The counterclock ‐ clockwise approach for central hepatectomy: A useful strategy for a safe vascular control

2021 ◽  
Author(s):  
Edoardo Maria Muttillo ◽  
Eric Felli ◽  
Lorenzo Cinelli ◽  
Fabio Giannone ◽  
Emanuele Felli
Keyword(s):  
Vascular Control ◽  
Central Hepatectomy

scholarly journals Surgical strategy and venous vascular control during central hepatectomy

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S830
Author(s):  
E. Felli ◽  
E.M. Muttillo ◽  
D. Mutter ◽  
P. Pessaux
Keyword(s):  
Surgical Strategy ◽  
Vascular Control ◽  
Central Hepatectomy

1306: Techniques of Vascular Control and their Effects on Vessel Length

2004 ◽  
Vol 171 (4S) ◽  
pp. 344-344
Author(s):  
Jonathan E. Bernie ◽  
Chandru P. Sundaram,
Keyword(s):  
Vascular Control ◽  
Vessel Length

Reduction of major amputations in the diabetic ischaemic foot: A strategy to "take control" with conservative care as well as revascularisation

VASA ◽  
2001 ◽  
Vol 30 (Supplement 58) ◽  
pp. 6-14 ◽  
Author(s):  
Edmonds ◽  
Foster
Keyword(s):  
Natural History ◽  
Treatment Plan ◽  
Staging System ◽  
Vascular Control ◽  
New Approach ◽  
Conservative Care ◽  
Arterial Bypass ◽  
Therapeutic Footwear ◽  
Frequent Problem

The diabetic ischaemic foot has become an increasingly frequent problem over the last decade. However, we report a new approach consisting of a basic classification, a simple staging system of the natural history and a treatment plan for each stage, within a multi-disciplinary framework. This approach of "taking control" consists of two parts: 1. long-term conservative care including debridement of ulcers (to obtain wound control), eradication of sepsis (micribiological control), and provision of therapeutic footwear (mechanical control), and 2. revascularisation by angioplasty and arterial bypass (vascular control). This approach has led to a 50% reduction in the rate of major amputations in patients attending with ischaemic ulceration and absent foot pulses from 1989 to 1999 (from 4.6% to 2.3% per year). Patients who underwent angioplasty increased from 6% to 13%. Arterial bypass similarly increased from 3% to 7% of cases. However, even with an increased rate of revascularisation, 80% of patients responded to conservative care alone. This,we conclude, is an essential part of the management of all patients with ischaemic feet.

Endothelium-Derived Hyperpolarizing Factor as a Reserve Defense Mechanism of the Vascular Control under Ionizing Radiation Impact

2012 ◽  
Vol 3 (2) ◽  
pp. 161-173 ◽  
Author(s):  
Irina V. Ivanova ◽  
Olga V. Kislova ◽  
Anatoly I. Soloviev
Keyword(s):  
Ionizing Radiation ◽  
Defense Mechanism ◽  
Vascular Control

scholarly journals Hepatic resection in children: highlighted and revisited steps

2019 ◽  
Vol 67 (1) ◽  
Author(s):  
Hesham Mohammed Abdelkader ◽  
Mohamed Abdel-Latif ◽  
Mohamed Abdelsattar ◽  
Ahmed Abdelhaseeb Youssef
Keyword(s):  
Blood Loss ◽  
Liver Tumors ◽  
University Hospital ◽  
Remnant Liver ◽  
Vascular Control ◽  
Biliary Leak ◽  
Intraoperative Bleeding ◽  
Male Predominance ◽  
Different Types ◽  
Minimize Blood Loss

Abstract Background Hepatectomy in children deserves exhaustive preoperative and intraoperative tools to define the anatomy, minimize blood loss, and confirm adequacy of liver tissue left. The aim of this study is to report our experience in surgical management of liver tumors. Results All liver resections performed in Ain-Shams University Hospital, by the same team, between July 2013 and June 2018 were retrospectively reviewed. Data related to basic demographics, indication for resection, methods of parenchymal resection, blood loss, hospital stay, morbidity, and mortality was collected. The study included 27 patients who underwent different types of hepatectomies. There was a male predominance. Age ranged from 6 months to 13 years. Weight ranged from 5.7 to 33.7 kg. Total operative time ranged from 68 to 322 min, while resection time ranged from 34 to 144 min. Blood loss ranged from 53 to 259 ml. Surgical morbidities included five patients with minor biliary leak, three patients had surgical site infection, and one patient had torsion of the remnant liver necessitating repositioning. Recurrence of the mass was faced in three patients with hepatoblastoma. There were two mortalities; one occurred as a sequela of massive intraoperative bleeding and the other took place due to postoperative hepatic insufficiency. Conclusion For a safe hepatectomy, thorough familiarity of the hepatic segmental anatomy together with the various techniques for parenchymal resection and vascular control is fundamental. Complications such as biliary leak and torsion of remnant can be easily avoided by simple measures.

Authors' reply re: Vascular control by infrarenal aortic cross‐clamping in placenta accreta spectrum disorders: description of technique

2021 ◽  
Author(s):  
Min‐Min Chou ◽  
Hsiu‐Wei Su ◽  
Ming‐Jer Chen ◽  
Hsiao‐Fan Kung ◽  
Jenn‐Jhy Tseng ◽  
...  
Keyword(s):  
Placenta Accreta ◽  
Vascular Control ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders

Robotic Cholecystectomy and Central Hepatectomy for Treatment of Gallbladder Cancer

2020 ◽  
pp. 000313482095283
Author(s):  
Iswanto Sucandy ◽  
Andres Giovannetti ◽  
Janelle Spence ◽  
Sharona Ross ◽  
Alexander Rosemurgy
Keyword(s):  
Gallbladder Cancer ◽  
Robotic Cholecystectomy ◽  
Central Hepatectomy

Minimally invasive versus open right anterior sectionectomy and central hepatectomy for central liver malignancies: a propensity‐score‐matched analysis

2021 ◽  
Vol 91 (4) ◽  
Author(s):  
Ken Min Chin ◽  
Yun‐Le Linn ◽  
Chin Kai Cheong ◽  
Ye‐Xin Koh ◽  
Jin‐Yao Teo ◽  
...  
Keyword(s):  
Propensity Score ◽  
Minimally Invasive ◽  
Liver Malignancies ◽  
Central Hepatectomy

scholarly journals Independent and combined impact of hypoxia and acute inorganic nitrate ingestion on thermoregulatory responses to the cold

2021 ◽  
Vol 121 (4) ◽  
pp. 1207-1218
Author(s):  
Josh T. Arnold ◽  
Stephen J. Bailey ◽  
Simon G. Hodder ◽  
Naoto Fujii ◽  
Alex B. Lloyd
Keyword(s):  
Blood Flow ◽  
Cooling Rate ◽  
Skin Blood Flow ◽  
Rectal Temperature ◽  
Onset Time ◽  
Rate Of Change ◽  
Vascular Control ◽  
Delta Change ◽  
Core Cooling ◽  
The Impact

Abstract Purpose This study assessed the impact of normobaric hypoxia and acute nitrate ingestion on shivering thermogenesis, cutaneous vascular control, and thermometrics in response to cold stress. Method Eleven male volunteers underwent passive cooling at 10 °C air temperature across four conditions: (1) normoxia with placebo ingestion, (2) hypoxia (0.130 FiO2) with placebo ingestion, (3) normoxia with 13 mmol nitrate ingestion, and (4) hypoxia with nitrate ingestion. Physiological metrics were assessed as a rate of change over 45 min to determine heat loss, and at the point of shivering onset to determine the thermogenic thermoeffector threshold. Result Independently, hypoxia expedited shivering onset time (p = 0.05) due to a faster cooling rate as opposed to a change in central thermoeffector thresholds. Specifically, compared to normoxia, hypoxia increased skin blood flow (p = 0.02), leading to an increased core-cooling rate (p = 0.04) and delta change in rectal temperature (p = 0.03) over 45 min, yet the same rectal temperature at shivering onset (p = 0.9). Independently, nitrate ingestion delayed shivering onset time (p = 0.01), mediated by a change in central thermoeffector thresholds, independent of changes in peripheral heat exchange. Specifically, compared to placebo ingestion, no difference was observed in skin blood flow (p = 0.5), core-cooling rate (p = 0.5), or delta change in rectal temperature (p = 0.7) over 45 min, while nitrate reduced rectal temperature at shivering onset (p = 0.04). No interaction was observed between hypoxia and nitrate ingestion. Conclusion These data improve our understanding of how hypoxia and nitric oxide modulate cold thermoregulation.

scholarly journals Central hepatectomy for hepatocellular carcinoma in a patient with anti-Gerbich antibody

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Teruo Komokata ◽  
Maki Inoue ◽  
Bibek Aryal ◽  
Hiroto Yasumura ◽  
Chinami Mori ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Central Hepatectomy
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