Long-Term Results after Diversion Surgery in Extrahepatic Portal Vein Obstruction

Abstract

Diversion surgery in EHPVO, especially mesoportal shunt of Rex, improves hepatic function (prothrombin activity), reduces hypersplenism (platelets, leukocytes, and spleen size), and decreases gastrointestinal bleeding episodes.

Laparoscopic management of Rhabdomyosarcoma of common Bile duct, Case report

“…As re-operating on the patient due to incomplete resection was accompanied with poorer prognosis, meticulous dissection with good camera magnification i s crucial and offers careful intra-surgical assessment to choose the most suitable intervention in order of resecting the tumor and guarantee optimal outcomes. The safety of laparoscopic CC management and feasibility porta hepatis anastomosis has been proved in most recent reports [ 10 , 11 ]; the incidence of port-site metastasis after undergoing MIS surgery for biliary malignancies is relatively low, thus MIS is indicated [ 16 ].…”

“…The management of RMS depends on risk stratification and involves one or a combination of surgical resection, chemotherapy and radiotherapy [ 9 ]. Minimally invasive surgery (MIS) in pediatric age group has been expanded to the extent that complex procedures like laparoscopic choledochal cyst surgery can be conducted with safety and outcomes similar to open approach and with the advantage of minimal scarring [ 10 , 11 ]. However, surgical approaches reported for biliary RMS were laparotomies except one case, which resection was done by robot and converted to open approach for Roux-en-Y Hepaticojejunostomy (RYHJ) reconstruction [ 2 ].…”