Article
Immunology
Yiwen Qiu, Bin Huang, Xianwei Yang, Tao Wang, Shu Shen, Yi Yang, Wentao Wang
Summary: This study analyzed the benefits and risks of ex vivo liver resection and autotransplantation (ELRA) in end-stage hepatic alveolar echinococcosis (AE). The long-term overall survival of the ELRA group was superior to that of the nonsurgical group, and patients with a predicted 12-month mortality risk >75% would significantly benefit from ELRA.
CLINICAL INFECTIOUS DISEASES
(2022)
Article
Infectious Diseases
Ting Sun, Tao Wang, Yiwen Qiu, Shu Shen, Xianwei Yang, Yi Yang, Bin Huang, Wentao Wang
Summary: This study evaluated the risk of major postoperative complications in end-stage HAE patients undergoing ELRA using a sarcopenia score and identified independent risk factors for predicting these complications. The findings provide valuable information for the development of relevant interventions for high-risk patients postoperatively.
INFECTION AND DRUG RESISTANCE
(2021)
Article
Infectious Diseases
Qirui Hu, Simin Chen, Yichen Fan, Qian Lu, Manjun Deng, Haining Fan
Summary: This case report describes a patient with hepatic alveolar echinococcosis who developed renal invasion 2 years after liver transplantation. The study suggests that patients with hepatic alveolar echinococcosis and definite metastatic lesions should be monitored for the presence of cryptogenic lesions. Immunosuppressive drugs after liver transplantation may contribute to the development of occult lesions into active ones. In clinical practice, particular attention should be given to patients with hepatic alveolar echinococcosis who have long-term unexplained urinary tract infections, as this may be an early clinical feature of cryptogenic renal alveolar echinococcosis.
BMC INFECTIOUS DISEASES
(2023)
Article
Surgery
Mohammad Golriz, Viktoria Flossmann, Ali Ramouz, Ali Majlesara, Yakup Kulu, Marija Stojkovic, Arianeb Mehrabi
Summary: This case report describes a successful robot-assisted major liver resection in a patient with liver alveolar echinococcosis (AE), highlighting the benefits of radical resection and the advantages of robotic surgery for curative treatment with clear margins.
FRONTIERS IN SURGERY
(2021)
Article
Microbiology
Florian Fronhoffs, Leona Dold, Marijo Parcina, Arne Schneidewind, Maria Willis, Thomas F. E. Barth, Tobias J. Weismueller, Taotao Zhou, Philipp Lutz, Julian A. Luetkens, Peter Gerlach, Steffen Manekeller, Joerg C. Kalff, Tim O. Vilz, Christian P. Strassburg, Glen Kristiansen
Summary: Primary sclerosing cholangitis is a significant cause of liver transplantation. Hepatic alveolar echinococcosis, caused by Echinococcus multilocularis, can be detected by ultrasound or CT scan of the liver showing characteristic calcified conglomerates. Symptoms of alveolar echinococcosis occur after a long period of infection, accompanied by cholestasis or cholangitis. This report presents a case of presumed autoimmune hepatitis and primary sclerosing cholangitis in a patient, and post-transplantation diagnosis revealed alveolar echinococcosis in the explanted liver.
Article
Public, Environmental & Occupational Health
A. Jide, Jinping Chai, Zongping Shao, Shunyun Zhao, Hao Wang, A. Xiangren, Jinyu Yang
Summary: This study aimed to compare the real efficacy of laparoscopic hepatectomy, radiofrequency ablation, microwave ablation, and medication in the treatment of hepatic alveolar echinococcosis, showing that laparoscopic hepatectomy has a significant effect in the treatment of early-stage hepatic AE, especially in reducing recurrence compared to other treatment methods.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Surgery
Yiwen Qiu, Xianwei Yang, Bin Huang, Gengfu Wei, Yin Chen, Kangmin Yang, Wentao Wang
Summary: This retrospective study examined the effects of different materials on perioperative outcomes in patients undergoing IVC reconstruction. It was found that the choice of IVC reconstruction material did not significantly affect postoperative outcomes, but artificial materials significantly increased inpatient cost.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Gastroenterology & Hepatology
Yusufukadier Maimaitinijiati, Tuerganaili AJi, Tie-Min Jiang, Bo Ran, Ying-Mei Shao, Rui-Qing Zhang, Qiang Guo, Mao-Lin Wang, Hao Wen
Summary: ELRA can be considered a safe and feasible option for end-stage hepatic AE patients with RHIVC infiltration. The RHIVC reconstruction methods should be selected appropriately depending on the defect degree of AE lesions in IVC lumen. The RHIVC resection without any reconstruction method should be considered with caution.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Editorial Material
Acoustics
Wolfgang Kratzer, Henriette Weimer, Julian Schmidberger
Summary: This article discusses the diagnostic difficulties and pitfalls of alveolar echinococcosis and cystic echinococcosis based on case histories.
ULTRASCHALL IN DER MEDIZIN
(2022)
Article
Medicine, General & Internal
Jiayidaer Humaerhan, Tie-Min Jiang, Tuerganaili Aji, Ying-Mei Shao, Hao Wen
Summary: We reported a case of a 26-year-old patient with hepatic AE who underwent complex inferior vena cava reconstruction during autologous liver graft using disease-free IVC, autologous portal vein fragments, and umbilical vein within the ligamentum teres hepatis. The patient had a good surgical recovery without vascular-related complications during long-term follow-up.
WORLD JOURNAL OF CLINICAL CASES
(2023)
Article
Surgery
Yiwen Qiu, Xianwei Yang, Tao Wang, Shu Shen, Yi Yang, Bin Huang, Wentao Wang
Summary: This study demonstrates that ELRA is feasible and safe with a learning curve of 53 cases for major postoperative complications.
FRONTIERS IN SURGERY
(2021)
Article
Immunology
Hanne Beeckmans, Gene P. L. Ambrocio, Saskia Bos, Astrid Vermaut, Vincent Geudens, Arno Vanstapel, Bart M. Vanaudenaerde, Frans De Baets, Thomas L. A. Malfait, Marie-Paule Emonds, Dirk E. Van Raemdonck, Helene M. Schoemans, Robin Vos, Leuven Lung Transplant Grp
Summary: Pulmonary alveolar proteinosis (PAP) is a rare lung disorder characterized by surfactant accumulation, and lung transplantation followed by hematopoietic stem cell transplantation may be an effective treatment for end-stage hereditary PAP-induced pulmonary fibrosis.
FRONTIERS IN IMMUNOLOGY
(2022)
Article
Surgery
Masateru Yamamoto, Tsuyoshi Kobayashi, Naruhiko Honmyo, Akihiko Oshita, Tomoyuki Abe, Toshihiko Kohashi, Takashi Onoe, Saburo Fukuda, Ichiro Omori, Yasuhiro Imaoka, Hideki Ohdan
Summary: Patients with hepatocellular carcinoma beyond the Barcelona Clinic Liver Cancer criteria can benefit from liver resection based on a predictive formula that considers a high a-fetoprotein level, macrovascular invasion, and high total tumor burden. Risk stratification using these factors can predict the prognosis and guide treatment decisions.
Article
Gastroenterology & Hepatology
Filippo Pelizzaro, Franco Trevisani, Vittorio Simeon, Alessandro Vitale, Umberto Cillo, Fabio Piscaglia, Gabriele Missale, Angelo Sangiovanni, Francesco G. Foschi, Giuseppe Cabibbo, Eugenio Caturelli, Maria Di Marco, Francesco Azzaroli, Maurizia R. Brunetto, Giovanni Raimondo, Gianpaolo Vidili, Maria Guarino, Antonio Gasbarrini, Claudia Campani, Gianluca Svegliati-Baroni, Edoardo G. Giannini, Andrea Mega, Alberto Masotto, Gian Ludovico Rapaccini, Donatella Magalotti, Rodolfo Sacco, Gerardo Nardone, Fabio Farinati
Summary: This study evaluated the incidence and predictors of non-transplantable recurrence in patients with single hepatocellular carcinoma (HCC) <= 5 cm treated with liver resection (LR). The results showed that HCC size >= 4 cm and high alpha-fetoprotein (AFP) level at the time of LR were independent predictors of recurrence beyond established criteria. Microvascular invasion and microsatellite lesions were identified as additional independent risk factors for non-transplantable recurrence.
LIVER INTERNATIONAL
(2023)
Article
Oncology
Tuerhongjiang Tuxun, Tao Li, Shadike Apaer, Yi-Biao He, Lei Bai, Shen-Sen Gu, Zhi-Peng Wang, Qiang Huo, Jiang Wang, Jin-Ming Zhao
Summary: This case study presents a case of a 33-year-old female patient with leiomyosarcoma at zone II-III of inferior vena cava with thrombi in three hepatic veins. The patient underwent ex vivo liver resection and autotransplantation (ELRA) and hepatic vein thrombectomy, with successful management of post-operative complications. Despite the aggressiveness of the procedure, ELRA could be considered in similar cases of advanced leiomyosarcoma with Budd-Chiari syndrome and hepatic vein thrombi.
FRONTIERS IN ONCOLOGY
(2021)
