Vol 11, No 5 (October 10, 2022): Hepatobiliary Surgery and Nutrition

Original Article

Highly variable biodistribution of 68Ga labeled somatostatin analogues 68Ga-DOTA-NOC and 68Ga-DOTA-TATE in neuroendocrine tumors: clinical implications for somatostatin receptor directed PET/CT
Monica Cheng, Mark Tann
This study investigates 68Ga-DOTA-PET imaging for monitoring disease state in NETs and demonstrates significant variability in SUV in both normal tissues as well as in primary and metastatic lesions. The data support the need for incorporation of more reliable quantitative measures for clinical decision making.
One- versus two-stage partial hepatectomy for large resectable solitary hepatocellular carcinomas determined preoperatively to have a narrow resection margin: a propensity score matching analysis
Yao Li, Peng-Peng Li, Da-Peng Sun, Jun-Sheng Ni, Hui Liu, Ze-Ya Pan, Yuan Yang, Ling-Hao Zhao, Wan Yee Lau, Gang Huang, Wei-Ping Zhou
For patients with a large but resectable solitary HCC of >5cm in diameter and a preoperative estimated resection margin, of <1.0cm, two-stage resection could extend resection margins and resulted in significantly better long-term survival outcomes after partial hepatectomy.
Automated liver tumor detection in abdominal ultrasonography with a modified faster region-based convolutional neural networks (Faster R-CNN) architecture
Kenji Karako, Yuichiro Mihara, Junichi Arita, Akihiko Ichida, Sung Kwan Bae, Yoshikuni Kawaguchi, Takeaki Ishizawa, Nobuhisa Akamatsu, Junichi Kaneko, Kiyoshi Hasegawa, Yu Chen
We constructed the model based on Faster region-based Convolutional Neural Networks for the detection of tumor tissues and blood vessels from the sequential liver ultrasound images. The comparison between the proposed model and the based model shows that we achieved better accuracy in tumor detection.
The influence of 18F-fluorodeoxyglucose positron emission tomography/computed tomography on the N- and M-staging and subsequent clinical management of intrahepatic cholangiocarcinoma
Youpei Lin, Huanhuan Chong, Guohe Song, Chenhao Zhang, Liangqing Dong, Ling Aye, Fei Liang, Shuaixi Yang, Mengsu Zeng, Guangyu Ding, Shu Zhang, Jieyi Shi, Aiwu Ke, Xiaoying Wang, Jian Zhou, Jia Fan, Qiang Gao
PET/CT is superior to conventional imaging in diagnosing lymph node metastasis and distant metastasis, which improves the accuracy of tumor staging from 60.1% to 71.8%, and refines clinical management in 5.8% of ICC patients. PET/CT may bring survival benefits for ICC patients.

Review Article

Comparative effectiveness of medical treatment vs. metabolic surgery for histologically proven non-alcoholic steatohepatitis and fibrosis: a matched network meta-analysis
Adrian T. Billeter, Beatrice Reiners, Svenja E. Seide, Pascal Probst, Eva Kalkum, Christian Rupp, Beat P. Müller-Stich
Using a novel method for network meta-analysis, the effectiveness of surgical and non-surgical therapies including the newly developed drugs was compared. Surgery is more effective to resolve NASH compared to drug treatment and while both are equally effective regarding improvement of fibrosis.
Neoadjuvant radiotherapy for resectable hepatocellular carcinoma with portal vein tumor thrombus: a systematic review
Zhewen Wei, Jianjun Zhao, Xinyu Bi, Yefan Zhang, Jianguo Zhou, Zhiyu Li, Zhen Huang, Hong Zhao, Jianqiang Cai
HCC with Type II and Ⅲ PVTT are the most common in the included patients. 22.8% patients are evaluated as partial response after preoperative radiotherapy. Neoadjuvant radiotherapy followed by hepatectomy prolongs the survival for resectable HCC with PVTT.

Editorial

Ethical issues in innovative clinical research
Yudong Qiu
Hepatocellular carcinoma mutation landscape and its differences between Asians and Whites
Xingte Chen, Qiao Ke, Lei Wang
Liver cirrhosis and sarcopenia: a dreadful combination
Mohammad Shafi Kuchay, José Ignacio Martínez-Montoro, Camilo Julio Llamoza-Torres, José Carlos Fernández-García, Bruno Ramos-Molina
ALPPS and the endless pursuit of hepatic resectability
Matthew Byrne, Luis I. Ruffolo, Roberto Hernandez-Alejandro
The growing threat of non-alcoholic fatty liver disease-related hepatocellular carcinoma
Margaret L. P. Teng, Kai En Chan, Darren J. H. Tan, Daniel Q. Huang
Body fat distribution: a crucial target for intervention in nonalcoholic fatty liver disease and fibrosis
Karn Wijarnpreecha, Aijaz Ahmed, Donghee Kim
Enlarged and uncommon indications for ALPPS—where do we stand?
Stéphanie Truant
Is the exposure to liver transplantation worthwhile for trainees in liver surgery?
Matteo Donadon, Paolo Baroffio
Breast cancer liver metastasis: time to resection and criteria
Francesco Giovinazzo, Angela Bucaro, Salvatore Agnes
The microbiome as a potential diagnostic biomarker for pancreatic ductal adenocarcinoma (PDAC)
Roseanna C. Wheatley, Juan W. Valle, Mairéad G. McNamara
Hepatocellular carcinoma in non-alcoholic fatty liver disease from a clinical and public health perspective
Luis Antonio Díaz, Marco Arrese, Juan Pablo Arab
Determinants of prognosis in cirrhosis: a new outlook
Lorenzo Ridola, Stefania Gioia, Jessica Faccioli, Silvia Nardelli, Oliviero Riggio
Advancing proteomics and machine learning in the clinic: an editorial on “Noninvasive proteomic biomarkers for alcohol-related liver disease
Courtney D. McGinnis, Brenton I. M. Graham, Peter S. Harris, Kristofer S. Fritz

Letter to the Editor

Emergent hybrid-dual-graft liver transplantation: a life-saving strategy for a patient with inadequate living donor graft during the COVID-19 pandemic
Yongsheng Xiao, Xiaowu Huang, Yinghong Shi, Zheng Wang, Xiaoying Wang, Yifeng He, Ting Wang, Jian Sun, Kang Song, Zhenbin Ding, Yinghao Shen, Yuanfei Peng, Zaozhuo Shen, Lei Yu, Kai Zhu, Hui Li, Di Zhou, Changhong Miao, Yuan Ji, Liuxiao Yang, Yingyong Hou, Xudong Qu, Jia Fan, Jian Zhou
18F-fluorodeoxyglucose positron emission tomography for intrahepatic cholangiocarcinoma N- and M-staging: should guidelines recommend it at last?
Maurizio Zizzo, Magda Zanelli, Francesca Sanguedolce, Annibale Versari, Pierpaolo Pattacini, Andrea Morini, Federica Mereu, Antonia Lavinia Zuliani, Alessandro Giunta