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  1. Article: Liver transplant oncology: is it time to revisit our ideas?

    Soliva, Ramon / Figueras, Joan

    Hepatobiliary surgery and nutrition

    2021  Volume 10, Issue 6, Page(s) 864–867

    Language English
    Publishing date 2021-12-22
    Publishing country China (Republic : 1949- )
    Document type Editorial ; Comment
    ZDB-ID 2812398-0
    ISSN 2304-389X ; 2304-3881
    ISSN (online) 2304-389X
    ISSN 2304-3881
    DOI 10.21037/hbsn-2021-20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Diagnóstico por imagen de las metástasis hepáticas y comprobación histopatológica.

    Figueras, Joan

    Cirugia espanola

    2009  Volume 85, Issue 5, Page(s) 325–326

    Title translation Imaging diagnosis of hepatic metastasis and histopathology corroboration.
    MeSH term(s) Humans ; Liver Neoplasms/diagnosis ; Liver Neoplasms/secondary ; Positron-Emission Tomography ; Tomography, X-Ray Computed
    Language Spanish
    Publishing date 2009-05
    Publishing country Spain
    Document type Comment ; Letter
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2008.09.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Metástasis hepáticas masivas de cáncer colorrectal.

    Figueras, Joan

    Cirugia espanola

    2006  Volume 77, Issue 6, Page(s) 313–314

    Title translation Massive liver metastases from colorectal cancer.
    MeSH term(s) Colorectal Neoplasms/diagnostic imaging ; Colorectal Neoplasms/metabolism ; Colorectal Neoplasms/pathology ; Humans ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/metabolism ; Liver Neoplasms/secondary ; Neoplasm Staging ; Positron-Emission Tomography ; Tomography, X-Ray Computed
    Language Spanish
    Publishing date 2006-01-06
    Publishing country Spain
    Document type Editorial
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/s0009-739x(05)70862-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Changing strategies in surgical treatment of colorectal liver metastases: state of the art.

    Figueras, Joan

    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico

    2005  Volume 7, Issue 6, Page(s) 229–231

    MeSH term(s) Antineoplastic Agents/therapeutic use ; Chemotherapy, Adjuvant ; Colorectal Neoplasms/mortality ; Colorectal Neoplasms/pathology ; Humans ; Liver Neoplasms/drug therapy ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2005-08-24
    Publishing country Italy
    Document type Editorial
    ZDB-ID 2397359-6
    ISSN 1699-3055 ; 1699-048X
    ISSN (online) 1699-3055
    ISSN 1699-048X
    DOI 10.1007/bf02710167
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Short and long-term outcomes of the re-hepatectomies as part of multi-modal treatment of hepatic metastases from colo-rectal origin. Bi-institutional study.

    Nari, Gustavo / Mariot, Daniela / Góngora-Ortega, Javier / López-Ben, Santiago / Albiol, Maite / Figueras, Joan

    Cirugia y cirujanos

    2018  Volume 86, Issue 4, Page(s) 347–354

    Abstract: Introducción: Un alto porcentaje de pacientes que reciben una hepatectomía por metástasis de cáncer colorrectal presentarán recidiva hepática, y en algunas será posible una nueva resección. La utilidad de las hepatectomías repetidas continúa siendo ... ...

    Title translation Resultados a corto y largo plazo de las rehepatectomías como parte del tratamiento multimodal de las metástasis de origen colorrectal. Un estudio biinstitucional.
    Abstract Introducción: Un alto porcentaje de pacientes que reciben una hepatectomía por metástasis de cáncer colorrectal presentarán recidiva hepática, y en algunas será posible una nueva resección. La utilidad de las hepatectomías repetidas continúa siendo discutida.
    Objetivo: Evaluar los resultados obtenidos a corto y largo plazo.
    Método: Fueron analizadas 68 rehepatectomías de dos instituciones. Se analizaron datos demográficos y características de la enfermedad metastásica y de las resecciones hepáticas. Los tipos de complicaciones y la morbimortalidad también fueron analizados, al igual que la supervivencia y el tiempo libre de enfermedad. Se evaluaron algunos de los factores de mal pronóstico mencionados en la literatura.
    Resultados: El análisis de los datos de corto plazo no mostró diferencias significativas entre los pacientes de primera hepatectomía y de hepatectomías repetidas, a excepción del porcentaje de fístulas biliares posoperatorias (p = 0.001). La supervivencia a 1 año es similar, mientras que a 3 y 5 años mostró diferencias significativas (p = 0.024 y 0.004, respectivamente). Los factores de mal pronóstico referidos en la literatura no fueron representativos en esta serie.
    Conclusión: Los resultados a corto plazo de los pacientes con rehepatectomía son similares a los de aquellos resecados una vez. Los resultados a largo plazo de las rehepatectomías son inferiores a otros publicados.
    Introduction: A high percentage of patients undergoing hepatectomy for metastatic colorectal liver disease will have a recurrence. Of these, some can be subject to a new resection. The usefulness of repeated hepatectomy remains controversial. The aim of this study is to evaluate the results of short and long-term outcomes in repeated hepatectomies.
    Methods: They were re-analyzed 68 repeated hepatectomies from two institutions. Demographics, characteristics of metastatic disease and hepatic resections were analyzed. Types of complications, morbidity and mortality were also analyzed as survival and disease-free time. Some of the factors of poor prognosis mentioned in the literature were evaluated.
    Results: The analysis of short-term data showed no statistically significant differences between patients with first and repeated hepatectomy, except the percentage of postoperative biliary leakage (p = 0.001). The 1-year survival was similar while 3 and 5 years survival showed significant differences (p = 0.024 and 0.004, respectively). The factors of poor prognosis referred in the literature were not representative in this series.
    Conclusion: The short-term results of repeated hepatectomy are similar to those resected once. Long term result are inferior to other published series.
    MeSH term(s) Colorectal Neoplasms/pathology ; Combined Modality Therapy ; Female ; Hepatectomy ; Humans ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Male ; Middle Aged ; Neoplasm Recurrence, Local/surgery ; Reoperation ; Retrospective Studies ; Time Factors ; Treatment Outcome
    Language Spanish
    Publishing date 2018-08-02
    Publishing country Mexico
    Document type Journal Article ; Multicenter Study
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.M18000053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Book: 500 històries i llegendes lleidatanes

    Bellmunt Figueras, Joan

    2004  

    Title variant 500 històries i llegendes de les terres de Lleida ; quinientos
    Author's details Joan Bellmunt i Figueras
    Language Catalan
    Size 647 S, Ill
    Edition 1. ed
    Publisher Pag`es Ed
    Publishing place Lleida
    Document type Book
    ISBN 849779110X ; 9788497791106
    Database Former special subject collection: coastal and deep sea fishing

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  7. Article ; Online: Laparoscopic approach to liver hydatidosis: initial experience.

    Nari, Gustavo A / Palacios Rodriguez, Óscar / Russo, Natalia / Figueras, Joan

    Cirugia espanola

    2015  Volume 93, Issue 4, Page(s) 248–251

    Abstract: Introduction: Hepatic hydatidosis is a pathology that has a worldwide distribution, and is frequent in some rural areas in Argentina. Surgical treatment still offers the best results. The laparoscopic approach is controversial because of lack of ... ...

    Abstract Introduction: Hepatic hydatidosis is a pathology that has a worldwide distribution, and is frequent in some rural areas in Argentina. Surgical treatment still offers the best results. The laparoscopic approach is controversial because of lack of experience with this technique.
    Objective: To evaluate the feasibility and efficacy of the laparoscopic approach in this pathology and to present the experience obtained in a medical center in Argentina.
    Material and methods: We prospectively evaluated patients with a diagnosis of non complicatedhydatidosis, over 15 years of age whose cyst had the following characteristics: unique cyst, size less than 5 centimeters, located in the anterior segments or easy access. Analyzed data were: sex, age, cyst localization, treatment, operating time, morbidity and mortality and recurrence.
    Results: Nine patients were operated using a laparoscopic approach. The cysts were localized in the segments iii, iv, v and vi. Six patients were operated with pneumoperitoneum and 3 with a parietal traction device, in all the patients the first approach was a laparoscopic PAIR (punction, aspiration, injection and reaspiration). Seven Mabit-Lagrot procedures were performed and 2pericystectomies. The operative time was a mean of 89.7min and a hospital stay of 52h. The morbidity was 22.2% and the mortality was 0%.Mean follow-up of 19 months showed no recurrences.
    Conclusion: A higher number of patients and a longer follow-up are necessary to evaluate the efficacy of approach; the laparoscopic approach seems to be safe. Our results coincide with the majority of other publications.
    MeSH term(s) Adult ; Echinococcosis, Hepatic/surgery ; Feasibility Studies ; Female ; Hepatectomy/methods ; Humans ; Laparoscopy ; Male ; Middle Aged ; Prospective Studies ; Treatment Outcome
    Language Spanish
    Publishing date 2015-04
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2013.06.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Synchronous liver metastases from colorectal origin. Simultaneous or staged resection?

    Nari, Gustavo A / López-Ben, Santiago / Mariot, Daniela / Albiol, Maite / Góngora-Ortega, Javier / Figueras, Joan

    Cirugia y cirujanos

    2019  Volume 86, Issue 6, Page(s) 528–533

    Abstract: Introducción: El 20-40% de las metástasis hepáticas de origen colorrectal son de tipo sincrónico. Actualmente existen tres estrategias quirúrgicas; dos de ellas proponen resecciones diferidas, y la otra, la resección simultánea.: Objetivo: evaluar ... ...

    Title translation Metástasis hepáticas sincrónicas de cáncer colorrectal. ¿Resección simultánea o diferida?
    Abstract Introducción: El 20-40% de las metástasis hepáticas de origen colorrectal son de tipo sincrónico. Actualmente existen tres estrategias quirúrgicas; dos de ellas proponen resecciones diferidas, y la otra, la resección simultánea.
    Objetivo: evaluar los resultados a corto y largo plazo de las resecciones simultáneas.
    Método: Evaluamos 212 metástasis hepáticas sincrónicas resecadas en dos centros y comparamos las intervenidas de forma simultánea con aquellas de manera diferida. Evaluamos las características demográficas, las resecciones hepáticas y las características de las metástasis. También evaluamos la morbimortalidad.
    Resultados: Fueron resecados de manera simultánea con el tumor primario 63 pacientes, y no hubo diferencias significativas en las características demográficas. Hubo más resecciones mayores (p = 0.005) en el grupo de las diferidas. La morbimortalidad fue comparable. La insuficiencia hepática (p = 0.037) fue mayor en el grupo de las diferidas. La morbilidad fue del 33.2% en las diferidas y del 10.1% en las simultáneas (p = 0.256). La mortalidad fue del 2.83% en las diferidas y del 0.94% en las simultáneas (p = 0.508).
    Conclusión: Los resultados a corto y largo plazo en ambos grupos son similares. Queda el interrogante de si la necesidad de una hepatectomía mayor favorecería la elección de un tratamiento diferido.
    Introduction: Between 20 and 40% of liver metastases from colorectal tumor are synchronous. Three types of surgical approaches are proposed; two of them propose a deferred resection and the other, simultaneous resection. The aim of this analysis is to assess the short- and long-term outcomes of simultaneous resections.
    Method: 212 synchronous liver metastases resected in two centers were evaluated. Comparison between those resected simultaneously with those that were in a deferred way was made. Demographics, liver resections and metastatic characteristics were evaluated. Morbidity and mortality of both alternatives are also evaluated.
    Results: 63 patients were resected simultaneously with the primary tumor, there were no significant differences in demographic characteristics. There was a greater number of major resections (p = 0.005) in the deferred group. Morbidity and mortality was comparable in both groups. Liver failure (p = 0.037) was higher in the deferred group. Morbidity was 33.2% in the deferred and 10.1% for the simultaneous (p = 0.256). Mortality rate was 2.83% in the deferred and 0.94% in the simultaneous group (p = 0.508).
    Conclusion: Short and long-term outcomes for both groups are similar. A question remains to be answered: the need of a major hepatectomy will favor the election of a deferred treatment?
    MeSH term(s) Colorectal Neoplasms/pathology ; Colorectal Neoplasms/surgery ; Female ; Hepatectomy/methods ; Humans ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Male ; Middle Aged ; Retrospective Studies ; Time Factors
    Language Spanish
    Publishing date 2019-01-17
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.18000312
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Tratamiento quirúrgico de las metástasis hepáticas de cáncer de mama. La gran asignatura pendiente de la cirugía hepática española.

    Figueras, Joan / González, Héctor Daniel

    Cirugia espanola

    2008  Volume 84, Issue 5, Page(s) 239–240

    Title translation Surgical treatment of breast cancer liver metastasis. The great assignment awaiting Spanish hepatic surgery.
    MeSH term(s) Breast Neoplasms/pathology ; Female ; Humans ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Spain
    Language Spanish
    Publishing date 2008-08-19
    Publishing country Spain
    Document type Editorial
    ZDB-ID 730701-9
    ISSN 0009-739X
    ISSN 0009-739X
    DOI 10.1016/s0009-739x(08)75913-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Practical questions in liver metastases of colorectal cancer: general principles of treatment.

    González, Héctor Daniel / Figueras, Joan

    HPB : the official journal of the International Hepato Pancreato Biliary Association

    2008  Volume 9, Issue 4, Page(s) 251–258

    Abstract: Liver metastases of colorectal cancer are currently treated by multidisciplinary teams using strategies that combine chemotherapy, surgery and ablative techniques. Many patients classically considered non-resectable can now be rescued by neoadjuvant ... ...

    Abstract Liver metastases of colorectal cancer are currently treated by multidisciplinary teams using strategies that combine chemotherapy, surgery and ablative techniques. Many patients classically considered non-resectable can now be rescued by neoadjuvant chemotherapy followed by liver resection, with similar results to those obtained in initial resections. While many of those patients will recur, repeat resection is a feasible and safe approach if the recurrence is confined to the liver. Several factors that until recently were considered contraindications are now recognized only as adverse prognostic factors and no longer as contraindications for surgery. The current evaluation process to select patients for surgery is no longer focused on what is to be removed but rather on what will remain. The single most important objective is to achieve a complete (R0) resection within the limits of safety in terms of quantity and quality of the remaining liver. An increasing number of patients with synchronous liver metastases are treated by simultaneous resection of the primary and the liver metastatic tumours. Multilobar disease can also be approached by staged procedures that combine neoadjuvant chemotherapy, limited resections in one lobe, embolization or ligation of the contralateral portal vein and a major resection in a second procedure. Extrahepatic disease is no longer a contraindication for surgery provided that an R0 resection can be achieved. A reverse surgical staged approach (liver metastases first, primary second) is another strategy that has appeared recently. Provided that a careful selection is made, elderly patients can also benefit from surgical treatment of liver metastases.
    Language English
    Publishing date 2008-03-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2131251-5
    ISSN 1365-182X
    ISSN 1365-182X
    DOI 10.1080/13651820701457992
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