The necessity of hepatic vein reconstruction after resection of cranial part of the liver and major hepatic veins in cirrhotic patients
Background The necessity of hepatic vein reconstruction (HVR) after resection of cranial part of the liver and major hepatic vein(s) in cirrhotic patients when residual liver is insufficient for a major hepatectomy remains unclear. Methods Fifty-two cirrhotic patients who underwent resection of cran...
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| Veröffentlicht in: | Surgery 2012-02, Vol.151 (2), p.223-231 |
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| creator | Wu, Cheng-Chung, MD Peng, Cheng-Ming, MD Cheng, Shao-Bin, MD Yeh, Dah-Cherng, MD Lui, Wing-Yiu, MD Liu, Tse-Jia, MD P’eng, Fang-Ku, MD |
| description | Background The necessity of hepatic vein reconstruction (HVR) after resection of cranial part of the liver and major hepatic vein(s) in cirrhotic patients when residual liver is insufficient for a major hepatectomy remains unclear. Methods Fifty-two cirrhotic patients who underwent resection of cranial part of the liver and hepatic vein(s) for liver neoplasms were divided retrospectively into 3 groups based on the volume of the congestive area of the remnant liver after hepatectomy: group A, 28 patients, the volume of the congestive area was ≤20% of the residual liver volume and underwent no HVR; group B, 7 patients, the volume of the congestive area was >20% of residual liver volume and underwent no HVR; and group C, 17 patients, in whom HVR was performed (the volume of the congestive area was >20% of residual liver volume in 16 and |
| doi_str_mv | 10.1016/j.surg.2010.10.014 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_916150532</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0039606010005787</els_id><sourcerecordid>916150532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c506t-a6b94b41a5922de47bb770d5bac8e53648f519cef805e1bf7415b3c0be3f51043</originalsourceid><addsrcrecordid>eNp9ksGO0zAQhi0EYsvCC3BAuSBOKXYcO42EkFYrWJBW4sBythxnQh1Su3icSn0CXpsJ7YLgwMny-Jvf1udh7Lnga8GFfj2ucU5f1xX_VVhzUT9gK6FkVTZSi4dsxblsS801v2BPEEfOeVuLzWN2UQnR6FbKFftxt4UigANEn49FHIot7G32rjiAD0UCFwPmNLvsYyjskCFREeG0J9wlG7ydir1Nedlnypv8gTAb-mJnx5j-isSCYp1PaRuX0nIAIeNT9miwE8Kz83rJvrx_d3f9obz9dPPx-uq2dIrrXFrdtXVXC6vaquqhbrquaXivOus2oKSuN4MSrYNhwxWIbmhqoTrpeAeSDngtL9mrU-4-xe8zYDY7jw6myQaIM5pWaKE4OSSyOpEuRcQEg9knv7PpaAQ3i38zmsW_WfwvNfJPTS_O8XO3g_53y71wAl6eAYvOTgPZcx7_cIqur3RD3JsTByTj4CEZdCTKQe_pT7Lpo___O97-0-4mHzzd-A2OgGOcUyDNRhisDDefl0lZBkXQjKhm08ifZrq7AA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>916150532</pqid></control><display><type>article</type><title>The necessity of hepatic vein reconstruction after resection of cranial part of the liver and major hepatic veins in cirrhotic patients</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Wu, Cheng-Chung, MD ; Peng, Cheng-Ming, MD ; Cheng, Shao-Bin, MD ; Yeh, Dah-Cherng, MD ; Lui, Wing-Yiu, MD ; Liu, Tse-Jia, MD ; P’eng, Fang-Ku, MD</creator><creatorcontrib>Wu, Cheng-Chung, MD ; Peng, Cheng-Ming, MD ; Cheng, Shao-Bin, MD ; Yeh, Dah-Cherng, MD ; Lui, Wing-Yiu, MD ; Liu, Tse-Jia, MD ; P’eng, Fang-Ku, MD</creatorcontrib><description>Background The necessity of hepatic vein reconstruction (HVR) after resection of cranial part of the liver and major hepatic vein(s) in cirrhotic patients when residual liver is insufficient for a major hepatectomy remains unclear. Methods Fifty-two cirrhotic patients who underwent resection of cranial part of the liver and hepatic vein(s) for liver neoplasms were divided retrospectively into 3 groups based on the volume of the congestive area of the remnant liver after hepatectomy: group A, 28 patients, the volume of the congestive area was ≤20% of the residual liver volume and underwent no HVR; group B, 7 patients, the volume of the congestive area was >20% of residual liver volume and underwent no HVR; and group C, 17 patients, in whom HVR was performed (the volume of the congestive area was >20% of residual liver volume in 16 and <20% in 1). Background characteristics and postoperative results were compared between the groups. Results Although group C patients had a significantly longer operative time, their postoperative courses were similar to group A patients. Group B patients had a significantly longer postoperative hospital stay and a greater postoperative morbidity and 90-day mortality. No 90-day mortality ensued in the group A and C patients. Conclusion In selected cirrhotic patients whose remnant liver is insufficient for major hepatectomy, HVR appears to be safe and desirable after resection of the cranial part of liver and hepatic vein when the volume of congestive area of liver remnant exceeds 20% of future residual liver volume.</description><identifier>ISSN: 0039-6060</identifier><identifier>EISSN: 1532-7361</identifier><identifier>DOI: 10.1016/j.surg.2010.10.014</identifier><identifier>PMID: 21176933</identifier><identifier>CODEN: SURGAZ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carcinoma, Hepatocellular - epidemiology ; Carcinoma, Hepatocellular - mortality ; Carcinoma, Hepatocellular - surgery ; Comorbidity ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; General aspects ; Hepatectomy - methods ; Hepatic Veins - surgery ; Humans ; Length of Stay ; Liver - blood supply ; Liver - pathology ; Liver - surgery ; Liver Cirrhosis - epidemiology ; Liver Cirrhosis - mortality ; Liver Cirrhosis - surgery ; Liver Neoplasms - epidemiology ; Liver Neoplasms - mortality ; Liver Neoplasms - surgery ; Liver, biliary tract, pancreas, portal circulation, spleen ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Organ Size ; Other diseases. Semiology ; Retrospective Studies ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Survival Rate ; Treatment Outcome ; Vascular Surgical Procedures</subject><ispartof>Surgery, 2012-02, Vol.151 (2), p.223-231</ispartof><rights>2012</rights><rights>2015 INIST-CNRS</rights><rights>Published by Mosby, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-a6b94b41a5922de47bb770d5bac8e53648f519cef805e1bf7415b3c0be3f51043</citedby><cites>FETCH-LOGICAL-c506t-a6b94b41a5922de47bb770d5bac8e53648f519cef805e1bf7415b3c0be3f51043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0039606010005787$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25615267$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21176933$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Cheng-Chung, MD</creatorcontrib><creatorcontrib>Peng, Cheng-Ming, MD</creatorcontrib><creatorcontrib>Cheng, Shao-Bin, MD</creatorcontrib><creatorcontrib>Yeh, Dah-Cherng, MD</creatorcontrib><creatorcontrib>Lui, Wing-Yiu, MD</creatorcontrib><creatorcontrib>Liu, Tse-Jia, MD</creatorcontrib><creatorcontrib>P’eng, Fang-Ku, MD</creatorcontrib><title>The necessity of hepatic vein reconstruction after resection of cranial part of the liver and major hepatic veins in cirrhotic patients</title><title>Surgery</title><addtitle>Surgery</addtitle><description>Background The necessity of hepatic vein reconstruction (HVR) after resection of cranial part of the liver and major hepatic vein(s) in cirrhotic patients when residual liver is insufficient for a major hepatectomy remains unclear. Methods Fifty-two cirrhotic patients who underwent resection of cranial part of the liver and hepatic vein(s) for liver neoplasms were divided retrospectively into 3 groups based on the volume of the congestive area of the remnant liver after hepatectomy: group A, 28 patients, the volume of the congestive area was ≤20% of the residual liver volume and underwent no HVR; group B, 7 patients, the volume of the congestive area was >20% of residual liver volume and underwent no HVR; and group C, 17 patients, in whom HVR was performed (the volume of the congestive area was >20% of residual liver volume in 16 and <20% in 1). Background characteristics and postoperative results were compared between the groups. Results Although group C patients had a significantly longer operative time, their postoperative courses were similar to group A patients. Group B patients had a significantly longer postoperative hospital stay and a greater postoperative morbidity and 90-day mortality. No 90-day mortality ensued in the group A and C patients. Conclusion In selected cirrhotic patients whose remnant liver is insufficient for major hepatectomy, HVR appears to be safe and desirable after resection of the cranial part of liver and hepatic vein when the volume of congestive area of liver remnant exceeds 20% of future residual liver volume.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - epidemiology</subject><subject>Carcinoma, Hepatocellular - mortality</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Hepatectomy - methods</subject><subject>Hepatic Veins - surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Liver - blood supply</subject><subject>Liver - pathology</subject><subject>Liver - surgery</subject><subject>Liver Cirrhosis - epidemiology</subject><subject>Liver Cirrhosis - mortality</subject><subject>Liver Cirrhosis - surgery</subject><subject>Liver Neoplasms - epidemiology</subject><subject>Liver Neoplasms - mortality</subject><subject>Liver Neoplasms - surgery</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Organ Size</subject><subject>Other diseases. Semiology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Vascular Surgical Procedures</subject><issn>0039-6060</issn><issn>1532-7361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ksGO0zAQhi0EYsvCC3BAuSBOKXYcO42EkFYrWJBW4sBythxnQh1Su3icSn0CXpsJ7YLgwMny-Jvf1udh7Lnga8GFfj2ucU5f1xX_VVhzUT9gK6FkVTZSi4dsxblsS801v2BPEEfOeVuLzWN2UQnR6FbKFftxt4UigANEn49FHIot7G32rjiAD0UCFwPmNLvsYyjskCFREeG0J9wlG7ydir1Nedlnypv8gTAb-mJnx5j-isSCYp1PaRuX0nIAIeNT9miwE8Kz83rJvrx_d3f9obz9dPPx-uq2dIrrXFrdtXVXC6vaquqhbrquaXivOus2oKSuN4MSrYNhwxWIbmhqoTrpeAeSDngtL9mrU-4-xe8zYDY7jw6myQaIM5pWaKE4OSSyOpEuRcQEg9knv7PpaAQ3i38zmsW_WfwvNfJPTS_O8XO3g_53y71wAl6eAYvOTgPZcx7_cIqur3RD3JsTByTj4CEZdCTKQe_pT7Lpo___O97-0-4mHzzd-A2OgGOcUyDNRhisDDefl0lZBkXQjKhm08ifZrq7AA</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Wu, Cheng-Chung, MD</creator><creator>Peng, Cheng-Ming, MD</creator><creator>Cheng, Shao-Bin, MD</creator><creator>Yeh, Dah-Cherng, MD</creator><creator>Lui, Wing-Yiu, MD</creator><creator>Liu, Tse-Jia, MD</creator><creator>P’eng, Fang-Ku, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>The necessity of hepatic vein reconstruction after resection of cranial part of the liver and major hepatic veins in cirrhotic patients</title><author>Wu, Cheng-Chung, MD ; Peng, Cheng-Ming, MD ; Cheng, Shao-Bin, MD ; Yeh, Dah-Cherng, MD ; Lui, Wing-Yiu, MD ; Liu, Tse-Jia, MD ; P’eng, Fang-Ku, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-a6b94b41a5922de47bb770d5bac8e53648f519cef805e1bf7415b3c0be3f51043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - epidemiology</topic><topic>Carcinoma, Hepatocellular - mortality</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>General aspects</topic><topic>Hepatectomy - methods</topic><topic>Hepatic Veins - surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Liver - blood supply</topic><topic>Liver - pathology</topic><topic>Liver - surgery</topic><topic>Liver Cirrhosis - epidemiology</topic><topic>Liver Cirrhosis - mortality</topic><topic>Liver Cirrhosis - surgery</topic><topic>Liver Neoplasms - epidemiology</topic><topic>Liver Neoplasms - mortality</topic><topic>Liver Neoplasms - surgery</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Organ Size</topic><topic>Other diseases. Semiology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Vascular Surgical Procedures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Cheng-Chung, MD</creatorcontrib><creatorcontrib>Peng, Cheng-Ming, MD</creatorcontrib><creatorcontrib>Cheng, Shao-Bin, MD</creatorcontrib><creatorcontrib>Yeh, Dah-Cherng, MD</creatorcontrib><creatorcontrib>Lui, Wing-Yiu, MD</creatorcontrib><creatorcontrib>Liu, Tse-Jia, MD</creatorcontrib><creatorcontrib>P’eng, Fang-Ku, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Cheng-Chung, MD</au><au>Peng, Cheng-Ming, MD</au><au>Cheng, Shao-Bin, MD</au><au>Yeh, Dah-Cherng, MD</au><au>Lui, Wing-Yiu, MD</au><au>Liu, Tse-Jia, MD</au><au>P’eng, Fang-Ku, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The necessity of hepatic vein reconstruction after resection of cranial part of the liver and major hepatic veins in cirrhotic patients</atitle><jtitle>Surgery</jtitle><addtitle>Surgery</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>151</volume><issue>2</issue><spage>223</spage><epage>231</epage><pages>223-231</pages><issn>0039-6060</issn><eissn>1532-7361</eissn><coden>SURGAZ</coden><abstract>Background The necessity of hepatic vein reconstruction (HVR) after resection of cranial part of the liver and major hepatic vein(s) in cirrhotic patients when residual liver is insufficient for a major hepatectomy remains unclear. Methods Fifty-two cirrhotic patients who underwent resection of cranial part of the liver and hepatic vein(s) for liver neoplasms were divided retrospectively into 3 groups based on the volume of the congestive area of the remnant liver after hepatectomy: group A, 28 patients, the volume of the congestive area was ≤20% of the residual liver volume and underwent no HVR; group B, 7 patients, the volume of the congestive area was >20% of residual liver volume and underwent no HVR; and group C, 17 patients, in whom HVR was performed (the volume of the congestive area was >20% of residual liver volume in 16 and <20% in 1). Background characteristics and postoperative results were compared between the groups. Results Although group C patients had a significantly longer operative time, their postoperative courses were similar to group A patients. Group B patients had a significantly longer postoperative hospital stay and a greater postoperative morbidity and 90-day mortality. No 90-day mortality ensued in the group A and C patients. Conclusion In selected cirrhotic patients whose remnant liver is insufficient for major hepatectomy, HVR appears to be safe and desirable after resection of the cranial part of liver and hepatic vein when the volume of congestive area of liver remnant exceeds 20% of future residual liver volume.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21176933</pmid><doi>10.1016/j.surg.2010.10.014</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Carcinoma, Hepatocellular - epidemiology Carcinoma, Hepatocellular - mortality Carcinoma, Hepatocellular - surgery Comorbidity Female Gastroenterology. Liver. Pancreas. Abdomen General aspects Hepatectomy - methods Hepatic Veins - surgery Humans Length of Stay Liver - blood supply Liver - pathology Liver - surgery Liver Cirrhosis - epidemiology Liver Cirrhosis - mortality Liver Cirrhosis - surgery Liver Neoplasms - epidemiology Liver Neoplasms - mortality Liver Neoplasms - surgery Liver, biliary tract, pancreas, portal circulation, spleen Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Organ Size Other diseases. Semiology Retrospective Studies Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Survival Rate Treatment Outcome Vascular Surgical Procedures |
| title | The necessity of hepatic vein reconstruction after resection of cranial part of the liver and major hepatic veins in cirrhotic patients |
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