Hepatic bridge and round ligament of the liver during cytoreductive surgery: a retrospective cohort
| Autor: | Ayhan Oz, Orhan Uzun, Aziz Serkan Senger, Ugur Duman, Selçuk Gülmez, Ismail Ege Subasi, Mustafa Duman, Erdal Polat, Omer Ozduman |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Round Ligaments Antineoplastic Combined Chemotherapy Protocols medicine Humans Peritoneal Neoplasms Retrospective Studies Round Ligament business.industry Retrospective cohort study Cytoreduction Surgical Procedures Hyperthermia Induced medicine.disease Combined Modality Therapy Surgery Survival Rate Liver Cardiothoracic surgery Conventional PCI Peritoneal Cancer Index Adenocarcinoma Hyperthermic intraperitoneal chemotherapy Female business Colorectal Neoplasms Abdominal surgery |
| Zdroj: | Langenbeck's archives of surgery. 407(3) |
| ISSN: | 1435-2451 |
| Popis: | PURPOSE The hepatic bridge as an anatomical variation may lead to recurrence and treatment failure in cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) by constituting an obscure region during surgery. This report aimed to highlight the relationship between the hepatic bridge and various prognostic factors in peritoneal carcinomatosis. METHODS Data of 101 patients who underwent CRS/HIPEC for peritoneal carcinomatosis in a single centre were retrospectively reviewed. Demographic characteristics, primary origin of peritoneal carcinomatosis, classification of hepatic bridge, Peritoneal Cancer Index (PCI) score, and completeness of cytoreduction (CC) score were analysed. RESULTS The tumour was proven histopathologically in 18 (28.6%) of 63 patients who underwent distal round ligament (DRL) resection. The PCI score was found to be significantly higher in patients with tumour in DRL compared to the ones without tumour (p |
| Databáze: | OpenAIRE |
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