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Pancreatic pseudocyst with fistula to the dilated common bile duct: Mimmicking choledocal cyst?

Gustavo N, Alesio L, Lorna RT, Eugenia DE, Flavia L

We present a rare case of a fistula between a pancreatic pseudocyst and the bile duct with saccular dilatation that appeared to be a type I choledocal cyst. There are...
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A potential intraoperative disaster averted: Preduodenal portal vein compressing a preduodenal common bile duct

Kumar A, Pandey M

Familiarity with the anatomy is paramount for conduct of safe surgery for a surgeon. Anomalies with the biliary and hepatic arterial system are common but portal vein anomalies are least...
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Laparoscopic hybrid pancreaticoduodenectomy: Initial single center experience

Al-Sadairi AR, Mimmo A, Rhaiem R, Esposito F, Rached LJ, Tashkandi A, Zimmermann P, Memeo R, Sommacale D, Kianmanesh R, Piardi T

Backgrounds/Aims: Pancreaticoduodenectomy (PD) is the gold standard for the treatment of periampullary tumors. Many specialized centers have adopted the totally laparoscopic or hybrid laparoscopic PD (LPD). However, this procedure has...
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Robotic transduodenal ampullectomy: Case report and review of the literature

Linn YL, Wang Z, Goh BKP

Ampullary neoplasms are relatively uncommon lesions with a risk of progression to malignancy. Depending on its nature, size and location, it may be best treated with endoscopic papillotomy, pancreaticoduodenectomy or...
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Chronological analysis of surgical and oncological outcomes after the treatment of perihilar cholangiocarcinoma

Lee SH, Choi GH, Han DH, Kim KS, Choi JS, Rho SY

Backgrounds/Aims: Despite advances in surgical techniques and perioperative supportive care, radical resection of hilar cholangiocarcinoma is the only modality that can achieve long-term survival. We chronologically investigated surgical and oncological...
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Transient mesoportal shunt: An innovative technique for maintaining portal flow during pancreatoduodenectomy with portal vein resection

S. GM, Gnanasekaran S, Raja K, Pottakkat B

Pancreatic cancers exhibit a surgical challenge, in light of frequent vascular involvement. In absence of metastatic spread, vascular invasion is the predominant limiting factor for determining the resectability. With progression...
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Clinical usefulness of T1-weighted MR cholangiography with Gd-EOB-DTPA for the evaluation of biliary complication after liver transplantation

Lim CJ, Hong K, Lee JM, Han ES, Hong SK, Choi Y, Yi NJ, Lee KW, Suh KS

Backgrounds/Aims: Biliary complications continue to be the major morbidity and mortality causes following living donor liver transplantation (LT). Endoscopic retrograde cholangiopancreatography (ERCP) has been performed to identify the biliary leakage...
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Bouveret syndrome: A series of cases that illustrates a rare complication of chronic cholelithiasis

Runyan B, Caparelli ML, Batey J, Allamaneni S, Perlman S

Bouveret syndrome is defined as gastric outlet obstruction secondary to the impaction of a large gallstone in the proximal gastrointestinal tract. The obstruction occurs as result of a bilio-enteric or...
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A novel concept on volumetric assessment and quantification of gastrointestinal bleed on computed tomography angiography: Observations based on a case series

P. AP, Gadabanahalli K, Bhat V, Kumar B. N. K

Estimation of quantity and rate of bleeding is of great value in the management of patients with acute GI bleed. Endoscopy and multiphase contrast enhanced computed tomography (MCECT) are the...
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A comparative study of postoperative outcomes after stapled versus handsewn gastrojejunal anastomosis for pylorus-resecting pancreaticoduodenectomy

Lee SH, Lee YH, Hur YH, Kim HJ, Choi BG

Backgrounds/Aims: A stapler is widely used in various surgeries, and there have been recent attempts to use it for performing duodenojejunostomy and gastrojejunostomy during pancreaticoduodenectomy. This study aimed to compare...
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Minimally invasive surgery for choledochal cysts: Laparoscopic versus robotic approaches

Yoon JH, Hwang HK, Lee WJ, Kang CM

Backgrounds/Aims: Minimally invasive surgery is a widely accepted approach in hepatobiliary surgery and choledochal cyst excision has also been performed by minimally invasive methods, including laparoscopic and robotic approaches. However,...
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Standard and modified techniques for parenchyma-preserving hepatectomy focused on segments I+IV resection in patients with perihilar cholangiocarcinoma

Hwang S

Resection of the hepatic segments I+IV (S1+S4) is the most common type of parenchyma-preserving hepatectomy (PPH) for perihilar cholangiocarcinoma (PHCC). The author describes personal experience on the standard and modified...
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Comparison of outcomes of single incision robotic cholecystectomy and single incision laparoscopic cholecystectomy

Lee SM, Lim JH

Backgrounds/Aims: Multiport laparoscopic cholecystectomy is the standard surgical procedure for symptomatic gallbladder diseases. However, as a result of the ongoing trend toward minimally invasive laparoscopy, single-incision laparoscopic cholecystectomy (SILC) has...
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Application of resuscitative endovascular balloon occlusion in post-transplant mycotic hepatic artery pseudoaneurysm rupture in the setting of Aspergillus Constellatus bacteremia

Stephenson K, Kalkwarf K, Giorgakis E

Hepatic artery pseudoaneurysm (HAP) is a rare, highly morbid and frequently fatal complication of liver transplantation. Most are a mycotic mediated weakness of the arterial wall, with associated bacterial or...
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Hilar portal vein wedge resection and patch venoplasty in patients undergoing bile duct resection for hepatobiliary malignancy: A report of two cases

Kim SM, Hwang S

Margin-free resection is one of the most important factors for favorable prognosis in patients undergoing resection for hepatobiliary malignancies. Herein, we present two cases of hepatobiliary malignancies in patients who...
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Enhanced recovery after hepatopancreaticobiliary surgery: A single-center case control study

Nasir F, Hyder Z, Kasraianfard A, Sharifi A, Khamneh AC, Zarghami SY, Jafarian A

Backgrounds/Aims: The aim of this study was to find the safety and effectiveness of enhanced recovery after surgery (ERAS) in patients who undergo hepatopancreaticobiliary (HPB) surgeries and its association with...
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Prognostic value of the lymph node metastasis in patients with ampulla of Vater cancer after surgical resection

Lee JW, Choi SB, Lim TW, Kim WJ, Park P, Kim WB

Backgrounds/Aims: Patients with Ampulla of Vater cancer have a better prognosis than those with other periampullary cancers. This study aimed to determine the prognostic impact of lymph node metastasis on...
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Robotic major liver resections: Surgical outcomes compared with open major liver resections

Yang HY, Rho SY, Han DH, Choi JS, Choi GH

Backgrounds/Aims: Laparoscopic major liver resections are still considered innovative procedures despite the recent development of laparoscopic liver surgery. Robotic surgery has been introduced as an innovative system for laparoscopic surgery....
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Laparoscopic hepatectomy versus open hepatectomy for hepatocellular carcinoma: A propensity case-matched analysis of the long-term survival

Ho KM, Cheng KC, Chan FKM, Yeung YP

Backgrounds/Aims: Despite the widespread popularity of laparoscopic surgery, laparoscopic liver resection (LLR) remains in evolution. This study aimed to compare the long-term outcomes for patients undergoing laparoscopic versus open hepatectomy...
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Surgical outcomes of perihilar cholangiocarcinoma based on the learning curve of a single surgeon at a tertiary academic hospital: A retrospective study

Park HJ, Han DH, Choi GH, Choi JS

Backgrounds/Aims: Although it is difficult to master the surgical learning curve for treatment of perihilar cholangiocarcinoma (HCCA), there have been no studies on surgical outcomes between a novice and an...
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