Journal of hepato-biliary-pancreatic sciences
-
J Hepatobiliary Pancreat Sci · Nov 2015
ReviewLaparoscopic living donor hepatectomy: a review of current status.
Over the last two decades, laparoscopic surgery has been adopted in various surgical fields. Its advantages of reduced blood loss, reduced postoperative morbidity, shorter hospital stay, and excellent cosmetic outcome compared with conventional open surgery are well validated. In comparison with other abdominal organs, laparoscopic hepatectomy has developed relatively slowly due to the potential for massive bleeding, technical difficulties and a protracted learning curve. ⋯ However, the number of cases is too small to validate the safety and reproducibility. The most important concern in LDLT is donor safety. Even though a few studies reported the technical feasibility and comparable outcomes to conventional open surgery, careful validating through larger sample sized studies is needed to achieve standardization and wide application.
-
J Hepatobiliary Pancreat Sci · Nov 2015
Randomized Controlled Trial Multicenter StudyEfficacy of preoperative dexamethasone for postoperative nausea and vomiting after laparoscopic cholecystectomy: a large-scale, multicenter, randomized, double-blind, placebo-controlled trial in Japan.
To assess the efficacy of preoperative dexamethasone for postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy (LC) in Japan. ⋯ Routine use of preoperative dexamethasone for PONV after elective LC in Japan was not shown to have a clinical advantage.
-
J Hepatobiliary Pancreat Sci · Nov 2015
Multicenter Study Clinical TrialFeasibility and efficacy of gemcitabine plus cisplatin combination therapy after curative resection for biliary tract cancer.
The aim of this multi-institutional study was to assess the feasibility and the efficacy of gemcitabine plus cisplatin (CDDP) combination therapy (GC therapy) for biliary tract cancer (BTC) in the adjuvant setting. ⋯ Standard dose of GC therapy is tolerable in patients with BTC who underwent curative resection either with or without major hepatectomy. The survival effect of this regimen is promising, but further comparative study is needed.