Tag Archives: liver surgery

Small for size syndrome (s)

Small for size (SFS) syndrome is a condition which causes considerable confusion partly because the term has been extended beyond its original meaning. It was initially used to describe the situation in liver transplantation where a patient develops liver dysfunction … Continue reading

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High intensity focused ultrasound — a big hitter with low impact?

Here is my latest highlight from the journal HPB which has recently increased its impact factor to 1.94. The article is on High intensity focused ultrasound and its role in treating small hepatocellular carcinoma. HIFU has been used in the … 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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The rule of 10’s applied to liver incidentalomas

The availability and increased accessibility of abdominal imaging has led to increased diagnosis of asymptomatic liver lesions known in the trade as ‘incidentalomas’. The next question that arises is what to do about them? Jonathan Koea, in his article in … Continue reading

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Enhanced recovery after liver surgery: a new challenge awaits

Here are my highlights from the April issue of the journal HPB. I think it is safe to say that enhanced recovery after surgery (ERAS) is here to stay. The majority of studies that have looked at ERAS protocols of … Continue reading

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TACE – Good radiological response does not necessarily equate with improved overall survival

Here is my highlight from the March edition of the journal HPB The treatment options for non-resectable primary hepatocellular carcinoma (HCC) are limited. Trans arterial chemoembolization (TACE) is a therapy which has achieved considerable popularity as a means for treating … Continue reading

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