Objectives: To analyze the complications of first 400 laparoscopic cholecystectomies (LC) for patients with symptomatic gall stone disease at a tertiary care hospital. Study Design: Quasi-experimental study. Place and Duration of Study: PNS Shifa Karachi and CMH Lahore, Pakistan from Nov 2009 to Jan 2013. Patients and Methods: A prospective analysis of complications occurring in first 400 conse...

Background. The aim of the study was to determine efficacy and reliability of percutaneous abdominal drainage in surgical patients and to evaluate intercostal approach to drain subphrenic collections. Material and methods. Eighty-seven patients aged from 29 to 84 years (mean, 55.5 years) were percutaneously drained under the sonographic guidance due to the postoperative or nonoperated abdominal...

In this review, we have discussed efficacy of percutaneous biliary drainage not only in cases with malignant bi l iary obstructive jaundice, but accompanying bilomas as well. Percutaneous biliary drainage is mostly successful. Direct bilirubin levels can be decreased significantly as in our previous series, which has a success of 89.5% of malignant biliary drainages and all associated bilomas. ...

TOPIC: Disorders of the Pleura TYPE: Medical Student/Resident Case Reports INTRODUCTION: Bilothorax is a rare cause exudative pleural effusions that was first reported in 1971.(1) There have been less than 70 cases since then.(2) Most are right sided and arise as complication hepatobiliary surgery. Here we report case an elderly male who developed biliopleural fistula with recurrent bilothorax ...

Bile leaks after laparoscopic cholecystectomy are usually treated using endoscopic retrograde cholangiopancreatography (ERCP). The presence of complex, surgically altered gastrointestinal anatomy poses a diagnostic and therapeutic challenge to the endoscopic treatment of these lesions. Herein, we present a patient with Roux-en-Y gastric bypass who developed a bile leak after cholecystectomy and...

Objectives: Since pediatric cholelithiasis is uncommon, to date there have not been any large series reporting the results of laparoscopic cholecystectomy performed in children. However, at our institution, the combination of an early commitment to laparoscopic techniques for children and access to a large population of pediatric patients with sickle cell disease have provided a significant exp...

BACKGROUND Hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome, is a rare autosomal dominant genetic vascular dysplasia. OBJECTIVES The aim is to characterize the liver involvement of HHT by multi-detector helical computed tomography. PATIENTS AND METHODS Through the use of multi-detector helical computed tomography, scan data derived from 12 cases of HHT w...

BACKGROUND Bile duct injuries after transarterial chemoembolization (TACE) have been reported; however, the exact pathogenic mechanisms and clinical implications of the injuries remain to be clarified. STUDY A total of 950 consecutive patients with hepatocellular carcinoma (HCC) were studied. Among them, 807 were treated with TACE and the remaining 143 were treated with transarterial chemoinf...

Liver transplantation is the most effective treatment for various end-stage liver diseases. Living donor liver transplantation (LDLT) was first developed in Asia due to the severe lack of cadaveric graft in this region. The Liver Transplant Service at Queen Mary Hospital (QMH), Hong Kong, has pioneered the application of LDLT to patients using both left lobe and right lobe grafts. The QMH liver...