Structure and surgical dissection layers of the bare area of the liver.

Abstract:

BACKGROUND:The bare area was reportedly formed by direct adhesion between the liver and diaphragm, meaning that the bare area lacked serosal components. This study aimed to analyze the structure of the bare area by an integrated study of surgical and laparoscopic images and pathological studies and describe surgical procedures focusing on the multilayered structure. METHODS:Several surgical specimens of hepatectomy were analyzed histologically to evaluate the macroscopic structure of the bare area. Laparoscopic images and cadaver anatomy of the bare area were also examined. RESULTS:The multilayered structure of the bare area comprised the liver, sub-serosal connective tissue, liver serosa, parietal peritoneum, retroperitoneal connective tissue, epimysium of the diaphragm, and diaphragm, in order from the liver to the diaphragm. The liver serosa and the parietal peritoneum fused with each other. This multilayered structure of the bare area is observed almost constantly. There are two layers in the dissection of the bare area in surgical procedures, an outer layer of the fused peritoneum (near the diaphragm) and an inner layer of the fused peritoneum (near the liver). Laparoscopic images enabled us to recognize the multilayered structure of the bare area. CONCLUSIONS:Histopathological findings showed the bare area to be a multilayered structure. In cases where tumors are located underneath the bare area, it could be important to dissect the bare area, with careful attention to its multilayered structure. Surgical dissection of the bare area in the outer layer of the fused peritoneum could allow a sufficient safety margin.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Ishii T,Seo S,Ito T,Ogiso S,Fukumitsu K,Taura K,Kaido T,Uemoto S

doi

10.1186/s12893-020-00830-8

subject

Has Abstract

pub_date

2020-07-31 00:00:00

pages

172

issue

1

issn

1471-2482

pii

10.1186/s12893-020-00830-8

journal_volume

20

pub_type

杂志文章
  • Is standardized care feasible in the emergency setting? A case matched analysis of patients undergoing laparoscopic cholecystectomy.

    abstract:BACKGROUND:Immediate laparoscopic cholecystectomy is the accepted standard for the treatment of acute cholecystitis. The aim of the present study was to evaluate the feasibility of a standardized approach with tailored care maps for pre- and postoperative care by comparing pain, nausea and patient satisfaction after el...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-016-0194-6

    authors: Grass F,Cachemaille M,Blanc C,Fournier N,Halkic N,Demartines N,Hübner M

    更新日期:2016-12-01 00:00:00

  • Acute acalculous cholecystitis determining Mirizzi syndrome: case report and literature review.

    abstract:BACKGROUND:Although Mirizzi syndrome is widely reported in literature, little is known about acute acalcholous cholecystitis determinig the findings of a Mirizzi syndrome. CASE PRESENTATION:We report a case of MRCP-confirmed Mirizzi syndrome in acute acalculous cholecystitis resolved by surgery. CONCLUSION:Acute acal...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2482-14-90

    authors: Milone M,Musella M,Maietta P,Gaudioso D,Pisapia A,Coretti G,De Palma G,Milone F

    更新日期:2014-11-15 00:00:00

  • Unusual metastasis of papillary thyroid cancer to the pancreas, liver, and diaphragm: a case report with review of literature.

    abstract:BACKGROUND:Papillary thyroid cancer (PTC) is the most common form of well-differentiated endocrine malignancy. Distant metastases of PTC are rare and usually occur in the bones, lungs, and thoracic lymph nodes despite the common locoregional metastases to the lymph nodes of the neck. The metastasis of PTC to the pancre...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/s12893-020-00748-1

    authors: Ren H,Ke N,Tan C,Wang X,Cao W,Liu X

    更新日期:2020-04-22 00:00:00

  • Total parathyroidectomy with trace amounts of parathyroid tissue autotransplantation as the treatment of choice for secondary hyperparathyroidism: a single-center experience.

    abstract:BACKGROUND:The aim of the study was to evaluate total parathyroidectomy with trace amounts of parathyroid tissue (30 mg) as a surgical option in secondary hyperparathyroidism (sHPT) treatment. METHODS:From January 2008 to March 2012, 47 patients underwent parathyroidectomy. Comparisons of demographic data, symptoms, a...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-14-26

    authors: He Q,Zhuang D,Zheng L,Fan Z,Zhou P,Zhu J,Duan S,Li Y,Ge Y,Lv Z,Cao L

    更新日期:2014-05-05 00:00:00

  • Delayed gastric emptying after pancreatoduodenectomy: comparison between invaginated pancreatogastrostomy and pancreatojejunostomy.

    abstract:BACKGROUND:The association between delayed gastric emptying (DGE) after pancreatoduodenectomy (PD) and pancreatic reconstruction technique remain unclear. The aim of this study is to investigate whether the occurrence of DGE differs between pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG). METHODS:A total o...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00707-w

    authors: Hayama S,Senmaru N,Hirano S

    更新日期:2020-04-03 00:00:00

  • How to utilize Ca²⁺ signals to rejuvenate the repairative phenotype of senescent endothelial progenitor cells in elderly patients affected by cardiovascular diseases: a useful therapeutic support of surgical approach?

    abstract::Endothelial dysfunction or loss is the early event that leads to a host of severe cardiovascular diseases, such as atherosclerosis, hypertension, brain stroke, myocardial infarction, and peripheral artery disease. Ageing is regarded among the most detrimental risk factor for vascular endothelium and predisposes the su...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2482-13-S2-S46

    authors: Moccia F,Dragoni S,Cinelli M,Montagnani S,Amato B,Rosti V,Guerra G,Tanzi F

    更新日期:2013-01-01 00:00:00

  • Splenectomy and proximal lieno-renal shunt in a factor five deficient patient with extra-hepatic portal vein obstruction.

    abstract:BACKGROUND:The clinico-surgical implication and successful management of a rare case of factor five (V) deficiency with portal hypertension and hypersplenism due to idiopathic extra-hepatic portal venous obstruction is presented. CASE PRESENTATION:A 16-year old boy had gastro-esophageal variceal bleeding, splenomegaly...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-6-7

    authors: Chava SP,Pal S,Ghatak S,Kumar R,Sahni P,Chattopadhyay TK

    更新日期:2006-05-19 00:00:00

  • Potential hospital cost-savings attributed to improvements in outcomes for colorectal cancer surgery following self-audit.

    abstract:BACKGROUND:One of the potential benefits of surgical audit is improved hospital cost-efficiencies arising from lower resource consumption associated with fewer adverse events. The aim of this study was to estimate the potential cost-savings for Australian hospitals from improved surgical performance for colorectal surg...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-10-4

    authors: Gordon LG,Obermair A

    更新日期:2010-01-27 00:00:00

  • Hepatectomy for liver metastases from gastric cancer: a systematic review.

    abstract:BACKGROUND:Official guidelines recommend palliative treatments for patients with liver metastases from gastric cancer. However, many case series reported that hepatectomy for such cases is safe and effective. This systematic review compares the overall survival between hepatectomy and palliative therapy in patients wit...

    journal_title:BMC surgery

    pub_type: 杂志文章,评审

    doi:10.1186/s12893-017-0215-0

    authors: Liao YY,Peng NF,Long D,Yu PC,Zhang S,Zhong JH,Li LQ

    更新日期:2017-02-13 00:00:00

  • Management of duodenal stump fistula after gastrectomy for malignant disease: a systematic review of the literature.

    abstract:BACKGROUND:Duodenal stump fistula (DSF) remains one of the most serious complications following subtotal or total gastrectomy, as it endangers patient's life. DSF is related to high mortality (16-20%) and morbidity (75%) rates. DSF-related morbidity always leads to longer hospitalization times due to medical and surgic...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0520-x

    authors: Zizzo M,Ugoletti L,Manzini L,Castro Ruiz C,Nita GE,Zanelli M,De Marco L,Besutti G,Scalzone R,Sassatelli R,Annessi V,Manenti A,Pedrazzoli C

    更新日期:2019-05-28 00:00:00

  • Jejunal obstruction due to a variant of transmesocolic hernia: a rare presentation of an acute abdomen.

    abstract:BACKGROUND:Internal hernias include paraduodenal, pericecal, through foramen of Winslow, intersigmoid and retroanastomotic hernias. These hernias could be either congenital or acquired after abdominal surgery. They account for approximately 0.5-5 % of all cases of intestinal obstruction. CASE PRESENTATION:A 48-year-ol...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-015-0051-z

    authors: Subasinghe D,Keppetiyagama CT,Samarasekera DN

    更新日期:2015-05-08 00:00:00

  • Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series.

    abstract:BACKGROUND:Spinal surgery is increasingly being done in the outpatient setting. We reviewed our experience with inpatient and outpatient single-level anterior cervical discectomy and fusion with plating (ACDF+P). METHODS:All patients undergoing single-level anterior cervical discectomy and fusion with plating between ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-9-3

    authors: Liu JT,Briner RP,Friedman JA

    更新日期:2009-03-05 00:00:00

  • Rectosigmoid stump washout as an alternative to permanent mucous fistula in patients undergoing subtotal colectomy for ulcerative colitis in emergency settings.

    abstract:BACKGROUND:Restorative proctocolectomy with ileopouch-anal anastomosis (IPAA) is the treatment of choice for intractable or complicated ulcerative colitis(UC). Elderly patients often present with acute colitis requiring emergent subtotal colectomy(SC). Frail patients are at risk of developing septic complications relat...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-12-S1-S31

    authors: Pellino G,Sciaudone G,Candilio G,Canonico S,Selvaggi F

    更新日期:2012-01-01 00:00:00

  • The effect of thymoquinone coating on adhesive properties of polypropylene mesh.

    abstract:BACKGROUND:An incisional hernia is a common complication following abdominal surgery. Polypropylene mesh is frequently used in the repair of such defects and has nearly become the standard surgical treatment modality. Though they are very effective in reducing recurrence, mesh materials exhibit a strong stimulating eff...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-017-0239-5

    authors: Aydin O,Aydinuraz K,Agalar F,Sahiner IT,Agalar C,Bayram C,Denkbas EB,Atasoy P

    更新日期:2017-04-17 00:00:00

  • Hypomagnesemia predicts postoperative biochemical hypocalcemia after thyroidectomy.

    abstract:BACKGROUND:To investigate the role of magnesium in biochemical and symptomatic hypocalcemia, a retrospective study was conducted. METHODS:Less-than-total thyroidectomy patients were excluded from the final analysis. Identified the risk factors of biochemical and symptomatic hypocalcemia, and investigated the correlati...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-017-0258-2

    authors: Luo H,Yang H,Zhao W,Wei T,Su A,Wang B,Zhu J

    更新日期:2017-05-25 00:00:00

  • Arterial resection and reconstruction in pancreatectomy: surgical technique and outcomes.

    abstract:BACKGROUND:The outcomes in patients with pancreatic or ampulla tumors remain unsatisfactory, especially with invasion into the hepatic artery (HA) or the superior mesenteric artery (SMA). In this setting, pancreatectomy combined with arterial resection and reconstruction may offer the possibility of an en-block resecti...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0560-2

    authors: Zhang Q,Wu J,Tian Y,Duan J,Shao Y,Yan S,Wang W

    更新日期:2019-10-10 00:00:00

  • Hand-assisted retroperitoneoscopic versus standard laparoscopic donor nephrectomy: HARP-trial.

    abstract:BACKGROUND:Transplantation is the only treatment offering long-term benefit to patients with chronic kidney failure. Live donor nephrectomy is performed on healthy individuals who do not receive direct therapeutic benefit of the procedure themselves. In order to guarantee the donor's safety, it is important to optimise...

    journal_title:BMC surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2482-10-11

    authors: Dols LF,Kok NF,Terkivatan T,Tran TC,d'Ancona FC,Langenhuijsen JF,zur Borg IR,Alwayn IP,Hendriks MP,Dooper IM,Weimar W,Ijzermans JN

    更新日期:2010-03-25 00:00:00

  • En-bloc resection of thoracic calcified meningioma with inner dural layer in recapping T-saw laminoplasty: a case report.

    abstract:BACKGROUND:In the treatment of spinal cord tumors, complete tumor resection with complete reconstruction of the spine represents the ideal goal. However, for the treatment of heavily calcified spinal meningioma, en-bloc resection of the tumor together with the involved dura at the tumor base through laminectomy is quit...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-015-0066-5

    authors: Miyakoshi N,Hongo M,Kasukawa Y,Shimada Y

    更新日期:2015-07-04 00:00:00

  • Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia.

    abstract:BACKGROUND:Surgical glove perforation is a common event. The operating staff is not aware of the perforation until the procedure is complete, sometimes in as high as 70% of the incidences. Data from Ethiopia indicates that the surgical workforce suffers from a very surgery related accidents, however there is paucity of...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-017-0228-8

    authors: Bekele A,Makonnen N,Tesfaye L,Taye M

    更新日期:2017-03-20 00:00:00

  • Long-term outcomes and prognostic factor analysis of resected Siewert type II adenocarcinoma of esophagogastric junction in China: a seven-year study.

    abstract:BACKGROUND:The incidence rate of adenocarcinoma of the esophagogastric junction (AEG) has significantly increased over the past two decades. Surgery remains the only curative treatment. However, there are currently few studies on Chinese AEG patients. The purpose of this study was to retrospectively analyze the surviva...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00926-1

    authors: Feng Y,Jiang Y,Zhao Q,Liu J,Zhang H,Chen Q

    更新日期:2020-11-30 00:00:00

  • The effect of laparoscopy on mast cell degranulation and mesothelium thickness in rats.

    abstract:BACKGROUND:Laparoscopy induces adhesion due to ischemia-reperfusion injury. However, the detail pathomechanism is poorly understood. This study aimed to investigate the impact of laparoscopy on mast cell and mesothelium morphological changes in the rat. METHODS:Forty-nine males of Sprague-Dawley Rattus norvegicus were...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-020-00775-y

    authors: Poerwosusanta H,Gunadi,Noor Z,Oktaviyanti IK,Mintaroem K,Pardjianto B,Widodo MA,Widjajanto E

    更新日期:2020-05-24 00:00:00

  • Mesenteric ischemia: the importance of differential diagnosis for the surgeon.

    abstract:BACKGROUND:Intestinal ischemia is an abdominal emergency that accounts for approximately 2% of gastrointestinal illnesses. It represents a complex of diseases caused by impaired blood perfusion to the small and/or large bowel including acute arterial mesenteric ischemia (AAMI), acute venous mesenteric ischemia (AVMI), ...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-13-S2-S51

    authors: Reginelli A,Iacobellis F,Berritto D,Gagliardi G,Di Grezia G,Rossi M,Fonio P,Grassi R

    更新日期:2013-01-01 00:00:00

  • Histological remodelling of demineralised bone matrix allograft in posterolateral fusion of the spine--an ex vivo study.

    abstract:BACKGROUND:Demineralised bone matrix (DBM) has shown to be effective in enhancing posterior fusion of the spine. Several animal studies and clinical investigations in humans showed its successful remodelling. The use of allogenic matrix may decrease the need of autologous bone graft and therefore helps prevent correspo...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-13-58

    authors: Bouaicha S,von Rechenberg B,Osterhoff G,Wanner GA,Simmen HP,Werner CM

    更新日期:2013-12-13 00:00:00

  • Cotton Bezoar--a rare cause of intestinal obstruction: case report.

    abstract:BACKGROUND:Bezoars usually present as a mass in the stomach. The patient often has a preceding history of some psychiatric predisposition. Presentation could be in the form of trichophagy followed by trichobezoar (swallowing of hair leading to formation of bezoar), orphytobezoar (swallowing of vegetable fibres). Rapunz...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-3-5

    authors: Chintamani,Durkhure R,Singh JP,Singhal V

    更新日期:2003-09-04 00:00:00

  • Prospective international multicenter observational study of Novosyn® Quick for skin closures in adults and children (SKINNOQ).

    abstract:BACKGROUND:This clinical trial evaluated the performance of a newly released fast-absorbable braided synthetic suture (Novosyn® Quick) in adults and paediatric patients undergoing elective skin closures. METHODS:This was a prospective international multicentre observational study. Two centres enrolled 100 patients, of...

    journal_title:BMC surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12893-019-0506-8

    authors: Gfroerer S,Baumann P,Schwalbach AK,Smirnoff A

    更新日期:2019-05-02 00:00:00

  • Sphincter saving anorectoplasty (SSARP) for the reconstruction of Anorectal malformations.

    abstract:BACKGROUND:This report describes a new technique of sphincter saving anorectoplasty (SSARP) for the repair of anorectal malformations (ARM). METHODS:Twenty six males with high ARM were treated with SSARP. Preoperative localization of the center of the muscle complex is facilitated using real time sonography and comput...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-7-20

    authors: Pratap A,Tiwari A,Kumar A,Adhikary S,Singh SN,Paudel BH,Bartaula R,Mishra B

    更新日期:2007-09-24 00:00:00

  • Low psoas muscle index is a poor prognostic factor for lower gastrointestinal perforation: a single-center retrospective cohort study.

    abstract:BACKGROUND:Various body composition indices have been reported as prognostic factors for different cancers. However, whether body composition affects prognosis after lower gastrointestinal tract perforation requiring emergency surgery and multidisciplinary treatment has not been clarified. This study examined whether b...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-019-0629-y

    authors: Kayano H,Nomura E,Abe R,Ueda Y,Machida T,Fujita C,Uchiyama S,Endo K,Murakami K,Mukai M,Makuuchi H

    更新日期:2019-11-28 00:00:00

  • Laparoscopic gastric pouch and remnant resection: a novel approach to refractory anastomotic ulcers after Roux-en-Y gastric bypass: case report.

    abstract:BACKGROUND:Anastomotic or marginal ulcers occur in 0.6 to 16% of patients after laparoscopic Roux-en-Y-Gastric Bypass. Initial therapy aims at eliminating known risk factors including smoking, Helicobacter pylori infection, use of non-steroidal anti-inflammatory drugs and inhibition of gastric acid secretion. While thi...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-11-33

    authors: Steinemann DC,Schiesser M,Clavien PA,Nocito A

    更新日期:2011-12-02 00:00:00

  • Prognostic analysis of combined curative resection of the stomach and liver lesions in 30 gastric cancer patients with synchronous liver metastases.

    abstract:BACKGROUND:Gastric cancer with synchronous liver metastasis remains a clinical treatment challenge. There has been a longstanding debate on the question whether surgical resection could be beneficial to long-term survival. This study is to investigate the effectiveness and prognostic factors of combined curative resect...

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/1471-2482-12-20

    authors: Wang YN,Shen KT,Ling JQ,Gao XD,Hou YY,Wang XF,Qin J,Sun YH,Qin XY

    更新日期:2012-10-12 00:00:00

  • A locking compression plate as an external fixator for treating infected nonunion of the humeral diaphysis.

    abstract:BACKGROUND:Infected nonunion of the humeral diaphysis is a challenging problem for orthopedic surgeons. This study aimed to evaluate the outcome of using a locking compression plate (LCP) as a definitive external fixator in the management of infected nonunion of the humeral diaphysis after failure of internal fixation....

    journal_title:BMC surgery

    pub_type: 杂志文章

    doi:10.1186/s12893-016-0167-9

    authors: Xiao C,Tang F,Zhou Y,Zhang W,Luo Y,Duan H,Tu C

    更新日期:2016-08-05 00:00:00