Surgery, Gastroenterology and Oncology
Vol. 23, Nr. 6, Dec 2018
Hepatic Surgeon in the Multidisciplinary Team Managing the Patients with Liver Metastases from Colorectal Cancer - A Prerequisite Co....
Sorin Alexandrescu, Irinel Popescu
REVIEW, Dec 2018
Article DOI: 10.21614/sgo-23-6-367
Read article In patients with colorectal liver metastases (CLMs), liver resection still represents the only potentially curative therapy. However, during the last decade, it was observed that managing the patients with CLMs in a multidisciplinary teams (MDT) will improve survival rates.
Although these MDTs represent a prerequisite condition to improve the prognosis of these patients, the presence of a specialized liver surgeon in such structures allows a better allocation of the liver resection in patients with CLMs. Recent evidences revealed that liver surgeons recommended hepatectomy to a....[more]
Prognostic Significance of Lymph Node Ratio After Resection of Peri-hilar Cholangiocarcinoma
Alfredo Guglielmi, Andrea Ruzzenete, Fabio Bagante, Tommaso Campagnaro, Simone Conci, Calogero Iacono
REVIEW, Dec 2018
Article DOI: 10.21614/sgo-23-6-373
Read article Even though lymph node status is one of the most important predictors of survival for patients undergoing curative-intent surgery for peri-hilar cholangiocarcinoma (PHCC), the optimal lymph node staging system for PHCC has not been identified.
Recently, the newly published 8th edition of the American Joint Committee on Cancer (AJCC) staging system reformed the criteria used to stage the lymph node status of PHCC patients but this change did not demonstrate to significantly improve the prognostic stratification of patients with PHCC. Among the several clinical tools that have be....[more]
Acute Respiratory Distress Syndrome After Pancreaticoduodenectomy
Takamune Yamaguchi, Takashi Kokudo, Michiro Shiozawa, Nobuhisa Akamatsu, Junichi Kaneko, Junichi Arita, Yoshihiro Sakamoto, Norihiro Kokudo, Kiyoshi Hasegawa
ORIGINAL PAPER, Dec 2018
Article DOI: 10.21614/sgo-23-6-378
Read article Introduction: Acute respiratory distress syndrome (ARDS) can cause severe morbidity and mortality after a pancreaticoduodenectomy (PD). However, very few studies have evaluated the risk factors for ARDS among patients undergoing abdominal surgery, with even fewer studies being performed for patients undergoing PD specifically.

Methods: We performed a retrospective chart analysis of 200 patients undergoing PD between February 2009 and April 2014 in our Department and investigated the risk factors for ARDS by analysing preoperative chest CT scan images and other....[more]
Metabolic Syndrome and Cardiovascular Risk in Liver Transplant Recipients - Can Non-invasive Testing Change the Landscape?
Carmen Ester, Razvan Cerban, Speranta Iacob, Corina Pietrareanu, Mihaela Lita, Olteanu Ovidiu-Andrei, Simona Ichim, Georgiana Constantin, Liliana Paslaru, Camelia Grancea, Simona Ruta, Liana Gheorghe
ORIGINAL PAPER, Dec 2018
Article DOI: 10.21614/sgo-23-6-386
Read article Objective: Liver transplant recipients often develop metabolic syndrome (MetS) and de-novo non-alcoholic fatty liver disease (NAFLD). Our aim was to evaluate the cardiovascular risk in these patients using CXCL10,a serum biomarker whose expression levels have been associated with inflammatory diseases.

Methods: We assessed 60 liver transplant recipients for clinical and biological features. The cardiovascular risk was assessed using the Framingham risk score.

Results: HCV cirrhosis was the main indication for liver transplantation (69% of patien....[more]
Evaluation of Alpha-fetoprotein and Prothrombin Induced by Vitamin K Absence for Hepatocellular Carcinoma Diagnosis in Patients Admi....
Razvan Cerban, Carmen Ester, Speranta Iacob, Mihaela Ghioca, Liliana Paslaru, Dumitru Radu, Mugur Grasu, Georgiana Constantin, Irinel Popescu, Liliana Gheorghe
ORIGINAL PAPER, Dec 2018
Article DOI: 10.21614/sgo-23-6-391
Read article Background & aims: Prothrombin induced by vitamin K absence-II (PIVKA II) is a diagnostic marker and a major prognostic factor for hepatocellular carcinoma (HCC) with limited experience in European patients.
The aim of this study was to investigate the clinical utility of simultaneous measurement of alphafetoprotein (AFP) and PIVKA II for hepatocellular carcinoma (HCC) diagnosis.

Methods: In a Romanian cohort, we performed a case-control study to compare the performances of AFP and PIVKA-II serum levels for HCC diagnosis. To determine the diagnostic valu....[more]
Intrahepatic Cholangiocarcinoma Involving the Hepatocaval Confluence with Bile Duct Tumor Thrombus Mimicking a Klatskin Tumor: A Cas....
Florin Botea, Alexandru Barcu, Nausica Picu, Ruxandra Fota, Irinel Popescu
Images in Clinical Medicine, Dec 2018
Article DOI: 10.21614/sgo-23-6-399
Read article Background: Intrahepatic cholangiocarcinoma (ICC) is a rare malignant tumor arising from the epithelial cells of the intrahepatic bile ducts.
The aim of the present paper is to report a rare case of centrally located ICC involving the hepatocaval confluence and generating a tumor thrombus in the biliary duct of segment 4 expanding into the left hepatic duct and main common duct, mimicking a type IIIB Klatskin tumor.

Case presentation: A 66-year old female presented for epigastric abdominal pain and weight loss, with cytolysis (ALAT= 323 U l; normal ASAT),....[more]
Subtotal Cholecystectomies During Acute Cholecystitis. An Overview on Different Techniques
Maurizio Mannino, Adriana Toro, Michele Teodoro, Isidoro Di Carlo
Letter to the Editor, Dec 2018
Article DOI: 10.21614/sgo-23-6-405
Read article Although laparoscopic cholecystectomy is a well standardized technique, subtotal cholecystectomy is still a valid option in those cases in which a complete cholecystectomy is not feasible due to the anatomic conditions given by the underlying inflammatory status or when the absence of the Critical view of Safety (CVS) make unsafe to go on a complete operation.

Various techniques are described to perform a subtotal cholecystectomy, both open and laparoscopic.


Video Abstracts



Journal Subscriptions

Current Issue

Aug 2019

Supplements

Instructions for authors
Online submission
Contact
Print ISSN: 2559 - 723X

ISSN-L: 2559 - 723X

ISSN online: 2601 - 1700

Surgery, Gastroenterology and Oncology is indexed in Scopus, CrossRef (DOI: 10.21614/sgo)



Meetings and Courses in 2019