Prevalence of Steatosis Hepatis in the Eurotransplant Region: Impact on Graft Acceptance Rates.
Authors: Moosburner S, Gassner JMGV, Nösser M, Pohl J, Wyrwal D, Claussen F, Ritschl PV, Dragun D, Pratschke J, Sauer IM, Raschzok N
Abstract
Due to the shortage of liver allografts and the rising prevalence of fatty liver disease in the general population, steatotic liver grafts are considered for transplantation. This condition is an important risk factor for the outcome after transplantation. We here analyze the characteristics of the donor pool offered to the Charité - Universitätsmedizin Berlin from 2010 to 2016 with respect to liver allograft nonacceptance and steatosis hepatis. Of the 2653 organs...
Source: HPB Surgery - December 7, 2018 Category: Surgery Tags: HPB Surg Source Type: research
Proposal of Two Prognostic Models for the Prediction of 10-Year Survival after Liver Resection for Colorectal Metastases.
Conclusion: Both prognostic models are potentially clinically useful (AUROCs >0.700) for the prediction of 10-year survival. External validation is required prior to the introduction of these models in clinical patient counselling.
PMID: 30420795 [PubMed] (Source: HPB Surgery)
Source: HPB Surgery - November 14, 2018 Category: Surgery Tags: HPB Surg Source Type: research
The Falciform Ligament for Mesenteric and Portal Vein Reconstruction in Local Advanced Pancreatic Tumor: A Surgical Guide and Single-Center Experience.
Conclusion: The falciform ligament appears to be a feasible and reliable autologous tissue for venous blood flow reconstruction with high postoperative patency. Especially the possibility of customizing graft dimensions to the individual needs based on local findings allows an optimal size matching of the conduit. The risk of stenosis and/or segmental occlusion may thus be further reduced.
PMID: 30364084 [PubMed] (Source: HPB Surgery)
Source: HPB Surgery - October 28, 2018 Category: Surgery Tags: HPB Surg Source Type: research
Temporary CBD Stenting with a Nelaton Tube Is a More Practical and Safer Option Than T-Tube Drainage after Conventional CBD Exploration for Choledocholithiasis.
Conclusion: Nelaton tube with internal biliary drainage is effective and safer than T-tube drainage and it helps in reduction of the PO hospital stay time. In addition, it avoids all short-term complications of T-tube.
PMID: 30302070 [PubMed] (Source: HPB Surgery)
Source: HPB Surgery - October 12, 2018 Category: Surgery Tags: HPB Surg Source Type: research
The Role of Normothermic Perfusion in Liver Transplantation (TRaNsIT Study): A Systematic Review of Preliminary Studies.
Conclusion: This review outlines that NMP not only demonstrated safety and efficacy but also provided the favourable environment of organ preservation, repair, and viability assessment to donor liver prior to the transplantation with low rate of posttransplantation complication as PNF, EAD, and biliary complication; however further studies are needed to broaden our horizon.
PMID: 29887782 [PubMed] (Source: HPB Surgery)
Source: HPB Surgery - June 13, 2018 Category: Surgery Tags: HPB Surg Source Type: research
Normothermic Ex Vivo Machine Perfusion for Liver Grafts Recovered from Donors after Circulatory Death: A Systematic Review and Meta-Analysis.
This study aims to systematically review the current literature comparing normothermic perfusion to cold storage in donation after circulatory death liver grafts and complete a meta-analysis of published large animal and human studies. A total of nine porcine studies comparing cold storage to normothermic machine perfusion for donation after circulatory death grafts were included for analysis. There was a significant reduction in AST (mean difference -2291 U/L, CI (-3019, -1563); P ≤ 0.00001) and ALT (mean difference -175 U/L, CI (-266, -85); P = 0.0001), for normothermic perfusion relative to static cold storage, wi...
Source: HPB Surgery - June 2, 2018 Category: Surgery Tags: HPB Surg Source Type: research
Nonoperative Management May Be a Viable Approach to Plexiform Neurofibroma of the Porta Hepatis in Patients with Neurofibromatosis-1.
Conclusion: Our findings suggest that PNFs of PH in the setting of NF-1 are often unresectable and may have an indolent course. Surveillance alone may be a reasonable option in some patients; however, further studies are needed.
PMID: 29849532 [PubMed] (Source: HPB Surgery)
Source: HPB Surgery - June 2, 2018 Category: Surgery Tags: HPB Surg Source Type: research
Child-Pugh Parameters and Platelet Count as an Alternative to ICG Test for Assessing Liver Function for Major Hepatectomy.
CONCLUSION: eICG15 can be predicted from Child-Pugh parameters and platelet count. eICG15 correlates with in-hospital mortality after major hepatectomy and predicts long-term survival.
PMID: 28951631 [PubMed - in process] (Source: HPB Surgery)
Source: HPB Surgery - September 28, 2017 Category: Surgery Tags: HPB Surg Source Type: research
Gallbladder Carcinoma in the United States: A Population Based Clinical Outcomes Study Involving 22,343 Patients from the Surveillance, Epidemiology, and End Result Database (1973-2013).
CONCLUSIONS: GBC is an uncommon malignancy that presents most often among females in their 8th decade of life, with over a third of cases presenting with distant metastasis. The incidence of GBC has doubled in the last decade concurrent with increases in cholecystectomy rates attributable in part to improved histopathological detection, as well as laparoscopic advances and enhanced endoscopic techniques. Surgical resection confers significant survival benefit in GBC patients.
PMID: 28638176 [PubMed - in process] (Source: HPB Surgery)
Source: HPB Surgery - June 24, 2017 Category: Surgery Tags: HPB Surg Source Type: research
Mediastinal Pseudocyst: Varied Presentations and Management-Experience from a Tertiary Referral Care Centre in India.
Authors: Segamalai D, Abdul Jameel AR, Kannan N, Anbalagan A, Duraisamy B, Raju P, Devy Gounder K
Abstract
Pseudocysts are a recognised complication following acute or chronic pancreatitis. Usually located in peripancreatic areas, they have also been reported to occur in atypical regions like liver, pelvis, spleen, and mediastinum. Mediastinal pseudocysts are a rare entity and present with myriad of symptoms due to their unique location. They are a clinical challenge to diagnose and manage. In this paper, we describe the clinical and radiological characteristics of mediastinal pseudocysts in 7 of our patie...
Source: HPB Surgery - April 12, 2017 Category: Surgery Tags: HPB Surg Source Type: research
Bovine Serum Albumin-Glutaraldehyde Sealed Fish-Mouth Closure of the Pancreatic Remnant during Distal Pancreatectomy.
Conclusion. The performance of a bovine serum albumin-glutaraldehyde sealed hand sutured fish-mouth closure of the pancreatic remnant was shown to be technically feasible and may lead to a significant decrease of postoperative pancreatic fistula formation after distal pancreatectomy.
PMID: 28194043 [PubMed - in process] (Source: HPB Surgery)
Source: HPB Surgery - February 16, 2017 Category: Surgery Tags: HPB Surg Source Type: research
Pancreatic Cancer: 80 Years of Surgery-Percentage and Repetitions.
Conclusion. Assuming a 10% resection rate and correcting for repetitions and the life table percentage the overall actual survival rate is hardly more than 0.3%.
PMID: 27847403 [PubMed - in process] (Source: HPB Surgery)
Source: HPB Surgery - November 18, 2016 Category: Surgery Tags: HPB Surg Source Type: research
Evaluation of Early Cholecystectomy versus Delayed Cholecystectomy in the Treatment of Acute Cholecystitis.
Conclusions. EC is safe in patients with acute cholecystitis and could lead to a reduction in the direct costs of treatment.
PMID: 27803512 [PubMed - in process] (Source: HPB Surgery)
Source: HPB Surgery - November 4, 2016 Category: Surgery Tags: HPB Surg Source Type: research
Intraoperative Fluid Excess Is a Risk Factor for Pancreatic Fistula after Partial Pancreaticoduodenectomy.
Conclusions. This analysis demonstrates for the first time an association between intraoperative fluid excess and PF after PD with PJ even in patients with normal renal function. A carefully patient-adopted fluid management with due regard to renal function may help to prevent postoperative PF.
PMID: 27738384 [PubMed - in process] (Source: HPB Surgery)
Source: HPB Surgery - October 16, 2016 Category: Surgery Tags: HPB Surg Source Type: research
Hepatectomy Based on Future Liver Remnant Plasma Clearance Rate of Indocyanine Green.
Conclusion. Liver remnant plasma clearance rate of indocyanine green is a valid criterion for hepatectomy.
PMID: 27418717 [PubMed] (Source: HPB Surgery)
Source: HPB Surgery - July 16, 2016 Category: Surgery Tags: HPB Surg Source Type: research
