Characteristics of approaches that increase the effectiveness of surgical treatment of focal liver diseases
https://doi.org/10.31146/1682-8658-ecg-178-6-119-127
Abstract
The aim of the study was to clarify the causes that reduce the effectiveness of surgical treatment of focal liver diseases of various origins. The presented review of the literature data showed an urgent need tothe need to remove large volumes of liver parenchyma. To reduce the number of complications (liver failure, bleeding), a combination of approaches is proposed. Use of chemotherapy andembolization of the arteries of the resection area reduces the size of the formation. Obstruction of portal vein branches by embolization or ligation increases the amount of repair and prevents the development of hepaticfailures. The rate of remnant hypertrophy increases the separation of the liver parenchyma along the resection border. Combined use of tactical approaches, modern equipment and surgical techniquesincreases the effectiveness of treatment of focal liver formations.
About the Authors
A. N. Tarasov
South-Ural State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Professor, Professor of the Department of hospital surgery,
454092, Chelyabinsk, Vorovskogo, 64
B. Kh. Sarsenbaev
South-Ural State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
honored doctor of the Russian Federation, head of the surgical Department no. 1,
454092, Chelyabinsk, Vorovskogo, 64
A. G. Iralimov
South-Ural State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
doctor-surgeon of surgical Department no. 1,
454092, Chelyabinsk, Vorovskogo, 64
E. V. Ishmekeeva
South-Ural State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
clinical Intern of chair of hospital surgery,
454092, Chelyabinsk, Vorovskogo, 64
A. S. Sarsenbayeva
South-Ural State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Professor of the Department of therapy of the Institute of additional postgraduate education, Dekan of IDPO,
454092, Chelyabinsk, Vorovskogo, 64
References
1. Gal'perin E. I. Metodika rezektsii pecheni admassam pri ee zlokachestvennom porazhenii / E. I. Gal'perin, V. G. Ignatyuk // Annaly khirurgicheskoi gepatologii. - 2010. - T. 15, 2. - S. 18-23.
2. Patyutko YuI, Pylev AL, Sagaidak IV, Kotel'nikov AG, Podluzhnyi DV, Polyakov AN, Abgaryan MG, Chuchuev ES, Gakhramanov AD, Shishkina NA, Agafonova MG. Desyatiletnyaya vyzhivaemost' bol'nykh zlokachestvennymi opukholyami pecheni posle khirurgicheskogo lecheniya. Annaly khirurgicheskoi gepatologii. 2010;15(3):39-47.
3. Papamichail M., Pizanias M., Yip V., Prassas E., Prachalias A., Quaglia A., Peddu P., Heaton N., Srinivasan P. Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure for hepatocellular carcinoma with chronic liver disease: a case report and review of literature. Korean J. Hepatobil. Pancreat. Surg. 2016; 20(2): 75-80.
4. Louwers L., Schnickel G., Rubinfeld I. Use of a simplified frailty index to predict Clavien 4 complications and mortality aft er hepatectomy: analysis of the National Surgical Quality Improvement Project database. Am. J. Surg. 2016; 211(6): 1071-6.
5. Gerok V, Blyum KhE. Zabolevaniya pecheni i zhelchevyvodyashchei sistemy. Per. s nem.M.: MEDpress-inform; 2009. 200 s. Hero B, Blum XE. Diseases of the liver and biliary system. Moscow. MEDpress-inform, 2009. 200 P.
6. Giglio M.C., Giakoustidis A., Draz A., Jawad Z. A., Pai M., Habib N. A., Tait P., Frampton A. E., Jiao L. R. Oncological outcomes of major liver resection following portal vein embolization: a systematic review and meta-analysis. Ann. Surg. Oncol. 2016; 8.
7. Patyutko Y. I., Kotelnikov A. G., Mamontov K. G., Ponomarenko A. A., Lazarev A. F. Immediate results of hepatectomy for metastatic colorectal cancer. Pelvic Surgery and Oncology. 2014;(1):16-22. (In Russ.) https://doi.org/10.17650/2220-3478-2014-0-1-16-22
8. Chissov, V. I. Malignant neoplasms in Russia in 2009 (morbidity and mortality). Moscow. 2011, pp. 13-14.
9. Sidorov D.V., Lozhkin M. V., Petrov L.O., Grishin N.A., Troitskiy A. A., Moskvicheva L. I. Clinical case of performing a two-st age lover resection by type alpps in patient who previously underwent anatomic resection of the right lobe of the liver. Research and Practical Medicine Journal. 2015;2(3):93-97. (In Russ.) https://doi.org/10.17709/2409-2231-2015-2-3-93-97
10. Lim C., Farges O. Portal vein occlusion before major hep atectomy in patients with colorectal liver metastases: rationale, indications, technical aspects, complications and outcome. J Visc Surg 2012; 149: 2: 86-96.
11. Alvarez F.A., Ardiles V., Sanchez Claria R., Pekolij J., de Santibanes E. Association liver partition and portal vein ligation for staged hepatectomy (ALPPS): tips and tricks. J Gastrointest Surg 2013; 17: 4: 814-821.
12. Amini N., Margonis G. A., Buttner S., Besharati S., Kim Y., Gani F., Sobhani F., Kamel I. R., Pawlik T. M. Liver regeneration after major liver hepatectomy: Impact of body mass index. Surgery. 2016; 160(1): 81-91.
13. Patyutko, Yu. I. Kombinirovannoe lechenie bol'nykh kolorektal'nym rakom s metastaticheskim porazheniem pecheni / Yu. I. Patyutko, I. V. Sagaidak, A. N. Polyakov // Rus. med. zhurn. - 2009. - № 3.-S. 32-35.
14. Loos M., Friess H. Is there new hope for patients with marginally resectable liver malignancies. World J. Gastrointest. Surg. 2012; 4 (7): 163-165.
15. Umemura Y, Yamakawa K, Kiguchi T, Yoshikawa Y, Ogura H, Shimazu T, Hamasaki T, Fujimi S. Design and evaluation of New Unified Criteria for Disseminated Intravascular Coagulation based on the Japanese Association for Acute Medicine Criteria. Clin Appl Thromb Hemost. 2016;22(2):153-60.
16. Huang L., Li J., Lau W. Y., Yan J., Zhou F., Liu C., Zhang X., Shen J., Wu. M., Yan Y. Perioperative reactivation of hepatitis B virus replication in patients undergoing partial hepatectomy for hepatocellular carcinoma // J. gastroenterol hepatol. - 2012. Jan. - № 27 (1).-R. 158-164.
17. Patyutko Yu. I. Rezektsiya pecheni: Sovremennye tekhnologii pri opukholevom porazhenii / Yu. I. Patyutko [i dr.] // Annaly khirurgicheskoi gepatologii. - 2010. - № 2(15). - S. 9-17.
18. Bebezov Kh.S., B. Kh. Bebezov, N. Dzh. Mamashev, T. M. Umetaliev, Ch. T. Radikal'nye rezektsii pecheni pri povtornykh operativnykh vmeshatel'stvakh po povodu al'veokokkoza Vestnik KRSU. 2016. Tom 16. № 11S.13-18.
19. Kammerer W.S., Schantz P. M. Echinococcal disease // Infect. Dis. Clin. N. Am. 1993. V. 7. P. 605-618.
20. Al'perovich B. I. Khirurgiya pecheni / B. I. Al'perovich. M.: GEOTAR-Media, 2010. 348 s.
21. Aliev M.A., Seisembaev M. A., Ordabekov S. O. Ekhinokokkoz pecheni i ego khirurgicheskoe lechenie // Khirurgiya. - 2009. - № 3. - S. 15-17
22. Tskhai V.F., Brazhnikova N. A., Al'perovich B. I. i dr. Parazitarnye mekhanicheskie zheltukhi. - Tomsk: SibGMU, 2013. - 230 s.
23. Shoikhet Ya.N., Kapitulin S. Yu., Fokeev S. D., Ka zantseva E. S. Vliyanie rasprostranennosti al'veokokkoza pecheni na ob"em khirurgicheskogo lecheniya. // XIX mezhdunarodnyi Kongress khirurgov-gepatologov stran SNG «Aktual'nye problemy khirurgicheskoi gepatologii». - Irkutsk, 2012. - S. 97-98.
24. Zhuravlev V. A. Povtornye radikal'nye operatsii u tak nazyvaemykh “neoperabel'nykh” bol'nykh s al'veokokkozom pecheni / V. A. Zhuravlev // Annaly khirurgicheskoi gepatologii. 2000. T. 5. № 2. S. 11
25. Bebezov Kh.S., Bebezov B. Kh., Mamashev N. D. i dr. Rezul'taty khirurgicheskogo lecheniya oslozhnennogo al'veokokkoza pecheni // XIX mezhdunarodnyi Kongress khirurgov-gepatologov stran SNG «Aktual'nye problemy khirurgicheskoi gepatologii». - Irkutsk, 2012. - S. 89-90.
26. Al'perovich B. I. Povtornye operatsii pri al'veokokkoze / B. I. Al'perovich, N. V. Merzlikin, V. N. Salo i dr. // Annaly khirurgicheskoi gepatologii. 2011. T. 16. № 3. S. 110-115.
27. Vishnevskii V.A. [i dr.] 3. Radikal'noe lechenie ekhinokokkoza pecheni. Sovremennoe sostoyanie problemy / // Byulleten' sibirskoi meditsiny. - 2007. - № 3. - S. 22-26.
28. Zaitsev I. S. Pokazaniya k povtornym operatsiyam pri al'veokokkoze pecheni / I. S. Zaitsev // Sibirskii meditsinskii zhurnal. 2013. № 8. S. 110-112
29. Daminova N.M., K. M. Kurbonov Atipichnye rezektsii pecheni pri dobrokachestvennykh ochagovykh obrazovaniyakh Annaly khirurgicheskoi gepatologii 2007, tom 12, № 4 S. 42-44
30. Kazakova R.V., Kalyagin A. N., Rozhanskii A. A., Poblinkova E. I. Al'veolokokkoz pecheni // Zhurnal infektsionnoi patologii. - 2013. - T. 20. № 1-4. - S. 66-68.
31. Kurbonov K.M., Dzh. E. Davlatov, M. I. Ramazan, U. Kh. Saidov, D. S. Sa"dulloev. Rezektsiya pechenii peritsistektomiya posle neradikal'nykh operatsiii po povodu ekhinokokkoza. Nauchno-meditsinskii zhurnal «vestnik avitsenny» tadzhikskogo gosudarstvennogo meditsinskogo universiteta imeni abuali ibni sino, Khirurgiya. № 4, oktyabr'-dekabr' 2014 g. 31 S. 28-31.
32. Avasov B. A. Profilaktika oslozhnenii pri rezektsii pecheni u bol'nykh ekhinokokkozom. Sluchai iz praktiki. Vestnik khirurgii Kazakhstana № 1•2014 S. 45-48
33. Vishnevskii V.A., Subbotin V. V., Efanov M. G., Ikramov R. Z., Kozyrin I. A. Prognoz i profilaktika massivnoi intraoperatsionnoi krovopoteri pri rezektsiyakh pecheni. Annaly khir gepatol 2012; 1: 35-45.
34. Kotiv B.N., I. I. Dzidzava, S. A. Alent'ev, D. P. Kashkin, A. A. Kochatkova, A. V. Slobodyanik Rasshirennaya rezektsiya pecheni s predvaritel'noi embolizatsiei levoi vetvi vorotnoi veny pri al'veokokkoze pri al'veokokkoze. Annaly khirurgicheskoi gepatologii, 2012,, tom 17, № 4 S. 111-114.
35. Alikhanov R. B., V. A. Vishnevskii, V. A. Kubyshkin, R. Z. Ikramov, R. G. Efanov, I. A. Kozyrin. Faktory riska razvitiya posleoperatsionnoi pechenochnoi nedostatochnosti posle obshirnykh rezektsii pecheni fgbu Kubanskii nauchnyi meditsinskii vestnik № 7 (142) 2013 52-53.
36. Seisembaev M.A., Toksanbaev D. S., Baimakhanov Zh. B. Vybor optimal'noi taktiki khirurgicheskogo lecheniya al'veokokkoza pecheni Vestnik khirurgii Kazakhstana № 1, 2012, S. 8-10
37. Fedorov V.D., Vishnevskii V. A., Nazarenko N. A., Ikramov R. Z., Kozyrin I. A. Osnovnye oslozhneniya obshirnykh rezektsii pecheni i puti ikh preduprezhdeniya // Byulleten' sibirskoi meditsiny, № 3, 2007 S. 16-21
38. Il'khamov F. A. Umen'shenie operatsionnoi krovopoteri pri ispol'zovanii novykh tekhnologii v khirurgii ekhinokokkoza pecheni / F. A. Il'khamov, A. I. Ikramov, M. M. Akbarov // Annaly khirurgicheskoi gepatologii. - 2008. - T. 13, № 3. - S. 54.
39. Knoefel W.T., Gabor I., Rehders A. et al. In situ liver transection with portal vein ligation for rapid growth of the future liver remnant in twostage liver resection. Br J Surg 2013; 100: 3: 388-394.
40. Iida H., Aihara T., Ikuta S., Yoshie H., Yamanaka N. Comparison of percutaneous transhepatic portal vein embolization and unilateral portal vein ligation. World J. Gastroenterol. 2012; 18 (19): 2371-2376.
41. Veronskii G.I. O metodakh rezektsii pecheni // Ann. khirurg. gepatol. 2006. T. 11, № 1. S. 85-88.
42. Pyshkin S.A. i soavt. Lechebnaya taktika pri neoslozhnennykh neparazitarnykh kistakh pecheni. Khirurgiya. 2008. № 11. S. 35-38.
43. Nazarenko N. A. Ostraya pechenochnaya nedostatochnost' posle obshirnykh rezektsii pecheni / [i dr.] // Annaly khirurgicheskoi gepatologii. - 2008. - T. 13, № 3. - S. 96-97.
44. Koch M., Garden O. J., Padbury R. et al. Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. Surgery 2011; 149: 5: 680-688.
45. Li J., Girotti P., Königsrainer I. et al. ALPPS in Right Trisectionectomy: a Safe Procedure to Avoid Postoperative Liver Failure? J Gastrointest Surg 2013; 17: 5: 956-961.
46. Vozdvizhenskii M.O., S. M. Dudko Sovremennye podkhody k rezektsii metastazov v pechen' pri kolorektal'nom rake //vestnik rossiiskoi voenno-meditsinskoi akademii 1(37) - 2012 S. 291-295
47. Kim E.F., Filin A. V., Semenkov A. V., Ushako va I. A., Burmistrov D. S., Metelin A. V., Khovrin V. V., Kryzhanovskaya E. Yu., Marchenko A. L., Varfolomeeva S. R., Kachanov D. Yu., Moiseenko R. A., Uskova N. G. Dvukhetapnaya obshirnaya rezektsiya pecheni pri gepatoblastome: pervyi otechestvennyi opyt. Klin. i eksperiment. Khirurgiya, 2013; 2: 28-35.
48. Merzlikin N. V. Povtornye operatsii pri ochagovykh zabolevaniyakh pecheni / N. V. Merzlikin, B. I. Al'perovich, M. M. Paramonova i dr. // Khirurgiya. 2011. № 8. S. 51-57.
49. de Santibanes E., Clavien P. A. Playing Play-Doh to prevent postoperative liver failure: the «ALPPS» approach. Ann Surg 2012; 255: 3: 415-417.
50. Schadde E., Ardiles V., Slankamenac K. et al. Are twostage hepatectomies associated with more complications than one stage procedures? HPB (Oxford) 2013; 15: 6: 411-417.
51. Musaev A. I. Al'veokokkoz pecheni: vozmozhnost' povtornykh operatsii / A. I. Musaev, A. Zh. Akeshov, A. A. Akmatov // Vestnik KGMA im. I. K. Akhunbaeva. 2013. № 4 (I). S. 36-38.
52. Skipenko O.G., Bedzhanyan A. L., Bagmet N. N. Novyi podkhod k dvukhetapnym operatsiyam na pecheni (In situ splitting). Khirurgiya 2013; 3: 37-41.
53. Torres O., Fernandes E., Oliveira C., Lima C., Waechter F., Moraes-Junior J., Linhares M., Pinto R., Herman P., Machado M. Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS): the Brazilian experience. Arq. Bras. Cir. Dig. 2013; 26 (1): 40-43.
54. Tschuor Ch., Croome K. P., Sergeant G., Cano V., Schadde E., Ardiles V., Slankamenac K., Clariá R. S., de Santibaňes E., Hernandez-Alejandro R., Clavien P. A. Salvage parenchymal liver transection for patients with insufficient volume increase after portal vein occlusion - an extension of the ALPPS approach. EurJSurgOncol 2013; 39: 11: 1230-1235.
55. Tarazov P.G., Granov D. A., Polikarpov A. A. Pred opera tsionnaya embolizatsiya vorotnoi veny u bol'nykh zlokachestvennymi opukholyami pecheni. Al'manakh Instituta khirurgii im. A. V. Vishnevskogo. 2008; 3 (3): 23-28.
56. Guglielmi A., Ruzzenente A., Conci S. et al. How much remnant is enough in liver resection? Dig Surg 2012; 29: 1: 6-17.
57. KOZYRIN I.A., k. m. n. N.A. ERMAKOV, k. m. n. V.K. LYaDOV, k. m. n. Z.A. KOVALENKO Opyt dvukhetapnoi rezektsii pecheni (ALPPS)//KhIRURGIYa 12, 2014 S. 24-28.
58. Aloia T.A., Vauthey J. N. Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS): what is gained and what is lost? Annals of surgery 2012; 256: 3: 9: 16-19.
59. Vishnevskii V.A. [i dr.]. Sposob vorotnogo dostupa k sosudisto-sekretornym elementam pri anatomicheskikh segmentarnykh rezektsiyakh pecheni / // Khirurgiya. - 2008. - № 9. - S. 9-11.
60. Chaichenko D.V., Vazhenin A. V., Privalov A. V., Nadvikova E. A. ALPPS pri massivnom metastaticheskom porazhenii pecheni. Khirurgiya 2014; 4: 23-26.
61. Schnitzbauer A.A., Lang S. A., Goessmann H. et al. Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-forsize settings. Ann Surg 2012; 255: 3: 405-414.
62. Lyadov V.K., Kozyrin I. A., Efanov M. G. Primenenie khending manevra (podveshivaniya pecheni) pri anatomicheskoi rezektsii i peresadke pecheni. Annaly khir gepatol 2009; 2: 14: 104-111.
63. Clavien P.A., Barkun J., de Oliveira M. L. et al. The Clavien-Dindo classification of surgical complications: fi ve-year experience. Ann Surg 2009; 250: 2: 187-196.
64. Descottes B. et al. Laparoscopic liver resection of benign liver tumors // Surg. Endosc. 2003. V. 17. P. 23-30.
65. Laurent A. et al. Laparoscopic liver resection for subcapsular hepatocellular carcinoma complicating chronic liver disease // Arch. Surg. 2003. V. 138. P. 763-769.
66. Morino M. et al. Laparoscopic vs open hepatic resection // Surg. Endoscopy. 2003. V. 17. P. 1914-1918.
67. Balzan S, Belghiti J, Farges O, Ogata S, Sauvanet A, Delefosse D, Durand F. The “50-50 criteria” on postoperative day 5: an accurate predictor of liver failure and death after hepatectomy. Ann Surg. 2005;242(6):824-8.
68. Padbury R. et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery 2011; 149: 5: 713-724.
69. de Santibanes E., Alvarez F. A., Ardiles V. How to avoid postoperative liver failure: a novel method. World J Surg 2012; 36: 125-128.
70. Chardarov N. K. Biliarnye oslozhneniya posle rezektsii pecheni / N. K. Chardarov, N. N. Bagtech, O. G. Skipenko//Khirurgiya . Zhurnal im . N. N. Pirogova. - 2010. -№ 8. - S. 61-68.
71. Reddy S. K., Marsh J. W., Varley P. R., Mock B. K., Chopra K. B., Geller D. A., Tsung A. Underlying steatohepatitis, but not simple hepatic steatosis, increases morbidity after liver resection: a casecontrol study // Hepatology. - 2012. Dec. - № 56 (6). - R. 2221-2230.
72. Sidorov D.V., Ryabov A. B., Vrublevskii S. G., Trunov V. O., Lozhkin M. V., Glazunov A. A., Gorokhov D. V., Mordvin P. A., Manukyan S. R., Gurzo Yu. D. Dvukhetapnaya rezektsiya pecheni (ALLPS) u rebenka s gigantskoi embrional'noi sarkomoi. Detskaya khirurgiya. 2017; 21(1): 47-50.
73. Somonova O. V. Elizarova A. L. Matveeva I. I. Sindrom disseminirovannogo vnutrisosudistogo svertyvaniya pri khirurgicheskom lechenii bol'nykh zlokachestvennymi opukholyami pecheni. Al'manakh klinicheskoi meditsiny. 2016 Iyun'-iyul'; 44 (5): 640-646
74. Magnus N, D’Asti E, Meehan B, Garnier D, Rak J. Oncogenes and the coagulation system-forces that modulate dormant and aggressive states in cancer. Th romb Res. 2014;133 Suppl 2: 1-9.
75. Polishchuk L.O., Skipenko O. G., Abdullaev A. G., Polyakov R. S., Sekacheva M. I., Shatveryan G. A., Biryukov A. Yu., Skipenko T. O. Progressirovanie metastaticheskogo kolorektal'nogo raka posle okklyuzii pravoi vetvi vorotnoi veny. Khirurgiya 2011: 10: 4-11.
76. Sidorov A.V., Chissov V. I., Bolotina L. V., Lozhkin M. V., Petrov L. O., Grishin N. A., Paichadze A. A. Pervyi opyt dvukhetapnoi rezektsii pecheni po tipu in situ split u patsientki s bilobarnymi metastazami kolo rektal'nogo raka. Onkologiya. 2014; 3: 67-9.
Review
For citations:
Tarasov A.N., Sarsenbaev B.Kh., Iralimov A.G., Ishmekeeva E.V., Sarsenbayeva A.S. Characteristics of approaches that increase the effectiveness of surgical treatment of focal liver diseases. Experimental and Clinical Gastroenterology. 2020;(6):119-127. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-178-6-119-127
Views:
488
ISSN 1682-8658 (Print)
Email this article 