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Traian Dumitrascu,Andra Scarlat,Mihnea Ionescu,Irinel Popescu 한국간담췌외과학회 2017 Annals of hepato-biliary-pancreatic surgery Vol.21 No.2
Backgrounds/Aims: Standard pancreatic resections are the current approach for patients with resectable, isolated pancreatic metastases of other neoplasms. However, the role of parenchyma-sparing pancreatectomies for such pathology is poorly investigated. The aim of the present study is to assess the oncological safety of central pancreatectomies for pancreatic metastases of other neoplasms. Methods: A literature search was performed in order to identify patients with central pancreatectomies for pancreatic metastases of other neoplasms. The available data of the patients were extracted and analyzed. Results: A total number of 16 patients were identified. Renal carcinoma was the primary origin for the largest number of these patients (11 patients - 69%). The mean overall survival time was 109 months, with 1-, 5- and 10-year survival rates of 100%, 84%, and 60%, respectively. Conclusions: Although not often performed, a central pancreatectomy appears to be an oncologically safe surgical procedure in select patients with pancreatic metastases of other neoplasms of the pancreatic body and isthmus. However, no definitive conclusions should be drawn, based on the data provided in the present study, due to the limited number and heterogeneity of the patients.
Primary Giant Splenic and Hepatic Echinococcal Cysts Treated by Laparoscopy
Oana Stanciulea,Mihai Adrian Eftimie,Iulian Mosteanu,Luiza Tirca,Irinel Popescu 대한내시경복강경외과학회 2017 Journal of Minimally Invasive Surgery Vol.20 No.4
Cystic echinococcosis is a zoonosis caused by the larval stage of Echinococcus granulosus. Liver and lungs are the most commonly affected organs whereas splenic infection is rare and its primary involvement occurs in less than 2% of cases. We report a case of primary giant splenic and hepatic hydatid cyst in a 28-year-old woman who was admitted for upper right quadrant pain. The abdominal ultrasonography and computed tomography showed two cystic tumors with hydatid features in liver and spleen. Total splenectomy was performed for the splenic cyst and partial pericystectomy with drainage for the liver cyst using a laparoscopic approach. One drain was kept in place for two months due to a biliary leak of about 20 ml/day and removed afterward. The patient was discharged on postoperative day 7. Laparoscopic approach for patients with concomitant splenic and hepatic hydatidosis is a safe and effective option.
Venous Anatomic Variants Encountered During Liver Transplantation
( Nicolae Bacalbasa ),( Irina Balescu ),( Simona Dima ),( Vladislav Brasoveanu ),( Irinel Popescu ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: Adequate knowledge of hepatic vascular particularities is mandatory before preparing the patient for liver transplantation, significant anatomical variants being present in certain cases. Methods: We present two cases in which venous malformations were seen. In the first case supranumerary hepatic veins (two inferior hepatic veins originating from segments 5 and 6) were encountered at the donor; in the second case type Ib Abernethy malformation has been described preoperatively at the receiver. Results: The first case necessitated performing a supplemental anastomosis between the two inferior hepatic veins, the resulting structure being directly reinserted in the inferior cava vein; the second case had been diagnosed with unresectable liver adenomatosis in the presence of an aberrant portal vein draining directly into the inferior cava vein; the patient was successfully submitted to living donor liver transplantation using a left hemiliver. Conclusions: The presence of venous abnormalities should be carefully investigated in both donor and receiver among cases submitted to living donor liver transplantations; modifications encountered in both donor and receiver might significantly influence the further technical details.