Publications by authors named "J A Buckels"
This case report confirms the utility of simultaneous liver transplantation in allowing successful kidney transplantation in the face of preformed, high levels of DSA, which would under normal circumstances be associated with hyperacute rejection and kidney graft failure. Antibody characterisation in terms of epitope specificity is more accurate and informative than antibodies described as "antigen-specific" and we suggest a method for identifying and tracking these antibodies; i.e.
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- The study reviews survival outcomes for patients with pancreatic ductal adenocarcinoma (PDA) who underwent pancreaticoduodenectomy (PD), comparing those with and without portal vein (PV) resection.
- It analyzed 326 patients, finding similar demographics and postoperative complications, but a higher 30-day mortality rate in those with PV resection (13.7%) compared to those without (5.1%).
- Despite the higher early mortality, the overall survival rates were comparable between the two groups, suggesting that PV resection in select patients may not negatively impact long-term survival.
Background: Donation after cardiac death (DCD) has reemerged as potential way to increase donor liver availability. Earlier, programs with DCD liver transplantation used conservative donor criteria to allow safe results. Successful initial outcomes allowed extended DCD criteria to address transplant demand.
View Article and Find Full Text PDFBackground: The advantage of a pancreaticogastrostomy (PG) over a pancreaticojejunostomy (PJ) after a pancreaticoduodenectomy (PD) is not clear.
Aim: The aim of the present study was to compare the pancreatic fistula (PF, defined according to the International Study Group for Pancreatic Fistula classification) rate and other complications between both methods.
Methods: Retrospective analysis of prospectively collected data of 424 [median: 65 years (17-83)] patients who underwent PG (239, 56.