Purpose: Hepatic and/or portal vein embolization are performed before hepatectomy for patients with insufficient future liver remnant and usually achieved a trans-hepatic approach. The aim of the present study is to describe modified trans-venous venous deprivation technique (mLVD), avoiding potential risks limitations percutaneous approach hepatic embolization, assess safety, efficacy, surgica...

Hepatic encephalopathy (HE) is a major neuropsychiatric complication of cirrhosis. HE develops slowly in cirrhotic patients, starting with altered sleep patterns and eventually progressing through asterixis to stupor and coma. Precipitating factors are common and include an oral protein load, gastrointestinal bleeding and the use of sedatives. HE is common following transjugular intrahepatic po...

OBJECTIVE To present a safe and effective approach to chemoembolization for hepatic neoplasms, and to discuss the complications of chemoembolization and ways of avoiding them. METHODS The techniques and experience described herein are based on clinical practice at Yichang Central People's Hospital, Yichang, Hubei, China, where over 200 chemoembolization procedures are performed yearly, and on...

BACKGROUND Hepatic hemangiomas are the most common benign hepatic tumors, and they are usually asymptomatic with normal liver function. When hepatic hemangiomas reach 4 cm, we define them as giant hemangiomas. Treatment options for giant hemangiomas are observation, surgical resection, and transcatheter arterial embolization. The aim of this study was to identify the risk factors for surgical c...

OBJECTIVE To review the anatomical variations of the right lobe encountered in 40 living liver donors, describe the surgical management of these variations, and summarize the results of these procedures. SUMMARY BACKGROUND DATA Anatomical variability is the rule rather than the exception in liver and biliary surgery. To make effective use of liver segments from living donors for transplantati...

Umbilical and supraumbilical catheter insertion is a common procedure performed in the NICU. It is a safe and usually easy procedure devoid of serious mishaps, morbidity and mortality. Complications such as hemorrhage, infection, hernia, evisceration, omphalitis, portal vein thrombosis and portal hypertension may occur after umbilical catheter insertion. Other uncommon and rare complications re...

Living donor liver transplantation has been associated with severe vascular complications like hepatic artery thrombosis, which commonly involves the hepatic segment 4. Most authors have defined the artery to this segment as the middle hepatic artery. The present study was undertaken to characterize the origin of middle hepatic artery and classify the variations observed in cadaveric livers, an...