Cargando…
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...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1783278749045751808 |
---|---|
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. |
format | Online Article Text |
id | pubmed-5686226 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT nanashimaatsushi accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT hiyoshimasahide accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT imamuranaoya accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT yanokouichi accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT hamadatakeomi accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT wadatakashi accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT fujiiyoshiro accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT kawanofumiaki accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT ikedatakuto accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT takenoshinsuke accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT nakamuraeisaku accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT nakamurakunihide accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT mukaishoichiro accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT kamimuratoshio accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery AT kamototoshiyuki accompanyingroleofhepatobiliarypancreassurgeoninurologicalsurgery |