Surgery, Gastroenterology and Oncology

Read article Background: There are no well-established guidelines for treating right sided uncomplicated diverticulitis (RD). Understanding the natural history of RD may help us determine the most appropriate treatment strategy.

Method: We performed a retrospective cohort study of 402 patients admitted to our institution with Computed Tomography scan proven acute uncomplicated diverticulitis between January 2004 and December 2013. We compared patient demographics, duration and type of antibiotics, length of stay and rates of complication, recurrence and surgical interventio....[more]

Read article Postoperative leakage of upper gastrointestinal tract secondary to esophagectomy or gastrectomy is considered a dangerous situation due to the possible occurrence of mediastinitis and following sepsis. We experienced two multiple comorbid cases of luminal wall defect developed after esophageal resection for squamous cell carcinoma of the esophagus.
The patients were treated by jejunostomy and prolonged parenteral nutrition, but the defects persisted. To resolve the defect lesion, we used continuous suction with endoscopically applied a vacuum-sealed size-adjusted polyurethane vac....[more]

Read article Metastectomy is the only potentially curative treatment option for patients with colorectal liver metastases. It has been shown to improve long term survival in this group of patients. However, patients with extensive colorectal liver metastases with borderline resectability often pose a therapeutic challenge to the surgeon.
There is a potential risk of liver failure from insufficient liver remnant following metastectomy. In this instance, a two stage liver resection has emerged as a viable option. We describe our technique for a completely minimally invasive approach to two stag....[more]

Read article Living donor liver transplant predisposes both the donor and the recipient to high risk of small residual liver volume (in donor) and small-for-size graft syndrome (in recipient) (1).
Both of these risks can be overcomed by using two grafts from two different donors; this procedure is called "Living donor liver transplant using dual grafts" (2).

We present a video case-report of a "Living donor liver transplant using dual grafts" performed in a 51 yo female recipient for VHB+VHD cirrhosis, MELD score 22.
She received two liver grafts, a left hemiliver (Donor 2 in th....[more]