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JOURNAL ARTICLE
Marshall W Wallace, Zachary J Kastenberg, Robert A Swendiman, Aaron W Eckhauser, Manuel Rodriguez-Davalos, Katie W Russell
In cases of uncontrollable hepatic hemorrhage or acute hepatic failure after trauma, liver transplantation can be a lifesaving procedure. Traumatic tricuspid valve injuries are rare, and symptoms can range from indolent to acute right heart failure. When concomitant, traumatic liver transplant and tricuspid injuries have significant physiologic interplay and management implications. We present a 14-year-old male injured in an all-terrain vehicle accident, who sustained a devastating disruption of the common bile duct and celiac artery injury, leading to acute hepatic failure, necessitating a two-stage liver transplantation...
March 22, 2024: American Surgeon
#22
JOURNAL ARTICLE
Thanatchawan Polvieng, Sermsak Hongjinda, Anuparp Thienhiran, Pipit Burasakarn, Pusit Fuengfoo
BACKGROUND: We aimed to study the prognostic impact of sarcopenia on overall survival (OS), disease-free survival (DFS), and postoperative outcomes among patients with Hepatocellular carcinoma (HCC) who underwent curative hepatic resection. METHODS: Data were collected retrospectively from patients with HCC underwent curative hepatic resection and preoperative abdominal computed tomography (CT) at our institution between January 2010 and December 2020. Sarcopenia was evaluated by the skeletal muscle mass at the inferior direction of the third-lumbar-vertebra (L3) cross-sectional area based on preoperative CT imaging using software analysis...
March 22, 2024: American Surgeon
#23
REVIEW
Matteo Pavone, Barbara Seeliger, Elena Teodorico, Marta Goglia, Cristina Taliento, Nicolò Bizzarri, Lise Lecointre, Cherif Akladios, Antonello Forgione, Giovanni Scambia, Jacques Marescaux, Antonia C Testa, Denis Querleu
INTRODUCTION: Ultrasound has been nicknamed "the surgeon's stethoscope". The advantages of laparoscopic ultrasound beyond a substitute for the sense of touch are considerable, especially for robotic surgery. Being able to see through parenchyma and into vascular structures enables to avoid unnecessary dissection by providing a thorough assessment at every stage without the need for contrast media or ionising radiation. The limitations of restricted angulation and access within the abdominal cavity during laparoscopy can be overcome by robotic handling of miniaturised ultrasound probes and the use of various and specific frequencies will meet tissue- and organ-specific characteristics...
March 21, 2024: Surgical Endoscopy
#24
JOURNAL ARTICLE
José Donizeti Meira-Júnior, Javier Ramos-Aranda, Javier Carrillo-Vidales, Erik Rodrigo Velásquez-Coria, Miguel Angel Mercado, Ismael Dominguez-Rosado
BACKGROUND: Bile duct injury (BDI) causes significant sequelae for the patient in terms of morbidity, mortality, and long-term quality of life, and should be managed in centers with expertise. Anatomical variants may contribute to a higher risk of BDI during cholecystectomy. AIMS: To report a case of bile duct injury in a patient with situs inversus totalis. METHODS: A 42-year-old female patient with a previous history of situs inversus totalis and a BDI was initially operated on simultaneously to the lesion ten years ago by a non-specialized surgeon...
2024: Brazilian Archives of Digestive Surgery: ABCD
#25
JOURNAL ARTICLE
Samuel Coster, Ali Shammout, Michael Chaney, Kyra Folkert, Kent Grosh, Saad Shebrain, Gitonga Munene
This study examines the safety and efficacy of using peak anti-Xa levels to achieve prophylactic enoxaparin (Lovenox, Sanofi-Aventis) levels in patients who underwent hepatic surgery. Prospectively enrolled patients undergoing major and minor hepatic procedures received postoperative enoxaparin dosing. The enoxaparin dose was adjusted to attain a peak anti-Xa level ≥ 0.20 U/ml. This group was compared to a historical cohort of patients who underwent similar procedures and received standard postoperative VTE chemoprophylaxis dosing...
March 15, 2024: American Surgeon
#26
JOURNAL ARTICLE
A B Alkhasov, A S Gurskaya, R R Bayazitov, O N Nakovkin, M A Sulavko, I V Karnuta, E V Ekimovskaya, I A Kyarimov, D M Akhmedova, A A Klepikova, S A Ratnikov, A P Fisenko
OBJECTIVE: To improve postoperative outcomes in newborns and infants with choledochal cysts and to determine the indications for surgery. MATERIAL AND METHODS: There were 13 children aged 0-3 months with choledochal cyst who underwent reconstructive surgery between 2019 and 2023. In all children, choledochal cyst was associated with cholestasis. Acholic stool was observed in almost half of the group ( n =7). All children underwent cyst resection and Roux-en-Y hepaticoenterostomy...
2024: Khirurgiia
#27
REVIEW
Pratik Chandra, Greg D Sacks
Colorectal cancer is the third most common cancer in the United States and the second most common cause of cancer-related death. Approximately 20-30% of patients will develop hepatic metastasis in the form of synchronous or metachronous disease. The treatment of colorectal liver metastasis (CRLM) has evolved into a multidisciplinary approach, with chemotherapy and a variety of locoregional treatments, such as ablation and portal vein embolization, playing a crucial role. However, resection remains a core tenet of management, serving as the gold standard for a curative-intent therapy...
February 26, 2024: Cancers
#28
JOURNAL ARTICLE
Muga Terasawa, Hiroshi Imamura, Marc Antoine Allard, Daniel Pietrasz, Oriana Ciacio, Gabriella Pittau, Chady Salloum, Antonio Sa Cunha, Daniel Cherqui, René Adam, Daniel Azoulay, Akio Saiura, Eric Vibert, Nicolas Golse
PURPOSE: In liver transplantation (LT) setting, to propose an innovative intraoperative criterion to judge arterial flow abnormality that may lead to early hepatic arterial occlusion, i.e. thrombosis or stenosis, when left untreated and to carry out re-anastomosis. PATIENTS AND METHODS: After liver graft implantation, and after ensuring that there is no abnormality on the Doppler ultrasound (qualitative and quantitative assessment), we intraoperatively injected indocyanine green dye (ICG, 0...
March 7, 2024: Liver Transplantation
#29
JOURNAL ARTICLE
Ioana Anca Stefanopol, Dumitru-Marius Danila, Cristina Voda-Chelmu, Raisa-Eloise Barbu, Horatiu Moisa, Camelia Busila, Liliana Baroiu
AIM: The aim of the present study is to assess some characteristics of blunt hepatic and splenic injuries in children, the non-operative management (NOM) procedures and efficiency, over a 5-year period in a tertiary hospital for children. Materials and Methods: We conducted a retrospective study on 32 patients with blunt liver and/or spleen injuries. Age, gender, mechanism of injury, hemoglobin and hematocrit levels, lenght of stay and bedrest, imaging diagnosis, hemostatics and transfusions, treatment, and discharge status were evaluated...
February 2024: Chirurgia
#30
JOURNAL ARTICLE
Fangsheng Wang, Xiaoling Wang, Baodian Ling, Hongfei Lu, Junyun Huang, Tianyu Zhong
OBJECTIVE: To explore the molecular mechanism of oxymatrine (OM) by increasing the phosphorylation of ERK1/2 signal factor and blocking the transcription factors HNF1α and HNF4α expression against hepatitis B virus (HBV) antigen secretion and HBV DNA replication in HepG2.2.15 cells. STUDY DESIGN: An experimental study. Place and Duration of the Study: Department of Laboratory Medicine, First Affiliated Hospital of Gannan Medical University, Jiangxi, China, between May 2020 and December 2022...
March 2024: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
#31
JOURNAL ARTICLE
Christopher O C Bellamy, Jacqueline G O'Leary, Oyedele Adeyi, Nahed Baddour, Ibrahim Batal, John Bucuvalas, Arnaud Del Bello, Mohamed El Hag, Magda El-Monayeri, Alton B Farris, Sandy Feng, Maria Isabel Fiel, Sandra E Fischer, John Fung, Krzysztof Grzyb, Maha Guimei, Hironori Haga, John Hart, Annette M Jackson, Elmar Jaeckel, Nigar A Khurram, Stuart J Knechtle, Drew Lesniak, Josh Levitsky, Geoff McCaughan, Catriona McKenzie, Claudia Mescoli, Rosa Miquel, Marta I Minervini, Imad Ahmad Nasser, Desley Neil, Maura F O'Neil, Orit Pappo, Parmjeet Randhawa, Phillip Ruiz, Alberto Sanchez Fueyo, Deborah Schady, Thomas Schiano, Mylene Sebagh, Maxwell Smith, Heather L Stevenson, Timucin Taner, Richard Taubert, Swan Thung, Pavel Trunecka, Hanlin L Wang, Michelle Wood-Trageser, Funda Yilmaz, Yoh Zen, Adriana Zeevi, Anthony J Demetris
The Banff Working Group on Liver Allograft Pathology met in September 2022. Participants included hepatologists, surgeons, pathologists, immunologists and histocompatibility specialists. Presentations and discussions focused on the evaluation of long-term allograft health, including non-invasive and tissue monitoring, immunosuppression optimisation and long-term structural changes. Potential revision of the rejection classification scheme to better accommodate and communicate late T cell-mediated rejection patterns and related structural changes, such as nodular regenerative hyperplasia, were discussed...
March 8, 2024: American Journal of Transplantation
#32
JOURNAL ARTICLE
Marina Mata, Marina M Tabbara, Angel Alvarez, Javier González, Gaetano Ciancio
BACKGROUND: The gold standard treatment for renal cell carcinoma (RCC) with tumor thrombus (TT) is complete surgical excision. The surgery is complex and challenging to the surgeon, especially with large tumor thrombus extending into the inferior vena cava (IVC) and right atrium. Traditionally, these difficult cases required the use of cardiopulmonary bypass (CPB) with or without deep hypothermic cardiac arrest, but in recent years, different surgical techniques derived from the field of liver transplantation have been used in efforts to avoid CPB...
March 7, 2024: World Journal of Surgical Oncology
#33
Yassine Tlili, Zied Hadrich, Montacer Hafsi, Dhouha Bacha, Hafedh Mestiri, Omrani Sahir
INTRODUCTION AND IMPORTANCE: Biliary cystadenoma (BC) is a benign hepatic cystic tumor with degenerative potential. Hepatic MRI can help guide the diagnosis. Surgical resection is recommended due to the malignant potential of biliary cystadenomas. Only anatomopathological examination of the surgical specimen can establish the definitive diagnosis of BC. The objective of this case report is to enhance our understanding of this disease and contribute to precise diagnosis for optimal management...
February 28, 2024: International Journal of Surgery Case Reports
#34
JOURNAL ARTICLE
Huy Duc Tran, Sang Thanh Tran, Triet Minh Le, Vinh Ngoc Truong Pham, Kien Trung Le, An Trinh Ngoc Le, Viet Van Ung, Tan Danh Hoang, Thinh Huu Nguyen
BACKGROUND Pneumatosis intestinalis (PI) is an uncommon condition that is not specific to any particular disease. Currently, there is no specific clinical guideline for treating and diagnosing PI. Furthermore, there are numerous causes of PI, which makes it difficult for clinicians - internal medicine physicians as well as surgeons - to take a clinical approach to diagnosis and treatment. CASE REPORT We present 3 clinical scenarios with PI. In the first patient there was a solitary image of PI, which was treated successfully with parenteral nutrition and intravenous antibiotics, and he was discharged after 5 days...
March 1, 2024: American Journal of Case Reports
#35
JOURNAL ARTICLE
Roxane D Staiger, Tarun Mehra, Sarah R Haile, Anja Domenghino, Christoph Kümmerli, Fariba Abbassi, Damian Kozbur, Philipp Dutkowski, Milo A Puhan, Pierre-Alain Clavien
BACKGROUND: Machine learning (ML) has been successfully implemented for classification tasks (e.g., cancer diagnosis). ML performance for more challenging predictions is largely unexplored. This study's objective was to compare machine learning vs. expert-informed predictions for surgical outcome in patients undergoing major liver surgery. METHODS: Single tertiary center data on preoperative parameters and postoperative complications for elective hepatic surgery patients were included (2008-2021)...
February 13, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#36
JOURNAL ARTICLE
Giovanna Di Meo, Arianna Pontrelli, Mario Testini, Ugo Boggi
Arterial variations in the liver's blood supply play a pivotal role in the success of pancreatoduodenectomy (PD), impacting both its technical execution and oncological outcomes. Among these variations, a common hepatic artery arising from the superior mesenteric artery (SMA) occurs in about 3% of cases. An exceptionally rare variation is the intrapancreatic common hepatic artery (IPCHA). Preserving or reconstructing the IPCHA is vital during PD to prevent liver and biliary necrosis. Particularly for cases of pancreatic cancer with high rates of intrapancreatic perineural spread, preserving IPCHA without compromising radicality presents challenges...
February 28, 2024: Updates in Surgery
#37
JOURNAL ARTICLE
Marcelo Augusto Fontenelle Ribeiro Junior
No abstract text is available yet for this article.
February 26, 2024: Journal of the American College of Surgeons
#38
JOURNAL ARTICLE
Shajini Nirmalan, Senthilnathan Ramaswamy, Vivek Shanmugam, Karpaga Vinayagam Natarajan
BACKGROUND: Mesohepatectomy (MH) or central hepatectomy (CH) is a recognized surgical technique for centrally located pediatric liver tumors. This technique of liver resection avoids extended liver resections and thereby helps in the preservation of liver parenchyma. In this article, we aim to analyze our experience and outcome with this technique of liver resection. METHODS: A retrospective analysis of patients who underwent MH from January 2015 to June 2023 at our institute was performed...
2024: Journal of Indian Association of Pediatric Surgeons
#39
REVIEW
Xiangui Li, Xing Wen, Lin Yang
RATIONALE: Intercostal hemangioma (IH) is an extremely rare disease, with only 18 cases reported in the past 30 years. Herein, we report the first case of IH coexisting with multiple hepatic hemangiomas, which recurred 32 months after surgery with rib erosion. IHs are invasive and difficult to distinguish from other intercostal tumors on imaging. To date, there have been no review articles on the imaging findings of IHs. We hope that this article will help clinicians improve their ability to diagnose and treat IH...
February 23, 2024: Medicine (Baltimore)
#40
JOURNAL ARTICLE
Vladimir M Unguryan, Anton N Kazantsev, Alexander V Korotkikh, Sergey A Ivanov, Yury V Belov, Andrey D Kaprin
AIM: To evaluate the outcomes of isolated liver chemo perfusion in patients with hepatic metastases from uveal melanoma. MATERIALS AND METHODS: Cardiovascular surgeons are often involved in the treatment of oncological diseases. Isolated liver chemoperfusion requires the use a heart-lung machine. A little more than 300 operations of isolated liver chemoperfusion have been performed worldwide. From 2020 to 2023, 38 cases of isolated liver chemoperfusion were performed at the Kostroma Clinical Oncological Dispensary...
March 2024: Indian Journal of Thoracic and Cardiovascular Surgery
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