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JOURNAL ARTICLE
Emanuel Shapera, Sharona Ross, Tara Pattilachan, Maria Christodoulou, Iswanto Sucandy
BACKGROUND: Hepatic artery infusion pump (HAIP) with floxuridine/dexamethasone and systemic chemotherapy is an established treatment regimen, which had been reported about converting 47% of patients with stage 4 colorectal liver metastasis from unresectable to resectable.1,2 To this effect, HAIP chemotherapy contributes to prolonged survival of many patients, which otherwise may not have other treatment options. Biliary sclerosis, however, is a known complication of the HAIP treatment, which occurs in approximately 5...
April 17, 2024: Annals of Surgical Oncology
#2
JOURNAL ARTICLE
Jonathan Koea, Phillip Chao, Sanket Srinivasa, Jason Gurney
INTRODUCTION: New Zealand has a population of only 5.5 million meaning that for many surgical procedures the country qualifies as a "low-volume center." However, the health system is well developed and required to provide complex surgical procedures that benchmark internationally against comparable countries. This investigation was undertaken to review regional variation and volumes of complex resection and palliative upper gastrointestinal (UGI) surgical procedures within New Zealand...
April 12, 2024: World Journal of Surgery
#3
Anh The Pham, Quoc Hoang Dang, Khue Kim Dang, An Thi My Nguyen, Cuong Manh Truong, Khuyen Thi Nguyen
INTRODUCTION: Tuberculosis is a chronic infectious disease that often has a latent period after the initial infection. Tuberculosis most often affects the lungs but it can also affect other parts of the body. Vietnam is in pandemic area of tuberculosis. CASE REPORT: We present a rare case of a 42-year-old male patient admitted to the hospital with a history of progressive jaundice. Magnetic resonance imaging (MRI) revealed a 26 × 33 mm tuberculous mass located at the intersection between the cystic duct and the common hepatic duct, leading to dilation of the intrahepatic biliary ducts on both sides...
April 3, 2024: International Journal of Surgery Case Reports
#4
JOURNAL ARTICLE
Yi Kuang, Ran Ji, Tao Yuan, Menggang Liu
BACKGROUNDS: Radical resection is the most effective treatment for perihilar tumors. Biliary tract reconstruction after resection is one of the key steps in this surgery. Mucosa-to-mucosa cholangiojejunostomy is traditionally performed, in which the bile ducts at the resection margin are separately anastomosed to the jejunum. However, this approach is associated with long operative time and high risk of postoperative complications. The present study presents a modified technique of hepatojejunostomy and its outcomes...
April 10, 2024: BMC Surgery
#5
JOURNAL ARTICLE
Yuki Mori, Hiroyuki Hasegawa, Mitsuharu Fukasawa, Shinichi Takano, Hiroko Shindo, Ei Takahashi, Naruki Shimamura, Naohiro Hosomura, Hiromitsu Kawaida, Nobuyuki Enomoto
A 76-year-old woman with a suspected double extrahepatic bile duct was referred to our hospital. MRCP revealed that the left hepatic and posterior ducts combined to form the ventral bile duct and that the anterior duct formed the dorsal bile duct. ERCP demonstrated that the ventral bile duct was linked with the Wirsung duct. Amylase levels in the bile were unusually high. Based on these findings, we diagnosed a double extrahepatic bile duct with pancreaticobiliary maljunction and choledocholithiasis. Duplicate bile duct resection and bile duct jejunal anastomosis were performed considering the risk of biliary cancer due to pancreaticobiliary maljunction...
2024: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
#6
JOURNAL ARTICLE
Arsalan Nadeem, Aliaksei Salei
This case report presents the percutaneous extraction of a biliary stent in a patient with a history of liver transplant and Whipple procedure, suffering from benign biliary stricture post hepaticojejunostomy. After failed management with conventional benign biliary protocol, a fully covered WallFlex biliary stent was percutaneously placed and later removed using a balloon catheter technique. The procedure demonstrated anastomosis patency without complications, providing a drain-free option for complex anatomy where endoscopic management was not feasible...
April 10, 2024: BMJ Case Reports
#7
JOURNAL ARTICLE
Hiroki Morikawa, Takaaki Oba, Ayaka Kitazawa, Ryoko Iji, Nami Kiyosawa, Masatsugu Amitani, Tadafumi Shimizu, Toshiharu Kanai, Takeshi Uehara, Ken-Ichi Ito
BACKGROUND: CA19-9 is a tumor marker for gastrointestinal and biliary-pancreatic adenocarcinomas; however, its association with thyroid cancer is unknown. Here, we report a case of CA19-9 producing locally advanced papillary thyroid carcinoma (PTC). CASE PRESENTATION: A 66-year-old woman who was identified with a thyroid tumor after a close examination of an elevated serum CA19-9 level, which was detected at health screening, was referred to our hospital. Ultrasonography revealed a 34 × 31 mm hypoechoic lesion in the lower pole of the left thyroid lobe...
April 10, 2024: Surgical Case Reports
#8
JOURNAL ARTICLE
Tek Narayan Yadav, Narendra Pandit, Kunal Bikram Deo, Lalijan Awale, Durga Neupane, Shailesh Adhikary
BACKGROUND: Interrupted sutures is the gold standard technique of hepaticojejunostomy (HJ) for bilioenteric anastomosis. This study compares the safety and early complications of continuous and interrupted suture HJ. METHODS: A prospective study involving all elective HJ between September 2019 and June 2021 was conducted. Patients with type IV or V biliary strictures, duct diameter less than 8 mm and/or associated vascular injury, and bilateral HJ were excluded...
April 2024: Annals of Medicine and Surgery
#9
JOURNAL ARTICLE
Maria Christodoulou, Tara Pattilachan, Sharona Ross, George Peek, Iswanto Sucandy
The distal bile duct was isolated and transected with a frozen section examination confirming the absence of malignancy. Attention was then shifted to constructing a 60 cm Roux limb by first identifying and transecting the proximal jejunum 40 cm from the ligamentum of Treitz. A side-to-side stapled jejunojejunostomy anastomosis was completed. The Roux limb was transposed toward the porta hepatis through an antecolic approach.
April 2, 2024: American Surgeon
#10
JOURNAL ARTICLE
Xingru Wang, Fei Chen, Qian Zhang, Jianwei Li
TECHNIQUE: Choledochojejunostomy is an important procedure in hepatobiliary pancreatic surgery. It is used in pancreaticoduodenectomy, biliary strictures, liver transplantation, and other surgical reconstructions involving bile duct resection. Safe and reliable anastomosis under laparoscopic guidance is important for good postoperative recoveries. There are some difficulties owing to the limited angle of laparoscopic instruments. Standardized anastomosis methods are currently lacking, especially for cases with thin bile duct walls and small diameters...
March 25, 2024: Asian Journal of Surgery
#11
Warsinggih, Citra Aryanti, Julianus Aboyaman Uwuratuw, Erwin Syarifuddin, Ronald Erasio Lusikooy, Muhammad Faruk
BACKGROUND: The anastomosis of donor and recipient hepatic arteries is standard in liver transplantations. For transplant recipients with unusable hepatic arteries, appropriate artery selection should be conducted using evidence-based considerations; therefore, this network meta-analysis (NMA) aimed to analyze the most suitable alternative recipient artery for anastomosis during liver transplantations. METHODS: Comprehensive searches of the Scopus, Cochrane Library, and MEDLINE databases were conducted to analyze observational studies containing non-standard anastomoses in liver transplantations that used the splenic artery, aorta, celiac, or branches of the gastric artery...
March 23, 2024: BMC Surgery
#12
REVIEW
Weikang Wu, Juzheng Yuan, Fuyuan Liu, Lu Liu, Xudan Wang, Xiao Li, Kaishan Tao
Rat orthotopic liver transplantation (ROLT) serves as an ideal animal model and has gained popularity in addressing complications and perioperative treatments related to clinical liver transplantation. Through extensive research on ROLT model construction, the conventional "two-cuff" method has gradually become established. However, traditional methods still present challenges including limited visual field during vascular suturing, vascular torsion, biliary tract injuries, and prolonged anhepatic periods. Consequently, this paper aims to review the latest advancements and various techniques in this field, providing a valuable reference for individuals interested in constructing ROLT models...
March 18, 2024: Transplantation Reviews
#13
JOURNAL ARTICLE
Engin Ataman, Murat Harputluoglu, Yilmaz Bilgic, Yasir Furkan Cagin, Mehmet Ali Erdogan, Ramazan Kutlu, Koray Kutluturk, Ibrahim Orman, Osman Saglam, Ali Riza Caliskan
OBJECTIVE: Our aim was to present the results of endoscopic retrograde cholangiopancreatography (ERCP) after living donor liver transplantation (LDLT) between February 2015 and June 2021. METHODS: Clinical data included LDLT indications, time to perform ERCP after LDLT, number of ERCP procedures, indications for ERCP, and all treatment outcomes, including ERCP, percutaneous, and surgical interventions. We compared the obtained data with our previous study published by our team in 2018, which included 446 patients who underwent ERCP for biliary complications after LDLT between 2005 and 2015...
March 21, 2024: Medeniyet medical journal
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JOURNAL ARTICLE
Mohammad Kermansaravi, Masoumeh Shahsavan, Reza Ebrahimi, Ali Mousavimaleki, Barmak Gholizadeh, Rohollah Valizadeh, Shahab ShahabiShahmiri, Miguel A Carbajo
PURPOSE: Gastroesophageal reflux disease (GERD) is an issue after one anastomosis gastric bypass (OAGB) and modification of OAGB with adding an anti-reflux system may decrease the incidence of postoperative GERD. This study aimed to compare the efficacy of the anti-reflux mechanism to treat preoperative GERD and prevent de novo GERD. METHODS: A prospective randomized clinical trial study was conducted on patients with a body mass index of 40 and more from August 2020 to February 2022...
March 18, 2024: Surgical Endoscopy
#15
A Sebai, R Elaifia, S Atri, Y Hammami, A Haddad, J M Kacem
INTRODUCTION AND IMPORTANCE: Splenic artery aneurysms (SAA's) pose a rare yet clinically significant challenge, characterized by the weakening and ballooning of the splenic artery, potentially leading to severe complications such as rupture and hemorrhage. CASE PRESENTATION: A 52-year-old female presenting with biliary colic. Diagnostic imaging revealed a saccular lesion closely associated with gallstones. A multidisciplinary approach guided the decision for surgery due to the size and location of the aneurysm...
March 13, 2024: International Journal of Surgery Case Reports
#16
JOURNAL ARTICLE
Laura Lovisa Køtlum Petersen, Martin Dennis Dursun, Gunvor Madsen, Dang Quang Svend Le, Sören Möller, Niels Qvist, Mark Bremholm Ellebæk
PURPOSE: Rectal anastomoses have a persisting high incidence of anastomotic leakage. This study aimed to assess whether the use of a poly-ϵ-caprolactone (PCL) scaffold as reinforcement of a circular stapled rectal anastomosis could increase tensile strength and improve healing compared to a control in a piglet model. METHOD: Twenty weaned female piglets received a stapled rectal anastomosis and were randomised to either reinforcement with PCL scaffold (intervention) or no reinforcement (control)...
March 15, 2024: BMC Gastroenterology
#17
JOURNAL ARTICLE
Victor Lopez-Lopez, Christoph Kuemmerli, Javier Maupoey, Rafael López-Andujar, Laura Lladó, Kristel Mils, Philip Müller, Andres Valdivieso, Marina Garcés-Albir, Luis Sabater, Andrea Benedetti Cacciaguerra, Marco Vivarelli, Luis Díez Valladares, Sergio Annese Pérez, Benito Flores, Roberto Brusadin, Asunción López Conesa, Sagrario Martinez Cortijo, Sandra Paterna, Alejando Serrablo, Ferdinand Heinz Walther Toop, Karl Oldhafer, Santiago Sánchez-Cabús, Antonio González Gil, Jose Antonio González Masía, Carmelo Loinaz, Jose Luis Lucena, Patricia Pastor, Cristina Garcia-Zamora, Alicia Calero, Juan Valiente, Antonio Minguillon, Fernando Rotellar, Cándido Alcazar, Javier Aguilo, Jose Cutillas, Jose A Ruiperez-Valiente, Pablo Ramírez, Henrik Petrowsky, Jose Manuel Ramia, Ricardo Robles-Campos
BACKGROUND: Iatrogenic bile duct injury (BDI) during cholecystectomy is associated with a complex and heterogeneous management owing to the burden of morbidity until their definitive treatment. This study aimed to define the textbook outcomes (TOs) after BDI with the purpose to indicate the ideal treatment and to improve it management. METHODS: We collected data from patients with an BDI between 1990 and 2022 from 27 hospitals. TO was defined as a successful conservative treatment of the iatrogenic BDI or only minor complications after BDI or patients in whom the first repair resolves the iatrogenic BDI without complications or with minor complications...
February 21, 2024: Journal of Gastrointestinal Surgery
#18
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
#19
JOURNAL ARTICLE
Jiliang Shen, Yaping Zhang, Bin Zhang, Chen Lu, Jiasheng Cao, Mingyu Chen, Bin Zheng, Jin Yang
AIM: A new simulation model and training curriculum for laparoscopic bilioenteric anastomosis has been developed. Currently, this concept lacks evidence for the transfer of skills from simulation to clinical settings. This study was conducted to determine whether training with a 3D bilioenteric anastomosis model result in greater transfer of skills than traditional training methods involving video observation and a general suture model. METHODS: Fifteen general surgeons with no prior experience in laparoscopic biliary-enteric anastomosis were included in this study and randomised into three training groups: video observation only, practice using a general suture model, and practice using a 3D printed biliary-enteric anastomosis model...
January 11, 2024: International Journal of Surgery
#20
Dong-Wen Quan, Peng-Gang Li, Xiang-Hua Xu, Shi-Qi Liu
BACKGROUND: Giant congenital biliary dilation (CBD) is a rare condition observed in clinical practice. Infants born with this condition often experience a poor overall health status, and the disease progresses rapidly, leading to severe biliary obstruction, infections, pressure exerted by the enlarged CBD on abdominal organs, disturbances in the internal environment, and multiple organ dysfunction. The treatment of giant CBD using laparoscopy is challenging due to the high degree of variation in the shape of the bile duct and other organs, making it difficult to separate the bile duct wall from adjacent tissues or to control bleeding...
February 26, 2024: World Journal of Clinical Cases
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