Surgery, Gastroenterology and Oncology

Read article Background: Endoscopic retrograde cholangiography (ERC) with balloon dilation and stenting is the curative treatment for biliary anastomotic (AS) strictures after living donor liver transplantation (LDLT). The aim of this study was to assess the technical feasibility and clinical outcomes of combined endoscopic and percutaneous therapy for biliary AS stricture in adult right-lobe living donor liver transplantation with duct to duct anastomosis.

Materials and methods: Between January 2008 and December 2015, 648 patients receiving right-lobe LDLT in our hospital ....[more]

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]

Read article Anatomical central hepatectomy is technically demanding and is often excessive. It has an increased risk for insufficient remnant liver volume, especially in case of P8 dorsal pedicle for segment 7 and or P5 dorsal for segment 6, and or abnormal background liver. On the contrary, limited central hepatectomy (LCH) for centrally located tumors, based on preserving the P8 dorsal and some of P5 and P4 pedicles (depending on tumor placement) is conservative, and therefore has a low risk for insufficient remnant liver volume.
It is less technically demanding, when compared to anatomica....[more]