{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:46Z","timestamp":1740126826271,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hepatocellular carcinoma (HCC)\u00a0often arises in cirrhotic livers. Generally, decompensated liver cirrhosis is a contraindication to surgery. Even in compensated liver cirrhosis, liver resection for HCC carries a high risk of post-hepatectomy liver failure and decompensation of cirrhosis. Thus, in current staging systems such as the Barcelona Classification of Liver Cancer (BCLC) or the Hong Kong Classification of Liver Cancer (HKLC), liver resection is limited to smaller tumors in compensated cirrhosis. While transjugular portosystemic stent shunts (TIPSS) are widely used for the treatment of complications of portal hypertension such as recurrent esophageal bleeding or refractory ascites, the presence of a TIPSS is generally considered a contraindication for liver resection. Herein, we describe \u2013 to our knowledge for the first time \u2013 liver resection of an intermediate HCC with a diameter of 11 cm in a patient who had previously received a TIPSS for decompensated cirrhosis. With open surgery, radical resection (R0) was able to be achieved, and the patient left the hospital after 6 days following an uncomplicated postoperative course. Thus, in highly selected cases, liver resection following TIPSS may be considered.<\/jats:p>","DOI":"10.1055\/a-1791-2192","type":"journal-article","created":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T23:10:28Z","timestamp":1655161828000},"page":"390-393","source":"Crossref","is-referenced-by-count":1,"title":["Liver resection after Transjugular Portosystemic Stent Shunt (TIPSS)"],"prefix":"10.1055","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0132-618X","authenticated-orcid":false,"given":"Svenja","family":"Sliwinski","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Transplant, and Thoracic Surgery, Hospital of the Goethe University Frankfurt, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Trojan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital of the Goethe University Frankfurt Center of Internal Medicine, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Mader","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital of the Goethe University Frankfurt Center of Radiology, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Vogl","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital of the Goethe University Frankfurt Center of Radiology, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolf","family":"Bechstein","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Transplant, and Thoracic Surgery, Hospital of the Goethe University Frankfurt, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2725","DOI":"10.3748\/wjg.v22.i9.2725","article-title":"Liver surgery in cirrhosis and portal hypertension","volume":"22","author":"C Hackl","year":"2016","journal-title":"World J Gastroenterol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"4054","DOI":"10.3748\/wjg.v23.i22.4054","article-title":"Barcelona Clinic Liver Cancer outperforms Hong Kong Liver Cancer staging of hepatocellular carcinoma in multiethnic Asians: Real-world perspective","volume":"23","author":"JW Li","year":"2017","journal-title":"World J Gastroenterol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1016\/j.jchir.2009.05.013","article-title":"D\u00e9rivation portocave intrah\u00e9patique transjugulaire avant chirurgie h\u00e9patique en cas de cirrhose compliqu\u00e9e d\u2019hypertension portale","volume":"146","author":"M Chalret Du Rieu","year":"2009","journal-title":"J Chir (Paris)"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"100122","DOI":"10.1016\/j.jhepr.2020.100122","article-title":"Where does TIPS fit in the management of patients with cirrhosis?","volume":"2","author":"JC Garc\u00eda-Pag\u00e1n","year":"2020","journal-title":"JHEP Reports"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1002\/hep.20559","article-title":"The role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension","volume":"41","author":"TD Boyer","year":"2005","journal-title":"Hepatology"},{"key":"ref6","first-page":"406","article-title":"The transjugular intrahepatic portosystemic stent-shunt. A new nonsurgical  percutaneous method","volume":"29","author":"GM Richter","year":"1989","journal-title":"Radiologe"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"330","DOI":"10.20524\/aog.2018.0249","article-title":"Preoperative elective transjugular intrahepatic portosystemic shunt for cirrhotic patients undergoing abdominal surgery","volume":"31","author":"D Jain","year":"2018","journal-title":"Ann Gastroenterol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"rjw089","DOI":"10.1093\/jscr\/rjw089","article-title":"A Glasgow Tipple\u2014transjugular intrahepatic portosystemic shunt insertion prior to Whipple resection","volume":"2016","author":"SAA Jabbar","year":"2016","journal-title":"J Surg Case Reports"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1038\/s41572-020-00240-3","article-title":"Hepatocellular carcinoma","volume":"7","author":"JM Llovet","year":"2021","journal-title":"Nat Rev Dis Primers"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"453","DOI":"10.20524\/aog.2021.0632","article-title":"Recent advances in the surgical management of hepatocellular carcinoma","volume":"34","author":"GK Glantzounis","year":"2021","journal-title":"Ann Gastroenterol"}],"container-title":["Zeitschrift f\u00fcr Gastroenterologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1791-2192.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T00:16:27Z","timestamp":1681258587000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1791-2192"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,13]]},"references-count":10,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2023,4,11]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1791-2192","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-2771","1439-7803"],"issn-type":[{"type":"print","value":"0044-2771"},{"type":"electronic","value":"1439-7803"}],"subject":[],"published":{"date-parts":[[2022,6,13]]}}}