Introduction: The aim of this study was to identify the predictors for fatal complication (FC) and 3 severe complications: biloma (BL); infectious (IC); hepatic insufficiency (HI) after extensive hepatobiliary resection disease. Methods: One hundred forty patients who underwent major hepatectomy with biliary reconstruction between January 1999 December 2019 were identified. FC defined as ≥ Clav...

HYPOTHESIS Early risk factors for hepatic-related morbidity in patients undergoing initial nonoperative management of complex blunt hepatic injuries can be accurately identified. DESIGN Multicenter historical cohort. SETTING Seven urban level I trauma centers. PATIENTS Patients from January 2000 through May 2003 with complex (grades 3-5) blunt hepatic injuries not requiring laparotomy in ...

is an effective palliative treatment for unresectable hepatocellular carcinoma (HCC). However, several complications of TACE have been reported, including transient fever and pain after the procedure, hepatic infarction, liver abscess, hepatic failure, biliary stricture, and biloma [1–3], although acute obstructive cholangitis due to migration of the necrotic tumor after TACE is very rare. We r...

To investigate the incidence and outcome of major complication following conventional transarterial embolization/chemoembolization (TAE/TACE) therapy for hepatocellular carcinoma (HCC).From May 2010 to May 2016, all patients with major complication following conventional TAE/TACE for HCC were included. Major complication was defined as admission to a hospital for therapy, an unplanned increase ...

OBJECTIVE To assess the results of a refined approach to repair of postcholecystectomy bile duct strictures. DESIGN An 11-year retrospective review of patients who had surgical repair of bile duct strictures developing late after cholecystectomy. SETTING A major university teaching hospital in France. PATIENTS AND INTERVENTIONS During an 11-year period from 1987 to 1997, 22 patients (mean...

In order to assess the role of endoscopic retrograde cholangiography in evaluating the patients with post-operative biliary leak and of endoscopic nasobiliary drainage in its management, 36 patients with biliary leak seen over a period of 9 years were studied. Thirty-two had biliary leak following cholecystectomy, 3 following repair of liver trauma and 1 following choledochoduodenostomy. Patien...

  Introduction: Biliary tract injury is a major complication of laparoscopic cholecystectomywhich can be very challenging. But, the important part is to know the accurate anatomy of the ducts and site of the injury before any surgical attempt for ligation or repair. In this case a disaster might happ...

BACKGROUND AND OBJECTIVES Major abdominal procedures are strongly associated with postoperative immunosuppression and subsequent increased patient morbidity. It is believed that laparoscopic surgery causes less depletion of the systemic immune function because of the reduced tissue trauma. Various cytokines and monocytic HLA-DR expression have been successfully implemented to assess postoperati...