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Predictive value of post-operative drain amylase levels for post-operative pancreatic fistula

Serene TE, G SV, Padmakumar JS, Terence HC, Keem LJ, Bei W, Winston WW

BACKGROUNDS/AIMS: Traditionally, surgically placed pancreatic drains are removed, at the discretion of the operating surgeon. Moving towards enhanced recovery after surgery (ERAS), we looked for predictors for early drain removal....
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Laparoscopic pancreaticoduodenectomy with segmental resection of superior mesenteric vein-splenic vein-portal vein confluence in pancreatic head cancer: can it be a standard procedure?

Park H, Kang I, Kang CM

The feasibility of laparoscopic pancreaticoduodenectomy (LPD) in the treatment of pancreatic cancer is still disputed. However, advances in surgical technique and accumulating experience have led to the use of LPD...
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Recent treatment patterns and survival outcomes in pancreatic cancer according to clinical stage based on single-center large-cohort data

Lee DH, Jang JY, Kang JS, Kim JR, Han Y, Kim E, Kwon W, Kim SW

BACKGROUNDS/AIMS: We performed a retrospective, single-center cohort study to evaluate the impact of various treatment modalities and recent changes in treatment modalities, including the increased application of chemotherapy, on survival...
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Impact of preoperative management in patients older than 80 years requiring cholecystectomy

Shin DK, Kim SH, Moon DB, Hwang S, Kim KH, Ahn CS, Ha TY, Song GW, Jung DH, Song KB, Hwang DW, Kim SC, Lee YJ

BACKGROUNDS/AIMS: Elderly patients aged >80 yr have high morbidity and mortality rates after biliary surgery, especially in emergency operations. We conducted this study to determine the effect of preoperative management...
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ALKBH5 gene is a novel biomarker that predicts the prognosis of pancreatic cancer: A retrospective multicohort study

Cho SH, Ha M, Cho YH, Ryu JH, Yang K, Lee KH, Han ME, Oh SO, Kim YH

BACKGROUNDS/AIMS: Discovery of new prognostic factors for cases in which the pancreatic cancer scoring and staging system does not result in a clear definition is imperative. We examined the role...
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New two-step wedge liver resection technique: “zoom resection”: A case report

Pfaffen G, Ortiz N, Sotelo J, Azzi RM, Serafini V

Different surgical procedures have been described for the treatment of colorectal liver metastases. The appropriate surgical approach depends, among many other factors, on the relationship between liver metastases and suprahepatic...
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Acute haemoperitoneum due to small bowel metastases from hepatocellular carcinoma in a long term survivor following previous rupture

Shelat VG, Giron DM, Oo AM

We report a 75-year old patient, presenting with acute abdomen and hemorrhagic shock. He provided history of right hemihepatectomy performed 5 years ago, for ruptured hepatocellular carcinoma on a background...
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A cohort study on the risk of hepatectomy and pancreatectomy after history of abdominal surgery on other organs

Nanashima , Hiyoshi M, Imamura N, Yano K, Hamada T, Wada T, Nishida T, Tsuchiya K, Kawano F, Ikeda T, Takeno S

BACKGROUNDS/AIMS: The present study analyzed the postoperative outcomes in patients who underwent hepatectomy or pancreatectomy, with a history of intra-abdominal surgery involving other organs, to elucidate surgical efficacy. METHODS: We examined...
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Clinical outcomes of laparoscopic cholecystectomy in elderly patients after preoperative assessment and optimization of comorbidities

Shin MS, Park SH

BACKGROUNDS/AIMS: Early laparoscopic cholecystectomy is considered as the standard treatment of acute cholecystitis. However, whether this procedure is desirable in elderly patients with acute cholecystitis is not clearly elucidated. In...
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The survival impact of surgical waiting time in patients with resectable pancreatic head cancer

Seo HK, Hwang DW, Park SY, Park Y, Lee SJ, Lee JH, Song KB, Lee YJ, Kim SC

BACKGROUNDS/AIMS: After centralization policy, clinical outcomes have been improved in patients underwent pancreaticoduodenectomy for pancreatic cancer. However, centralization could exacerbate the prolongation of surgical waiting time. This study aims to...
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Hepatic venous outflow obstruction after whole liver transplantation of large-for-size graft: versatile intra-operative management

Lim C, Osseis M, Tudisco A, Lahat E, Sotirov D, Salloum C, Azoulay D

BACKGROUNDS/AIMS: Preservation of the native inferior vena cava using a large graft during adult whole liver transplantation is associated with a potential risk of hepatic venous outflow compression/obstruction, which may...
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Robot resection of a choledochal cyst with Roux-en-y hepaticojejunostomy in adults: Initial experiences with 22 cases and a comparison with laparoscopic approaches

Han JH, Lee JH, Hwang DW, Song KB, Shin SH, Kwon JW, Lee YJ, Kim SC, Park KM

BACKGROUNDS/AIMS: In adult choledochal cysts, complete excision of cyst with Roux-en-Y hepaticojejunostomy by laparoscopy is typically been performed, but there is now a trend towards adopting robot-assisted resection. METHODS: From January...
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Is the anatomical resection necessary for single hepatocellular carcinoma smaller than 3 cm?: single-center experience of liver resection for a small HCC

Shin S, Kim TS, Lee JW, Ahn KS, Kim YH, Kang KJ

BACKGROUNDS/AIMS: The superiority of anatomical resection (AR) for a small HCC remains controversial. In this study, we investigated the clinical outcomes after AR and non-anatomical liver resection (NAR) for single...
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A large-cohort comparison between single incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy from a single center; 2080 cases

Lee YJ, Moon JI, Choi IS, Lee SE, Sung NS, Kwon SW, Yoon DS, Choi WJ, Park SM

BACKGROUNDS/AIMS: This study was conducted to verify and compare the safety and feasibility of single incision laparoscopic cholecystectomy (SILC) and conventional laparoscopic cholecystectomy (CLC). METHODS: A total of 2,080 patients underwent...
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Comparison analysis of left-side versus right-side resection in bismuth type III hilar cholangiocarcinoma

Lee Y, Choi D, Han S, Han IW, Heo JS, Choi SH

BACKGROUNDS/AIMS: Several studies report worse prognosis after left-side compared to right-side liver resection in patients with perihilar cholangiocarcinoma. In this study, we compared outcomes of left-side and right-side resections for...
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Effectiveness of the albumin-bilirubin score as a prognostic factor for early recurrence after curative hepatic resection for hepatocellular carcinoma

Lee YH, Koh YS, Hur YH, Cho CK, Kim HJ, Park EK

BACKGROUNDS/AIMS: The albumin-bilirubin (ALBI) score has been validated as a predictor of disease-free survival and overall survival in hepatocellular carcinoma (HCC). The purpose of this study was to assess the...
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Absence of antitumor effects of metformin in sorafenib-treated patients with hepatocellular carcinoma recurrence after hepatic resection and liver transplantation

Chung YK, Hwang S, Song GW, Lee YJ, Kim KH, Ahn CS, Moon DB, Ha TY, Jung DH, Park GC, Ryoo BY, Lee SG

BACKGROUNDS/AIMS: Hepatocellular carcinoma (HCC) recurrence following hepatic resection (HR) and liver transplantation (LT) remains a great concern. We assessed the antitumor effects of metformin in patients treated with sorafenib for...
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A composite of urinary biomarkers for differentiating between tubulointerstitial inflammation and interstitial fibrosis/tubular atrophy in kidney allografts

Wee YM, Lee HW, Choi MY, Jung HR, Choi JY, Kwon HW, Jung JH, Kim YH, Han DJ, Shin S

BACKGROUNDS/AIMS: Compared with a single urinary biomarker, a composite of multiple urinary biomarkers may be more helpful for differentiating tubulointerstitial inflammation from interstitial fibrosis/tubular atrophy (IFTA) in kidney allografts. METHODS: In...
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