Virtual Journal Club

HPB Virtual Journal Club

The Editors of HPB are pleased to offer an exciting new educational module to our website: HPB Virtual Journal Club. Our goal is to provide you with an easy and enjoyable method for learning about a key HPB topic. We select the key recent articles for you, and provide Learning Objectives around which to build your discussion. We encourage you to gather your colleagues and learn together through HPB Virtual Journal Club. Enjoy!

O. James Garden
Mark P. Callery
Saxon Connor
Stephen J Wigmore

List of issues

Issue 3, May 2012: “Advances in Contemporary Liver Resection Surgery”
read online

Issue 2, August 2011: “Biliary Injury: Avoidance, Diagnosis & Management”
read online

Issue 1, March 2011: “Update on Acute Pancreatitis”
read online

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HPB Virtual Journal Club Number 2, May 2012

“Advances in Contemporary Liver Resection Surgery”

As morbidity and mortality rates continue to fall worldwide for liver resection surgery, new outcome metrics are being refined to reflect overall quality better. This occurs in parallel to technical advances for hepatectomy. As a result, the indications for liver resection broaden, and this is especially true for the management of colorectal cancer liver metastases. These recently published HPB articles together with expert procedure videos provide your Journal Club the content to meet these Learning Objectives:

• Understand why mortality data following liver resection is most meaningful and accurate using 90-day mortality rates.
• Understand how a pre-operative validated nomogram can predict the risk of peri-operative mortality after liver resection for cancer.
• Understand today’s newest definition for post-hepatectomy hemorrhage as standardized by a collaborative international study group.
• Understand how new technology can enable surgeons to limit intra-operative blood loss and improve outcomes for hepatectomy.
• Review short- and long-term outcomes achieved by experts utilizing extended left hepatectomy for colorectal cancer liver metastases.
• Review outcomes achieved by experts utilizing repeat hepatectomy for recurrent colorectal cancer liver metastases.
• Understand how FDG-PET/CT can optimize pre-operative staging and guide management decisions for patients with colorectal cancer liver metastases.

1	Refining the definition of perioperative mortality following hepatectomy using death within 90 days as the standard criterion Skye C. Mayo, Andrew D. Shore, Hari Nathan, Barish H. Edil, Kenzo Hirose, Robert A. Anders, Christopher L. Wolfgang, Richard D. Schulick, Michael A. Choti and Timothy M. Pawlik HPB 2011; 13: 473-482.
2	External validation of a pre-operative nomogram predicting peri-operative mortality risk after liver resections for malignancy Mashaal Dhir, Srinevas K. Reddy, Lynette M. Smith, Fred Ullrich, James Wallis Marsh, Allan Tsung, David A. Geller and Chandrakanth Are HPB 2011; 13: 817-822.
3	Post-hepatectomy haemorrhage: a definition and grading by the International Study Group of Liver Surgery (ISGLS) Nuh N. Rahbari, O. James Garden, Robert Padbury, Guy Maddern, Moritz Koch, Thomas J. Hugh, Sheung Tat Fan, Yuji Nimura, Joan Figueras, Jean-Nicolas Vauthey, Myrddin Rees, Rene Adam, Ronald P. DeMatteo, Paul Greig, Val Usatoff, Simon Banting, Masato Nagino, Lorenzo Capussotti, Yukihiro Yokoyama, Mark Brooke-Smith, Michael Crawford, Christopher Christophi, Masatoshi Makuuchi, Markus W. Büchler and Jürgen Weitz HPB 2011; 13: 528-535.
4	Modification of right hepatectomy results in improvement outcome: a retrospective comparative study Jeff Siu-Wang Wong, Kit-Fai Lee, Yue-Sun Cheung, Ching-Ning Chong, John Wong and Paul Bo-San Lai HPB 2011; 13: 431-437.
5	Short- and long-term results of extended left hepatectomy for colorectal metastases Dennis A. Wicherts, Robbert J. de Haas, Paola Andreani, Arie Ariche, Chady Salloum, Gérard Pascal, Denis Castaing, René Adam and Daniel Azoulay HPB 2011; 13: 536-543.
6	Repeat hepatectomy for recurrent colorectal liver metastases is associated with a high survival rate Andreas Andreou, Antoine Brouquet, Eddie K. Abdalla, Thomas A. Aloia, Steven A. Curley and Jean-Nicolas Vauthey HPB 2011; 13: 774-782.
7	The role of 18FDG PET/CT in the management of colorectal liver metastases Alec H. Engledow, James R.A. Skipworth, Farrokh Pakzad, Charles Imber, Peter J. Ell and Ashley M. Groves HPB 2012; 14: 20-25.
8	VIDEO: IVC Techniques in Liver Resection Peter Lodge, Rajendra Prasad and Giles Toogood
9	VIDEO: The Extraglissonian Approach Professor Joan Figueras Felip

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HPB Virtual Journal Club Number 2, August 2011

“Biliary Injury: Avoidance, Diagnosis & Management”

Biliary Injury is the most severe complication of laparoscopic cholecystectomy. It causes lasting morbidity, can be fatal, increases health care costs, and often results in litigation. These recently published HPB articles together with an expert video provide your Journal Club the content to meet these Learning Objectives:

• Understand why surgeon expertise combined with multidisciplinary care models render optimal outcomes for biliary injury repair.
• Understand how commonly associated vascular injuries compound the severity of iatrogenic biliary injuries.
• Understand why and how the timing of biliary injury repair may factor in outcomes.
• Review an expert video to learn four technical maneuvers that can help you avoid biliary injury during Cholecystectomy.
• Understand the efficacy of ERCP in the management of biliary injury.
• Understand the role of concurrent hepatectomy in the overall management of biliary injury.
• Understand the management options for excluded segmental biliary leakage following hepatectomy (Nagano type D).
  
  

1	Transition from a low- to a high-volume centre for bile duct repair: changes in technique and improved outcome Miguel Ángel Mercado, Bernardo Franssen, Ismael Dominguez, Juan Carlos Arriola-Cabrera, Fernando Ramírez-Del Val, Alejandro Elnecavé-Olaiz, Rigoberto Arámburo-García, Artemio García HPB 2011; Early View, DOI: 10.1111/j.1477-2574.2011.00356.x.
2	An analytical review of vasculobiliary injury in laparoscopic and open cholecystectomy Steven M. Strasberg, W. Scott Helton HPB 2011; 13: 1-14.
3	Laparoscopic bile duct injuries: timing of surgical repair does not influence success rate. A multivariate analysis of factors influencing surgical outcomes Lygia Stewart, Lawrence W. Way HPB 2009; 11: 516-522.
4	VIDEO: Prevention of Bile Duct Injuries Saxon Connor
5	Endoscopic management of post-cholecystectomy biliary fistula Michael W. Hii, David E. Gyorki, Kentaro Sakata, Richard J. Cade, Simon W. Banting HPB 2011; Early View, DOI: 10.1111/j.1477-2574.2011.00353.x.
6	Hepatic resection for post-cholecystectomy bile duct injuries: a literature review Stéphanie Truant, Emmanuel Boleslawski, Gilles Lebuffe, Géraldine Sergent, François-René Pruvot HPB 2010; 12: 334-341.
7	Management of excluded segmental bile duct leakage following liver resection Charles Honoré, Eric Vibert, Emir Hoti, Daniel Azoulay, René Adam, Denis Castaing HPB 2009; 11: 364-369.

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HPB Virtual Journal Club Number 1, March 2011

“Update on Acute Pancreatitis”

Acute pancreatitis is a common disease worldwide which causes significant morbidity and mortality and strains the resources of all healthcare systems. We have both evidence-based treatment guidelines and new minimally-invasive treatment approaches to consider. These recently published HPB articles together with an expert procedure video provide your Journal Club the content to meet these Learning Objectives:

• Understand the recent incidence of acute pancreatitis and what might contribute to the best treatment outcomes.
• Understand the patterns of individual and cumulative organ dysfunction in fatal pancreatitis.
• Understand how well evidence-based treatment guidelines for pancreatitis are actually being followed.
• Understand the incidence of and risk factors for post-ERCP pancreatitis.
• Review today’s techniques and outcomes for minimally invasive pancreatic necrosectomy. A comprehensive literature review and expert educational video are provided.
• Understand how minimally invasive pancreatic necrosectomy compares economically to the conventional open approach.
  
  

1	National hospital volume in acute pancreatitis: analysis of the Nationwide Inpatient Sample 1998–2006 Anand Singla, Nicholas G. Csikesz, Jessica P. Simons, You Fu Li, Sing Chau Ng, Jennifer F. Tseng and Shimul A. Shah HPB 2009; 11: 391-397.
2	Incidence of individual organ dysfunction in fatal acute pancreatitis: analysis of 1024 death records Damian J. Mole, Bayanne Olabi, Victoria Robinson, O. James Garden and Rowan W. Parks HPB 2009; 11: 166-170.
3	Surgical management of acute pancreatitis in Italy: lessons from a prospective multicentre study Paolo De Rai, Alessandro Zerbi, Laura Castoldi, Claudio Bassi, Luca Frulloni, Generoso Uomo, Armando Gabbrielli, Raffaele Pezzilli, Giorgio Cavallini and Valerio Di Carlo, the ProInf-AISP (Progetto Informatizzato Pancreatite Acuta, Associazione Italiana per lo Studio del Pancreas [Computerized Project on Acute Pancreatitis, Italian Association for the Study of the Pancreas]) Study Group HPB 2010; 12: 597-604.
4	Risk of pancreatitis after endoscopic retrograde cholangiopancreatography and endoscopic biliary drainage Hiroyuki Matsubayashi, Akira Fukutomi, Hideyuki Kanemoto, Atsuyuki Maeda, Kazuya Matsunaga, Katsuhiko Uesaka, Yosuke Otake, Noriaki Hasuike, Yuichiro Yamaguchi, Hisatomo Ikehara, Kohei Takizawa, Kentaroh Yamazaki and Hiroyuki Ono HPB 2009; 11: 222-228.
5	Current status of minimally invasive necrosectomy for post-inflammatory pancreatic necrosis Benoy Idicula Babu and Ajith Kumar Siriwardena HPB 2009; 11: 222-228.
6	VIDEO: Performing pancreatic necrosectomy via a minimally invasive approach Saxon Connor
7	A comparison of the hospital costs of open vs. minimally invasive surgical management of necrotizing pancreatitis Edwin Beenen, Lisa Brown and Saxon Connor  HPB 2011; 13: 178-184.

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