Determinants of the approach for hepatectomy Article Swipe
Background: The anterior approach (AA) technique has been advocated recently for right hepatectomy. However, the indications to opt for AA or conventional approach (CA) remain inconsistent. Objective: To evaluate preoperative factors influencing the approach for hepatectomy. Methods: A prospective study was performed on 17 patients who underwent hepatic resection from January 2014 to December 2015. All patients were planned to undergo hepatectomy with CA. The decision to adopt an AA was determined by the operating surgeon at the time of laparotomy when mobilization of the tumor before parenchymal transection was considered dangerous or difficult. Results: Comparing the pre operative characteristics of AA group with CA, there was no significant difference except for the total liver volume (TLV) (p = 0.0001), Tumor volume (TV) (p = 0.0001), and Largest Tumor Dimension (LTD) (p = 0.0001). Using Receiver Operating Characteristic Curve the volume with optimal sensitivity and specificity which may alter the intra-operative plan from conventional to anterior approach was at 1858 cc, 1130 cc and 11 cm for TLV, TV and LTD respectively. Outcome of hepatectomy in both groups were comparable to each other and to the available data. Conclusion: Of all the analyzed preoperative factors which may affect the approach for hepatectomy TLV, TV and LTD appear to be significant determinant factors.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7869/tg.421
- http://www.tropicalgastro.com/filedownload.aspx?id=1803
- OA Status
- diamond
- References
- 7
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2921129077
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2921129077Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.7869/tg.421Digital Object Identifier
- Title
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Determinants of the approach for hepatectomyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2017Year of publication
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2017-07-01Full publication date if available
- Authors
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Dinesh ZirpeList of authors in order
- Landing page
-
https://doi.org/10.7869/tg.421Publisher landing page
- PDF URL
-
https://www.tropicalgastro.com/filedownload.aspx?id=1803Direct link to full text PDF
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
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https://www.tropicalgastro.com/filedownload.aspx?id=1803Direct OA link when available
- Concepts
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Hepatectomy, Outcome (game theory), Prospective cohort study, Medicine, Computer science, Internal medicine, Surgery, Mathematics, Resection, Mathematical economicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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7Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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