First two-stage robotic ALPPS in HCC patients with hepatic vein invasion: a step-by-step procedure from a clinical case

First totally laparoscopic ALPPS procedure with selective hepatic artery clamping

BACKGROUND ALPPS (Associating Liver Partition and Portal vein ligation for Staged hepatectomy) is a new surgical approach for the treatment of liver tumors. It is indicated in cases where the future liver remnant is not sufficient to maintain postoperative liver function. We report a totally laparoscopic ALPPS with selective hepatic artery clamping. Pneumoperitoneum itself results in up to 53% ...

Adaptive Line Enhancement Using a Parallel IIR Filter with A Step-By-step Algorithm

 A step-by-step algorithm for enhancement of periodic signals that are highly corrupted by additive uncorrelated white gausian noise is proposed. In each adaptation step a new parallel second-order section is added to the previous filters. Every section has only one adjustable parameter, i.e., the center frequency of the self-tuning filter. The bandwidth and the convergence factor of each secti...

A Step toward a Sustainable Diet by Reducing Carbon Footprint: A Case Study in Iran

Introduction: Greenhouse gas (GHG) emissions have caused environmental effects. Food production is one of the sources of GHGs. This study aimed to suggest dietary scenarios for decreasing GHG emissions. Materials and Methods: GHG emissions in the target population of Urmia city, Northwest Iran, were investigated using a modeling approach. Three dietary scenarios were modeled and analyzed to ev...

Two cases of ALPPS procedure: simultaneous ALPPS and colorectal resection and ALPPS procedure for hepatic malignancy larger than 15 centimeter

Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) has recently been introduced as a new surgical technique to increase future liver remnant in patients with marginal liver volume contemplating major liver resection. We herein present two cases. Case 1: a 68-year-old male patient with colorectal liver metastasis was referred to our department. The future liver r...

Waste Minimization Assessments a Step - by - Step Procedure