LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 81

Search options

  1. Article ; Online: ASO Author Reflections: Segment 8 Resections: Perhaps Not so Hidden….

    López-Ben, Santiago

    Annals of surgical oncology

    2021  Volume 28, Issue 7, Page(s) 3698

    MeSH term(s) Hepatectomy ; Humans ; Laparoscopy
    Language English
    Publishing date 2021-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-020-09490-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Preoperative diagnostic criteria for scleroatrophic gallbladder: A systematic review protocol.

    Bessa-Melo, Renato / Fernandes, Cristina / Aguiar, Ana / Lopez-Ben, Santiago / Guimarães, Luís / Serralheiro, Pedro

    PloS one

    2024  Volume 19, Issue 3, Page(s) e0300336

    Abstract: Background: Although scleroatrophic gallbladder is a rare condition, it presents significant clinical challenges in diagnosis and management. More agreement is needed on this disorder's diagnostic criteria and optimal management approach. We will ... ...

    Abstract Background: Although scleroatrophic gallbladder is a rare condition, it presents significant clinical challenges in diagnosis and management. More agreement is needed on this disorder's diagnostic criteria and optimal management approach. We will conduct a systematic review to summarise the scleroatrophic gallbladder's preoperative diagnostic criteria, including imaging modalities.
    Methods: A systematic review will be undertaken using the PRISMA guidelines. The protocol has been registered in PROSPERO (CRD42024503701). We will search in Medline (via PubMed), Embase, SCOPUS, the Cochrane Library, and Web of Science to find original studies reporting about scleroatrophic gallbladder or synonymous. Two reviewers will independently screen the titles and abstracts following the eligibility criteria. We will include all types of studies that describe any diagnostic criteria or tools. After retrieving the full text of the selected studies, we will conduct a standardised data extraction. Finally, a narrative synthesis will be performed. The quality of the identified studies will be assessed using the Quality Assessment of Diagnostic Accuracy Studies- 2 tool.
    Discussion: This systematic review will provide information on the preoperative diagnostic criteria of the scleroatrophic gallbladder and the value of imaging studies in its diagnosis. In addition, this work will aid doctors in the decision-making process for diagnosing scleroatrophic gallbladder and propose treatment approaches to this condition.
    Systematic review registration: The protocol has been registered in PROSPERO (CRD42024503701).
    MeSH term(s) Gallbladder/diagnostic imaging ; Gallbladder/surgery ; Systematic Reviews as Topic ; MEDLINE
    Language English
    Publishing date 2024-03-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0300336
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Contemporary practice and perception of autologous blood salvage in hepato-pancreatico-biliary operations: an international survey.

    Thomas, Alexander S / Belli, Andrea / Salceda, Juan / López-Ben, Santiago / Lee, Ser Y / Kwon, Wooil / Pawlik, Timothy M / Kluger, Michael D

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

    2023  Volume 25, Issue 8, Page(s) 898–906

    Abstract: Background: This study aimed to assess contemporary knowledge, attitudes and behaviors around transfusion of intraoperative salvaged blood (sRBCt) during hepato-pancreatico-biliary (HPB) operations. Findings are meant to inform the design of future ... ...

    Abstract Background: This study aimed to assess contemporary knowledge, attitudes and behaviors around transfusion of intraoperative salvaged blood (sRBCt) during hepato-pancreatico-biliary (HPB) operations. Findings are meant to inform the design of future studies that address provider concerns to change behaviors and improve patient outcomes.
    Methods: A survey was designed and assessed for relevance, readability and content, and distributed to an international audience of surgeons performing HPB operations.
    Results: The 237 respondents were predominantly distributed across North America (37.55%), Europe (27.43%) and Asia (19.83%). Roughly one-half (52.74%) of respondents had used sRBCt in HPB surgery before. Transplantation surgeons were more likely than HPB surgeons to have previously used sRBCt [odds ratio = 5.18 (95% CI 1.89-14.20)]. More respondents believed sRBCt was safe for non-cancer versus cancer operations (68.57% vs. 24.17%, p < 0.0001). Less than half (45.71%) of respondents believed that sRBCt was safe in clean-contaminated fields. Most did not utilize preoperative strategies to avoid donor transfusion.
    Conclusion: Practices related to sRBCt in HPB operations vary widely and there is no consensus on its use. Concerns seem primarily related to cancer-specific and infectious outcomes. While further studies are pursued, surgeons may increase their utilization of preoperative strategies to boost hemoglobin levels for at risk patients.
    MeSH term(s) Humans ; Digestive System Surgical Procedures ; Surveys and Questionnaires ; Surgeons ; Biliary Tract Surgical Procedures/adverse effects ; Perception
    Language English
    Publishing date 2023-04-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2131251-5
    ISSN 1477-2574 ; 1365-182X
    ISSN (online) 1477-2574
    ISSN 1365-182X
    DOI 10.1016/j.hpb.2023.04.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Laparoscopic two stage hepatectomy: combined Glissonean approach of hepatic pedicles and dorsal approach of right and middle hepatic veins and vascular reconstruction.

    López-Ben, Santiago / Albiol, Maria Teresa / Falgueras, Laia

    Journal of hepato-biliary-pancreatic sciences

    2019  Volume 27, Issue 1, Page(s) E1–E2

    Abstract: Major vascular involvement often constitutes a contraindication to the laparoscopic approach. Lopez-Ben and colleagues described a purely laparoscopic surgical technique consisting of two stages, eight weeks apart, utilizing the caudal view and proximal ... ...

    Abstract Major vascular involvement often constitutes a contraindication to the laparoscopic approach. Lopez-Ben and colleagues described a purely laparoscopic surgical technique consisting of two stages, eight weeks apart, utilizing the caudal view and proximal approach for complete removal of colorectal liver metastases in close proximity to all three hepatic veins.
    MeSH term(s) Aged ; Chemotherapy, Adjuvant ; Colorectal Neoplasms/pathology ; Hepatectomy/methods ; Hepatic Veins/surgery ; Humans ; Laparoscopy/methods ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Male ; Vascular Surgical Procedures/methods
    Language English
    Publishing date 2019-07-18
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 2536236-7
    ISSN 1868-6982 ; 1868-6974
    ISSN (online) 1868-6982
    ISSN 1868-6974
    DOI 10.1002/jhbp.650
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article: Evaluation of the validated intraoperative bleeding scale in liver surgery: study protocol for a multicenter prospective study.

    Aparicio-López, Daniel / Asencio-Pascual, José Manuel / Blanco-Fernández, Gerardo / Cugat-Andorrá, Esteban / Gómez-Bravo, Miguel Ángel / López-Ben, Santiago / Martín-Pérez, Elena / Sabater, Luis / Ramia, José Manuel / Serradilla-Martín, Mario

    Frontiers in surgery

    2023  Volume 10, Page(s) 1223225

    Abstract: Background: Surgical hemostasis has become one of the key principles in the advancement of surgery. Hemostatic agents are commonly administered in many surgical specialties, although the lack of consensus on the definition of intraoperative bleeding or ... ...

    Abstract Background: Surgical hemostasis has become one of the key principles in the advancement of surgery. Hemostatic agents are commonly administered in many surgical specialties, although the lack of consensus on the definition of intraoperative bleeding or of a standardized system for its classification means that often the most suitable agent is not selected. The recommendations of international organizations highlight the need for a bleeding severity scale, validated in clinical studies, that would allow the selection of the best hemostatic agent in each case. The primary objective of this study is to evaluate the VIBe scale (Validated Intraoperative Bleeding Scale) in humans. Secondary objectives are to evaluate the scale's usefulness in liver surgery; to determine the relationship between the extent of bleeding and the hemostatic agent used; and to assess the relationship between the grade of bleeding and postoperative complications.
    Methods: Prospective multicenter observational study including 259 liver resections that meet the inclusion criteria: patients scheduled for liver surgery at one of 10 medium-high volume Spanish HPB centers using an open or minimally invasive approach (robotic/laparoscopic/hybrid), regardless of diagnosis, ASA score <4, age ≥18, and who provide signed informed consent during the study period (September 2023 until the required sample size has been recruited). The participating researchers will be responsible for collecting the data and for reporting them to the study coordinators.
    Discussion: This study will allow us to evaluate the VIBe scale for intraoperative bleeding in humans, with a view to its subsequent incorporation in daily clinical practice.
    Clinical trial registration: https://clinicaltrials.gov/ct2/show/NCT05369988?term = serradilla&draw = 2&rank = 3, [NCT0536998].
    Language English
    Publishing date 2023-10-02
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2023.1223225
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Laparoscopic posterior segmental resections: How I do it: Tips and pitfalls.

    Abu Hilal, Mohammad / Tschuor, Christoph / Kuemmerli, Christoph / López-Ben, Santiago / Lesurtel, Mickaël / Rotellar, Fernando

    International journal of surgery (London, England)

    2020  Volume 82S, Page(s) 178–186

    Abstract: Laparoscopic liver resections of lesions in the postero-superior segments (Sg 4a, 7, 8) can be technically challenging. A profound experience in open and laparoscopic surgery is essential to ensure success without compromising surgical safety and ... ...

    Abstract Laparoscopic liver resections of lesions in the postero-superior segments (Sg 4a, 7, 8) can be technically challenging. A profound experience in open and laparoscopic surgery is essential to ensure success without compromising surgical safety and oncologic efficiency when applying the laparoscopic approach for these segments. While many experienced surgeons have initially called the postero-superior segments the non-laparoscopic segments, this dogma has been challenged by different groups reporting good results in terms of safety and feasibility for parenchymal-sparing non-anatomical and, however less so, for anatomical resections (AR). Parenchymal-sparing liver resection is nowadays the gold standard for the treatment of colorectal liver metastases where repeated resections have demonstrated to improve patient's cancer related short and long-term outcome. This can be achieved by performing anatomical or non-anatomical segmental resections. Different surgical techniques to facilitate such resections have been described. The diamond technique has specifically been developed for the non-anatomical resection of non-peripheral lesions in the postero-superior segments and reported to be feasible, reproducible and moreover, oncologic efficient. Similarly, techniques for AR have been described acknowledging that in the minimally invasive setting such resections are technically more demanding requiring precise preoperative planning and a standardized surgical technique to allow pursuing oncological quality of the parenchyma sparing principle. We herein discuss technique, results and tips and tricks of applying the diamond technique for non-anatomical liver resection as well as the practice for AR of lesions in the postero-superior segments.
    MeSH term(s) Hepatectomy/methods ; Humans ; Laparoscopy ; Liver/anatomy & histology ; Liver/surgery ; Liver Neoplasms/surgery ; Treatment Outcome
    Language English
    Publishing date 2020-07-30
    Publishing country England
    Document type Editorial
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2020.06.052
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Incidence and Clinical Impact of Bile Leakage after Laparoscopic and Open Liver Resection: An International Multicenter Propensity Score-Matched Study of 13,379 Patients.

    Görgec, Burak / Cacciaguerra, Andrea Benedetti / Aldrighetti, Luca A / Ferrero, Alessandro / Cillo, Umberto / Edwin, Bjørn / Vivarelli, Marco / Lopez-Ben, Santiago / Besselink, Marc G / Abu Hilal, Mohammed

    Journal of the American College of Surgeons

    2022  Volume 234, Issue 2, Page(s) 99–112

    Abstract: Background: Despite many developments, postoperative bile leakage (POBL) remains a relatively common postoperative complication after laparoscopic liver resection (LLR) and open liver resection (OLR). This study aimed to assess the incidence and ... ...

    Abstract Background: Despite many developments, postoperative bile leakage (POBL) remains a relatively common postoperative complication after laparoscopic liver resection (LLR) and open liver resection (OLR). This study aimed to assess the incidence and clinical impact of POBL in patients undergoing LLR and OLR in a large international multicenter cohort using a propensity score-matched analysis.
    Study design: Patients undergoing LLR or OLR for all indications between January 2000 and October 2019 were retrospectively analyzed using a large, international, multicenter liver database including data from 15 tertiary referral centers. Primary outcome was clinically relevant POBL (CR-POBL), defined as Grade B/C POBL.
    Results: Overall, 13,379 patients met the inclusion criteria and were included in the analysis (6,369 LLR and 7,010 OLR), with 6.0% POBL. After propensity score matching, a total of 3,563 LLR patients were matched to 3,563 OLR patients. In both groups, propensity score matching accounted for similar extent and types of resections. The incidence of CR-POBL was significantly lower in patients after LLR as compared with patients after OLR (2.6% vs 6.0%; p < 0.001). Among the subgroup of patients with CR-POBL, patients after LLR experienced less severe (non-POBL) postoperative complications (10.1% vs 20.9%; p = 0.028), a shorter hospital stay (12.5 vs 17 days; p = 0.001), and a lower 90-day/in-hospital mortality (0% vs 5.4%; p = 0.027) as compared with patients after OLR with CR-POBL.
    Conclusion: Patients after LLR seem to experience a lower rate of CR-POBL as compared with the open approach. Our findings suggest that in patients after LLR, the clinical impact of CR-POBL is less than after OLR.
    MeSH term(s) Bile ; Carcinoma, Hepatocellular/surgery ; Hepatectomy/adverse effects ; Humans ; Incidence ; Laparoscopy/adverse effects ; Length of Stay ; Liver Neoplasms/surgery ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Propensity Score ; Retrospective Studies
    Language English
    Publishing date 2022-02-18
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1181115-8
    ISSN 1879-1190 ; 1072-7515
    ISSN (online) 1879-1190
    ISSN 1072-7515
    DOI 10.1097/XCS.0000000000000039
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Applicability and reproducibility of the validated intraoperative bleeding severity scale (VIBe scale) in liver surgery: A multicenter study.

    Ramia, José Manuel / Aparicio-López, Daniel / Asencio-Pascual, José Manuel / Blanco-Fernández, Gerardo / Cugat-Andorrá, Esteban / Gómez-Bravo, Miguel Ángel / López-Ben, Santiago / Martín-Pérez, Elena / Sabater, Luis / Serradilla-Martín, Mario

    Surgery

    2022  Volume 172, Issue 4, Page(s) 1141–1146

    Abstract: Background: Bleeding is an intraoperative and postoperative complication of liver surgery of concern, and yet evidence to support utility and reproducibility of bleeding scales for liver surgery is limited. We determined the reproducibility of the ... ...

    Abstract Background: Bleeding is an intraoperative and postoperative complication of liver surgery of concern, and yet evidence to support utility and reproducibility of bleeding scales for liver surgery is limited. We determined the reproducibility of the clinician-reported validated intraoperative bleeding severity scale and its clinical value of implementation in liver surgery.
    Methods: In this descriptive and observational multicenter study, we assessed the performance of liver surgeons instructed on the clinician-reported intraoperative bleeding severity scale using training videos that covered all 5 grades of bleeding severity. Surgeons were stratified according to years of surgical experience and number of surgeries performed per year based on a median split in low and high values. Intraobserver and interobserver agreement was assessed using Kendall's coefficient of concordance (Kendall's W).
    Results: Forty-seven surgeons from 10 hospitals in Spain participated in the study. The overall intraobserver concordance was 0.985, and the overall interobserver concordance was 0.929. For "high experience" surgeons, the intraobserver and interobserver agreement values were 0.990 and 0.941, respectively. For "low experience" surgeons, the intraobserver and interobserver agreement was 0.981 and 0.922, respectively. Regarding the annual number of surgeries, intraobserver and interobserver agreement values were 0.995 and 0.940, respectively, for surgeons performing >35 surgeries per year, with 0.979 and 0.923, respectively, for surgeons who perform ≤35 surgeries year.
    Conclusion: The clinician-reported intraoperative bleeding severity scale shows high interobserver and intraobserver concordance, suggesting it is a useful tool for assessing severity of bleeding during liver surgery; years of surgical experience and number of annual procedures performed did not affect the applicability of the clinician-reported intraoperative bleeding severity scale.
    MeSH term(s) Humans ; Liver/surgery ; Observer Variation ; Reproducibility of Results ; Spain ; Surgeons
    Language English
    Publishing date 2022-07-22
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2022.05.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Hemopatch

    Lombardo, Carlo / Lopez-Ben, Santiago / Boggi, Ugo / Gutowski, Piotr / Hrbac, Tomas / Krska, Lukas / Marquez-Rivas, Javier / Russello, Domenico / York, Elisa / Zacharias, Mario

    Updates in surgery

    2022  Volume 74, Issue 5, Page(s) 1521–1531

    Abstract: Surgical procedures are often impeded by bleeding and/or leakage of body fluids. These complications cannot always be resolved by conventional surgical techniques. ... ...

    Abstract Surgical procedures are often impeded by bleeding and/or leakage of body fluids. These complications cannot always be resolved by conventional surgical techniques. Hemopatch
    MeSH term(s) Animals ; Blood Loss, Surgical ; Cattle ; Hemostasis, Surgical/methods ; Hemostatics/adverse effects ; Humans ; Prospective Studies ; Registries ; Specialties, Surgical ; Treatment Outcome
    Chemical Substances Hemostatics
    Language English
    Publishing date 2022-08-20
    Publishing country Italy
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-022-01353-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Laparoscopic glissonean pedicle approach: step by step video description of the technique from different centres (with video).

    Ielpo, Benedetto / Giuliani, Antonio / Sanchez, Patricia / Burdio, Fernando / Gastaka, Mikel / Di Martino, Marcello / Podda, Mauro / Lopez-Ben, Santiago / Siragusa, Leandro / Pellino, Gianluca / Anselmo, Alessandro

    Updates in surgery

    2022  Volume 74, Issue 3, Page(s) 1149–1152

    MeSH term(s) Carcinoma, Hepatocellular/surgery ; Hepatectomy/methods ; Humans ; Laparoscopy/methods ; Liver Neoplasms/surgery
    Language English
    Publishing date 2022-01-13
    Publishing country Italy
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-021-01219-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top