Abstract：
BACKGROUND:The extrahepatic surgical technique in liver resection can be divided into glissonean pedicle transection and glissonean separated transection approaches. In this study, we compared remnant liver function and liver regeneration involving the Spiegel lobe between these two approaches regarding Spiegel lobe-preserving left hepatectomy. METHODS:We enrolled 31 patients who underwent Spiegel lobe-preserving left hepatectomy for malignant hepatobiliary diseases between April 2008 and January 2020. The postoperative Spiegel lobe volume was measured using a volume analyzer at 3 and 6 months postoperatively. RESULTS:Of the 31 patients, 22 and 9 were included in the glissonean separated transection and glissonean pedicle transection groups, respectively. There was no significant between-group difference in the preoperative Spiegel lobe volume. However, the volumes at 3 and 6 months postoperatively were significantly larger in the glissonean pedicle transection group than in the glissonean transection group (29.92 mL vs. 13.00 mL; P < 0.001 and 28.43 mL vs. 15.01 mL; P < 0.001, respectively). There was no significant between-group difference in postoperative remnant liver function. CONCLUSIONS:The postoperative Spiegel lobe volume was larger, and liver regeneration was better with the glissonean pedicle transection approach because of transection for Spiegel branch of the portal vein. It is desirable to preserve Spiegel branch in possible cases when surgeons select the glissonean separated transection approach based on the location and size of the tumors.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Kamitani N,Nomi T,Hokuto D,Yoshikawa T,Matsuo Y,Sho Mdoi
10.1007/s00268-020-05548-5subject
Has Abstractpub_date
2020-09-01 00:00:00pages
3079-3085issue
9eissn
0364-2313issn
1432-2323pii
10.1007/s00268-020-05548-5journal_volume
44pub_type
杂志文章abstract：:Although a number of histologic and treatment factors that individually and in combination predict for an increased risk of local recurrence after breast conserving surgery can be identified, none so obviously compromises survival that breast conservation is contraindicated because that risk factor is present. In-brea...
journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/BF00348195
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:The role of lymphadenectomy in adrenocortical carcinoma resection is controversial. Therefore, we conducted a population-based study to assess the association between positive lymph nodes (LN) and survival. METHODS:The Surveillance, Epidemiology, and End Results set of cancer registries were utilized. The a...
journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2021-01-01 00:00:00
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journal_title：World journal of surgery
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更新日期：2008-12-01 00:00:00
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journal_title：World journal of surgery
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doi：10.1007/s00268-010-0585-2
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:Currently, most patients undergoing laparoscopic cholecystectomy (LC) in Switzerland are inpatients for 2-3 days. Due to a lack of available hospital beds, we asked whether day-case surgery would be an option for patients in central Switzerland. The questions of acceptability of outpatient LC and factors con...
journal_title：World journal of surgery
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journal_title：World journal of surgery
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更新日期：1992-11-01 00:00:00
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journal_title：World journal of surgery
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更新日期：2002-08-01 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：2009-01-01 00:00:00
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journal_title：World journal of surgery
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更新日期：2008-07-01 00:00:00
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更新日期：2018-12-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,多中心研究
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更新日期：2015-08-01 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：2020-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/BF00299160
更新日期：1995-05-01 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：2012-08-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,随机对照试验
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更新日期：2007-01-01 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：2005-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-013-1991-z
更新日期：2013-06-01 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：2003-03-01 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：2015-08-01 00:00:00
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journal_title：World journal of surgery
pub_type： 临床试验,杂志文章
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更新日期：1994-11-01 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
pub_type： 杂志文章
doi：10.1007/s002689910007
更新日期：2000-01-01 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：2019-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/BF00299180
更新日期：1995-05-01 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：2003-11-01 00:00:00
abstract：BACKGROUND:Postoperative ascites (POA) is a common complication after liver resection (LR). The aim of the present study was to identify the risk factors for developing POA and to evaluate its clinical significance in the prognosis of patients with hepatocellular carcinoma (HCC). METHODS:We performed a retrospective a...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-011-1367-1
更新日期：2012-02-01 00:00:00
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journal_title：World journal of surgery
pub_type： 历史文章,杂志文章
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更新日期：2016-03-01 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
pub_type： 杂志文章
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更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Thymic carcinoma is reputed to carry a poor prognosis. Although few scholars have studied the prognosis of thymic carcinoma, the prognostic factors of patients after surgery are not well established. We analyze the prognostic significance of undetermined factors to predict the survival of patients after surg...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-014-2492-4
更新日期：2014-08-01 00:00:00
