range,1.2-20.6)vs.6.0(range,1.0-20.5)cm,P=0.24,respectively].Tumor markers,including alpha-fetoprotein(AFP)and protein induced by vitamin K absence or antagonist-II(PIVKA-II),also did not differ between the groups(P=0.29 and P=0.36,respectively).The 5-year OS and CSS rates of the resection and palliative groups were 44.8%and 17.4%(P<0.001)and 47.7%and 18.6%(P<0.001),*** analysis showed that palliative treatment intent was the most significant risk factor for OS and CSS[odds ratio(OR

关键词： Hepatocellular carcinoma(HCC) portal vein invasion(PVI) overall survival(OS) cancer-specific survival(CSS) surgical resection

The key role of the hepatic veins collaterals in the modern liver surgery

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Hepatobiliary surgery and Nutrition 2023年第5期12卷 643-644页

作者： Fabrizio Panaro Boris Guiu Astrid Herrero division of hbp surgery&Transplantation Dept.of SurgerySt.Eloi HospitalMontpellier University Hospital-School of MedicineMontpellierFrance

Currently,the terminology for liver anatomy and resection was based on the updates of the Brisbane 2000 system(1).In this setting,Couinaud’s anatomical description serves as the backbone for the classification of resection(2).Based on this classification,an anatomic liver resection was defined as the complete removal of the liver parenchyma confined within the responsible portal *** subsegmentectomy is defined as the removal of the liver parenchyma within the portal territory of less than a Couinaud’s *** are also defined as cone units,and their areas can be intraoperatively assessed by using ischemic demarcation,indocyanine green(ICG)staining,or both.

关键词： anatomy surgery hepatic

Small-cell neuroendocrine carcinoma arising from an extra-hepatic bile duct:a case report

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Gastroenterology Report 2021年第4期9卷 380-382,I0003页

作者： Jae Ryong Shim Jae Ri Kim Youngmok Park Hyung-Il Seo division of hbp surgery and Transplantation Pusan National University Yangsan HospitalYangsanKorea Department of surgery Biomedical Research InstitutePusan National University HospitalGudeok-roSeoguBusanKorea

Introduction Neuroendocrine tumors(NETs)are neoplasms with variable malignant potential that may arise from neuroendocrine *** gastrointestinal tract is a common site for primary NETs and annually 1.3 for every 100,000 persons are newly detected[1,2].Although gastrointestinal NETs are common in the small bowel,appendix,rectum,and stomach,those that arise from the extra-hepatic bile duct are extremely rare(0.1%–0.4%)[3-5].

关键词：肝外胆管小细胞神经内分泌癌 neoplasms 病例报告

Intraductal papillary bile duct adenocarcinoma and gastrointestinal stromal tumor in a case of neurofibromatosis type 1

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World Journal of Gastroenterology 2018年第4期24卷 537-542页

作者： Jung Min Lee Jae Min Lee Jong Jin Hyun Hyuk Soon Choi Eun Sun Kim Bora Keum Yoon Tae Jeen Hoon Jai Chun Hong Sik Lee Chang Duck Kim Dong Sik Kim Joo Young Kim division of Gastroenterology and Hepatology Department of Internal Medicine Institute of Gastrointestinal Medical Instrument Research Korea University College of Medicine division of Gastroenterology and Hepatology Department of Internal Medicine Korea University Anam Hospital division of hbp surgery and Liver Trans- plantation Department of Surgery Korea University College of Medicine Department of Pathology Korea University College of Medicine

We report our experience with a synchronous case of gastrointestinal stromal tumor(GIST) and intraductal papillary neoplasm of the bile duct(IPNB) in anelderly woman with neurofibromatosis type 1(NF-1). A 72-year-old woman presented with a 2-mo history of right upper abdominal pain unrelated to diet and indigestion. Fourteen years earlier, she had been diagnosed with NF-1, which manifested as café au lait spots and multiple nodules on the skin. Computed tomography(CT) revealed a multilocular low-density mass with septation, and mural nodules in the right hepatic lobe, as well as a 1.7-cm-sized well-demarcated enhancing mass in the third portion of the duodenum. The patient subsequently underwent right hepatectomy and duodenal wedge resection. We present here the first report of a case involving a synchronous IPNB and GIST in a patient with NF-1. Our findings demonstrate the possibility of various tumors in NF-1 patients and the importance of diagnosis at an early

关键词： Neurofibromatosis type 1 Intraductal papillary neoplasm of the bile duct Gastrointestinal stromal tumor Synchronous

Comment on:liver venous deprivation(LVD)or associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)?A retrospective multicentric study

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Hepatobiliary surgery and Nutrition 2021年第5期10卷 675-677页

作者： Edouard Girard Bertrand Trilling Mircea Chirica division of hbp surgery and Transplantation Department of Digestive and Emergency SurgeryGrenoble-Alpes University HospitalGrenobleFrance Univ.Grenoble Alpes CNRSCHU Grenoble AlpesGrenoble INPTIMC-IMAGGrenobleFrance

We read with interest the recently published paper by Chebaro et al.(1).The authors compared liver venous deprivation(LVD)and associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)which are two novel techniques used to achieve increased hypertrophy of the future liver remnant(FLR)in view of extensive liver resections(2,3).

关键词： liver deprivation