当前位置： SCI文献检索 > Journal of Hepato-Biliary-Pancreatic Sciences期刊下所有文献 > Randomized clinical trial of peritoneal lavage for preventing surgical site infection in elective liver surgery.

Randomized clinical trial of peritoneal lavage for preventing surgical site infection in elective liver surgery.

Abstract：

BACKGROUND:Although intraoperative peritoneal lavage is often performed routinely with the aim of reducing peritoneal contamination, little evidence of lavage benefits in elective liver resection without bile duct resection is available. We addressed the issue with a randomized clinical trial. METHODS:We prospectively and randomly assigned consecutive patients undergoing liver resection to a lavage group or a non-lavage group. Peritoneal lavage was performed at the end of operation for patients in the lavage group. The primary endpoint was the rate of surgical site infection. RESULTS:Ninety-six patients were assigned to the lavage group and 97 to the non-lavage group. When superficial/deep incisional infection and organ/space infection were considered together, no significant difference in surgical site infection rate was evident between lavage (21.9%) and non-lavage groups (13.4%, P = 0.135). However, organ/space infection was significantly more frequent in the lavage group (16.7%) than the non-lavage group (7.2%, P = 0.048). Peritoneal lavage was identified as a risk factor for organ/space infection by multivariate analysis (relative risk, 2.977; confidence interval, 1.094 to 8.100; P = 0.033). CONCLUSION:Intraoperative peritoneal lavage does not reduce overall incidence of surgical site infection and may increase risk of organ/space infection.

journal_name

J Hepatobiliary Pancreat Sci

journal_title

Journal of hepato-biliary-pancreatic sciences

authors

Tanaka K,Matsuo K,Kawaguchi D,Murakami T,Hiroshima Y,Hirano A,Sato S,Endo I,Taguri M,Koda K

doi

10.1002/jhbp.222

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

446-53

issue

6

eissn

1868-6974

issn

1868-6982

journal_volume

22

pub_type

杂志文章,随机对照试验

相关文献

Journal of Hepato-Biliary-Pancreatic Sciences文献大全
  • Risk factors for major morbidity after hepatectomy for hepatocellular carcinoma in 293 recent cases.

    abstract：BACKGROUND/PURPOSE:The purpose of this study was to identify risk factors for major morbidity after hepatectomies for hepatocellular carcinoma (HCC). METHODS:Univariate and multivariate analyses of risk factors for major morbidity were performed in 293 patients who underwent hepatectomy for HCC between 2001 and 2008. ...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-010-0275-3

    authors： Sadamori H,Yagi T,Matsuda H,Shinoura S,Umeda Y,Yoshida R,Satoh D,Utsumi T,Ohnishi T

    更新日期：2010-09-01 00:00:00

  • Reducing the incidence of post-hepatectomy hepatic complications by preoperatively applying parameters predictive of liver function.

    abstract：BACKGROUND/PURPOSE:To prevent or reduce hepatic complications after hepatectomy, it is important to employ preoperative predictive parameters and to determine the indications for hepatectomy. In the present study, we evaluated risk parameters in patients who underwent hepatectomy between 1994 and 2003, and selected thr...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-010-0281-5

    authors： Nanashima A,Tobinaga S,Abo T,Nonaka T,Takeshita H,Hidaka S,Sawai T,Nagayasu T

    更新日期：2010-11-01 00:00:00

  • Tips and tricks of the surgical technique for borderline resectable pancreatic cancer: mesenteric approach and modified distal pancreatectomy with en-bloc celiac axis resection.

    abstract：:Borderline resectable (BR) pancreatic cancer involves the portal vein and/or superior mesenteric vein (PV/SMV), major arteries including the superior mesenteric artery (SMA) or common hepatic artery (CHA), and sometimes includes the involvement of the celiac axis. We herein describe tips and tricks for a surgical tech...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.184

    authors： Hirono S,Yamaue H

    更新日期：2015-02-01 00:00:00

  • Outcomes of pancreaticoduodenectomy in patients with chronic hepatic dysfunction including liver cirrhosis: results of a retrospective multicenter study by the Japanese Society of Hepato-Biliary-Pancreatic Surgery.

    abstract：BACKGROUND:Since there is no reliable evidence on the safety of pancreaticoduodenectomy (PD) in chronic hepatic dysfunction (CHD) including liver cirrhosis (LC), the effects of CHD on patients undergoing PD were investigated. METHODS:This multi-institutional retrospective study analyzed 529 patients with CHD, includin...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,多中心研究

    doi：10.1002/jhbp.630

    authors： Futagawa Y,Yanaga K,Kosuge T,Suka M,Isaji S,Hirano S,Murakami Y,Yamamoto M,Yamaue H

    更新日期：2019-07-01 00:00:00

  • Clinical characteristics and risk factors for stent-stone complex formation following biliary plastic stent placement in patients with common bile duct stones.

    abstract：BACKGROUND:Stent-stone complex (SSC) formation is one of the complications of endoscopic biliary stent placement. This study aimed to clarify the clinical characteristics and risk factors for SSC formation following plastic stent (PS) placement in patients with common bile duct (CBD) stones. METHODS:We retrospectively...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.584

    authors： Kaneko J,Kawata K,Watanabe S,Chida T,Matsushita M,Suda T,Kobayashi Y

    更新日期：2018-10-01 00:00:00

  • Transpancreatic mattress suture with Vicryl mesh around the stump decreases postoperative pancreatic fistula after distal pancreatectomy.

    abstract：BACKGROUND:Postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP) remains the most common surgical complication. We have developed a novel stump closure technique after DP using transpancreatic mattress suture with Vicryl mesh (TMV) and reported our initial findings. The purpose of this study is to ev...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.664

    authors： Yoshida Y,Matsumoto I,Matsumoto M,Kawaguchi K,Murase T,Kamei K,Satoi S,Takebe A,Nakai T,Takeyama Y

    更新日期：2019-11-01 00:00:00

  • Basics and applications of stem cells in the pancreas.

    abstract：:Enormous efforts have been made to establish pancreatic stem/progenitor cells as a source for regenerative medicine for the treatment of diabetes mellitus. In recent years, it has been recognized that the self-renewal of beta cells is the dominant process involved in postnatal beta-cell regeneration and expansion. Nev...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,评审

    doi：10.1007/s00534-012-0545-3

    authors： Sekine K,Taniguchi H

    更新日期：2012-11-01 00:00:00

  • Right hepatic lobectomy with thoracotomy: a description (with video).

    abstract：BACKGROUND/PURPOSE:To describe surgical techniques and results of right hepatic lobectomy (RHL) with thoracotomy. METHODS:This procedure consists of laparotomy and thoracotomy, cholecystectomy, division of the right hepatic artery and right portal vein, mobilization of the liver, division of the right hepatic vein, tr...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-011-0446-x

    authors： Kubota K

    更新日期：2012-01-01 00:00:00

  • Tips and tricks of surgical technique for pancreatic cancer: portal vein resection and reconstruction (with videos).

    abstract：:Surgical resection is the only hope for cure in patients with pancreatic cancer. To improve the resectability and achieve better prognosis of this lethal disease, extended resection for pancreatic cancer has been applied. We have performed portal vein resection aggressively for pancreatic cancer with portal vein invas...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.128

    authors： Yoshitomi H,Kato A,Shimizu H,Ohtsuka M,Furukawa K,Takayashiki T,Kuboki S,Takano S,Okamura D,Suzuki D,Sakai N,Kagawa S,Miyazaki M

    更新日期：2014-09-01 00:00:00

  • Influence of duration of type 1 diabetes on long-term pancreatic transplant outcomes.

    abstract：BACKGROUND:There are no multicenter studies on the influence of diabetes duration on pancreatic transplant outcomes. Our study aimed to determine how type 1 diabetes duration influenced survival of pancreatic grafts. METHODS:The data of 8,139 patients who received pancreas transplants during 2006-2015 were extracted f...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.677

    authors： Zhou J,Dong Y,Mei S,Gu Y,Li Z,Xiang J,Zheng H,Chen Z,Huang Z,Hu Z

    更新日期：2019-12-01 00:00:00

  • Usefulness of endoscopic biopsy using FOXP3+ Treg up-regulation in the duodenal papilla in the differential diagnosis between autoimmune pancreatitis and pancreatic cancer.

    abstract：BACKGROUND AND STUDY AIMS:Expression of the forkhead/winged helix family of transcription factor P3+ regulatory T cells (FOXP3(+) Treg), a master gene of regulatory T cells (Treg) is observed in patients with autoimmune pancreatitis (AIP). We investigated the usefulness of detection of FOXP3(+) Treg in the main duodena...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-010-0359-0

    authors： Kubota K,Kato S,Watanabe S,Fujita K,Yoneda M,Takahashi H,Inamori M,Shimamura T,Kirikoshi H,Kobayashi N,Saito S,Hisatomi K,Matsuhashi N,Nakajima A

    更新日期：2011-05-01 00:00:00

  • Prediction and management of a low-lying costal arch which restricts the operative working space during laparoscopic cholecystectomy.

    abstract：BACKGROUND/PURPOSE:Laparoscopic cholecystectomy is difficult to perform in patients with a low-lying costal arch that entirely covers the liver. We conducted this study to clarify the factors related to a low-lying costal arch and establish countermeasures to circumvent this characteristic. METHODS:The study included ...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-010-0309-x

    authors： Tajima Y,Kuroki T,Kitasato A,Adachi T,Kosaka T,Okamoto T,Fujita F,Kanetaka K,Susumu S,Mochizuki S,Torashima Y,Kanematsu T

    更新日期：2011-01-01 00:00:00

  • Does adjuvant treatment improve prognosis after curative resection of ampulla of Vater carcinoma? A multicenter retrospective study.

    abstract：BACKGROUND/PURPOSE:Ampulla of Vater (AoV) carcinoma is a rare tumor that accounts for approximately 0.2% of gastrointestinal malignancies. There are no clinical guidelines concerning the treatment of AoV carcinoma. This study aimed to investigate the effectiveness of adjuvant treatment in AoV carcinoma following curati...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.801

    authors： Kim HS,Jang JY,Yoon YS,Park SJ,Kwon W,Kim SW,Han HS,Han SS,Park JS,Yoon DS

    更新日期：2020-10-01 00:00:00

  • Ex vivo application of endocytoscopy for determining the longitudinal extent of bile duct cancer: a pathological analysis of 28 resected cases.

    abstract：BACKGROUND:The aim was to examine the diagnostic ability of an endocytoscope system (ECS) for detecting the longitudinal extent of bile duct cancer. METHODS:We observed the surfaces of the bile duct of 28 consecutive patients undergoing biliary surgery both directly and under methylene blue staining by using an ECS. B...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.167

    authors： Yoshikawa T,Hakamada K,Ogasawara H,Kimura N,Kudo D,Sakamoto Y,Ishido K,Toyoki Y,Morohashi S,Kijima H

    更新日期：2015-01-01 00:00:00

  • Incidental intrahepatic cholangiocarcinoma in patients undergoing liver transplantation: a multi-center study in Japan.

    abstract：BACKGROUND:Intrahepatic cholangiocarcinoma had been considered a contraindication for liver transplantation because of poorer outcomes. However, incidental intrahepatic cholangiocarcinoma in the explanted liver has been reported because of the difficulty of obtaining an accurate diagnosis in cirrhotic livers on preoper...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.896

    authors： Hara T,Eguchi S,Yoshizumi T,Akamatsu N,Kaido T,Hamada T,Takamura H,Shimamura T,Umeda Y,Shinoda M,Ogura Y,Fukumoto T,Kasahara M,Hibi T,Umeshita K,Furukawa H,Ohdan H

    更新日期：2021-01-19 00:00:00

  • Disparities in the management and prophylaxis of surgical site infection and pancreatic fistula after pancreatoduodenectomy.

    abstract：BACKGROUND:Pancreatoduodenectomy (PD) carries a high morbidity. Over time, pancreatic surgeons have altered their perioperative management in efforts to reduce morbidity rates, thereby creating major technical and management variations. We aim to evaluate the practice patterns of hepato-pancreato-biliary (HPB) surgeons...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,多中心研究

    doi：10.1002/jhbp.443

    authors： Macedo FIB,Mowzoon M,Parikh J,Sathyanarayana SA,Jacobs MJ

    更新日期：2017-05-01 00:00:00

  • Whereabouts of an internal short stent placed across the pancreaticojejunostomy following pancreatoduodenectomy.

    abstract：BACKGROUND/PURPOSE:It is generally thought that an internal short stent placed across the pancreaticojejunostomy (PJ) following pancreatoduodenectomy (PD) usually passes spontaneously through the rectum thereafter; however, we experienced some patients who presented with pancreatitis and cholangitis owing to delayed de...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-012-0533-7

    authors： Kadowaki S,Miura F,Amano H,Toyota N,Wada K,Shibuya M,Maeno S,Takada T,Sano K

    更新日期：2012-09-01 00:00:00

  • Significance of imaging modalities for preoperative evaluation of the pancreaticobiliary system in surgery for pediatric choledochal cyst.

    abstract：OBJECTIVE:Roles of magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), drip infusion cholangiography with computed tomography (DIC-CT), and intraoperative cholangiopancreatography (IOCP) in visualizing pancreaticobiliary anatomy for pediatric choledocal cyst (CC) o...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.347

    authors： Saito T,Terui K,Mitsunaga T,Nakata M,Yoshida H

    更新日期：2016-06-01 00:00:00

  • Right hepatectomy using Glissonean pedicle transection method with anterior approach (with video).

    abstract：:Right hepatectomy for hepatocellular carcinoma is the most common major operation in liver surgery; therefore, liver surgeons should know the fundamental surgical concept and techniques of the Glissonean pedicle approach. A J-shaped or reversed T laparotomy is performed in the right subcostal area. The Glissonean pedi...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-011-0445-y

    authors： Katagiri S,Ariizumi S,Kotera Y,Takahashi Y,Yamamoto M

    更新日期：2012-01-01 00:00:00

  • Liver functional reserve estimation: state of the art and relevance for local treatments: the Eastern perspective.

    abstract：:Liver function reserve estimation is important for selecting the appropriate patients for hepatectomy or ablation of tumors. Many liver function tests have been devised, but the indocyanine green (ICG) clearance test remains the most popular for its simplicity and perhaps accuracy. Compared with the Child-Pugh classif...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,评审

    doi：10.1007/s00534-009-0229-9

    authors： Fan ST

    更新日期：2010-07-01 00:00:00

  • Clinical impact of endoscopic papillectomy for benign-malignant borderline lesions of the major duodenal papilla.

    abstract：BACKGROUND AND PURPOSE:The present study retrospectively analyzed the clinical impact of endoscopic papillectomy on the selection of a treatment strategy for patients with benign-malignant borderline lesions of the major duodenal papilla. PATIENTS AND METHODS:Between November 1995 and July 2009, 28 patients were selec...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-010-0327-8

    authors： Harano M,Ryozawa S,Iwano H,Taba K,Sen-Yo M,Sakaida I

    更新日期：2011-03-01 00:00:00

  • Intraductal oncocytic papillary neoplasms of the pancreas and bile ducts: a description of five new cases and review based on a systematic survey of the literature.

    abstract：BACKGROUND:Intraductal oncocytic papillary neoplasms (IOPN) are rare tumors of the pancreatic and biliary ductal system. It is not absolutely clear if the molecular and clinicopathologic characteristics of IOPN differ significantly from other related lesions, namely intraductal papillary mucinous neoplasms (IPMN). Ther...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,评审

    doi：10.1007/s00534-010-0268-2

    authors： Liszka L,Pajak J,Zielińska-Pajak E,Krzych L,Gołka D,Mrowiec S,Lampe P

    更新日期：2010-05-01 00:00:00

  • Predictive performance of Blumgart T staging for perihilar cholangiocarcinoma in a Japanese center.

    abstract：BACKGROUND:The Blumgart system has been used for local tumor assessment in perihilar cholangiocarcinoma to predict resectability and survival, and T3 tumors are considered unresectable disease. The aim was to validate the predictive performance of this system using a Japanese cohort. METHODS:Medical records of consecu...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1002/jhbp.694

    authors： Ebata T,Mizuno T,Yokoyama Y,Igami T,Yamaguchi J,Onoe S,Watanabe N,Nagino M

    更新日期：2020-03-01 00:00:00

  • Single operator peroral cholangioscopic guided therapy of bile duct stones.

    abstract：:Since the introduction of endoscopic sphincterotomy, stone clearance of the bile duct can be achieved by conventional endoscopic means in up to 90% of patients with stone disease. Several endoscopic therapies for difficult bile duct stones have been introduced. Laser therapy for stone fragmentation under direct visual...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,评审

    doi：10.1007/s00534-010-0360-7

    authors： Seelhoff A,Schumacher B,Neuhaus H

    更新日期：2011-05-01 00:00:00

  • Indocyanine green R15 ratio depends directly on liver perfusion flow rate.

    abstract：BACKGROUND:Indocyanine green (ICG) is a synthetic dye that is widely used to evaluate liver function in critically ill patients, before liver resection or after liver transplantation. Controversy still exists about the impact exerted on the ICG ratio after 15 min (ICG R15) by differences in liver perfusion rates, hyper...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-009-0160-0

    authors： Janssen MW,Druckrey-Fiskaaen KT,Omidi L,Sliwinski G,Thiele C,Donaubauer B,Polze N,Kaisers UX,Thiery J,Wittekind C,Hauss JP,Schön MR

    更新日期：2010-03-01 00:00:00

  • Single-stage endoscopic treatment for mild to moderate acute cholangitis associated with choledocholithiasis: a multicenter, non-randomized, open-label and exploratory clinical trial.

    abstract：BACKGROUND:Two-stage treatment involving stone removal after drainage is recommended for mild to moderate acute cholangitis associated with choledocholithiasis. However, single-stage treatment has some advantages. We aimed to assess the efficacy and safety of single-stage endoscopic treatment for mild to moderate acute...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1002/jhbp.296

    authors： Eto K,Kawakami H,Haba S,Yamato H,Okuda T,Yane K,Hayashi T,Ehira N,Onodera M,Matsumoto R,Matsubara Y,Takagi T,Sakamoto N,Hokkaido Interventional EUS\/ERCP study (HONEST) group.

    更新日期：2015-12-01 00:00:00

  • Percutaneous and endoscopic gallbladder drainage for acute cholecystitis: international multicenter comparative study using propensity score-matched analysis.

    abstract：BACKGROUND:Tokyo Guideline 2013 (TG13) proposed three drainage techniques for the treatment of acute cholecystitis. We evaluated the clinical efficacy and adverse events between percutaneous transhepatic intervention (PTGBI) including percutaneous transhepatic gallbladder drainage (PTGBD) and percutaneous transhepatic ...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,多中心研究

    doi：10.1002/jhbp.454

    authors： Itoi T,Takada T,Hwang TL,Endo I,Akazawa K,Miura F,Chen MF,Jan YY,Ker CG,Wang HP,Gomi H,Yokoe M,Kiriyama S,Wada K,Yamaue H,Miyazaki M,Yamamoto M

    更新日期：2017-06-01 00:00:00

  • Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos).

    abstract：:Since the publication of the Tokyo Guidelines in 2007 and their revision in 2013, appropriate management for acute cholecystitis has been more clearly established. Since the last revision, several manuscripts, especially for alternative endoscopic techniques, have been reported; therefore, additional evaluation and re...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 信件,评审

    doi：10.1002/jhbp.504

    authors： Mori Y,Itoi T,Baron TH,Takada T,Strasberg SM,Pitt HA,Ukai T,Shikata S,Noguchi Y,Teoh AYB,Kim MH,Asbun HJ,Endo I,Yokoe M,Miura F,Okamoto K,Suzuki K,Umezawa A,Iwashita Y,Hibi T,Wakabayashi G,Han HS,Yoon YS,Cho

    更新日期：2018-01-01 00:00:00

  • Early prophylactic antibiotics administration for acute necrotizing pancreatitis: a meta-analysis of randomized controlled trials.

    abstract：BACKGROUND:The effectiveness of prophylactic antibiotics use for acute necrotizing pancreatitis has been explored and a number of systematic reviews have been published with conflicting results. The timing of antibiotics administration can be fundamental to their effectiveness, but thus far no reviews have focused on t...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章,meta分析,评审

    doi：10.1002/jhbp.221

    authors： Ukai T,Shikata S,Inoue M,Noguchi Y,Igarashi H,Isaji S,Mayumi T,Yoshida M,Takemura YC

    更新日期：2015-04-01 00:00:00

  • Living donor pancreas transplantation in Japan.

    abstract：BACKGROUND/PURPOSE:Living-donor pancreas transplants (LDPs) were introduced at Chiba-East National Hospital in 2004, and 12 LDPs have been performed at this institution to date. Based on the outcome of these 12 LDPs, the efficacy and safety of LDPs are herein discussed. METHODS:Twelve diabetic patients underwent LDPs;...

    journal_title：Journal of hepato-biliary-pancreatic sciences

    pub_type： 杂志文章

    doi：10.1007/s00534-009-0148-9

    authors： Kenmochi T,Asano T,Maruyama M,Saigo K,Akutsu N,Iwashita C,Ohtsuki K,Suzuki A,Miyazaki M

    更新日期：2010-03-01 00:00:00