Abstract：
BACKGROUND:Resection of hepatocellular carcinoma (HCC) located in the right liver often requires hepatic mobilization. However, exposure of the HCC may be restricted when using the conventional abdominal approach (AA). In such cases, a thoracoabdominal approach (TA) can provide a good operating field. Although several studies have reported on the TA for hepatectomy for HCC, none have been published since 2003. Accordingly, this issue seemed to have been resolved, based on the advantages of this approach. However, surgical instruments are constantly improving and hepatectomy may be possible without the TA. METHODS:Data were retrospectively collected from 284 consecutive patients who underwent primary hepatectomy for HCC located in the right liver between January 1991 and December 2009. We compared the perioperative outcomes between patients who underwent the TA (n=111) and those who underwent the AA (n=173). RESULTS:Patient characteristics of both groups were comparable. The morbidity rate (Clavien grade≥1) was significantly greater with the TA than with the AA (64.2 vs. 49.2%, p=0.01), as was operative time (median=370 vs. 315 min, p=0.001) and hospital stay (median=25 vs. 21 days, p=0.005). There were no differences in hospital mortality or overall or disease-free survival. CONCLUSIONS:The TA provides no additional benefits over the AA in terms of safety and postoperative outcomes. We recommend that the TA should be used in exceptional circumstances because it resulted in a higher morbidity rate and longer operative time and postoperative hospitalization compared with the AA.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Okamura Y,Takeda S,Fujii T,Sugimoto H,Nomoto S,Nakao Adoi
10.1007/s00268-011-1023-9subject
Has Abstractpub_date
2011-05-01 00:00:00pages
1042-9issue
5eissn
0364-2313issn
1432-2323journal_volume
35pub_type
杂志文章abstract：BACKGROUND:The purpose of the present study was to analyze the risk multi-factors of postoperative cardiac arrhythmia for elderly patients with esophageal or cardiac carcinoma. METHODS:A total of 756 operations for elderly patients (>65 years of age) with esophageal or cardiac carcinoma were performed in our departmen...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-009-0222-0
更新日期：2009-12-01 00:00:00
abstract：BACKGROUND:Variously described as Courvoisier's law, sign, or even gallbladder, this eponymous "law" has been taught to medical students since the publication of Courvoisier's treatise in 1890. METHODS:We reviewed Courvoisier's original "law," the modern misconceptions surrounding it, and the contemporary evidence sup...
journal_title：World journal of surgery
pub_type： 传,历史文章,杂志文章
doi：10.1007/s00268-008-9908-y
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVES:Postoperative pancreatic fistula (POPF) is a major complication and main cause of mortality after pancreaticoduodenectomy (PD). Afferent loop decompression technique (ALDT) has theoretical feasibility to reduce the rate of POPF. The aim of this study is to determine whether ALDT is a protective factor for PO...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-018-4679-6
更新日期：2018-11-01 00:00:00
abstract：:Mansonic schistosomiasis is an endemic disease in Brazil, with an estimated 10-12 million people infested. Among its clinical manifestations, the hepatosplenic form causes portal hypertension which, in turn, brings about severe digestive hemorrhage, the most serious complication of the disease. Normally, the patients ...
journal_title：World journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF01659051
更新日期：1991-03-01 00:00:00
abstract：:The present study documents the indications and results of endoscopic sphincterotomy (ES) performed over 7 years in a surgical endoscopy unit. Potential improvement of results over this time period was analyzed. ES was associated with rare but undesirable morbidity and mortality. Specific improvement of results over t...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s002689900195
更新日期：1997-01-01 00:00:00
abstract：BACKGROUND:In primary hyperparathyroidism (PHPT) the predictive value of technetium 99m sestamibi single emission computed tomography (Tc99m-MIBI-SPECT) for localizing pathological parathyroid glands before a first parathyroidectomy (PTx) is 83-100%. Data are scarce in patients undergoing reoperative parathyroidectomy ...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-010-0818-4
更新日期：2011-01-01 00:00:00
abstract：:The management of metastatic neuroendocrine tumors incorporates multimodal therapy with surgery, biotherapy, and chemotherapy. Tumor-targeted therapies using radiolabeled octreotide and metaiodobenzylguanidine (mIBG) represent a novel treatment approach. The aim of this study was to evaluate the effectiveness of 131I-...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-004-7603-1
更新日期：2004-11-01 00:00:00
abstract：BACKGROUND:The aims of this study were to investigate predictive factors for microscopic portal venous invasion (mPVI) in hepatocellular carcinoma (HCC) and whether anatomical liver resection (ALR) was useful in such cases. METHODS:We analyzed 852 patients with HCC without macroscopic portal venous invasion who were t...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-017-3964-0
更新日期：2017-08-01 00:00:00
abstract：:A wide range of clinical symptoms and signs are observed with venous thrombosis. Nonetheless, clinical diagnosis has been found to be unreliable and accurate diagnostic methods must be used before potent therapy such as anticoagulation is instituted, since the complications of treatment themselves can be life-threaten...
journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/BF01658825
更新日期：1990-09-01 00:00:00
abstract：BACKGROUND:The World Health Organization has a standardized tool to assess surgical capacity in low- and middle-income countries (LMICs), but it is often resource- and time-intensive. There currently exists no simple, evidence-based measure of surgical capacity in these settings. The proportion of cesarean deliveries i...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-012-1794-7
更新日期：2013-07-01 00:00:00
abstract：BACKGROUND:The purpose of the present study was to develop and validate a multidimensional, surgery-specific workload measure (the SURG-TLX), and to determine its utility in providing diagnostic information about the impact of various sources of stress on the perceived demands of trained surgical operators. As a wide r...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-011-1141-4
更新日期：2011-09-01 00:00:00
abstract：:Most people would agree that successful parathyroidectomy depends on two important variables: the surgeon's recognition and excision of the abnormal parathyroid gland(s) and the pathologist's confirmation that the removed tissue is parathyroid tissue. Frozen section is usually employed to confirm the identity of parat...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s002680010218
更新日期：2000-11-01 00:00:00
abstract：:The authors' affiliations are updated as reflected here. ...
journal_title：World journal of surgery
pub_type： 杂志文章,已发布勘误
doi：10.1007/s00268-020-05519-w
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Recurrent spontaneous pneumothorax is widely treated by video-assisted thoracoscopic (VATS) bullectomy and pleurodesis. Treatment of postoperative pain with nonsteroidal antiinflammatory drugs (NSAIDs) is controversial as many surgeons believe that it reduces the efficacy of pleurodesis and increases the pne...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-011-1207-3
更新日期：2011-11-01 00:00:00
abstract：BACKGROUND:The present study evaluated outcomes of patients undergoing proximal diversion using either a loop ileostomy or loop colostomy following distal colorectal resection for malignant and non-malignant disease. METHODS:A literature search of the Medline, Ovid, Embase and Cochrane databases was performed to ident...
journal_title：World journal of surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00268-006-0218-y
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND:Few clinical studies or randomized clinical trial results have reported the impact of fast-track surgery on human immunity. This study aimed to investigate the clinical and immune impact of fast-track surgery in colorectal cancer patients undergoing elective open surgery. METHODS:A controlled randomized cli...
journal_title：World journal of surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00268-012-1606-0
更新日期：2012-08-01 00:00:00
abstract：PURPOSE:Management of anal fistula represents a balance between curing the condition and maintaining anal continence. Recent reports of the results of the porcine anal fistula plug have demonstrated excellent fistula healing rates without reporting significant complications. METHODS:The outcome of patients who underwe...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-008-9504-1
更新日期：2008-06-01 00:00:00
abstract：:Treacher Collins Syndrome is a rare bilateral congenital deformity occurring in 1 in 10,000 births. It is also known, in the European literature, as Franceschetti Syndrome, and is additionally known as mandibulofacial dysostosis. It is a syndrome with a very wide spectrum of manifestations characterized by distortions...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/BF01660753
更新日期：1989-07-01 00:00:00
abstract：:Transjugular intrahepatic portosystemic shunt (TIPS) is being increasingly utilized prior to liver transplantation for portal hypertensive bleeding refractory to sclerotherapy or as initial management of variceal bleeding. The impact of TIPS on subsequent orthotopic liver transplantation (OLT) is uncertain. The purpos...
journal_title：World journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1007/BF00299089
更新日期：1994-11-01 00:00:00
abstract：:Malignant melanoma is notoriously resistant to chemotherapy. Standard single agents include dacarbazine and the nitrosoureas, but most series treating patients with metastatic melanoma report response rates of about 20%. Occasional patients, however, achieve long term remission, amounting to cure, after such treatment...
journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/BF02071532
更新日期：1992-03-01 00:00:00
abstract：:The rectal electrical activity recorded by electrorectogram (ERG) was studied in 22 chronically constipated subjects and 16 healthy volunteers. The latter had a mean (+/- SD) age of 42.6 +/- 8.5 years; 10 were men and 6 women. Of the 22 constipated patients, 14 had inertia-type constipation (IC; age 44.6 +/- 10.2 year...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/BF00295930
更新日期：1995-09-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00268-007-9242-9
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:The Institute of Medicine has identified atrial fibrillation (AF) among national priorities for research. We examine the incidence of AF and its association with outcomes of patients undergoing abdominal surgery. METHODS:Patients ≥ 55 years who underwent abdominal surgery captured in a State Inpatient Datab...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-014-2777-7
更新日期：2015-01-01 00:00:00
abstract：INTRODUCTION:The use of outcomes to evaluate surgical quality implies the need for detailed risk adjustment. The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) is a generally applicable risk adjustment model suitable for pancreatic surgery. A pancreaticoduodenectomy (...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-014-2554-7
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Macroscopic extrathyroidal extension (ETE) is a poor prognostic factor in papillary thyroid carcinoma (PTC). However, intraoperative inspection for ETE is often inaccurate and could lead the surgeon to misconstrue simple adhesion as gross ETE. Such confusion could result in more aggressive treatment than nec...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-013-2034-5
更新日期：2013-07-01 00:00:00
abstract：BACKGROUND:The risk of developing chronic kidney disease (CKD) among living kidney donors (LKDs) is seldom included in evaluations of patients' outcomes. Potential risk factors and new criteria for estimating the glomerular filtration rate (eGFR) indexed for body surface area (BSA) were investigated with a view to prev...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-013-1906-z
更新日期：2013-04-01 00:00:00
abstract：:Evaluation of prognostic factors of adenocarcinoma of Vater's ampulla is still a matter of debate. The aim of this study was to evaluate retrospectively factors that influence early and long-term outcomes in a 20-year single-institution experience on ampullary carcinoma. A total of 94 consecutive patients with ampulla...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-004-7498-x
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:Currently, there are no objective reports evaluating the quality of the South African surgical training. The aim of this study is to evaluate the current state of surgical training in South Africa from an external impartial point of view and to rate the experience of short-term supernumerary registrars and f...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-019-05034-7
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Beginning in 2004, a standardized medial-to-lateral approach was adopted in laparoscopic colorectal resection (LapCR) in our institution. The present study aimed to compare the outcomes of patients operated on by this approach with those who were operated on prior to the adoption of this technique. METHODS:...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-009-0173-5
更新日期：2009-10-01 00:00:00
abstract：:We retrospectively reviewed postoperative complications in 105 patients with hilar cholangiocarcinoma who underwent hepatectomy at Nagoya University Hospital from January 1990 through March 1999. Of the 105 subjects, 97 (92.4%) underwent resection of two or more Healey's segments of the liver. Combined portal vein res...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-001-0110-8
更新日期：2001-10-01 00:00:00
