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
Konstantinos Vasiliadis, Elena Moschou, Sofia Papaioannou, Panagiotis Tzitzis, Albion Totsi, Stamatia Dimou, Eleni Lazaridou, Dimitrios Kapetanos, Christos Papavasiliou
A typical bile duct branching patterns represent one of the major causes of bile duct injury (BDI) during laparoscopic cholecystectomy (LC). The most common classified variations of bile duct branching, involve the right posterior sectoral duct (RPSD) and its joining with the right anterior or left hepatic duct. Variant bile duct anatomy can rarely be extremely complex and unclassified. This report describes an extremely rare case of an isolated injury to an aberrant right hepatic duct formed by the joining of ducts from segments V, VII, and VIII draining into the cystic duct (cysticohepatic duct) during LC, associated with an inferior RPSD opening to left hepatic duct...
May 31, 2020: Annals of Hepato-Biliary-Pancreatic Surgery
Fadi Abu Baker, Abdel-Rauf Zeina, Saif Abu Mouch, Amir Mari
Benign hepatic tumors (BHTs) are commonly detected as incidental finding mainly due to the frequent utilization of imaging modalities, including ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). Rigorous clinical evaluation, with a particular focus on chronic liver disease (CLD) or risk factors for CLD, medication history, physical examination for signs of CLD, blood tests, and a review of past liver radiology constitute the initial steps in the evaluation of a new liver lesion...
May 27, 2020: Korean Journal of Family Medicine
Elodie Gaignard, Damien Bergeat, Fabien Robin, Lisa Corbière, Michel Rayar, Bernard Meunier
Inferior vena cava leiomyosarcoma (IVCL) is a rare tumor with a poor prognosis, and its surgical resection remains a challenge. To date, surgery is the only potentially curative treatment for IVCL with a 5-year survival rate of 55%. The main challenge is to combine oncological surgery with clear margins and vascular reconstruction of the inferior vena cava (IVC). In this review, we discuss the different approaches to vascular reconstruction after IVCL resection, using a prosthetic or autologous patch, direct suture or simple ligation without IVC reconstruction...
May 22, 2020: World Journal of Surgery
Xia-Gang Luo, Chen Lu, Wu-Lin Wang, Fei Zhou, Chun-Zhao Yu
BACKGROUND: Ventral hernia, also known as incisional hernia, is a common complication of previous surgery. The contents of ventral hernia may include omentum, preperitoneal fat, small intestine or colon. However, ventral hernia with protrusion of more than two parenchymal organs simultaneously is extremely rare, and its repair is very complex and difficult. Surgeons should make a comprehensive assessment based on their own experience and the individual characteristics of the hernia. In addition, psychological therapy should be emphasized in the whole treatment process...
May 6, 2020: World Journal of Clinical Cases
Steven D Scoville, Dimitrios Xourafas, Aslam M Ejaz, Allan Tsung, Timothy Pawlik, Jordan M Cloyd
BACKGROUND: Although surgical resection is associated with the best long-term outcomes for neuroendocrine liver metastases (NELM), the current indications for and outcomes of surgery for NELM from a population perspective are not well understood. AIM: To determine the current indications for and outcomes of liver resection (LR) for NELM using a population-based cohort. METHODS: A retrospective review of the 2014-2017 American College of Surgeons National Surgical Quality Improvement Program and targeted hepatectomy databases was performed to identify patients who underwent LR for NELM...
April 27, 2020: World Journal of Gastrointestinal Surgery
Hai-Feng Wan, Kun-Lin Xie, Jia-Xin Li, Kit-Man Ho, Hong Wu, Ji-Wei Huang
BACKGROUND: Laparoscopic hepatectomy has gained popularity in the management of malignant liver lesions in the past decade. Its safety and feasibility, with faster recovery and comparable long-term outcomes, have been widely published. Nonetheless, laparoscopic isolated caudate lobectomy is still rare and technically demanding. We herein present a video on laparoscopic total caudate lobectomy for caudate cholangiocarcinoma. METHODS: The patient is a 61-year-old man who presented with epigastric distending discomfort...
May 16, 2020: Annals of Surgical Oncology
Gil Chun Park, Sung Gyu Lee, Young In Yoon, Kyu Bo Sung, Gi Young Ko, Dong Il Gwon, Dong Hwan Jung, Yong Kyu Jung
BACKGROUND: Recent studies showed that sequential selective transcatheter arterial chemoembolization (TACE) and portal vein embolization (PVE) provided better future liver remnant (FLR) regeneration rate and disease-free survival following surgery compared with PVE alone. The present study aimed to clarify whether preoperative sequential TACE and PVE before right hemihepatectomy can reduce postoperative hepatocellular carcinoma (HCC) recurrence and improve long-term disease-free and overall survival...
May 4, 2020: Hepatobiliary & Pancreatic Diseases International: HBPD INT
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