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The hepatic bridge.

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Citation: European Journal of Surgical Oncology. 44(7):1083-1086, 2018 07.PMID: 29699839Institution: Washington Cancer InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Anatomic Variation | *Carcinoma/th [Therapy] | *Cytoreduction Surgical Procedures/mt [Methods] | *Peritoneal Neoplasms/th [Therapy] | *Peritoneum/ah [Anatomy & Histology] | *Round Ligament of Liver/ah [Anatomy & Histology] | *Sarcoma/th [Therapy] | Antineoplastic Agents/ad [Administration & Dosage] | Appendiceal Neoplasms/pa [Pathology] | Carcinoma/sc [Secondary] | Colorectal Neoplasms/pa [Pathology] | Female | Humans | Hyperthermia, Induced | Infusions, Parenteral | Liver/ah [Anatomy & Histology] | Male | Middle Aged | Ovarian Neoplasms/pa [Pathology] | Peritoneal Neoplasms/sc [Secondary] | Sarcoma/sc [Secondary] | Sex FactorsYear: 2018 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007ISSN:

0748-7983

Name of journal: European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical OncologyAbstract: BACKGROUND: The hepatic bridge forms a tunnel of liver parenchyma that may obscure peritoneal metastases associated with the round ligament. Visualization and then resection of nodules associated with this structure is necessary.CONCLUSIONS: Approximately one-half of our patients having cytoreductive surgery for peritoneal metastases were observed to have a hepatic bridge. Up to 56% of these patients have Class 2 or 3 hepatic bridge and may require division of the hepatic bridge to completely visualize the contents of the tunnel created by this structure.Copyright (c) 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.MATERIALS AND METHODS: The incidence of a hepatic bridge and the extent that it covered the round ligament was determined in consecutive patients. Extent of coverage of the round ligament by the hepatic bridge was determined: Class 1 indicates up to one-third of the round ligament obscured, Class 2 up to two-thirds and Class 3 more than two-thirds.RESULTS: In 102 patients in whom the round ligament of the liver could be completely visualized, 50 had a hepatic bridge. Class 1 was 22 (44%) of the bridges, Class 2 was 16 (32%) and Class 3 was 12 (24%). A hepatic bridge was more frequently present in 28 of 45 male patients (62%) vs. 22 of 57 female patients (38%).All authors: Sugarbaker PHFiscal year: FY2018Digital Object Identifier:

https://dx.doi.org/10.1016/j.ejso.2018.03.031

Date added to catalog: 2018-05-08

Holdings ( 1 )
Title notes ( 7 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	29699839	Available		29699839

Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007

BACKGROUND: The hepatic bridge forms a tunnel of liver parenchyma that may obscure peritoneal metastases associated with the round ligament. Visualization and then resection of nodules associated with this structure is necessary.

CONCLUSIONS: Approximately one-half of our patients having cytoreductive surgery for peritoneal metastases were observed to have a hepatic bridge. Up to 56% of these patients have Class 2 or 3 hepatic bridge and may require division of the hepatic bridge to completely visualize the contents of the tunnel created by this structure.

MATERIALS AND METHODS: The incidence of a hepatic bridge and the extent that it covered the round ligament was determined in consecutive patients. Extent of coverage of the round ligament by the hepatic bridge was determined: Class 1 indicates up to one-third of the round ligament obscured, Class 2 up to two-thirds and Class 3 more than two-thirds.

RESULTS: In 102 patients in whom the round ligament of the liver could be completely visualized, 50 had a hepatic bridge. Class 1 was 22 (44%) of the bridges, Class 2 was 16 (32%) and Class 3 was 12 (24%). A hepatic bridge was more frequently present in 28 of 45 male patients (62%) vs. 22 of 57 female patients (38%).

English