Cargando…
Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow?
AIM: To establish the surgical flow for anatomic isolated caudate lobe resection. METHODS: The study was approved by the ethics committee of the Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU). From April 2004 to July 2014, 20 patients were enrolled who underwent anatomic i...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685849/ https://www.ncbi.nlm.nih.gov/pubmed/29151697 http://dx.doi.org/10.3748/wjg.v23.i41.7433 |
_version_ | 1783278689893482496 |
---|---|
author | Jin, Yun Wang, Liang Yu, Yuan-Quan Zhou, Dong-Er Liu, Da-Ren Yang, Jun-Jie Peng, Shu-You Li, Jiang-Tao |
author_facet | Jin, Yun Wang, Liang Yu, Yuan-Quan Zhou, Dong-Er Liu, Da-Ren Yang, Jun-Jie Peng, Shu-You Li, Jiang-Tao |
author_sort | Jin, Yun |
collection | PubMed |
description | AIM: To establish the surgical flow for anatomic isolated caudate lobe resection. METHODS: The study was approved by the ethics committee of the Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU). From April 2004 to July 2014, 20 patients were enrolled who underwent anatomic isolated caudate lobectomy at SAHZU. Clinical and postoperative pathological data were analyzed. RESULTS: Of the total 20 cases, 4 received isolated complete caudate lobectomy (20%) and 16 received isolated partial caudate lobectomy (80%). There were 4 cases with the left approach (4/20, 20%), 6 cases with the right approach (6/20, 30%), 7 cases with the bilateral combined approach (7/20, 35%), 3 cases with the anterior approach (3/20, 15%), and the hanging maneuver was also combined in 2 cases. The median tumor size was 5.5 cm (2-12 cm). The median intra-operative blood loss was 600 mL (200-5700 mL). The median intra-operative blood transfusion volume was 250 mL (0-2400 mL). The median operation time was 255 min (110-510 min). The median post-operative hospital stay was 14 d (7-30 d). The 1- and 3-year survival rates for malignant tumor were 88.9% and 49.4%, respectively. CONCLUSION: Caudate lobectomy was a challenging procedure. It was demonstrated that anatomic isolated caudate lobectomy can be done safely and effectively. |
format | Online Article Text |
id | pubmed-5685849 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-56858492017-11-17 Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow? Jin, Yun Wang, Liang Yu, Yuan-Quan Zhou, Dong-Er Liu, Da-Ren Yang, Jun-Jie Peng, Shu-You Li, Jiang-Tao World J Gastroenterol Observational Study AIM: To establish the surgical flow for anatomic isolated caudate lobe resection. METHODS: The study was approved by the ethics committee of the Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU). From April 2004 to July 2014, 20 patients were enrolled who underwent anatomic isolated caudate lobectomy at SAHZU. Clinical and postoperative pathological data were analyzed. RESULTS: Of the total 20 cases, 4 received isolated complete caudate lobectomy (20%) and 16 received isolated partial caudate lobectomy (80%). There were 4 cases with the left approach (4/20, 20%), 6 cases with the right approach (6/20, 30%), 7 cases with the bilateral combined approach (7/20, 35%), 3 cases with the anterior approach (3/20, 15%), and the hanging maneuver was also combined in 2 cases. The median tumor size was 5.5 cm (2-12 cm). The median intra-operative blood loss was 600 mL (200-5700 mL). The median intra-operative blood transfusion volume was 250 mL (0-2400 mL). The median operation time was 255 min (110-510 min). The median post-operative hospital stay was 14 d (7-30 d). The 1- and 3-year survival rates for malignant tumor were 88.9% and 49.4%, respectively. CONCLUSION: Caudate lobectomy was a challenging procedure. It was demonstrated that anatomic isolated caudate lobectomy can be done safely and effectively. Baishideng Publishing Group Inc 2017-11-07 2017-11-07 /pmc/articles/PMC5685849/ /pubmed/29151697 http://dx.doi.org/10.3748/wjg.v23.i41.7433 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Observational Study Jin, Yun Wang, Liang Yu, Yuan-Quan Zhou, Dong-Er Liu, Da-Ren Yang, Jun-Jie Peng, Shu-You Li, Jiang-Tao Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow? |
title | Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow? |
title_full | Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow? |
title_fullStr | Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow? |
title_full_unstemmed | Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow? |
title_short | Anatomic isolated caudate lobectomy: Is it possible to establish a standard surgical flow? |
title_sort | anatomic isolated caudate lobectomy: is it possible to establish a standard surgical flow? |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685849/ https://www.ncbi.nlm.nih.gov/pubmed/29151697 http://dx.doi.org/10.3748/wjg.v23.i41.7433 |
work_keys_str_mv | AT jinyun anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow AT wangliang anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow AT yuyuanquan anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow AT zhoudonger anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow AT liudaren anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow AT yangjunjie anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow AT pengshuyou anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow AT lijiangtao anatomicisolatedcaudatelobectomyisitpossibletoestablishastandardsurgicalflow |