Vol 13, No 6 (December 01, 2024): Hepatobiliary Surgery and Nutrition

Clinical Practice Guideline

Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation (2024 edition)
Xi Xu, Tao Lv, Gang Xu, Qiang Wei, Qi Ling, Lin Wei, Jianhua Li, Jiakai Zhang, Yang Cai, Jinzhen Cai, Guihua Chen, Zhishui Chen, Zhonghua Chen, Ying Cheng, Jian Dou, Shunda Du, Chengyou Du, Zhiren Fu, Zhiyong Guo, Lianghui Gao, Xiaoshun He, Qiang He, Lei Huang, Jianzhao Huang, Feng Huo, Changku Jia, Chen Jin, Wentao Jiang, Jipin Jiang, Zuoyi Jiao, Hong-En Jing, Ren Lang, Bo Li, Li Li, Ning Li, Qiyong Li, Wengang Li, Yumin Li, Guangming Li, Jun Liu, Lei Liu, Jingfeng Liu, Lianxin Liu, Zuojin Liu, Shichun Lu, Qian Lu, Ling Lv, Yi Lv, Guoyue Lv, Tingbo Liang, Yingzi Ming, Zhihai Peng, Jianghua Ran, Jun Shi, Beicheng Sun, Chengyi Sun, Xuyong Sun, Yuling Sun, Zhongzhou Si, Yingmei Shao, Jiulin Song, Kaishan Tao, Mujian Teng, Yunle Wan, Xueshuai Wan, Liming Wang, Hao Wen, Gang Wu, Jian Wu, Xiangwei Wu, Zhongjun Wu, Lai Wei, Jian Xu, Jun Xu, Yang Yang, Hongji Yang, Zhanyu Yang, Zhaoxu Yang, Jian Yang, Qifa Ye, Shuhong Yi, Jian Zhou, Feng Zhang, Lei Zhang, Min Zhang, Wu Zhang, Leida Zhang, Shuijun Zhang, Shunyun Zhao, Hong Zheng, Lin Zhong, Haitao Zhu, Jiye Zhu, Xiaofeng Zhu, Zhijun Zhu, Hong Wu, Wenzhi Guo, Zhengxin Wang, Xiao Xu, Jiayin Yang; Branch of Organ Transplant Physicians of Chinese Medical Doctor Association; Branch of Organ Transplant of Chinese Medical Association
These guidelines, based on the specific conditions in China, provide comprehensive recommendations on key factors such as the safety and advantages of minimally invasive surgery for donor hepatectomy, donor selection criteria, anesthesia strategies, surgical technical details, and learning curves.

Original Article

Liver venous deprivation (LVD) before extended hepatectomy: a French multicentric retrospective cohort
Mehdi Boubaddi, Arthur Marichez, Florian Pecquenard, Charlotte Maulat, Emmanuel Buc, Laurent Sulpice, Ahmet Ayav, Stéphanie Truant, Fabrice Muscari, Laurence Chiche, Christophe Laurent
Post Hepatectomy Liver Failure (PHLF) remains a challenge for hepatectomy, and Liver Venous Deprivation (LVD) represent an effective option in situations where there is a risk of portal vein embolization (PVE) failure. This study aims to assess LVD feasibility, efficacy, and safety in a large, retrospective, French multicentric cohort.
Comparative analysis of analgesic efficacy and functional recovery in open pancreaticoduodenectomy: a randomized controlled trial of local anesthetic wound infiltration, transversus abdominis plane block, and intramuscular electrical stimulation
Hyun-Chang Kim, Jinyoung Park, Hyung Sun Kim, Yeon Hwa Hong, Young Song, Joon Seong Park
Both four-quadrant transversus abdominis plane block and needle electrical twitch obtaining intramuscular stimulation showed greater effectiveness in reducing postoperative pain, requiring fewer analgesics, and enhancing functional recovery, including coughing ability and gait speed, after pancreaticoduodenectomy compared to local wound infiltration.
The rate of muscle wasting in liver transplant recipients on waiting list: post-transplant outcomes and associated serum metabolite patterns
Zachary P. Rokop, Thomas M. O’Connell, Taylor Munsch, Lauren Nephew, Eric Orman, Plamen Mihaylov, Richard S. Mangus, Chandrashekhar Kubal
In patients undergoing LT, the rate of progression of sarcopenia is a strong prognostic indicator of post-LT death. Serum metabolite profiles were not characteristically unique to HW patients, and most closely resemble derangements associated with chronic liver disease.

Review Article

Selective internal radiation therapy across Barcelona Clinic Liver Cancer (BCLC) stages of hepatocellular carcinoma: literature review
Paul Vigneron, Maria Stella Franzè, Julia Chalaye, Vania Tacher, Anna Sessa, Alain Luciani, Hicham Kobeiter, Hélène Regnault, Ancuta Bejan, Julien Calderaro, Rami Rhaiem, Daniele Sommacale, Giovanni Raimondo, Vincent Leroy, Raffaele Brustia, Giuliana Amaddeo
SIRT is a well-recognized endovascular treatment option for patients in intermediate and advanced HCC stage. However, in the recent years it has become a promising, safe and effective treatment even in selected patients at all BCLC stages of HCC with different advantages and clinical implications.

Surgical Technique

A European expert consensus surgical technique description for robotic hepatectomy
Gabriela Pilz da Cunha, Daan J. Lips, Jawad Ahmad, Niclas Kvarnström, Luca Aldrighetti, Mathieu D’Hondt, Jeroen Hagendoorn, Rutger-Jan Swijnenburg
Seven expert robotic liver surgeons in Europe established a consensus on the surgical technique for robotic hepatectomy. A step-by-step description highlighting key considerations for the four main types of hepatectomy is presented. The experts share valuable tips and tricks for executing a successful procedure.

Editorial Commentary

Optimizing endoscopic diagnosis of biliary strictures of undetermined etiology: a practical guide based on the new ASGE guidelines
Lotfi Triki, Michael Fernandez Y Viesca, Marianna Arvanitakis
Validating the prognostic value of muscle changes in patients with cirrhosis undergoing transjugular intrahepatic portosystemic shunt
Zhang Wen, Shuyue Tuo, Ying Liu, Jia Yuan, Yong Li, Lu Li, Shejiao Dai, Xinxing Tantai
Addressing the malnutrition gap requires high-quality research, recognition of intervention complexity, and equitable implementation strategies
Alvin Wong, Judith D. Bauer
Kasai procedure or liver transplantation: how should we choose in biliary atresia?
Jianghua Zhan, Shaowen Liu, Tengfei Li, Xin Li
Continuous normothermic machine perfusion of donor livers in the United States: the challenging road from the trial-world into the real-world
Otto B. van Leeuwen, Philipp Dutkowski, Diethard Monbaliu, Vincent E. de Meijer
Transforming liver surgery: the shift from traditional resections to minimally invasive and parenchymal-sparing techniques
Omid Ghamarnejad, Rizky Widyaningsih, Gregor Alexander Stavrou
Understanding the risk factors for surgical morbidities in laparoscopic living donor hepatectomy (LLDH)
Alfred Wei Chieh Kow
Resmetirom for metabolic dysfunction-associated steatohepatitis: targeting hepatic and cardiovascular disease
Isabella Lurje, Frank Tacke
De-escalating surgical treatment in low stage gallbladder cancer
Elise de Savornin Lohman, Philip R. de Reuver, Pim B. Olthof
Understanding the risk of recurrence after resection of intraductal papillary mucinous neoplasm-associated adenocarcinoma: insights from a large multicenter study
Hong T. Lin, Somashekar G. Krishna
Is liver resection necessary for T2 gallbladder cancer?
Philip H. G. Ituarte, Gagandeep Singh
Recurrence-free or progression-free survival as a surrogate endpoint for overall survival in hepatobiliary-pancreatic cancers: would be associated with time change
Ning Peng, Chuang Qin, Shao-Ping Liu, Jun-Liang Nong, Teng-Meng Zhong, Jian-Hong Zhong; on behalf of the GUIDANCE investigators
Balancing the risks of venous thromboembolism and bleeding in abdominal surgery: factors to consider in personalising thromboprophylaxis
Tess Asgill, Matthew G. R. Allaway, David S. Liu
Surgical resection for pancreatic ductal adenocarcinoma with liver metastasis: is this the beginning of a new era?
Sofia Svensson Di Giorgio, Jun Yoshino, Alessio Morandi, Chiara Maria Scandavini, Asif Halimi, Alessandro Coppola, Roberto Valente
“To bleed or to clot, that is the question”—the benefit of a procedure-specific risk tool to guide perioperative anticoagulation
Victoria Ivankovic, Megan Delisle, Abdelrahman Noureldin, Marc Carrier, Rebecca C. Auer
Surrogate endpoints in clinical trials: when is good...good enough?
Jamie Olapo Schnuck, Sardar Shahmir B. Chauhan, Jonathan G. Sham
Enhancing perioperative evaluation and abdominal drain in patients undergoing distal pancreatectomy
Wen-Bo Zou, Xiu-Ping Zhang, Zhi-Ming Zhao, Rong Liu