Poor donor maintenance as evidenced by donor acidosis and graft macrosteatosis had significant impact in developing IPF when CIT is kept short. Similar study with larger sample size is required to establish extended criteria cutoff values.

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Introduction: Hepatocellular carcinoma (HCC) located in posterosuperior segemtents, especially segments VII and VIII, are considered to be difficult for minimally invasive liver resection (MLR) because of limited visualization, the risk of major bleeding and difficulty in bleeding control. This study compared short and long-term outcomes after laparoscopic or robotic liver resections for HCCs located in segments VII or VIII with open liver resections. Method: Between January 2005 to December 2016, 497 patients underwent liver resections for HCCs located in segments VII or VIII. Among them, 63 patients underwent minimally invasive liver resection (MLR), which included 48 patients in laparoscope approach and 15 patients in robotic approach. We retrospectively evaluated perioperative and oncologic outcomes between the groups. Result: In terms of perioperative outcomes, operative time was longer for MLR group than open group (421 min. vs, 274 min., p<0.001). While intraoperative blood loss was higher for open group (334 ml vs. 773ml, p<0.001) and postoperative stay was longer (8.3 days vs. 17.5 days, p=0.001), there were no significant differences in postoperative complication rates (20.6% vs. 17.3%, p=0.596), In terms of oncologic outcomes, 5-year overall survival (85.5% vs. 79%, p=0.085) and 5-year disease survival (45.3% vs. 64.3%, p=0.489) rates did not show significant difference between MLR group and open group. Conclusion: MLR for HCC located in segments VII or VIII may be more time-consuming compared to open, but benefits of lower hospital stay and lower blood loss with same oncologic outcomes should make it a more attractive option in deciding operative procedure.

We discuss a case of a rare, large, left-sided retroperitoneal mass that presented a diagnostic difficulty in characterization both radiologically and pathologically. We analyze the imaging findings in a step-by-step manner to understand its structure of origin, components, and tissue characterization. Intraoperative images are correlated with multidetector computed tomographic (CT) scan images to demonstrate spatial orientation. A discussion of the pathological findings, and conclusions are made. This discussion highlights the methodology by which radiologic diagnosis is made on multidetector CT scans.

Epithelioid hemangioendothelioma is an extremely rare vascular neoplasm arising in soft-tissues and different visceral organs, with liver being the most commonly involved viscera. Hepatic epithelioid hemangioendothelioma (HEHE) is a malignant tumour with an indolent behaviour and unpredictable clinical course. It has a better prognosis among the malignant tumours of the liver, in spite of being a diffuse multifocal liver disease or metastatic at the time of presentation. HEHE is usually found to be noted in the fifth decade with slight female preponderance. No single treatment strategy has yet been established owing to its variable clinical course, ranging from an indolent tumour with prolonged survival to an aggressive, metastatic disease with a fatal outcome. Here, we present a case of a novel HEHE in a 25-year-old female who was treated successfully with orthotopic living donor liver transplantation and discuss the presentation, histopathology and management of this rare, fatal yet treatable malignant tumour.