Evaluation of hepatic venous congestion: proposed indication criteria for hepatic vein reconstruction.

Abstract:

OBJECTIVE:To establish criteria for venous reconstruction of middle hepatic vein (MHV) tributaries of the right liver graft in adult-to-adult living donor liver transplantation (LDLT). SUMMARY BACKGROUND DATA:In adult LDLT using the right hemiliver, the MHV is usually separated from the graft, which results in potential venous congestion in the major part of the right paramedian sector (segments 5 and 8). It is controversial whether MHV tributaries should be reconstructed. METHODS:Thirty-nine donors for LDLT were enrolled in the study. After liver transection, temporary arterial clamping was carried out to visualize congestion in the right paramedian sector by occlusion of MHV tributaries. Intra- and postoperative (on postoperative days 3 and 7) Doppler ultrasonography was performed to check the hepatic venous and portal flow in the veno-occlusive area. RESULTS:In 29 of 37 donors (78%), the liver surface of the veno-occlusive area was discolored with temporary arterial clamping. The discolored area was calculated to represent approximately two thirds of the right paramedian sector on computed tomography volumetry. All of the cases with discoloration exhibited absent venous flow and regurgitated portal flow in the discolored area by intraoperative Doppler ultrasonography. These ultrasonographic findings resolved by postoperative day 7 in 6 of 14 cases (43%). CONCLUSIONS:The state of venous congestion in the right liver graft can be correctly assessed by the temporary arterial clamping method and intraoperative Doppler ultrasonography. If the venocongestive area is demonstrated to be so large that the graft volume excluding this area is thought to be insufficient for postoperative metabolic demand, venous reconstruction is recommended.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Sano K,Makuuchi M,Miki K,Maema A,Sugawara Y,Imamura H,Matsunami H,Takayama T

doi

10.1097/00000658-200208000-00013

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

241-7

issue

2

eissn

0003-4932

issn

1528-1140

journal_volume

236

pub_type

临床试验,杂志文章
  • Observations on preservation, bile drainage and rejection in 64 human orthotopic liver allografts.

    abstract::The combined Cambridge/King's College Hospital series of 64 orthotopic liver grafts' experience dates back to 1968. Many patients were referred for liver grafting late in the course of their diseases and were operated on when they were too ill or died before suitable livers could be found. Complications of biliary dra...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197709000-00006

    authors: Calne RY,McMaster P,Portmann B,Wall WJ,Williams R

    更新日期:1977-09-01 00:00:00

  • Barrett's esophagus with high-grade dysplasia. An indication for prophylactic esophagectomy.

    abstract:OBJECTIVE:The authors review the results and outcomes of esophagectomy (prophylactic esophagectomy) for patients with Barrett's esophagus and high-grade epithelial dysplasia (HGD). SUMMARY BACKGROUND DATA:The role of prophylactic esophagectomy for Barrett's esophagus with HGD is controversial, with some authors recomm...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199607000-00010

    authors: Heitmiller RF,Redmond M,Hamilton SR

    更新日期:1996-07-01 00:00:00

  • Gastrointestinal myoelectric and clinical patterns of recovery after laparotomy.

    abstract::The objective of this study was to define the patterns of myoelectric activity that occur throughout the gastrointestinal tract during normal recovery from laparotomy. Electrodes were placed on the stomach, jejunum, and transverse colon of 44 patients undergoing laparotomy. Basal electric rhythms in all areas showed n...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199006000-00018

    authors: Waldhausen JH,Shaffrey ME,Skenderis BS 2nd,Jones RS,Schirmer BD

    更新日期:1990-06-01 00:00:00

  • Results of omental flap transposition for deep sternal wound infection after cardiovascular surgery.

    abstract:OBJECTIVE:Our experience with omental flap transposition in the treatment of deep sternal wound infections is reviewed here with an emphasis on efficacy, risk factors for in-hospital mortality rates, and long-term results. SUMMARY BACKGROUND DATA:Even with improvements in muscle and omental flap transposition, the tim...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199803000-00019

    authors: Yasuura K,Okamoto H,Morita S,Ogawa Y,Sawazaki M,Seki A,Masumoto H,Matsuura A,Maseki T,Torii S

    更新日期:1998-03-01 00:00:00

  • An Experimental Simulation of Heat Effects on Cognition and Workload of Surgical Team Members.

    abstract:OBJECTIVE:To isolate heat exposure as a cause of cognitive impairment and increased subjective workload in burns surgical teams. SUMMARY BACKGROUND DATA:Raising ambient temperature of the operating room can improve burns patient outcomes, but risks increased cognitive impairment and workload of surgical team members. ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004598

    authors: Ward MK,Yam CMH,Palejwala Z,Wallman K,Taggart SM,Wood FM,Parker SK

    更新日期:2020-11-13 00:00:00

  • Posterior retroperitoneoscopic adrenalectomy: preferred technique for removal of benign tumors and isolated metastases.

    abstract:OBJECTIVE:Posterior retroperitoneoscopic adrenalectomy (PRA) is a minimally invasive approach to removal of the adrenal gland. This anatomically direct approach, popularized by Walz, minimizes dissection and affords early access to the adrenal vein. We report the largest experience to date of PRA in the United States. ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31818a1d2a

    authors: Perrier ND,Kennamer DL,Bao R,Jimenez C,Grubbs EG,Lee JE,Evans DB

    更新日期:2008-10-01 00:00:00

  • Accelerated perinecrotic outgrowth of colorectal liver metastases following radiofrequency ablation is a hypoxia-driven phenomenon.

    abstract:OBJECTIVE:The aim of this study was to assess how thermal ablation of colorectal liver metastases affects the outgrowth of micrometastases in the transition zone (TZ) between ablated tissue and the unaffected reference zone (RZ) in 2 different murine models. BACKGROUND:Thermal destruction therapies of nonresectable co...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181a38ef5

    authors: Nijkamp MW,van der Bilt JD,de Bruijn MT,Molenaar IQ,Voest EE,van Diest PJ,Kranenburg O,Borel Rinkes IH

    更新日期:2009-05-01 00:00:00

  • Altered gene transcription after burn injury results in depressed T-lymphocyte activation.

    abstract:OBJECTIVE:Patients with major burns and an animal model of burn injury were studied to determine the mechanism of depressed interleukin-2 (IL-2) production after thermal injury and to determine the effect of such injury on IL-2 receptor (IL-2R) expression and function. SUMMARY BACKGROUND DATA:Major burn injury is know...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199409000-00010

    authors: Horgan AF,Mendez MV,O'Riordain DS,Holzheimer RG,Mannick JA,Rodrick ML

    更新日期:1994-09-01 00:00:00

  • Lymph node retrieval during esophagectomy with and without neoadjuvant chemoradiotherapy: prognostic and therapeutic impact on survival.

    abstract:OBJECTIVES:We aimed to examine the association between total number of resected nodes and survival in patients after esophagectomy with and without nCRT. BACKGROUND:Most studies concerning the potentially positive effect of extended lymphadenectomy on survival have been performed in patients who underwent surgery alon...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0000000000000965

    authors: Koen Talsma A,Shapiro J,Looman CW,van Hagen P,Steyerberg EW,van der Gaast A,van Berge Henegouwen MI,Wijnhoven BP,van Lanschot JJ,CROSS Study Group.,Hulshof MC,van Laarhoven HW,Nieuwenhuijzen GA,Hospers GA,Bonenkamp JJ,Cuest

    更新日期:2014-11-01 00:00:00

  • Pouch Versus No Pouch Following Total Gastrectomy: Meta-analysis of Randomized and Non-randomized Studies.

    abstract:OBJECTIVE:The aim of the study was to assess the impact of pouch reconstruction on perioperative outcomes, postprandial symptoms, nutritional and anthropometric parameters, and overall quality of life after total gastrectomy for gastric malignancy. SUMMARY BACKGROUND DATA:The short-term perioperative risks and longer ...

    journal_title:Annals of surgery

    pub_type: 杂志文章,meta分析

    doi:10.1097/SLA.0000000000003082

    authors: Syn NL,Wee I,Shabbir A,Kim G,So JB

    更新日期:2019-06-01 00:00:00

  • Longitudinal pancreaticojejunostomy in chronic relapsing pancreatitis with onset in childhood.

    abstract::Despite the rarity of chronic relapsing pancreatitis in children, in the last 15 years at Vanderbilt University Medical Center and its Children's Hospital we have used longitudinal pancreaticojejunostomy in treatment of eight patients whose symptoms began in childhood. Duration of symptoms ranged from 2 to 36 years. S...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198405000-00017

    authors: Scott HW Jr,Neblett WW,O'Neill JA Jr,Sawyers JL,Avant GS,Starnes VA

    更新日期:1984-05-01 00:00:00

  • Comparison of hand-sewn and stapled esophagogastric anastomosis after esophageal resection for cancer: a prospective randomized controlled trial.

    abstract:OBJECTIVE:The objective of this study was to compare the hand-sewn and stapled methods in esophagogastric anastomosis. SUMMARY BACKGROUND DATA:After esophageal resection for cancer, the relative merits of the hand-sewn and the stapled methods of esophagogastric anastomosis, especially regarding leakage and stricture r...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000658-199708000-00008

    authors: Law S,Fok M,Chu KM,Wong J

    更新日期:1997-08-01 00:00:00

  • Multivisceral transplantation for diffuse portomesenteric thrombosis.

    abstract:OBJECTIVE:To evaluate the clinical outcomes of multivisceral transplantation (MVT) in the setting of diffuse thrombosis of the portomesenteric venous system. BACKGROUND:Liver transplantation (LT) in the face of cirrhosis and diffuse portomesenteric thrombosis (PMT) is controversial and contraindicated in many transpla...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31825429c0

    authors: Vianna RM,Mangus RS,Kubal C,Fridell JA,Beduschi T,Tector AJ

    更新日期:2012-06-01 00:00:00

  • The Linton splenorenal shunt in the management of the bleeding complications of portal hypertension.

    abstract::This report describes 140 cases in which Linton splenorenal shunts were performed for the management of the complications of portal hypertension by a large number of surgeons in a single hospital. There was a history of variceal bleeding in 130. Using the Childs designation to reflect hepatic functional reserve, the o...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198212001-00008

    authors: Ottinger LW

    更新日期:1982-12-01 00:00:00

  • Troponin Elevation After Colorectal Surgery: Significance and Management.

    abstract:OBJECTIVE:The aim of this study is to identify the association between early postoperative troponin elevations and outcomes after major colorectal surgery. BACKGROUND:Myocardial infarction is the leading cause of death after noncardiac surgery. Most postoperative myocardial infarctions are clinically silent, and asymp...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001854

    authors: Gorgun E,Lan BY,Aydinli HH,Reed GW,Menon V,Sessler DI,Stocchi L,Remzi FH

    更新日期:2016-10-01 00:00:00

  • Computerized nuclear morphometry: a new morphologic assessment for advanced gastric adenocarcinoma.

    abstract:OBJECTIVE:To evaluate the correlation between the morphologic nuclear features and clinicopathologic parameters in patients with advanced gastric cancer. SUMMARY BACKGROUND DATA:Nuclear profiles have been reported as useful prognostic predictors in various cancers. Data from computerized morphometries are objective an...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199901000-00007

    authors: Ikeguchi M,Oka S,Saito H,Kondo A,Tsujitani S,Maeta M,Kaibara N

    更新日期:1999-01-01 00:00:00

  • Inflammation and specialized intestinal metaplasia of cardiac mucosa is a manifestation of gastroesophageal reflux disease.

    abstract:OBJECTIVE:The purpose of the study was to test the hypothesis that cardiac mucosa, carditis, and specialized intestinal metaplasia at an endoscopically normal-appearing cardia are manifestations of gastroesophageal reflux disease. SUMMARY BACKGROUND DATA:In the absence of esophageal mucosal injury, the diagnosis of ga...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199710000-00013

    authors: Oberg S,Peters JH,DeMeester TR,Chandrasoma P,Hagen JA,Ireland AP,Ritter MP,Mason RJ,Crookes P,Bremner CG

    更新日期:1997-10-01 00:00:00

  • Toward strategies for cost containment in surgical patients.

    abstract::The University of Rochester, Department of Surgery, in response to an experimental community-wide limit on hospital budgets, studied high-cost general surgical patients as a potential source of leverage for containment of hospital costs. It was found that a small number of patients impact significantly on hospital cos...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198309000-00005

    authors: Drucker WR,Gavett JW,Kirshner R,Messick WJ,Ingersoll G

    更新日期:1983-09-01 00:00:00

  • Proficiency of surgeons in inguinal hernia repair: effect of experience and age.

    abstract:OBJECTIVES:We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair. SUMMARY BACKGROUND DATA:In a multicenter, randomized trial comparing open and laparoscopic herniorrhaphies, conducted in Veterans Administration hospitals (CSP 456), we reported significant diffe...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.sla.0000179644.02187.ea

    authors: Neumayer LA,Gawande AA,Wang J,Giobbie-Hurder A,Itani KM,Fitzgibbons RJ Jr,Reda D,Jonasson O,CSP #456 Investigators.

    更新日期:2005-09-01 00:00:00

  • Rational use of elemental and nonelemental diets in hospitalized patients.

    abstract::Study A included 30 patients who received immediate postoperative enteral feeding with a nonelemental diet. The nonelemental diet was well tolerated. Study patients rapidly achieved nitrogen equilibrium and had a cumulative nitrogen balance of -11.1 g verus -46.7 g for the control group. In part B, 16 patients with va...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198011000-00003

    authors: Fairfull-Smith R,Abunassar R,Freeman JB,Maroun JA

    更新日期:1980-11-01 00:00:00

  • Subtotal versus total gastrectomy for gastric cancer: five-year survival rates in a multicenter randomized Italian trial. Italian Gastrointestinal Tumor Study Group.

    abstract:OBJECTIVE:To evaluate the impact of subtotal (SG) versus total (TG) gastrectomy on the oncologic outcome of patients with cancer of the distal stomach from 28 Italian institutions. SUMMARY BACKGROUND DATA:There is controversy over whether SG and TG have a different impact on the 5-year survival probability of patients...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00000658-199908000-00006

    authors: Bozzetti F,Marubini E,Bonfanti G,Miceli R,Piano C,Gennari L

    更新日期:1999-08-01 00:00:00

  • "Keyhole" coronary artery bypass surgery.

    abstract:OBJECTIVE:The objective of this study was to identify the utility of "keyhole" thoracotomy approaches to single vessel coronary artery bypass surgery. SUMMARY BACKGROUND DATA:Although minimally invasive surgery is efficacious in a wide variety of surgical disciplines, it has been slow to emerge in cardiac surgery. Amo...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199610000-00004

    authors: Landreneau RJ,Mack MJ,Magovern JA,Acuff TA,Benckart DH,Sakert TA,Fetterman LS,Griffith BP

    更新日期:1996-10-01 00:00:00

  • Comparison of mammographically guided breast biopsy techniques.

    abstract:OBJECTIVE:To determine which mammographically guided breast biopsy technique is the most efficient in making a diagnosis in women with suspicious mammograms. SUMMARY BACKGROUND DATA:Mammographically guided biopsy techniques include stereotactic 14-gauge core-needle biopsy (SC bx), stereotactic 11-gauge suction-assiste...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-199905000-00004

    authors: Velanovich V,Lewis FR Jr,Nathanson SD,Strand VF,Talpos GB,Bhandarkar S,Elkus R,Szymanski W,Ferrara JJ

    更新日期:1999-05-01 00:00:00

  • Impact of Surgical Resection of the Primary Tumor on Overall Survival in Patients With Metastatic Pheochromocytoma or Sympathetic Paraganglioma.

    abstract:OBJECTIVE:To determine whether primary tumor resection in patients with metastatic pheochromocytoma or paraganglioma (PPG) is associated with longer overall survival (OS). BACKGROUND:Patients with metastatic PPG have poor survival outcomes. The impact of surgical resection of the primary tumor on OS is not known. MET...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002195

    authors: Roman-Gonzalez A,Zhou S,Ayala-Ramirez M,Shen C,Waguespack SG,Habra MA,Karam JA,Perrier N,Wood CG,Jimenez C

    更新日期:2018-07-01 00:00:00

  • Physiologic role of cholecystokinin in the intestinal phase of pancreatic polypeptide release.

    abstract::Release of pancreatic polypeptide (PP) after a meal is biphasic, with an early transient peak believed to be under cholinergic control, and a secondary, prolonged intestinal phase thought to be mediated by hormones. Endogenous release of PP was stimulated by intraduodenal oleate (6.8 mmol/hr) or by intravenous adminis...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198411000-00008

    authors: Fried GM,Ogden WD,Greeley GH Jr,Thompson JC

    更新日期:1984-11-01 00:00:00

  • An Implementation Assessment of the Virtual Acute Care for Elders Program From the Perspective of Key Stakeholders.

    abstract:OBJECTIVE:The aim of this study was to obtain feedback from key stakeholders and end users to identify program strengths and weaknesses to plan for wider dissemination and implementation of the Virtual Acute Care for Elders (Virtual ACE) program, a novel intervention that improves outcomes for older surgical patients. ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004433

    authors: Balentine CJ,Morris M,Knight SJ,Turan JM,Flood KL,Gutierrez-Meza D,Macdonald CL,Bhatia S,Brown CJ

    更新日期:2020-11-16 00:00:00

  • Do differences in hospital and surgeon quality explain racial disparities in lower-extremity vascular amputations?

    abstract:OBJECTIVE:To understand whether racial disparities in surgery for lower-extremity arterial disease are minimized by high-quality providers, or instead, differential treatment of otherwise similar patients pervades all settings. SUMMARY BACKGROUND DATA:Black patients are substantially more likely than whites to undergo...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181b41d53

    authors: Regenbogen SE,Gawande AA,Lipsitz SR,Greenberg CC,Jha AK

    更新日期:2009-09-01 00:00:00

  • Accelerated partial breast irradiation after conservative surgery for breast cancer.

    abstract:OBJECTIVE:To critically review the theoretical and actual risks and benefits of accelerated partial breast irradiation (APBI) after breast-conserving surgery. SUMMARY BACKGROUND DATA:Because of rapid evolution of radiation therapy techniques related to brachytherapy and three-dimensional conformal radiation therapy, A...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.sla.0000114219.71899.13

    authors: Kuerer HM,Julian TB,Strom EA,Lyerly HK,Giuliano AE,Mamounas EP,Vicini FA

    更新日期:2004-03-01 00:00:00

  • The natural history of hepatic metastases from colorectal cancer. A comparison with resective treatment.

    abstract::Five-year survival after resection of hepatic metastases from colorectal cancer is 25%. Although resection palliates some patients who do not live that long, 50% of patients so treated are not helped at all. Until ignorance of a cancer's real stage is resolved by improved techniques, the evaluation and choice of thera...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198405000-00002

    authors: Wagner JS,Adson MA,Van Heerden JA,Adson MH,Ilstrup DM

    更新日期:1984-05-01 00:00:00

  • Adhesion prevention during laparotomy: long-term follow-up of a randomized clinical trial.

    abstract:OBJECTIVE:The objective of the study was to determine the long-term effect of the use of a hyaluronic acid-carboxymethylcellulose membrane (Seprafilm) on the incidence of adhesions and subsequent small-bowel obstruction and chronic abdominal complaints after colorectal surgery (Hartmann's procedure). BACKGROUND:Adhesi...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0b013e318217e99c

    authors: van der Wal JB,Iordens GI,Vrijland WW,van Veen RN,Lange J,Jeekel J

    更新日期:2011-06-01 00:00:00