Abstract:
BACKGROUND:Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This study compared short-term outcomes of LLR in cirrhotic patients to LLR in non-cirrhotic patients. METHODS:Retrospective review of minor LLR at the Royal Infirmary of Edinburgh from January 2006 to January 2018 was conducted. Patients were stratified by whether they had cirrhosis - defined as per radiological appearances and liver function tests. Variables of interest included baseline clinicopathological information with short-term outcomes (length of stay and complications) regarded as the primary outcome of interest. RESULTS:Out of 1207 liver resections in the study period, there were 120 LLR with 30 patients having cirrhosis. Patients with cirrhosis were more likely to be male and have higher median American Society of Anesthesiologists scores (3 versus 2; P < 0.01). The most common operation was left lateral sectionectomy (n = 67). There was no difference in duration of surgery (cirrhosis 88 min versus no cirrhosis 99 min; P = 0.64) and patients in the cirrhosis arm had no conversions to open (0% versus 12%; P = 0.06). There was no difference in complications (12% versus 13%; P = 0.75) or median length of stay (4 versus 4 days; P = 0.14) and no difference in survival between both groups. CONCLUSION:With careful patient selection, LLR is feasible in patients with cirrhosis and provides comparable outcomes to non-cirrhotic patients undergoing LLR.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Srinivasa S,Hughes M,Azodo IA,Adair A,Ravindran R,Harrison E,Wigmore SJdoi
10.1111/ans.15745subject
Has Abstractpub_date
2020-06-01 00:00:00pages
1104-1107issue
6eissn
1445-1433issn
1445-2197journal_volume
90pub_type
杂志文章abstract:BACKGROUND:Passage of flatus and stool represents a key milestone in recovery after colonic resections. Colorectal surgeons may hold varied expectations regarding recovery rates after left- versus right-sided colectomies, but there is currently little evidence to inform post-operative care. This study prospectively com...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,随机对照试验
doi:10.1111/ans.13823
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Minimally invasive techniques to manage infected pancreatic necrosis have been recently developed and changes in their pattern of use are unknown. The aims of this survey were to determine the trends in the role of minimally invasive techniques to manage infected complications of necrotizing pancreatitis and...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05265.x
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Risk factors for bile leakage after hemihepatectomy are unknown. METHODS:A prospectively maintained database review identified patients undergoing hemihepatectomy between 1 January 2009 and 30 September 2014. Patients were divided into B/C and non-B/C bile leakage groups. Risk factors for bile leakage were ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13073
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Evidence suggests that there is considerable variation in the types of procedures used to treat cancer. This variation may result in suboptimal or cost-ineffective care. The present study examined the variation in surgical treatment of melanoma before the establishment of a Melanoma Network that could promot...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03717.x
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:Currently no consensus exists regarding what pre-reversal investigations are required to assess integrity of the rectal anastomosis. The objective of this study was to compare pre-reversal assessments of anastomotic integrity and to evaluate trends that might have influenced timings for reversal. METHODS:Fr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16483
更新日期:2020-12-09 00:00:00
abstract:BACKGROUND:Late laparoscopic cholecystectomy (LC) after endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy (ES) for common bile duct (CBD) stone clearance, two-stage LC (TSLC), is associated with difficult surgical dissection and an increased rate of conversion to open procedure. The purpose of th...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12967
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:In Australia and New Zealand, more than 2000 carotid endarterectomies are performed annually. The major morbidities arising from this procedure are post-operative stroke, cranial nerve injury and death. Carotid endarterectomy surgery is a key component of the vascular surgical training programme. We assessed...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16209
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to investigate the effect of tissue engineering bone composed of bone marrow-derived osteoblasts and demineralized bone in repairing mandible defect. METHODS:Bone marrow-derived osteoblasts of 20 rabbits were cultured and seeded into scaffold of allogeneic demineralized bone...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03586.x
更新日期:2005-11-01 00:00:00
abstract::Anal abscesses and fistulas are a common part of surgical practice. Most abscesses simply need to be drained and most fistulas can be safely laid open. Excessive probing should not be attempted when draining abscesses as this may lead to iatrogenic fistulas. A small percentage of fistulas are complex and very challeng...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2005.03280.x
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Lymph node metastases represent a diagnostic and management challenge in patients with disseminated medullary thyroid carcinoma (MTC). Our understanding of microRNA (miRNA) profiles of metastatic disease also remains limited and may unveil novel therapeutic strategies for these patients. METHODS:MTC patie...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06291.x
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Parkland formula (PF) is the most often used schema for calculating intravenous resuscitation fluid requirement in burn patients. Some studies have reported that PF underestimates the fluid requirement in 45-63% of patients. The aim of this retrospective study was to analyse factors influencing first-day int...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04221.x
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Clinical decision making is a core competency of surgical practice, involving a continuous and evolving process of data interpretation and evaluation. The aim of this article is twofold. First, to recognize patient deaths where a clinical incident arose following unsatisfactory clinical decision making, dete...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14955
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Acute diverticulitis of the caecum and ascending colon is uncommon. Controversies abound as regards the optimal surgical treatment, ranging from appendectomy, diverticulectomy to right hemicolectomy. The aim of the present paper was to review treatment strategy followed by a critical appraisal. METHODS:The ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-1433.2001.2226.x
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12136
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:While recent studies have shown patients with developmental dysplasia of the hip (DDH) undergoing total hip arthroplasty (THA) to achieve comparable post-operative outcomes to patients with primary osteoarthritis (OA), it is unclear whether DDH patients display better or worse preoperative function than the ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06198.x
更新日期:2013-07-01 00:00:00
abstract::It is now expected that medical practitioners around the world will engage in ongoing professional development. Many Colleges, medical associations and societies have made completion of appropriate continuing professional development (CPD) mandatory and medical registration in some jurisdictions is predicated on parti...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04842.x
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:The aim of this project was to increase rates of day surgery, reduce elective surgical waiting lists, give patients a guaranteed date of surgery and improve operating theatre utilization. The guiding principle behind the project was to treat the administration of elective surgery as a separate business unit,...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03526.x
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Depletion of liver glycogen stores and subsequent hypoglycaemia is one of the unresolved features in endotoxaemia. The aim of this study was to elucidate the effect of L-arginine treatment on the glucose requirement and impending liver damage during the hypoglycaemic period of endotoxaemia. METHODS:Sixty-th...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03763.x
更新日期:2006-06-01 00:00:00
abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02502.x
更新日期:2003-05-01 00:00:00
abstract:INTRODUCTION:Chronic venous insufficiency is a major cause of morbidity in the community. The purpose of the present study was to assess the efficacy and safety of repairing multiple deep venous valves with an External Valvular Stent. METHODS:Forty-two limbs with chronic venous disease were operated on between 1987 an...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章
doi:10.1046/j.1445-2197.2003.02604.x
更新日期:2003-05-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.14276
更新日期:2018-07-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13397
更新日期:2017-10-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15336
更新日期:2019-12-01 00:00:00
abstract::Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mi...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06262.x
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:The advantages of promoting evidence-based care through implementation of clinical guidelines are well established. Clinical practice guidelines have been developed for lower urinary tract symptoms (LUTS) and prostate cancer screening. Aspects of the delivery of care by urologists or specialist registrars re...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1440-1622.2001.02111.x
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:We aimed to document the anatomical variations of pulmonary fissures found during routine forensic autopsies. METHODS:A total of 256 pairs of lungs were investigated. Presence of any variant and accessory fissures was noted. RESULTS:Seventy-seven percent of the lungs had anatomical variations. In about 2/3...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15553
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:There is increasing evidence that uncomplicated acute diverticulitis (UAD) can be safely and effectively managed as an outpatient. The aim of the current study was to evaluate if an early computed tomography (CT) scan in the emergency department (ED) can reduce the number of hospital admissions when UAD is d...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15285
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:To examine any geographical variation in the management of urolithiasis amongst the Australian states and territories. METHODS:Retrospective study with data obtained from the Medicare Australia database, the Royal Australasian College of Surgeons and the Urological Society of Australia and New Zealand. RES...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13646
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:The correlation of post-operative serum albumin level with the occurrence of anastomotic leakage (AL) in oesophageal squamous cell carcinoma (ESCC) remains unclear. The aim of this study was to evaluate the impact of post-operative serum albumin level on AL after transthoracic oesophagectomy. METHODS:Patien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16406
更新日期:2020-11-05 00:00:00
abstract:INTRODUCTION:Acute suppurative thyroiditis and recurrent abscess formation due to third and fourth branchial anomalies typically present in children. However, thyroid abscesses in branchial anomalies may occur in adulthood as well. Failure to recognize and delayed drainage of a neck abscess may lead to a fulminant life...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12576
更新日期:2015-07-01 00:00:00