Abstract：
BACKGROUND:The aim of this study was to evaluate the feasibility of liver resection in hepatocellular carcinoma (HCC) patients with preoperative renal dysfunction (RD). METHODS:Data from 735 patients undergoing primary liver resection for HCC between 2002 and 2014 were analyzed. Short- and long-term outcomes were compared between the RD group, defined by a preoperative estimated glomerular filtration rate of <45 mL/min/1.73 m2, and the non-RD group. RESULTS:Sixty-two patients had RD. The incidence of postoperative pleural effusion (24 vs. 11%; P = 0.007) and major complications (Clavien-Dindo III-V; 31 vs. 15%; P = 0.003) were significantly higher in RD patients. In RD patients with Child-Pugh A, 90-day mortality rate (1.9%) and median survival time (6.11 years) were comparable to that of non-RD patients. In contrast, RD patients with Child-Pugh B had a very high 90-day mortality rate (22.2%), and a significant shorter median survival time compared to non-RD patients (1.19 vs. 4.84 years; P = 0.001). CONCLUSIONS:Liver resection for Child-Pugh A patients with RD is safe and has comparable oncological outcomes compared to non-RD patients. However, selection of liver resection candidates from Child-Pugh B patients with RD should be stricter.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Shirata C,Hasegawa K,Kokudo T,Yamashita S,Yamamoto S,Arita J,Akamatsu N,Kaneko J,Sakamoto Y,Kokudo Ndoi
10.1007/s00268-018-4698-3subject
Has Abstractpub_date
2018-12-01 00:00:00pages
4054-4062issue
12eissn
0364-2313issn
1432-2323pii
10.1007/s00268-018-4698-3journal_volume
42pub_type
杂志文章abstract：PURPOSE:The prognosis for stage III melanoma patients is mixed, and there is need for new prognostic factors to be incorporated into a revision of melanoma TNM staging. We analyzed the possible role of the timing of lymph node involvement as an important prognostic factor. METHODS:Among 249 melanoma patients who under...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-008-9895-z
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:The psychiatric population has been reported to be accompanied with a higher morbidity and mortality in several situations. However, little is known about the effect of co-morbid psychiatric disorders on surgical risk during major digestive surgery for malignancies. Our purpose in the present study, therefor...
journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
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doi：10.1007/s00268-016-3504-3
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journal_title：World journal of surgery
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abstract：BACKGROUND:Parathyroid glands can mimic thyroid follicular lesions on fine-needle aspiration (FNA) cytology and can lead to unnecessary or incorrect surgery. Newer molecular panel tests using next-generation sequencing (NGS) include analysis of cell type-specific gene expression profiles such as parathyroid. The study ...
journal_title：World journal of surgery
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abstract：BACKGROUND:Utilization of breast reconstruction (BR) is low in many jurisdictions. We studied the geographical and surgical workforce factors that contribute to access and use of BR using a small area analysis approach with a geographical unit of analysis. METHODS:We linked administrative data from Ontario Canada to c...
journal_title：World journal of surgery
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journal_title：World journal of surgery
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abstract：BACKGROUND:Single-incision laparoscopic colorectal surgery (SILS) suggests a promising alternative to conventional laparoscopic surgery. In this report we describe our initial experience with SILS for both right hemicolectomies and anterior resections. METHODS:Between June 2009 and May 2010, SILS was performed for 32 ...
journal_title：World journal of surgery
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journal_title：World journal of surgery
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更新日期：2014-01-01 00:00:00
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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更新日期：2000-02-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
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更新日期：2011-02-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-018-4654-2
更新日期：2018-11-01 00:00:00
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journal_title：World journal of surgery
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更新日期：2001-06-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-010-0910-9
更新日期：2011-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2015-11-01 00:00:00
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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更新日期：2012-12-01 00:00:00
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2014-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-015-2994-8
更新日期：2015-07-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/pl00012343
更新日期：1999-06-01 00:00:00
abstract：BACKGROUND:This prospective, non-randomized, comparative study evaluated morbidity of chemotherapy administration via a totally implantable venous access device (TIVAD) versus peripheral intravenous access (PIVA), and satisfaction in breast cancer patients in a limited-resource setting. METHODS:Consecutive patients re...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-013-2378-x
更新日期：2014-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：1998-09-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2014-08-01 00:00:00
abstract：:Endoscopic management of upper gastrointestinal bleeding has been expanded from a purely diagnostic role to a therapeutic role in many patients. In addition to controlling active bleeding, it is an option in a patient who is clinically at a high risk of rebleeding, or in patients who have peptic ulcers with visible ve...
journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/BF02067057
更新日期：1992-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s002689910026
更新日期：2000-02-01 00:00:00
