Explore the latest in hepatobiliary surgery, including advances in surgical techniques and approaches to liver, gallbladder, and biliary disease.
A 70-year-old woman with hypertension, atrial fibrillation, congestive heart failure, and gallstones had 3 days of nausea, vomiting, and abdominal pain. Abdominal computed tomography showed a thickened gallbladder wall with intraluminal air adherent to the duodenum and a gallstone in the middle ileum with proximal bowel distension. What is the diagnosis and what would you do next?
This article describes advances that are leading to a resurgence in surgeon interest and adoption of laparoscopic common bile duct exploration, making an innovation out of an old technique.
This decision analytic model study examines data for adult deceased liver transplant donors and waitlist candidates to determine the association between small stature and access to liver transplant and then creates a simulation of novel allocation policies to examine changes in access.
This randomized clinical trial investigates the effect of a combined drug approach targeting the preimplantation liver graft and recipient on the severity of ischemia-reperfusion injury during transplant.
This cohort study examines the association between frailty before and after liver transplant with global functional health after liver transplant.
This prognostic study uses a machine learning predictive model of survival after hepatocellular carcinoma recurrence to allocate patients to their best potential treatment: reoperative hepatectomy or thermoablation, chemoembolization, or sorafenib.
This article discusses the successful implementation of a liver exchange mechanism that led to 3 liver allotransplants and 3 hepatectomies between 3 incompatible patient-donor pairs.
This international, multicenter cohort study assesses the safety, reproducibility, and oncologic efficacy of robotic vs open liver resection for hepatocellular carcinoma.
This narrative review describes the most common treatment strategies in the step-up approach to managing necrotizing pancreatitis, including a discussion of common complications and associated issues.
This nonrandomized controlled trial evaluates the overall and disease-free survival rates as well as adverse events associated with combined neoadjuvant intensity-modulated radiotherapy and hepatectomy.
This cohort study examines the risk of graft failure associated with donors with hepatitis C virus (HCV) infection before and after the introduction of direct-acting antiviral medications.
This cohort study compares outcomes including hospital length of stay and 30-day rates of complications after nonelective subtotal cholecystectomy vs total cholecystectomy among patients with cholecystitis.
This narrative review investigates the current published case series and case-control studies of pediatric patients with acute hepatitis of unknown etiology.
This case-control study assesses the survival benefit, life-years saved, and the Model for End-stage Liver Disease incorporating sodium levels score at which that survival benefit was obtained for individuals who received a living-donor liver transplant compared with that for individuals who remained on the wait list.
This cohort study proposes the textbook outcome criteria after elective cholecystectomy and identifies reasons for failure and individual patient factors predisposing to failure.
This comparative effectiveness research examines overall survival and cancer-specific survival in patients with or without KRAS sequence variation who received treatment for synchronous liver metastases.
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