Tag Archives: biliary surgery

Liver transplantation for cholangiocarcinoma- a hammer to crack a very tough nut?

I am woefully behind in posting new material on my blog for which I apologise. Everyone else’s deadlines seem to have taken over mine. Nevertheless it is a new year and I will resolve to spend more time and effort … Continue reading

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Resection of hilar cholangiocarcinoma – some hints and tips

The final part of this blog on cholangiocarcinoma is of course the surgery. I personally find surgery for hilar cholangiocarcinoma technically challenging. There is no doubt that it is some of the technically most complex and difficult surgery that we … Continue reading

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Preparatory work to resect a hilar cholangiocarcinoma-Portal vein embolization

In the previous part of this blog (Preparatory work to resect a hilar cholangiocarcinoma-biliary drainage and volumetry) I described the initial stages of working up a patient with a Bismuth Type 3A hilar cholangiocarcinoma in whom it is planned to perform … Continue reading

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My take on Mirrizzi syndrome

Pablo Luis Mirrizzi was a much loved surgeon and medical educator from Cordoba in Argentina. He described obstruction of the common hepatic duct arising from compression by a gall stone in the cystic duct.  He introduced the operative cholangiogram as … Continue reading

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Ultrasound based diagnosis of jaundice.

This is a really simple way to teach medical students or junior doctors about diagnosing jaundice. Obviously they should take a history and examine the patient but when we are talking about diagnosis of jaundice this question usually comes along. … Continue reading

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Avoiding inadvertent injury to the ampulla or distal bile duct during duodenal surgery

Every year we see a few cases where a patient has become yellow a few days after emergency surgery for a bleeding ulcer or trauma surgery involving the duodenum. The reason is usually a well meaning stitch to under-run an … Continue reading

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