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Article: Extended liver surgery for gallbladder cancer revisited: Is there a role for hepatopancreatoduodenectomy?

TitleExtended liver surgery for gallbladder cancer revisited: Is there a role for hepatopancreatoduodenectomy?
Authors
KeywordsHepatopancreatoduodenectomy
Gallbladder cancer
Extended surgery
Morbidity
Review
Issue Date2020
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ijsu
Citation
International Journal of Surgery, 2020, v. 82 n. suppl., p. 82-86 How to Cite?
AbstractGallbladder cancer (GBCA) is a rare and fatal disease and the majority of patients presents with advanced stage. Surgical resection associated with lymphadenectomy is the only chance for cure. For patients in stages III and IV, extended resection is the only treatment to achieve R0 margins. For GBCA invading the hepatoduodenal ligament and pancreatoduodenal region, the resection of extrahepatic bile duct and pancreas is necessary. Hepatopancreatoduodenectomy (HPD) represents the most complex and challenging procedure in the hepatopancreatobiliary region. Kuno at the Cancer Institute Hospital Tokyo performed the first HPD in Japan in 1974 and in 1980 Takasaki presented five cases and the 30-day mortality was 60%. After that, other countries started to perform the procedure including United States and Brazil. The main complications are liver failure and pancreatic fistula. Advancements in perioperative care, surgical technique, medical instruments and postoperative at intensive care unit have resulted in reduction in morbidity and mortality. The use of portal vein embolization is indicated to increase the liver volume in patients with insufficient remnant. Preoperative biliary drainage can prevent cholangitis and improve hepatic function. This procedure should be recommended before extended HPD in jaundiced patients. Operative results with mortality rates below 5% at high volume centers suggest that HPD should be performed at centers with expertise in hepatopancreatobiliary surgery.
DescriptionEditorial
Persistent Identifierhttp://hdl.handle.net/10722/304764
ISSN
2023 Impact Factor: 12.5
2023 SCImago Journal Rankings: 2.895
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTorres, OJM-
dc.contributor.authorAlikhanov, R-
dc.contributor.authorLi, J-
dc.contributor.authorSerrablo, A-
dc.contributor.authorChan, AC-
dc.contributor.authorde Souza M Fernandes, E-
dc.date.accessioned2021-10-05T02:34:50Z-
dc.date.available2021-10-05T02:34:50Z-
dc.date.issued2020-
dc.identifier.citationInternational Journal of Surgery, 2020, v. 82 n. suppl., p. 82-86-
dc.identifier.issn1743-9191-
dc.identifier.urihttp://hdl.handle.net/10722/304764-
dc.descriptionEditorial-
dc.description.abstractGallbladder cancer (GBCA) is a rare and fatal disease and the majority of patients presents with advanced stage. Surgical resection associated with lymphadenectomy is the only chance for cure. For patients in stages III and IV, extended resection is the only treatment to achieve R0 margins. For GBCA invading the hepatoduodenal ligament and pancreatoduodenal region, the resection of extrahepatic bile duct and pancreas is necessary. Hepatopancreatoduodenectomy (HPD) represents the most complex and challenging procedure in the hepatopancreatobiliary region. Kuno at the Cancer Institute Hospital Tokyo performed the first HPD in Japan in 1974 and in 1980 Takasaki presented five cases and the 30-day mortality was 60%. After that, other countries started to perform the procedure including United States and Brazil. The main complications are liver failure and pancreatic fistula. Advancements in perioperative care, surgical technique, medical instruments and postoperative at intensive care unit have resulted in reduction in morbidity and mortality. The use of portal vein embolization is indicated to increase the liver volume in patients with insufficient remnant. Preoperative biliary drainage can prevent cholangitis and improve hepatic function. This procedure should be recommended before extended HPD in jaundiced patients. Operative results with mortality rates below 5% at high volume centers suggest that HPD should be performed at centers with expertise in hepatopancreatobiliary surgery.-
dc.languageeng-
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ijsu-
dc.relation.ispartofInternational Journal of Surgery-
dc.subjectHepatopancreatoduodenectomy-
dc.subjectGallbladder cancer-
dc.subjectExtended surgery-
dc.subjectMorbidity-
dc.subjectReview-
dc.titleExtended liver surgery for gallbladder cancer revisited: Is there a role for hepatopancreatoduodenectomy?-
dc.typeArticle-
dc.identifier.emailChan, AC: acchan@hku.hk-
dc.identifier.authorityChan, AC=rp00310-
dc.description.naturelink_to_subscribed_fulltext-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ijsu.2020.05.085-
dc.identifier.pmid32535266-
dc.identifier.scopuseid_2-s2.0-85086514485-
dc.identifier.hkuros326459-
dc.identifier.volume82-
dc.identifier.issuesuppl.-
dc.identifier.spage82-
dc.identifier.epage86-
dc.identifier.isiWOS:000578009200013-
dc.publisher.placeUnited Kingdom-

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