BACKGROUND Hepatectomy in a patient with situs inversus patient is technically challenging because of its complete mirror image anatomy, especially for a tumor located deep in the liver. Incorrectly identifying intrahepatic vessels and biliary system would lead to serious complications. We experienced a hepatectomy for a tumor in a patient with situs inversus totalis with referring to computer-...

BACKGROUND AND OBJECTIVES Due to the concern of risk of intra- and postoperative complications and associated morbidity, cirrhosis of the liver is often considered a contraindication for laparoscopic cholecystectomy (LC). This article intends to review the literature and underline the various approaches to dealing with this technically challenging procedure. METHODS A Medline search of major...

Over a 9-yt'ar period, 58 patients who had pre"ious portasyslemic shunt procedures unden-ent orthotopic liver transplantation (OtTx) under a cyclosporine-steroid immunosuppresshe regimen. The types of shunt used were distal splenorenal (18 patients), mesocaval (17 patients). end-to-side portacaval (II patients). side-to-side portaca,'al (5 patients) and proximal splenorenal (7 patients). The me...

BACKGROUND AND OBJECTIVES Biliary leakage through the cystic duct stump due to clip dislodgement has been a concern since the advent of the laparoscopic cholecystectomy. The authors proposed a cadaveric model to test the safety of cystic duct clipping in a hypertensive biliary tract in healthy and cirrhotic livers. METHODS Twenty fresh cadavers were studied (5 cirrhotic, 15 healthy). Open cho...

Awareness of the presence of the accessory renal artery in kidney transplant, treatment of renal artery stenosis, clinical assessment of renal vascular hypertension, radiology and angiography interventions is very helpful. In 30% of cases the accessory renal artery is separated from the abdominal aorta and in most cases, this artery along with the main artery entered to the kidney through t...

BACKGROUND Major hemihepatectomy for advanced gallbladder carcinoma remains controversial as it is associated with serious postoperative complications and poor prognosis. METHODS All those who underwent extended right hemihepatectomy were identified from a database of patients with gallbladder carcinoma who had surgical resection between 1999 and 2009. The clinicopathological data for these p...

Evaluation of the malignant potential of a pheochromocytoma (PCC) remains controversial. PCC is regarded as a neuroendocrine tumor (NET), and the classification of NETs has gradually been defined over the last decade, particularly for gastroenteropancreatic NET. The present study describes a case of locally advanced, carcinoma-like, nonfunctional PCC, which may be regarded as neuroendocrine car...

BACKGROUND At the hilum of the liver, there is a structure called the hilar plate, which is of great surgical importance because all variations in the bile ducts and blood vessels occur within this region. The Rex-Cantlie line does not always pass the point of portal bifurcation. Classifying portal vein (PV) variations based on the shape and origin of anterior sectoral trunk (AST) within the he...

BACKGROUND A successful new treatment for a particular disease may change the natural history of that disease as patients go on to longer survival. The goal of this study was to investigate the porta hepatis as a site of recurrence of appendiceal mucinous neoplasms. METHODS A prospective database on patients with peritoneal dissemination of mucinous appendiceal neoplasms has been maintained f...