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View article: The Impact of Establishing a Dedicated Liver Surgery Program at a University-affiliated Hospital on Workforce, Workload, Surgical Outcomes, and Trainee Surgical Autonomy and Academic Output
The Impact of Establishing a Dedicated Liver Surgery Program at a University-affiliated Hospital on Workforce, Workload, Surgical Outcomes, and Trainee Surgical Autonomy and Academic Output Open
Objective: To detail the implementation of a dedicated liver surgery program at a university-affiliated hospital and to analyze its impact on the community, workforce, workload, complexity of cases, the short-term outcomes, and residents a…
View article: Damage control as a salvage procedure during emergency pancreaticoduodenectomy combined with reconstruction of superior mesenteric vessels for uncontrollable bleeding from a duodenal tumor: A case report
Damage control as a salvage procedure during emergency pancreaticoduodenectomy combined with reconstruction of superior mesenteric vessels for uncontrollable bleeding from a duodenal tumor: A case report Open
Emergency pancreatoduodenectomy (EPD) is rarely indicated outside the trauma setting. Patients with cancer submitted to EPD are prone to develop the triad of hypothermia, acidosis and coagulopathy, harbingers of high morbidity and mortalit…
View article: Local Ablation Does Not Worsen Perioperative Outcomes After Liver Transplant for Hepatocellular Carcinoma
Local Ablation Does Not Worsen Perioperative Outcomes After Liver Transplant for Hepatocellular Carcinoma Open
OBJECTIVE. Local ablation of hepatocellular carcinoma (HCC) before liver transplant has important advantages, such as preventing disease progression, tumor downstaging, and offering a test of time. However, it might render liver transplant…
View article: Hepatic venous outflow obstruction after whole liver transplantation of large-for-size graft: versatile intra-operative management
Hepatic venous outflow obstruction after whole liver transplantation of large-for-size graft: versatile intra-operative management Open
Placement of inflatable materials leads to gradual deflation in the postoperative period, which might obviate the need for reoperation. Breast implants could be left in place indefinitely due to their bio-inert nature.
View article: Ligation versus no ligation of spontaneous portosystemic shunts during liver transplantation: Audit of a prospective series of 66 consecutive patients
Ligation versus no ligation of spontaneous portosystemic shunts during liver transplantation: Audit of a prospective series of 66 consecutive patients Open
The management of large spontaneous portosystemic shunt (SPSS) during liver transplantation (LT) is a matter of debate. The aim of this study is to compare the short‐term and longterm outcomes of SPSS ligation versus nonligation during LT,…
View article: Salvage liver transplantation or repeat hepatectomy for recurrent hepatocellular carcinoma: An intent‐to‐treat analysis
Salvage liver transplantation or repeat hepatectomy for recurrent hepatocellular carcinoma: An intent‐to‐treat analysis Open
The salvage liver transplantation (LT) strategy was conceived for initially resectable and transplantable hepatocellular carcinoma (HCC) to obviate upfront transplantation, with salvage LT in the case of recurrence. The longterm outcomes o…
View article: Early small bowel perforation due to aflibercept
Early small bowel perforation due to aflibercept Open
In patients with malignancy who receive aflibercept based chemotherapy, gastrointestinal perforation is among the reported adverse events with a prevalence of 1.9%. This complication may lead to mortality up to 10.8%. We here report a case…
View article: Diaphragmatic hernia following liver resection: case series and review of the literature
Diaphragmatic hernia following liver resection: case series and review of the literature Open
Although rare, diaphragmatic hernia should be considered as an important complication, especially in living donor liver transplant patients. Diaphragmatic hernia should be repaired surgically, even for asymptomatic patients.
View article: Conservative and surgical management of pancreatic trauma in adult patients
Conservative and surgical management of pancreatic trauma in adult patients Open
Operative management of pancreatic trauma leads to a higher mortality. This must not be necessarily related to the pancreas injury alone but also to the associated injuries including liver, spleen and vascular trauma which may cause impair…
View article: The veno-venous bypass in liver transplantation: an unfinished product
The veno-venous bypass in liver transplantation: an unfinished product Open
Veno-venous bypass (VVB) using a patent para-umbilical vein during liver transplantation (LT) has not been reported previously. Here, we report the decompression of the porto-mesenteric compartment via a patent para-umbilical vein in a pat…
View article: Major hepatectomy for complex liver trauma.
Major hepatectomy for complex liver trauma. Open
The liver is the most frequently injured intraperitoneal organ, despite its relatively protected location. The liver consisting of a relatively fragile parenchyma contained within the Glisson capsule, which is thin and does not provide it …
View article: Hepatic venous outflow block caused by compressive fecaloma in a schizophrenic patient treated with clozapine
Hepatic venous outflow block caused by compressive fecaloma in a schizophrenic patient treated with clozapine Open
In Clozapine users constipation is among the reported side effects including agranulocytosis and myocarditis with prevalence rates ranging from 14% to 60%. In extreme cases this may lead to bowel obstruction and paralytic ileus which, if n…
View article: Ultra Low Dose Delta 9-Tetrahydrocannabinol Protects Mouse Liver from Ischemia Reperfusion Injury
Ultra Low Dose Delta 9-Tetrahydrocannabinol Protects Mouse Liver from Ischemia Reperfusion Injury Open
Background/Aims: Ischemia/reperfusion (I/R) injury is the main cause of both primary graft dysfunction and primary non-function of liver allografts. Cannabinoids has been reported to attenuate myocardial, cerebral and hepatic I/R oxidative…