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  1 / 17 MEDLINE  
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[PMID]:28292635
[Au] Autor:Leleup G; Fohlen A; Dohan A; Bryan-Rest L; Le Pennec V; Limot O; Le Dref O; Soyer P; Pelage JP
[Ad] Endereço:Department of Diagnostic Imaging and Interventional Radiology, Centre Hospitalier Universitaire de Caen, Normandie University, Caen, France.
[Ti] Título:Value of Round Ligament Artery Embolization in the Management of Postpartum Hemorrhage.
[So] Source:J Vasc Interv Radiol;28(5):696-701, 2017 May.
[Is] ISSN:1535-7732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To evaluate the feasibility and efficacy of embolization of the round ligament arteries in the management of postpartum hemorrhage. MATERIALS AND METHODS: Eleven women (mean age, 31 y) underwent round ligament artery because of persistent or recurrent hemorrhage after initial uterine or internal iliac artery embolization. RESULTS: A total of 16 round ligament arteries were embolized. The round ligament artery arose from the inferior epigastric artery in 11 cases (69%) and directly from the external iliac artery in 5 (31%). Embolization was performed with calibrated microspheres in 7 women (63%) and gelatin sponge pledgets in 4 (37%). Coils were used in addition to gelatin sponge pledgets in 3 patients. Hemostasis was achieved in 10 patients (91%), and 1 required additional conservative surgery. The mean hemoglobin level before embolization was 7.2 g/dL ± 1 and increased significantly on day 1 after embolization (10.3 g/dL ± 1.0; P < .05). No procedure-related complication was reported. The mean hospital stay was 5.6 days ± 2. Two patients had further pregnancies 13 and 14 months after embolization. CONCLUSIONS: Selective embolization of the round ligament artery is a safe and effective treatment for obstetric hemorrhage. It should be considered in cases of persistent or recurrent bleeding after initial uterine or internal iliac artery embolization.
[Mh] Termos MeSH primário: Embolização Terapêutica/métodos
Hemorragia Pós-Parto/terapia
Ligamentos Redondos/irrigação sanguínea
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Artéria Ilíaca
Resultado do Tratamento
Embolização da Artéria Uterina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE


  2 / 17 MEDLINE  
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[PMID]:26445173
[Au] Autor:Bali N; Harrison J; Laugharne E; Bache CE
[Ad] Endereço:Royal Orthopaedic Hospital, Birmingham, UK.
[Ti] Título:A Modification of the Dunn Osteotomy With Preservation of the Ligamentum Teres.
[So] Source:J Pediatr Orthop;37(4):279-284, 2017 Jun.
[Is] ISSN:1539-2570
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We aimed to determine if a modified Dunn osteotomy could be safely performed without surgical dislocation and consequent preservation of the ligamentum teres. METHODS: All patients undergoing a modified Dunn osteotomy for a slipped capital femoral epiphysis over an 8-year period were included in this study, and all had a severe slip with an open physis. RESULTS: The modified Dunn procedure was performed on 34 hips in 34 patients. The mean age was 13.1 years (range, 11 to 16 y) with a mean follow-up time of 54 months (range, 15 to 102 mo). All slips were severe (grade 3) with a mean slip angle of 73.2 degrees (range, 60 to 90 degrees). Nineteen slips were stable and 15 were unstable. Of the unstable slips, the average time from initial presentation to the emergency department until surgery was 9.4 days (range, 2 to 42 d). Excluding 1 patient who developed complete collapse of the femoral head (NAHS 56), the average Nonarthritic Hip score was 98 (range, 93.7 to 100). Four (11.8%) patients developed avascular necrosis of the femoral head, of which 3 were unstable slips. CONCLUSIONS: A modified Dunn osteotomy with preservation of the ligamentum teres allows an excellent restoration of the anatomic alignment of the femoral head and neck. Rates of AVN are not increased compared with other techniques of subcapital osteotomy but this complication cannot be eliminated particularly in patients with unstable slips. LEVEL OF EVIDENCE: Level III.
[Mh] Termos MeSH primário: Tratamentos com Preservação do Órgão/métodos
Osteotomia/métodos
Ligamentos Redondos
Escorregamento das Epífises Proximais do Fêmur/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Necrose da Cabeça do Fêmur/etiologia
Seres Humanos
Masculino
Estudos Retrospectivos
Índice de Gravidade de Doença
Escorregamento das Epífises Proximais do Fêmur/complicações
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151008
[St] Status:MEDLINE
[do] DOI:10.1097/BPO.0000000000000626


  3 / 17 MEDLINE  
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[PMID]:27678368
[Au] Autor:Sanada Y; Sakuma Y; Sasanuma H; Miki A; Katano T; Hirata Y; Okada N; Yamada N; Ihara Y; Urahashi T; Sata N; Yasuda Y; Mizuta K
[Ad] Endereço:Yukihiro Sanada, Takumi Katano, Yuta Hirata, Noriki Okada, Naoya Yamada, Yoshiyuki Ihara, Taizen Urahashi, Koichi Mizuta, Department of Transplant Surgery, Jichi Medical University, Shimotsuke City, Tochigi 329-0498, Japan.
[Ti] Título:Immunohistochemical evaluation for outflow reconstruction using opened round ligament in living donor right posterior sector graft liver transplantation: A case report.
[So] Source:World J Gastroenterol;22(34):7851-6, 2016 Sep 14.
[Is] ISSN:2219-2840
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Utilizing the opened round ligament as venous grafts during liver transplantation is useful but controversial, and there are no pathological analyses of this procedure. Herein, we describe the first reported case of a pathological analysis of an opened round ligament used as a venous patch graft in a living donor liver transplantation (LDLT). A 13-year-old female patient with biliary atresia underwent LDLT using a posterior segment graft from her mother. The graft had two hepatic veins (HVs), which included the right HV (RHV; 15 mm) and the inferior RHV (IRHV; 20 mm). The graft RHV and IRHV were formed into a single orifice using the donor's opened round ligament (60 mm × 20 mm) as a patch graft during bench surgery; it was then anastomosed end-to-side with the recipient inferior vena cava. The recipient had no post-transplant complications involving the HVs, but she died of septic shock with persistent cholangitis and jaundice 86 d after LDLT. The HV anastomotic site had no stenosis or thrombus on autopsy. On pathology, there was adequate patency and continuity between the recipient's HV and the donor's opened round ligament. In addition, the stains for CD31 and CD34 on the inner membrane of the opened round ligament were positive. Hepatic venous reconstruction using the opened round ligament as a venous patch graft is effective in LDLT, as observed on pathology.
[Mh] Termos MeSH primário: Falência Hepática/cirurgia
Transplante de Fígado/métodos
[Mh] Termos MeSH secundário: Adolescente
Atresia Biliar/cirurgia
Constrição Patológica/fisiopatologia
Evolução Fatal
Feminino
Veias Hepáticas/cirurgia
Seres Humanos
Imuno-Histoquímica
Doadores Vivos
Complicações Pós-Operatórias
Ligamentos Redondos/cirurgia
Choque Séptico/mortalidade
Trombose/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170517
[Lr] Data última revisão:
170517
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160929
[St] Status:MEDLINE
[do] DOI:10.3748/wjg.v22.i34.7851


  4 / 17 MEDLINE  
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[PMID]:27594117
[Au] Autor:Nishitai R; Shindoh J; Yamaoka T; Akahane M; Kokudo N; Manaka D
[Ad] Endereço:Department of Surgery, Kyoto-Katsura Hospital, Japan. Electronic address: rnishi@katsura.com.
[Ti] Título:Biliary architecture of livers exhibiting right-sided ligamentum teres: an indication for preoperative cholangiography prior to major hepatectomy.
[So] Source:HPB (Oxford);18(11):929-935, 2016 Nov.
[Is] ISSN:1477-2574
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To obtain information about the basic biliary anatomy of livers with right-sided ligamentum teres (RSLT). SUMMARY OF BACKGROUND DATA: RSLT is a relatively rare anomaly with a reported incidence of 0.2-1.2%. Although the portal/hepatic venous and arterial anatomy of livers with RSLT has already been established, the biliary architecture of such livers remains unclear. METHODS: RSLT was detected in 48 patients during 12,071 consecutive image readings (0.4%). Of these patients, the cholangiograms of 46 patients were analyzed, and their intrahepatic biliary tree confluence patterns were classified. RESULTS: The following four unique biliary confluence patterns were identified in livers with RSLT: the symmetrical type (23/46), independent right lateral type (13/46), total left type (6/46), and total right type (1/46). Analyses of the portal and arterial branching patterns of these livers showed that there were no correlations between their biliary confluence patterns and their portal or arterial ramification patterns. CONCLUSION: The basic biliary architecture of livers with RSLT was clarified. As the RSLT patients' anomalous biliary confluences differed from those seen in normal livers and were difficult to predict, preoperative cholangiography should be performed prior to complex hepatobiliary surgery involving livers with RSLT to ensure patient safety.
[Mh] Termos MeSH primário: Ductos Biliares Intra-Hepáticos/diagnóstico por imagem
Colangiopancreatografia por Ressonância Magnética
Hepatectomia
Fígado/diagnóstico por imagem
Ligamentos Redondos/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Ductos Biliares Intra-Hepáticos/anormalidades
Ductos Biliares Intra-Hepáticos/cirurgia
Seres Humanos
Imagem Tridimensional
Fígado/anormalidades
Fígado/cirurgia
Valor Preditivo dos Testes
Interpretação de Imagem Radiográfica Assistida por Computador
Ligamentos Redondos/anormalidades
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160906
[St] Status:MEDLINE


  5 / 17 MEDLINE  
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[PMID]:27428883
[Au] Autor:Seeley MA; Georgiadis AG; Sankar WN
[Ad] Endereço:From the Department of Orthopaedic Surgery, Geisinger Medical Center, Danville, PA (Dr. Seeley), the Department of Orthopaedic Surgery, Gillette Children's Specialty Healthcare, St. Paul, MN (Dr. Georgiadis), and the Department of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA (Dr. Sankar).
[Ti] Título:Hip Vascularity: A Review of the Anatomy and Clinical Implications.
[So] Source:J Am Acad Orthop Surg;24(8):515-26, 2016 Aug.
[Is] ISSN:1940-5480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Throughout development, the vascular supply to the proximal femur and acetabulum undergoes a series of changes during which it is susceptible to injury. Before age 3 months, the ligamentum teres and lateral epiphyseal arteries are the dominant supply to the developing head. The dominant supply shifts to the lateral epiphyseal vessels by age 18 months. The distinct metaphyseal and epiphyseal circulations of the adult proximal femur form in adolescence when an increasingly rich metaphyseal circulation supplies the subphyseal region, terminating at the physeal plate. The acetabular blood supply derives from two independent systems, with the dominance of each changing throughout maturity. Most descriptions of the vascular contributions to the proximal femur and acetabulum have been gross anatomic and histologic studies. Advanced imaging studies (eg, CT angiography, perfusion MRI) have added to our understanding of the vascular anatomy of the proximal femur and acetabulum, its changes throughout development, and its clinical implications.
[Mh] Termos MeSH primário: Quadril/irrigação sanguínea
[Mh] Termos MeSH secundário: Acetábulo/irrigação sanguínea
Acetábulo/crescimento & desenvolvimento
Artéria Femoral/anatomia & histologia
Artéria Femoral/crescimento & desenvolvimento
Cabeça do Fêmur/irrigação sanguínea
Cabeça do Fêmur/crescimento & desenvolvimento
Quadril/crescimento & desenvolvimento
Seres Humanos
Ligamentos Redondos/irrigação sanguínea
Ligamentos Redondos/crescimento & desenvolvimento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160719
[St] Status:MEDLINE
[do] DOI:10.5435/JAAOS-D-15-00237


  6 / 17 MEDLINE  
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[PMID]:27373179
[Au] Autor:Larson CM
[Ad] Endereço:Edina, Minnesota.
[Ti] Título:Editorial Commentary: Ligamentum Teres Tears and Femoroacetabular Impingement: Complex Coexistence of Impingement and Instability.
[So] Source:Arthroscopy;32(7):1298-9, 2016 Jul.
[Is] ISSN:1526-3231
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In a large Level IV case series of 2,213 hip arthroscopies with the diagnosis of femoroacetabular impingement, the intraoperative status of the ligamentum teres (LT) was recorded as normal in 11%, frayed and/or partially torn in 88%, and completely torn in 1.5% of hips. Although specific physical examination maneuvers for detecting LT tears were not available early in the study period, thus limiting a detailed assessment of such tests, the authors identified that female gender, a lower lateral center edge angle, a higher Tonnis angle, and capsular laxity were all associated with complete LT tears. This study further supports the complex coexistence of impingement and instability.
[Mh] Termos MeSH primário: Impacto Femoroacetabular
Ligamentos Articulares/cirurgia
[Mh] Termos MeSH secundário: Artroscopia
Feminino
Lesões do Quadril
Seres Humanos
Ligamentos Redondos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160705
[St] Status:MEDLINE


  7 / 17 MEDLINE  
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[PMID]:26781156
[Au] Autor:Schmaranzer F; Klauser A; Kogler M; Henninger B; Forstner T; Reichkendler M; Schmaranzer E
[Ad] Endereço:Inselspital, University of Bern, Department of Orthopaedic Surgery, Freiburgstrasse, 3010 Bern, Switzerland; Medical University Innsbruck, Department of Radiology, Anichstraße 35, 6020 Innsbruck, Austria. Electronic address: forian.schmaranzer@insel.ch.
[Ti] Título:MR arthrography of the hip with and without leg traction: Assessing the diagnostic performance in detection of ligamentum teres lesions with arthroscopic correlation.
[So] Source:Eur J Radiol;85(2):489-97, 2016 Feb.
[Is] ISSN:1872-7727
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To retrospectively assess the diagnostic performance of hip MR arthrography with and without traction in detecting ligamentum teres (LT) lesions with arthroscopic correlation and to evaluate the effect of traction on the imaging appearance of the LT. METHODS: 73 MR arthrograms (73 consecutive patients, mean age, 34.5 years; range, 14-55 years) obtained without and with leg traction (application of 15-23 kg, use of a supporting plate for the contralateral leg) were included. Two blinded readers independently evaluated LT lesions on MR arthrograms on separate occasions: coronal images without traction; coronal images with traction; a multiplanar traction protocol. MR findings were correlated with arthroscopic records. Sensitivity/specificity of traction and non-traction imaging was compared on coronal images with the exact McNemar test. Imaging appearance of the LT with and without traction was assessed in consensus and compared on coronal images using McNemar and McNemar-Bowker tests. (p<0.05, * corrected for type I error). RESULTS: With arthroscopy 29 (40%) LT lesions were identified in 73 patients. Sensitivity was 72%/90% (without traction/with traction; p=0.25*), specificity was 89%/77% (p=0.25*) for reader 1 in assessing coronal images and for reader 2 sensitivity was 59%/86% (p=0.044*) and specificity was 93%/82% (p=0.25*). Alterations in fiber orientation, signal intensity, surface, dimension, fiber continuity after application of traction were observed in 33/73 (45%, p=0.002*), 6/73 (8%, p=0.223), 9/73 (12%, p=0.36*), 6/73 (8%, p=0.031) respectively 9/73 (12%, p=0.003) cases. Traction-related alterations in at least one criterion were observed in 41/73 (56%) cases. CONCLUSION: Application of traction can considerably alter the imaging appearance of the LT and resulted in higher rates of true-positive and false-positive findings compared to conventional MR arthrography.
[Mh] Termos MeSH primário: Artrografia/métodos
Artroscopia/métodos
Lesões do Quadril/patologia
Imagem por Ressonância Magnética/métodos
Ligamentos Redondos/lesões
Ligamentos Redondos/patologia
Tração
[Mh] Termos MeSH secundário: Adolescente
Adulto
Meios de Contraste
Feminino
Gadolínio DTPA
Articulação do Quadril/patologia
Seres Humanos
Aumento da Imagem
Iopamidol
Masculino
Meia-Idade
Reprodutibilidade dos Testes
Estudos Retrospectivos
Sensibilidade e Especificidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contrast Media); JR13W81H44 (Iopamidol); K2I13DR72L (Gadolinium DTPA)
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160119
[Lr] Data última revisão:
160119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160120
[St] Status:MEDLINE


  8 / 17 MEDLINE  
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[PMID]:26501482
[Au] Autor:Matsumoto T; Aoki T; Iso Y; Tago K; Shimoda M; Kubota K
[Ti] Título:Successful Right Hemihepatectomy for a Patient with Right-Sided Round Ligament.
[So] Source:J Gastrointest Surg;20(2):470-2, 2016 Feb.
[Is] ISSN:1873-4626
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Right-sided round ligament (RSRL) is a rare congenital anomaly that is strongly associated with a number of intrahepatic vascular anomalies. Here, we report a 77-year-old male case of hepatolithiasis associated with RSRL for which resection was performed using right hemi-hepatectomy (RHH). Intraoperative ultrasonography revealed that the portal branch of segment 4 ramified from the right anterior portal branch, and the patient was diagnosed as having RSRL. To decide the resection line, the portal branch of segment 4 was punctured and stained with indigo carmine under ultrasonographic guidance, clearly demonstrating the demarcation line between the right and left hemiliver. RHH was then carried out successfully without injuring the portal branch of segment 4.
[Mh] Termos MeSH primário: Hepatectomia/métodos
Litíase/diagnóstico
Litíase/cirurgia
Hepatopatias/diagnóstico
Hepatopatias/cirurgia
Ligamentos Redondos/anormalidades
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:171104
[Lr] Data última revisão:
171104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151027
[St] Status:MEDLINE


  9 / 17 MEDLINE  
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[PMID]:26437987
[Au] Autor:Matito-Díaz MJ; Blanco-Fernández G; Fernández-Pérez J; López-Guerra D
[Ad] Endereço:Cirugía General y Aparato Digestivo, Hospital Infanta Cristina (Badajoz), España.
[Ti] Título:Leiomyoma of the round ligament of the liver: report of one case.
[So] Source:Rev Esp Enferm Dig;107(10):644-6, 2015 Oct.
[Is] ISSN:1130-0108
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:Tumoral conditions in the round ligament of the liver are very uncommon and exhibit nonspecific manifestations, hence a high level of suspicion is necessary for their diagnosis. We report the case of a 47-year-old female patient who presented with abdominal pain for several months; imaging studies showed a lesion of indeterminate nature likely connected with the falciform ligament, and only intraoperative findings acknowledged the presence of an apparently benign tumor in the round ligament of the liver, which biopsy confirmed. Following the excision of the round ligament the patient had a favorable course. As this is a pathologically benign lesion we deem its surgical management both advisable and sufficient. However, because of its small prevalence and the scarcity of literature involving this condition, further studies would be needed to provide information on natural history, treatment, and long-term prognosis.
[Mh] Termos MeSH primário: Leiomioma/cirurgia
Neoplasias Hepáticas/cirurgia
Ligamentos Redondos/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Leiomioma/diagnóstico por imagem
Leiomioma/patologia
Neoplasias Hepáticas/diagnóstico por imagem
Neoplasias Hepáticas/patologia
Imagem por Ressonância Magnética
Meia-Idade
Ligamentos Redondos/diagnóstico por imagem
Ligamentos Redondos/patologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170119
[Lr] Data última revisão:
170119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151007
[St] Status:MEDLINE
[do] DOI:10.17235/reed.2015.3725/2014


  10 / 17 MEDLINE  
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[PMID]:26344805
[Au] Autor:Halkia E; Kopanakis N; Valavanis C; Nikolaou G; Zouridis A; Vafias E; Datsis A; Spiliotis J
[Ti] Título:Is cholecystectomy and removal of the round ligament of the liver a necessary step in cytoreductive surgery and HIPEC, for peritoneal carcinomatosis?
[So] Source:Ann Ital Chir;86(4):323-6, 2015 Jul-Aug.
[Is] ISSN:2239-253X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:AIM: To determine if cholecystectomy and liver's round ligament removal is a necessary step during cytoreductive surgery (CRS) and HIPEC METHODS: This was a retrospective observational study based on records from 180 patients treated in our center from 2005 to 2014. All patients have been offered CRS and HIPEC for peritoneal pseudomixoma (20 patients), peritoneal mesothelioma (7 patients), peritoneal carcinomatosis from ovarian cancer (66 patients), colorectal cancer (42 patients), gastric cancer (10 patients), mucinous adenocarcinoma of the appendix (28), and other abdominal malignancies (7 patients). We performed a cholecystectomy and we removed the round ligament of the liver in all patients, even if there wasn't a macroscopic tumor infiltration of the above anatomical structures. We reviewed the histological reports of all 180 patients. RESULTS: Patients with peritoneal carcinomatosis from mucinous adenocarcinoma of the appendix were treated more aggressively, due to the macroscopic appearance of the disease. Histologic report show no evidence of metastases at the round ligament of the liver in 21, 4% of the patients that were treated with CRS although it was estimated to be involved based on the macroscopic examination at the time of surgery. Tumor involvement of the gallbladder was overestimated, macroscopically, at the same patients in 25% of the cases. In patients with peritoneal carcinomatosis from ovarian cancer, macroscopic appearance of the gallbladder may be delusive. In 25% of the above patients there was a microscopic tumor involvement of the gallbladder, although there was not macroscopic evidence of the disease. CONCLUSION: More extended cytoreductive surgery is needed in case of peritoneal carcinimatosis from ovarian cancer. In case of PC from mucinous adenocarcinoma of the appendix, it's difficult to calculate the extent of the disease and avoid unnecessary surgical excisions. More data is needed to confirm the above. KEY WORDS: Cytoreductive surgery, Gallbladder, HIPEC, Peritoneal carcinomatosis, Round ligament of the liver.
[Mh] Termos MeSH primário: Colecistectomia
Procedimentos Cirúrgicos de Citorredução
Fígado/cirurgia
Neoplasias Peritoneais/cirurgia
Ligamentos Redondos/cirurgia
[Mh] Termos MeSH secundário: Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico
Terapia Combinada
Feminino
Seres Humanos
Hipertermia Induzida
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150908
[St] Status:MEDLINE



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