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Accompanying role of hepato-biliary-pancreas surgeon in urological surgery

INTRODUCTION: The present case reports demonstrated the accompanying surgical support from hepato-biliary-pancreas (HBP) surgeons for urological surgery to secure operative safety because HBP surgeons are well experienced in dissecting techniques for mobilization of the liver or pancreas. We experie...

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Autores principales: Nanashima, Atsushi, Hiyoshi, Masahide, Imamura, Naoya, Yano, Kouichi, Hamada, Takeomi, Wada, Takashi, Fujii, Yoshiro, Kawano, Fumiaki, Ikeda, Takuto, Takeno, Shinsuke, Nakamura, Eisaku, Nakamura, Kunihide, Mukai, Shoichiro, Kamimura, Toshio, Kamoto, Toshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686226/
https://www.ncbi.nlm.nih.gov/pubmed/29096347
http://dx.doi.org/10.1016/j.ijscr.2017.10.031
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author Nanashima, Atsushi
Hiyoshi, Masahide
Imamura, Naoya
Yano, Kouichi
Hamada, Takeomi
Wada, Takashi
Fujii, Yoshiro
Kawano, Fumiaki
Ikeda, Takuto
Takeno, Shinsuke
Nakamura, Eisaku
Nakamura, Kunihide
Mukai, Shoichiro
Kamimura, Toshio
Kamoto, Toshiyuki
author_facet Nanashima, Atsushi
Hiyoshi, Masahide
Imamura, Naoya
Yano, Kouichi
Hamada, Takeomi
Wada, Takashi
Fujii, Yoshiro
Kawano, Fumiaki
Ikeda, Takuto
Takeno, Shinsuke
Nakamura, Eisaku
Nakamura, Kunihide
Mukai, Shoichiro
Kamimura, Toshio
Kamoto, Toshiyuki
author_sort Nanashima, Atsushi
collection PubMed
description INTRODUCTION: The present case reports demonstrated the accompanying surgical support from hepato-biliary-pancreas (HBP) surgeons for urological surgery to secure operative safety because HBP surgeons are well experienced in dissecting techniques for mobilization of the liver or pancreas. We experienced 9 consecutive patients who underwent nephrectomy, adrenectomy or resection of retroperitoneal tumors by urological surgeons. Cardiovascular intervention was also required in cases of long tumor thrombus into the vena cava. CASES: All patients had no severe co-existing diseases except the main tumor. Reverse T-shape incision was performed in 7 cases and thoracolaparotomy in two. Dissection and mobilization at the site of severe compression by the urinary tumors were performed in three cases. Partial liver resection was performed for testicular liver metastases in two, and right hepatectomy for right renal cancer was performed in one. Encircling the vena cava and preparation of transection for tumor thrombi were performed in three, and among these, cardiovascular intervention was necessary in two because of extension into the right atrium. During admission, all patient outcomes were uneventful without severe complications. We herein showed the representative two cases of combined surgery. DISCUSSION: and conclusion The point of this case report is the coordination between each surgeon and anesthesiologist under precise perioperative planning or management. The role of HBP surgeons is to provide information as a specialist on the operative field for urological or cardiovascular surgery to achieve operative safety.
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spelling pubmed-56862262017-11-22 Accompanying role of hepato-biliary-pancreas surgeon in urological surgery Nanashima, Atsushi Hiyoshi, Masahide Imamura, Naoya Yano, Kouichi Hamada, Takeomi Wada, Takashi Fujii, Yoshiro Kawano, Fumiaki Ikeda, Takuto Takeno, Shinsuke Nakamura, Eisaku Nakamura, Kunihide Mukai, Shoichiro Kamimura, Toshio Kamoto, Toshiyuki Int J Surg Case Rep Article INTRODUCTION: The present case reports demonstrated the accompanying surgical support from hepato-biliary-pancreas (HBP) surgeons for urological surgery to secure operative safety because HBP surgeons are well experienced in dissecting techniques for mobilization of the liver or pancreas. We experienced 9 consecutive patients who underwent nephrectomy, adrenectomy or resection of retroperitoneal tumors by urological surgeons. Cardiovascular intervention was also required in cases of long tumor thrombus into the vena cava. CASES: All patients had no severe co-existing diseases except the main tumor. Reverse T-shape incision was performed in 7 cases and thoracolaparotomy in two. Dissection and mobilization at the site of severe compression by the urinary tumors were performed in three cases. Partial liver resection was performed for testicular liver metastases in two, and right hepatectomy for right renal cancer was performed in one. Encircling the vena cava and preparation of transection for tumor thrombi were performed in three, and among these, cardiovascular intervention was necessary in two because of extension into the right atrium. During admission, all patient outcomes were uneventful without severe complications. We herein showed the representative two cases of combined surgery. DISCUSSION: and conclusion The point of this case report is the coordination between each surgeon and anesthesiologist under precise perioperative planning or management. The role of HBP surgeons is to provide information as a specialist on the operative field for urological or cardiovascular surgery to achieve operative safety. Elsevier 2017-10-27 /pmc/articles/PMC5686226/ /pubmed/29096347 http://dx.doi.org/10.1016/j.ijscr.2017.10.031 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Nanashima, Atsushi
Hiyoshi, Masahide
Imamura, Naoya
Yano, Kouichi
Hamada, Takeomi
Wada, Takashi
Fujii, Yoshiro
Kawano, Fumiaki
Ikeda, Takuto
Takeno, Shinsuke
Nakamura, Eisaku
Nakamura, Kunihide
Mukai, Shoichiro
Kamimura, Toshio
Kamoto, Toshiyuki
Accompanying role of hepato-biliary-pancreas surgeon in urological surgery
title Accompanying role of hepato-biliary-pancreas surgeon in urological surgery
title_full Accompanying role of hepato-biliary-pancreas surgeon in urological surgery
title_fullStr Accompanying role of hepato-biliary-pancreas surgeon in urological surgery
title_full_unstemmed Accompanying role of hepato-biliary-pancreas surgeon in urological surgery
title_short Accompanying role of hepato-biliary-pancreas surgeon in urological surgery
title_sort accompanying role of hepato-biliary-pancreas surgeon in urological surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686226/
https://www.ncbi.nlm.nih.gov/pubmed/29096347
http://dx.doi.org/10.1016/j.ijscr.2017.10.031
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