Qiang Lu, Qing-Shan Li, Wei Zhang, Kang Liu, Tao Li, Jia-Wei Yu, Yi Lv, Xu-Feng Zhang
Purpose: The objective of the current study was to examine the potential effects of surgery start times (morning vs. afternoon) on the long-term prognosis of patients after hepatic resection (HR) for hepatocellular carcinoma (HCC). Methods: All eligible patients were divided into 2 groups according to the start time of surgery: group M (morning surgery, 8 AM-1 PM) and group A (afternoon surgery, 1 PM-6 PM). Clinicopathologic and surgical parameters, as well as oncologic outcomes were compared between the 2 groups...
July 2020: Annals of Surgical Treatment and Research
Antoine Camerlo, Charles Vanbrugghe, Frederic Cohen, Régis Fara
BACKGROUND: Solitary fibrous tumor is a mesenchymal tumor rare in liver parenchyma 1 but must be considered as a differential diagnosis of a single large hepatic mass. Surgical resection is the treatment because of its potential malignancy, and previous interventions reported were open hepatectomy 2. Robotic assets could improve accessibility for difficult liver resection 3. We present the video of a robotic left hepatectomy extended to caudate lobe and median hepatic vein for central liver tumor...
July 15, 2020: Journal of Gastrointestinal Surgery
Pierre-Emmanuel Colombo, François Quenet, Pierre Alric, Anne Mourregot, Mathias Neron, Fabienne Portales, Philippe Rouanet, Guillaume Carrier
BACKGROUND: Resectability of pancreatic carcinoma (PC) is directly linked to vascular extension (Tempero MA et al. in J Natl Compr Canc Netw 15(8):1028-1061, 2017.; Isaji S et al. in Pancreatology 18(1):2-11, 2018. Involvement of the celiac axis (CA) is typically a contraindication to surgery. High postoperative morbidity and subsequent poor prognosis have been observed in this case, especially for contact > 180° requiring arterial resection (Tempero MA et al...
June 25, 2020: Annals of Surgical Oncology
Tevfik Tolga Sahin, Sami Akbulut, Sezai Yilmaz
Severe pulmonary disease caused by the novel coronavirus [severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)], has devastated many countries around the world. It has overwhelmed the medical system. The priorities of many institutions have changed to manage critically ill corona virus infectious disease-2019 (COVID-19) patients, which affected the working style of many departments. Hepatologists and transplant surgeons look after a very sensitive patient group. Patients with liver disease need special attention and continuous follow-up...
June 14, 2020: World Journal of Gastroenterology: WJG
Bubu A Banini, Yahya Alwatari, Madeline Stovall, Nathan Ogden, Evgeni Gershman, Rachit D Shah, Brian J Strife, Samira Shojaee, Richard K Sterling
Hepatic hydrothorax is the formation of transudative pleural effusion as a consequence of portal hypertension. Only a minority of cases resolve after sodium restriction and diuretics. Despite the relatively low incidence of 5-15% among patients with cirrhotic portal hypertension, the high morbidity and serious clinical implications associated with hepatic hydrothorax necessitate a well-defined treatment strategy to guide patient care. Management is typically multidisciplinary, involving hepatologists, interventional pulmonologists, interventional radiologists, surgeons, and other specialties...
June 25, 2020: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Chong Yang, Hong-Ji Yang, Shao-Ping Deng, Yu Zhang
Hepatic alveolar echinococcosis (HAE) is a cosmopolitan zoonosis distribute widely in the northern hemisphere with high estimated 10-year mortality. Radical resection combined with oral albendazole administration are the major methods for HAE treatment, whereas most patients delayed diagnosis and treatment because which was considered as benign disease. For the cases with end-stage HAE could not be treated through conventional hepatectomy, allograft liver transplantation (LT) was regarded as a life-saving technique previously...
June 12, 2020: Annals of Palliative Medicine
Susumu Eguchi, Akihiko Soyama, Takanobu Hara, Masaaki Hidaka, Shinichiro Ono, Tomohiko Adachi, Takashi Hamada, Tota Kugiyama, Sinichiro Ito, Kengo Kanetaka, Takuji Maekawa, Motohiro Sekino, Tetsuya Hara, Kazuhiro Nagai, Yasushi Miyazaki
We herein report an effective procedure for liver transplantation (LT) for severe cirrhotic patients with hemophilia. Three hemophilic patients suffering from liver cirrhosis due to human immunodeficiency virus (HIV)/hepatitis C virus (HCV) coinfection underwent deceased donor LT in our institute. Basic clotting parameters were measured and evaluated during LT to determine the optimal packing procedure. All patients were treated with a gauze packing procedure to ensure stable hemostasis in relation to hemophilia during the peri-transplant period...
June 22, 2020: Surgery Today
Mabrouka Boukoucha, Fatma Dhieb, Raoudha Ben Khelifa, Hakim Znaidi, Rany Elaifi, Alifa Daghfous
INTRODUCTION: Gallbladder Duplication is an uncommon anomaly of the biliary system that rarely seen during the routine ultrasound examination. It is a challenge that can be encountered by surgeons and associated with an increased risk of complications after cholecystectomy. CASE PRESENTATION: We report the case of a 58-year-old woman, presented to the emergency department with persistent right upper quadrant pain. Ultrasound exam detected Gallbladder Duplication with lithiasic cholecystitis in both of them...
June 12, 2020: International Journal of Surgery Case Reports
Jan Grosek, Žan Čebron, Jurij Janež, Aleš Tomažič
INTRODUCTION: Bicycle accidents are a significant cause of traumatic morbidity in the paediatric population. The handlebar injuries are usually isolated and remain a major source of bicycle related morbidity. We present a case of severe liver laceration with left hepatic duct transection caused by handlebar trauma in a 13-year-old boy. CASE PRESENTATION: An otherwise healthy 13-year-old Caucasian male patient was rushed to the hospital following a blunt abdominal trauma from a bicycle handlebar...
2020: International Journal of Surgery Case Reports
Lior Orbach, Ido Nachmany, Yaacov Goykhman, Guy Lahat, Ofer Yossepowitch, Avi Beri, Yanai Ben-Gal, Joseph M Klausner, Nir Lubezky
BACKGROUND: Abdominal tumors invading the inferior vena cava (IVC) present significant challenges to surgeons and oncologists. OBJECTIVES: To describe a surgical approach and patient outcomes. METHODS: The authors conducted a retrospective analysis of surgically resected tumors with IVC involvement by direct tumor encasement or intravascular tumor growth. Patients were classified according to level of IVC involvement, presence of intravascular tumor thrombus, and presence of hepatic parenchymal involvement...
June 2020: Israel Medical Association Journal: IMAJ
Rajeev Redkar, Vinod Raj, Shruti Tewari, Rahul Sharma, Shirin Joshi
INTRODUCTION: Budd-Chiari syndrome (BCS) is a rare condition affecting children. It is characterized by occlusion of venous outflow from liver at the level of hepatic veins (HV) or inferior vena cava (IVC). The management of BCS in children revolves around forming new collaterals for venous outflow or by elimination of blockage in the venous outflow tracts. These can be achieved by balloon venoplasty (BV), transjugular intrahepatic portosystemic shunting (TIPSS) or open shunt surgeries...
May 23, 2020: Journal of Pediatric Surgery
Patricia Barrionuevo, Mahmoud B Malas, Besma Nejim, Abdullah Haddad, Allison Morrow, Oscar Ponce, Bashar Hasan, Mohamed Seisa, Rabih Chaer, M Hassan Murad
BACKGROUND: The evidence supporting management decisions of visceral artery aneurysms (VAAs) is sparse. Practice guidelines are needed to help patients and surgeons choose between endovascular and open surgery approaches. METHODS: We searched MEDLINE, EMBASE, Cochrane databases, and Scopus for studies of patients with VAAs. Studies were selected and appraised by pairs of independent reviewers. Meta-analysis was performed when appropriate. RESULTS: We included 80 observational studies that were mostly noncomparative...
July 2020: Journal of Vascular Surgery
Yuanhu Tian, Xiaopeng Suo
To evaluate the timing, feasibility, and necessity of early laparoscopic cholecystectomy (LC) in the management of patients with acute calculous cholecystitis complicated with hepatic dysfunction.The clinical data of 60 patients with acute calculous cholecystitis complicated with hepatic dysfunction treated from January 2016 to January 2018 were analyzed retrospectively. A total of 32 patients underwent LC within 72 hours of the cholecystitis attack, 28 patients after 72 hours. The results were compared with those from 28 patients with delayed LC...
June 12, 2020: Medicine (Baltimore)
Yasushi Hasegawa, Hiroyuki Nitta, Takeshi Takahara, Hirokatsu Katagiri, Shoji Kanno, Akira Umemura, Akira Sasaki
BACKGROUND: Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1-6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7-9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip...
June 9, 2020: Surgical Endoscopy
Nathan Haywood, J Hunter Mehaffey, Robert B Hawkins, Aimee Zhang, Irving L Kron, John A Kern, Gorav Ailawadi, Nicholas R Teman, Leora T Yarboro
BACKGROUND: Gastrointestinal complications after cardiac surgery are associated with high morbidity and mortality. We sought to determine the granular impact of individual gastrointestinal complications after cardiac surgery and assess contemporary outcomes. MATERIALS AND METHODS: Patients undergoing cardiac surgery from 2010 to 2017 (6070 patients) were identified from an institutional Society of Thoracic Surgeons database. Records were paired with institutional data assessing gastrointestinal complications and cost...
June 3, 2020: Journal of Surgical Research
Annamaria Di Bella, Alessandro Bruscino, Giovanni Alemanno, Carlo Bergamini, Alessio Giordano, Veronica Iacopini, Damiano Bisogni, Paolo Prosperi
INTRODUCTION: Sinistroposition of the gallbladder, or true left-sided gallbladder (LSG) without situs viscerum inversus, is a rare congenital anatomical variant where the gallbladder is located to the left of round/falciform ligament. It can be associated with anomalies of the biliary tree, portal system and hepatic vascularization. The surgical management of a LSG could be challenging even for an experienced operator, being usually an incidental intraoperative finding. CASE REPORT: A 72 years old woman was admitted to our emergency department because of acute cholecystitis...
May 25, 2020: Annali Italiani di Chirurgia
Yiliyaer Aierken, Ling-Xiang Kong, Bo Li, Xi-Jiao Liu, Su Lu, Jia-Yin Yang
BACKGROUND: Blood flow factors, such as congestion or ischemia after hepatectomy, have a significant impact on liver regeneration, but with the popularization of precise hepatectomy technology, segmental hepatectomy without congestion or ischemia has become the preferred treatment. Our aim is to investigate the factors affecting liver regeneration after hepatectomy without blood flow changes, and to provide clinical evidence for surgeons on the timing of second hepatectomy for cirrhosis patients with hepatocellular carcinoma (HCC)...
May 29, 2020: Medicine (Baltimore)
Mokhles Lajmi, Imen Ben Ismail, Wafa Ragmoun, Houssem Messaoudi, Hatem Lahdhili, Slim Chenik
INTRODUCTION: Rupture of the pericardium complicating blunt thoracic trauma may lead to cardiac luxation if not early recognized and appropriately surgically treated. This condition is exceedingly rare and carries a high mortality rate. CASE PRESENTATION: A 37-year-old man presented with severe multiple injuries following a road traffic crash, including blunt trauma to the thorax and abdomen. He was in a hemodynamically stable condition. The chest radiograph and CT scan revealed a leftward heart herniation through a pericardial tear, there were also non surgical hepatic and splenic lesions...
May 15, 2020: International Journal of Surgery Case Reports
Fabio Procopio, Matteo Cimino, Guido Costa, Bruno Branciforte, Dario Poretti, Guido Torzilli
BACKGROUND: Anatomical resection (AR) is a recommended surgical treatment for hepatocellular carcinoma (HCC), although the conventional procedure (dye injection) for AR is difficult to reproduce.1,2 The tumor-feeding portal pedicle compression technique has been proposed as an easy, reversible, repeatable, and oncologically suitable procedure,3-5 and its only drawback is the sometimes faint discoloration of the compressed area. For enhancing its visibility, indocyanine green (ICG) fluorescence imaging has been introduced...
May 29, 2020: Annals of Surgical Oncology
Murad Aljiffry, Mohammad Abbas, Mohammad A M Wazzan, Ahmed H Abduljabbar, Safiyah Aloufi, Emad Aljahdli
Background/Aim: Biliary tree and pancreatic duct can appear in different variations whose proper understanding is obligatory for surgeons. Magnetic resonance cholangiopancreatography (MRCP) is considered a safe and accurate tool for evaluating biliary tree and pancreatic duct. Typical anatomy for right hepatic duct (RHD) and left hepatic duct (LHD) is reported as 57% and 63%, respectively. The most common (4-10%) pancreatic anomaly is divisum. In the present study, we evaluated and determined the prevalence of biliary tree and pancreatic duct variations among patients at a university hospital...
May 26, 2020: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
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