BACKGROUND Liver retraction is necessary for optimal exposure during laparoscopic gastric surgery. Though transient venous congestion of the retracted lobe of the liver is invariably seen during operations, major parenchymal injury is rare. We describe a case of Nathanson liver retractor-induced left lobe liver necrosis and review the pertinent literature. CASE REPORT A 78-year-old man underw...

Previous studies have indicated that laparoscopic surgery is associated with a decline in liver protein synthesis. In this study, the fractional synthesis rate (FSR) of total liver protein and albumin was measured in patients undergoing elective laparoscopic cholecystectomy at different times after commencing the procedure ( n = 8 + 8). Liver biopsy specimens were taken after 15 min of surgery ...

BACKGROUND AND OBJECTIVE Robotic-assisted surgery offers a solution to fundamental limitations of conventional laparoscopic surgery, and its use is gaining wide popularity. However, the application of this technology has yet to be established in hepatic surgery. METHODS A retrospective analysis of our prospectively collected liver surgery database was performed. Over a 6-month period, all con...

of the hepatic anlage (Fraser, 1952) or by further branching of the foregut diverticulum (Ashby, 1969). Accessory lobes may be attached to the liver by a pedicle of the liver tissue or by a mesentery (Johnstone, 1965). For the accessory lobe to be viable it should have the hepatic artery, hepatic vein, portal vein and bile duct, which usually communicate through the liver, but occasionally may ...

Thoracobiliary fistula is a rare complication of hydatid cyst of the liver especially in the calcified form. Surgery is the only medical option. The treatment consists of radical surgical procedures in the majority of the patients. Conservative surgical treatments are performed with high mortality rate. Herein, we will describe two patients of calcified hydatid cysts of the liver whose conditio...

The patients with liver disease present for various surgical interventions. Surgery may lead to complications in a significant proportion of these patients. These complications may result in considerable morbidity and mortality. Preoperative assessment can predict survival to some extent in patients with liver disease undergoing surgical procedures. A review of literature suggests nature and th...

Adenoid cystic carcinoma is a rare malignant neoplasm of the salivary gland. Salivary gland neoplasms constitute 3% cancers all sites, which, 10–15% are malignant. Though adenoid most common tumor submandibular, sublingual and minor glands, it accounts for only 15% parotid cancers. They generally slow-growing spread relentlessly to adjacent structures. Hematogenous more than lymphatic spread, s...

BACKGROUND As a basis for future clinical questions, we evaluated the efficacy of hepatocyte transplantation in a surgical model using a subperitoneal or intrasplenic approach for cell implantation. METHODS In rats, acute liver failure was induced by subtotal hepatectomy. Series of allogenic hepatocyte transplantations were performed by varying cell number, site, and sequence of cell transpla...

some patients are more susceptible to hcc (like hbv, cirrhosis and …). in these patientsscreening imaging (ultrasound) is highly recommended. in positive cases next step would be 4-phasic ct scan or dynamic mri for confirm diagnosis and also staging. if there are typical signs of hcc (wash in, wash out), biopsy is not necessary in susceptible populations. gold standard treatment of hcc is surge...

BACKGROUND Rupture into the biliary ducts is the most frequent complication of hydatid liver disease. In endemic areas of Echinococcus granulosus, development of jaundice in a patient with liver cyst is initially suspected to have hydatid cyst. CASE PRESENTATION A 48 year-old woman with history of asymptomatic hydatid liver cysts was admitted to the emergency department with right upper quadr...