Differentiating Simple Hepatic Cysts from Mucinous Cystic Neoplasms: Radiological Features, Cyst Fluid Tumour Marker Analysis and Multidisciplinary Team Outcomes.

Abstract:

BACKGROUND:Differentiating hepatic mucinous cystic neoplasms (MCNs) from simple hepatic cysts (SCs) preoperatively is a challenging task. Our aim was to determine whether radiological features on ultrasound scan (USS), CT or MRI, cyst fluid tumour markers, or multidisciplinary team (MDT) outcomes could differentiate MCN from SC. METHODS:A retrospective review of radiological features, cyst fluid tumour marker levels and MDT outcomes in 52 patients was performed. RESULTS:There were 13 patients with MCN, 38 with SC and one ciliated foregut cyst. MCNs were more often solitary (p = 0.006). Although no other individual radiological characteristic on USS, CT or MRI was predictive of MCN, MDT outcomes stating that a cyst was complex in nature were highly predictive (p = 0.0007). Cyst fluid carbohydrate antigen 19-9, carcino-embryonic antigen and cancer antigen 125 were unable to differentiate MCN from SC (p = 0.45, p = 0.49, and p = 0.73, respectively). CONCLUSIONS:MDT outcomes are of greatest value when trying to differentiate MCN from SC, as well as having a solitary cyst on imaging. Conventional cyst fluid tumour markers are unhelpful. All suspicious cystic liver lesions should be discussed pre-operatively by a hepatobiliary MDT to determine the most appropriate surgical approach.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Labib PL,Aroori S,Bowles M,Stell D,Briggs C

doi

10.1159/000447308

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

36-42

issue

1

eissn

0253-4886

issn

1421-9883

pii

000447308

journal_volume

34

pub_type

杂志文章
  • Emergency Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Generalised Peritonitis: A Systematic Review.

    abstract:BACKGROUND:Laparoscopic sigmoidectomy for diverticulitis has initially been confined to the elective setting. However, open acute sigmoidectomy for perforated diverticulitis is associated with high morbidity rates that might be reduced after laparoscopic surgery. The aim of this systematic review was to assess the feas...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000441150

    authors: Vennix S,Boersema GS,Buskens CJ,Menon AG,Tanis PJ,Lange JF,Bemelman WA

    更新日期:2016-01-01 00:00:00

  • Adenomyomatosis of the papilla of Vater: a case illustrating diagnostic difficulties.

    abstract:AIMS:To describe the extremely rare case of an adenomyoma of the papilla of Vater. CASE REPORT:A 42-year-old woman was hospitalized for epigastralgia and high fever. The clinical presentation and endoscopic, biochemical, and radiologic findings led to the diagnostic impression of a dysfunction of the papilla of Vater....

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050115

    authors: Kayahara M,Ohta T,Kitagawa H,Miwa K,Urabe T,Murata T

    更新日期:2001-01-01 00:00:00

  • Nutritional Recovery after Open and Laparoscopic Distal Gastrectomy for Early Gastric Cancer: A Prospective Multicenter Comparative Trial (CCOG1204).

    abstract:BACKGROUND:Little information from prospective clinical trials is available on the influences of surgical approaches on postoperative body compositions and nutritional status. We designed a prospective non-randomized trial to compare postoperative chronological changes in body composition and nutritional status between...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000458714

    authors: Matsushita H,Tanaka C,Murotani K,Misawa K,Ito S,Ito Y,Kanda M,Mochizuki Y,Ishigure K,Yaguchi T,Teramoto J,Nakayama H,Kawase Y,Fujiwara M,Kodera Y

    更新日期:2018-01-01 00:00:00

  • The validity of predicting prognosis by the lymph node ratio in node-positive colon cancer.

    abstract:BACKGROUND/AIMS:Because the TNM system disregards the number of lymph nodes dissected and inter-individual differences exist in the number of regional lymph nodes, the lymph node ratio (LNR), which is estimated by dividing the number of metastatic lymph nodes by the number of dissected lymph nodes, has been proposed as...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000355444

    authors: Sugimoto K,Sakamoto K,Tomiki Y,Goto M,Kojima Y,Komiyama H

    更新日期:2013-01-01 00:00:00

  • Modern treatment of early gastric cancer: review of the Japanese experience.

    abstract:BACKGROUND:Recently, detections of early gastric cancer (EGC) have been increasing, and the treatment strategies for gastric cancer have been changing. To demonstrate recent clinical experience of EGC in Japan and to assess modern strategies for the treatment of EGC, we investigated the English-language literature of t...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000065829

    authors: Adachi Y,Shiraishi N,Kitano S

    更新日期:2002-01-01 00:00:00

  • In vitro function of islets of Langerhans encapsulated with a membrane of porcine chondrocytes for immunoisolation.

    abstract:BACKGROUND/AIMS:Widespread clinical application of islet transplantation remains restricted, because of insufficient methods to prevent rejection and autoimmune destruction of islet grafts. In this study we demonstrate long-term function of islets of Langerhans within a capsule of porcine chondrocytes which may serve a...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050130

    authors: Pollok JM,Lorenzen M,Kölln PA,Török E,Kaufmann PM,Kluth D,Bohuslavizki KH,Gundlach M,Rogiers X

    更新日期:2001-01-01 00:00:00

  • Transhepatic placement of an enteral stent to treat jaundice in a tumor recurrence obstructed afferent loop after a whipple procedure.

    abstract::Tumour recurrence that obstructs the afferent limb, blocking outflow of bile and pancreatic juice, constitutes a major clinical problem after a Whipple procedure. The endoscopic route is often not a possible alternative. Surgery may be difficult and perhaps dangerous to the often very sick patient and decompression wi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000071760

    authors: Johnsson E,Delle M,Lundell L,Liedman B

    更新日期:2003-01-01 00:00:00

  • Successful endoscopic management of gastrointestinal leakages after laparoscopic Roux-en-Y gastric bypass surgery.

    abstract:BACKGROUND:Management of leakages of the gastrojejunal anastomosis after laparoscopic Roux-en-Y gastric bypass (LRYGB) can be complex. New endoscopic techniques such as covered stents and over-the-scope clips (OTCs) have been developed and are valuable alternative therapeutic options to reoperation and drainage. The ai...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000358849

    authors: Schiesser M,Kressig P,Bueter M,Nocito A,Bauerfeind P,Gubler C

    更新日期:2014-01-01 00:00:00

  • Differences in Post-Cholecystectomy Bile Duct Injury Care: A Comparative Analysis of 2 Different Health-Care Public Institutions in a Low- and Middle-Income Country: Southeast Mexico.

    abstract:BACKGROUND:Mexican health system structure allows us to study the differences in bile duct injury (BDI) management. The study aimed to assess the differences in patients with complex BDI in 2 different public sector institutions using a new proposed standard terminology. METHODS:Retrospective review (2008-2019) in 2 p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000509706

    authors: Martínez-Mier G,Moreno-Ley PI,Esquivel-Torres S,Gonzalez-Grajeda JL,Mendez-Rico D

    更新日期:2020-01-01 00:00:00

  • Effect of multidisciplinary treatment with high dose rate intraluminal brachytherapy on survival in patients with unresectable esophageal cancer.

    abstract:BACKGROUND:Since carcinoma of the esophagus is usually diagnosed at an advanced stage, many cases of esophageal cancer are beyond possible radical resection and only palliative treatment can be performed in such cases. Therefore, a great deal of discussion has taken place concerning indications for treatment modality, ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018619

    authors: Iwasa M,Ohmori Y,Iwasa Y,Yamamoto A,Inoue A,Maeda H,Kume M,Ogoshi S,Nishioka A,Ogawa Y,Yoshida S

    更新日期:1998-01-01 00:00:00

  • Evaluation of surgical outcome scores according to ISGPS definitions in patients undergoing pancreatic resection.

    abstract:AIMS:To evaluate the role of the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM), the Portsmouth variant (p-POSSUM) and the Glasgow Prognostic Score (GPS) in predicting outcome after pancreatic surgery with reference to the International Study Group of Pancreatic Surge...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000313693

    authors: Knight BC,Kausar A,Manu M,Ammori BA,Sherlock DJ,O'Reilly DA

    更新日期:2010-01-01 00:00:00

  • Role of perfusion CT in assessing tumor blood flow and malignancy level of gastric cancer.

    abstract:BACKGROUND/AIMS:Intratumoral hemodynamics or tumor perfusion is useful in understanding the pathological background of the cancer. A parameter for a non-invasive, preoperative assessment of tumor perfusion has yet to be developed. METHODS:The study included 50 patients who underwent surgery for gastric cancer. Perfusi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000288703

    authors: Satoh A,Shuto K,Okazumi S,Ohira G,Natsume T,Hayano K,Narushima K,Saito H,Ohta T,Nabeya Y,Yanagawa N,Matsubara H

    更新日期:2010-01-01 00:00:00

  • Urgent laparoscopic cholecystectomy is the best management for biliary colic. A prospective randomized study of 75 cases.

    abstract:BACKGROUND/AIM:Delay of laparoscopic cholecystectomy after the diagnosis of biliary colic may increase the probability of recurrent emergency admission while awaiting elective cholecystectomy. The aim of this study was to compare the possible advantages and safety of urgent laparoscopic cholecystectomy (ULC) with elect...

    journal_title:Digestive surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000085300

    authors: Salman B,Yüksel O,Irkörücü O,Akyürek N,Tezcaner T,Doğan I,Erdem O,Tatlicioğlu E

    更新日期:2005-01-01 00:00:00

  • Hilar anatomical variations in living-donor liver transplantation using right-lobe grafts.

    abstract:BACKGROUND:Living-donor liver transplantation using a right-lobe graft has increased the frequency of hilar anatomical variations despite its advantage of a larger graft volume. METHODS:Sixty-seven living-donor liver transplantations using right-lobe grafts are reviewed, regarding the surgical anatomy of hilar vascula...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000121907

    authors: Ikegami T,Soejima Y,Taketomi A,Yoshizumi T,Harada N,Kayashima H,Itoh S,Yamashita Y,Maehara Y

    更新日期:2008-01-01 00:00:00

  • The usefulness of preoperative 18FDG positron-emission tomography and computed tomography for predicting the malignant potential of gastrointestinal stromal tumors.

    abstract:BACKGROUND:Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. The tumor size and mitotic count, typical risk category factors, are difficult to determine preoperatively. This study aimed to evaluate the usefulness of preoperative 18F-fluoro-2-deoxyglucose posit...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000357149

    authors: Tokumoto N,Tanabe K,Misumi T,Fujikuni N,Suzuki T,Ohdan H

    更新日期:2014-01-01 00:00:00

  • Truncal vagotomy, antrectomy and Roux-en-Y gastrojejunostomy in the treatment of duodenogastric reflux disease.

    abstract:BACKGROUND/AIMS:The surgical treatment of duodenogastric reflux (DGR), resistant to medical therapy, in patients with intact stomach is difficult to standardize. The aim of this study is to present our experience on 5 patients, all cholecystectomized, with severe DGR disease treated surgically. METHODS:Out of a group ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018583

    authors: Civello IM,Brisinda G,Palermo A,Agresti M,Minelli S,Sganga G,Maria G

    更新日期:1998-01-01 00:00:00

  • Posthepatectomy bile leakage: how to manage.

    abstract:BACKGROUND:Biliary leakage after liver resection continues to be reported. Management of bile leakage has changed in recent years, with nowadays non-surgical procedures as the preferred treatment. METHODS:Biliary leakage and management were assessed in 381 patients who underwent liver resection between January 2005 an...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000335734

    authors: Hoekstra LT,van Gulik TM,Gouma DJ,Busch OR

    更新日期:2012-01-01 00:00:00

  • Ectopic pancreas in the ampulla of vater with obstructive jaundice. A case report and review of literature.

    abstract::Ectopic pancreas is an uncommon condition and is usually found in the gastrointestinal tract, such as stomach, duodenum and jejunum. However, ectopic pancreas in the ampulla of Vater is rare and its clinical presentations may be similar to periampullary cancer. It is difficult to diagnose preoperatively. We present su...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000096158

    authors: Chou SJ,Chou YW,Jan HC,Chen VT,Chen TH

    更新日期:2006-01-01 00:00:00

  • Dye-staining stereomicroscopic examinations for fine mucosal structures of the gallbladder.

    abstract:BACKGROUND:In order to diagnose an unsuspected gallbladder carcinoma and to examine whether a differential diagnosis could be made between cancer and noncancerous lesions during surgery, we evaluated the findings of fine structures of various types of gallbladder mucosa. METHODS:We used stereomicroscopy with a dye-con...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050156

    authors: Aoki T,Inoue K,Tsuchida A,Kasuya K,Koyanagi Y

    更新日期:2001-01-01 00:00:00

  • Hyperintense basal ganglia on T1-weighted magnetic resonance images following postoperative parenteral nutrition in a pancreatoduodenectomized patient.

    abstract::The authors reported the magnetic resonance imaging (MRI) detection of manganese (Mn) deposition in the basal ganglia of a pancreatoduodenectomized patient following 30-day parenteral nutrition. A multi-trace element supplement solution including 20 micromol Mn/day was parenterally administered for 30 days postoperati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018830

    authors: Iwase K,Kondoh H,Higaki J,Tanaka Y,Yoshikawa M,Hori S,Osuga K,Kamiike W

    更新日期:2000-01-01 00:00:00

  • Laparoscopic Distal Pancreatectomy for Pancreatic Tumors: Does Size Matter?

    abstract:BACKGROUND:Laparoscopic distal pancreatectomy (LDP) for large pancreatic tumors may require prolonged dissection, and this could be associated with increased operative time and intraoperative complications. METHODS:From a total cohort of 190 consecutive patients undergoing LDP, 18 patients were found to have pancreati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000445008

    authors: Fernández-Cruz L,Poves I,Pelegrina A,Burdío F,Sánchez-Cabus S,Grande L

    更新日期:2016-01-01 00:00:00

  • Primary choledochorrhaphy after common bile duct exploration.

    abstract:AIM:To prove further the safety of primary closure of the common bile duct. METHOD:Twenty patients among 99 common bile duct explorations underwent primary closure. Pre- and postoperative liver function test, ultrasound and intraoperative cholangiography data, operation time, postoperative complications and the length...

    journal_title:Digestive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000018706

    authors: Tu Z,Li J,Xin H,Zhu Q,Cai T

    更新日期:1999-01-01 00:00:00

  • Is It Time to Expand the Role of Total Pancreatectomy for IPMN?

    abstract::Intraductal papillary mucinous neoplasms (IPMN) are cystic precursors to pancreatic cancer believed to arise within a widespread neoplastic field defect. The tendency for some patients to present with multifocal disease and/or develop additional lesions over time argues in favor of a field defect and complicates surgi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000445019

    authors: Griffin JF,Poruk KE,Wolfgang CL

    更新日期:2016-01-01 00:00:00

  • Does primary anastomosis with diversion have any advantages over Hartmann's procedure in acute diverticulitis?.

    abstract:BACKGROUND:The optimal treatment for acute complicated diverticulitis is still a matter of debate. We evaluated outcomes of primary anastomosis with proximal diversion (PAD) versus Hartman's procedure (HP) in acute diverticulitis. METHODS:Using the National Inpatient Sample database, we examined the clinical data of p...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000342549

    authors: Masoomi H,Stamos MJ,Carmichael JC,Nguyen B,Buchberg B,Mills S

    更新日期:2012-01-01 00:00:00

  • Re-Operative Pancreaticoduodenectomy: Challenges and Outcomes.

    abstract:BACKGROUND:Tata Memorial Centre (TMC) is a high-volume centre for pancreatic tumour resections. We found a continually increasing referral of pancreatic tumours for re-evaluation for surgery, after an initial unsuccessful attempt at resection. AIM:To evaluate reasons of initial in-operability, the feasibility of re-op...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000489275

    authors: Bhandare MS,Mehta N,Chaudhari V,Kumar NA,Pai E,Goel M,Shrikhande SV

    更新日期:2019-01-01 00:00:00

  • Minimally Invasive Pancreatic Resection: Is It Really the Future?

    abstract::The introduction and widespread application of minimally invasive surgery has been one of the most important innovations that radically changed the practice of surgery during the last few decades. The application to pancreatic surgery of minimally invasive approach has only recently emerged: both laparoscopic distal p...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000445012

    authors: Nappo G,Perinel J,El Bechwaty M,Adham M

    更新日期:2016-01-01 00:00:00

  • Surgery for Crohn's disease: new developments.

    abstract:BACKGROUND/AIMS:Crohn's disease is a chronic relapsing inflammatory bowel disease requiring surgery in a large number of patients. This review describes new developments in surgical techniques for treating Crohn's disease. RESULTS:Single-incision laparoscopic surgery decreases abdominal wall trauma by reducing the num...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000341567

    authors: Gardenbroek TJ,Tanis PJ,Buskens CJ,Bemelman WA

    更新日期:2012-01-01 00:00:00

  • The abdominal cocoon: a case report.

    abstract::The abdominal cocoon is a rare disease that is characterized by a total or partial encasement of the small bowel by a thick and fibrotic membrane. Thirty-five cases were reported since it was first described. It occurs primarily in females. Preoperative diagnosis is a matter of challenge and usually made at laparotomy...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000065827

    authors: Hamaloglu E,Altun H,Ozdemir A,Ozenc A

    更新日期:2002-01-01 00:00:00

  • A simple novel model to predict hospital mortality, surgical site infection, and pneumonia in elderly patients undergoing operation.

    abstract:BACKGROUND/AIMS:Predicting models of operative morbidity and mortality in the geriatric population are important in the prevention of adverse surgical outcomes. METHODS:A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. R...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000274485

    authors: Huang TS,Hu FC,Fan CW,Lee CH,Jwo SC,Chen HY

    更新日期:2010-08-01 00:00:00

  • Behçet's disease and diverticulosis.

    abstract::Behçet's disease (BD) is a multisystem disorder characterized by vasculitis. The aim of this report is to present a patient with BD and diverticular disease of the colon and discuss the possible association between BD and diverticulosis. To our knowledge, diverticular disease of the colon has not been previously repor...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050185

    authors: Sahan C,Akpolat T,Uçer T,Güner E,Dilek M,Danaci M

    更新日期:2001-01-01 00:00:00