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- Publisher Website: 10.1016/j.ijsu.2020.05.085
- Scopus: eid_2-s2.0-85086514485
- PMID: 32535266
- WOS: WOS:000578009200013
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Article: Extended liver surgery for gallbladder cancer revisited: Is there a role for hepatopancreatoduodenectomy?
Title | Extended liver surgery for gallbladder cancer revisited: Is there a role for hepatopancreatoduodenectomy? |
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Authors | |
Keywords | Hepatopancreatoduodenectomy Gallbladder cancer Extended surgery Morbidity Review |
Issue Date | 2020 |
Publisher | Elsevier 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? |
Abstract | Gallbladder 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. |
Description | Editorial |
Persistent Identifier | http://hdl.handle.net/10722/304764 |
ISSN | 2023 Impact Factor: 12.5 2023 SCImago Journal Rankings: 2.895 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Torres, OJM | - |
dc.contributor.author | Alikhanov, R | - |
dc.contributor.author | Li, J | - |
dc.contributor.author | Serrablo, A | - |
dc.contributor.author | Chan, AC | - |
dc.contributor.author | de Souza M Fernandes, E | - |
dc.date.accessioned | 2021-10-05T02:34:50Z | - |
dc.date.available | 2021-10-05T02:34:50Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | International Journal of Surgery, 2020, v. 82 n. suppl., p. 82-86 | - |
dc.identifier.issn | 1743-9191 | - |
dc.identifier.uri | http://hdl.handle.net/10722/304764 | - |
dc.description | Editorial | - |
dc.description.abstract | Gallbladder 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.language | eng | - |
dc.publisher | Elsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ijsu | - |
dc.relation.ispartof | International Journal of Surgery | - |
dc.subject | Hepatopancreatoduodenectomy | - |
dc.subject | Gallbladder cancer | - |
dc.subject | Extended surgery | - |
dc.subject | Morbidity | - |
dc.subject | Review | - |
dc.title | Extended liver surgery for gallbladder cancer revisited: Is there a role for hepatopancreatoduodenectomy? | - |
dc.type | Article | - |
dc.identifier.email | Chan, AC: acchan@hku.hk | - |
dc.identifier.authority | Chan, AC=rp00310 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.ijsu.2020.05.085 | - |
dc.identifier.pmid | 32535266 | - |
dc.identifier.scopus | eid_2-s2.0-85086514485 | - |
dc.identifier.hkuros | 326459 | - |
dc.identifier.volume | 82 | - |
dc.identifier.issue | suppl. | - |
dc.identifier.spage | 82 | - |
dc.identifier.epage | 86 | - |
dc.identifier.isi | WOS:000578009200013 | - |
dc.publisher.place | United Kingdom | - |