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Management of intractable pancreatic leak from iatrogenic pancreatic duct injury following resection of choledochal cyst in an adult patient

Choi JU, Hwang S, Chung YK

Iatrogenic pancreatic duct injury can occur during resection of the choledochal cyst (CC). We herein present a case of postoperative pancreatic fistula (POPF) developed after resection of the CC in...
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Bile duct injuries after cholecystectomy, analysis of constant risk

Díaz-Martínez J, Chapa-Azuela O, Roldan-García JA, Flores-Rangel GA

Backgrounds/Aims: The bile duct injuries are the most severe complications that occur after the surgical manipulation of the bile duct. The hepaticojejunostomy remained as the best treatment. Several factors identified...
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ERAS in minimally invasive hepatectomy

Fung AKY, Chong CCN, Lai PBS

Open hepatectomy is associated with significant post-operative morbidity and mortality profile. The use of minimally invasive approach for hepatectomy can reduce the post-operative complication profile and total length of hospital...
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Living donor liver transplantation for diffuse biliary papillomatosis with malignant change: A case report with 10-year follow-up

Choi JU, Hwang S, Jung DH, Park GC, Ahn CS, Kim KH, Moon DB, Ha TY, Song GW, Lee SG

Biliary papillomatosis is a rare disease of the biliary tract. In this study, we present a case of a male patient with biliary papillomatosis with malignant change who underwent living...
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Seeking the unseen: Localization and surgery for an occult sporadic insulinoma

Subasinghe D, Gunatilake SSC, Dassanyake VE, Garusinghe C, Ganewaththa E, Appuhamy C, Somasundaram NP, Sivaganesh S

Insulinomas are rare pancreatic neuroendocrine tumours and the commonest cause for endogenous hyperinsulinaemic hypoglycemia. Small tumours are not easily detected by conventional cross-sectional imaging making localization prior to surgical removal...
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Human equilibrative nucleoside transporter-1 (hENT1) and ribonucleotide reductase regulatory subunit M1 (RRM1) expression; do they have survival impact to pancreatic cancer?

Hwang DW, Shin E, Cho JY, Han HS, Yoon YS

Backgrounds/Aims: Gemcitabine is still one of adjuvant options in chemotherapeutic agent for pancreatic ductal adenocarcinoma (PDAC). Integral membrane transporter protein and intracellular enzymes including human equilibrative nucleoside transporter 1 (hENT1),...
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Isolated aberrant right cysticohepatic duct injury during laparoscopic cholecystectomy: Evaluation and treatment challenges of a severe postoperative complication associated with an extremely rare anatomical variant

Vasiliadis K, Moschou E, Papaioannou S, Tzitzis P, Totsi A, Dimou S, Lazaridou , Kapetanos , Papavasiliou C

A typical bile duct branching patterns represent one of the major causes of bile duct injury (BDI) during laparoscopic cholecystectomy (LC). The most common classified variations of bile duct branching,...
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Distal pancreatectomy outcomes: Perspectives from a community-based teaching institution

Bashir MU, Kandilis A, Jackson NM, Parikh JA, Jacobs MJ

Backgrounds/Aims: Distal pancreatic resections are intricate operations with potential for significant morbidity; there is controversy surrounding the appropriate setting regarding surgeon/hospital volume. We report our distal pancreatectomy experience from a...
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Living-donor liver transplantation for Abernethy malformation - case report and review of literature

Nam HD

Abernethy malformation was named for the rare congenital absence of the portal vein (CAPV), also known as congenital extrahepatic portal-systemic shunts (CEPS). This could be classified as complete (type 1)...
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Serial follow-up of malaria-induced splenic infarction: A case report

Kim SH, Jung HS, Park S

Malaria shows various clinical manifestations from mild fever to death depending on the Plasmodium species. Among the complications, reports of malaria-associated splenic infarctions are rare. Here we present a case...
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Feasibility of laparoscopic liver resection for liver cavernous hemangioma: A single-institutional comparative study

Shin Y, Rhu J, Choi GS, Kim JM, Joh JW, Kwon CHD

Backgrounds/Aims: While minimal invasive surgery has become popular, the feasibility of laparoscopy for liver cavernous hemangioma has not been shown. Methods: Patients who underwent hepatectomy for liver cavernous hemangioma from...
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Right trisectionectomy with en bloc portal vein resection for cholangiocarcinoma after preoperative stenting for main portal vein occlusion

Hwang S, Ko GY

Deprivation of portal blood flow decreases the hepatic function, thus hepatobiliary cancer patients with total occlusion of the main portal vein (PV) are usually not indicated for major hepatectomy. We...
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Pathologic Doppelgänger: Thyroid–like intrahepatic cholangiocarcinoma with synchronous primary thyroid carcinoma in a young woman

Mittal N, Bal M, Ramadwar M, Patkar S, Goel M

Intrahepatic cholangiocarcinoma (ICC) accounts for 8-10% of all malignant liver tumors. Preponderance for elderly males and occurrence of varied morphological patterns in ICC is well known. Recent reports have described...
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Living donor liver transplantation for unresectable colorectal liver metastasis: Report of a case with 13-year follow-up without recurrence

Choi JU, Hwang S, Jung DH, Park GC, Ahn CS, Kim KH, Moon DB, Ha TY, Song GW, Lee SG

The feasibility of liver transplantation (LT) for colorectal liver metastasis (CRLM) is still under investigation with only a limited number of LT cases in literature. CRLM is the most common...
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Assessment of functional outcome of patients undergoing surgery for chronic pancreatitis: A prospective study

Nitesh PNB, Reddy VV, Gavini SK, Vaikkakara S, Chandrahasan C, Rao MB, Varun D

Backgrounds/Aims: This study was done with the aim of assessing impact of surgery for chronic pancreatitis on exocrine and endocrine functions, quality of life and pain relief of patients. Methods:...
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Living donor liver retransplantation for primary non-function of liver graft following multivisceral transplantation in a pediatric patient

Hwang S, Kim DY, Namgoong J, Kim KM, Oh SH, Kim KH, Ahn CS, Kwon H, Cho YJ, Kwon YJ

Multivisceral organ transplantation (MVOT) includes transplantation of three or more abdominal organs, generally including the small bowel, duodenum, stomach, liver, pancreas, and colon. We here presented the detailed procedures of...
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Reuse of liver allograft from a brain-dead recipient: A case report

Kim MJ, Hwang S, Jung DH, Park GC, Song GW, Cho HD, Lee SG

We report our first case of deceased-donor liver transplantation (LT) using a reuse liver graft after the first LT. The recipient was a 38-year-old female with fulminant hepatic failure from...
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Splenectomy with endotherapy in non-cirrhotic portal fibrosis related portal hypertension: Can it be an alternative to proximal spleno-renal shunt?

Saluja SS, Kumar A, Govind H, Varshney V, Khullar R, Mishra PK

Backgrounds/Aims: Proximal splenorenal shunt (PSRS) is usually done in symptomatic non-cirrhotic portal fibrosis (NCPF). The outcomes of splenectomy with endotherapy in non-bleeder NCPF patients has not been well studied. We...
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Effect of everolimus rescue therapy for acute cellular rejection following pediatric living donor liver transplantation: Report of one case

Hwang S, Namgoong J, Oh SH, Kim KM, Ahn CS, Kwon H, Cho YJ, Kwon YJ

Acute cellular rejection (ACR) after pediatric living donor liver transplantation (LDLT) is often curable with steroid pulse therapy, but a few pediatric patients show steroid-resistant ACR, which is difficult to...
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Technical refinement of prosthetic vascular graft anastomosis to recipient inferior vena cava for secure middle hepatic vein reconstruction in living donor liver transplantation

Jeong IJ, Hwang S, Ha TY, Song GW, Jung DH, Park GC, Ahn CS, Moon DB, Kim KH, Yoon YI, Lee SG

Backgrounds/Aims: Hemashield vascular grafts has been used for middle hepatic vein (MHV) reconstruction during living donor liver transplantation (LDLT). We occasionally encounter outflow disturbance of MHV conduit at the anastomotic...
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