Surgery, Gastroenterology and Oncology

Read article Portal vein thrombosis (PVT) increases the surgical complexity of living donor liver transplantation (LDLT) and pre-transplant complete PVT is associated with decreased 1-year patient survival. Increased experience in the field of liver transplantation (LT) and refinements of the surgical techniques have led to successful outcomes even in recipients with complete PVT. Such techniques include thrombectomy of the native portal vein, extensive thromboendovenectomy up to the splenomesenteric confluence, venous conduit interposition and portocaval hemitransposition. In this report, we des....[more]

Read article Background: Liver resection for colorectal liver metastasis (CRLM) represents a valid therapeutic option. It can offer a chance of good long-term survival, with a 5 year survival of 25- 40%. Recent studies have shown that achieving a minimum of 1 cm surgical margin is not essential for long-term survival, and a microscopic free liver resection margin can be sufficient.
The aim of this study is to evaluate the impact of the resection margin on recurrence, disease free survival and the overall survival.

Materials and Method: All the primary liver resections ....[more]

Read article Background: Liver resection (LR) is the standard treatment for most focal liver lesions. Intraoperative ultrasound (IOUS) improves their diagnosis and guides the liver resection. The present paper analyses our experience in IOUS guided LR, reviewing the indications, surgical techniques, and the short-term results.

Material and Method: 198 LRs guided by IOUS in 186 patients operated in our center between January 2013 and December 2017 were included in a combined prospective and retrospective study. The median age of the patients was 60 years (mean 57, range 16....[more]

Read article Previous reports show that incidental gallbladder cancer (iGbC) occurs in less than 2% of patients after routine cholecystectomy. The aim of this retrospective study was to analyse the incidence and preoperative risk factors associated with iGbC at our department.

Patients and Methods: Between January 2006 and October 2016, a total of 480 cholecystectomies were performed, and we divided the cohort into two groups: iGbC Group (iGbC G) and non-Gb cancer group (nGbC G). Univariate and multivariate analyses assessing preoperative clinical and laboratory characteristics ....[more]