Publications by authors named "Malek Alomari"

Article Synopsis
  • Post-hepatectomy liver failure (PHLF) is a significant risk after liver surgery, linked to the health of the remaining liver tissue and portal hypertension severity.
  • This study examines whether keeping the round ligament (RL) intact during minimally invasive liver surgery (MILS) can lessen portal hypertension and lower the chances of PHLF and ascites in cirrhotic patients.
  • Results show that patients who had their RL preserved had notably lower rates of severe PHLF (7.0% vs. 20.5%) and ascites (5.8% vs. 18.2%) compared to those with the ligament divided, suggesting RL preservation may be beneficial in these surgeries.
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Background: Limited anatomic resections (LARs), such as segmentectomies, performed using a fully laparoscopic approach, have gained popularity for liver malignancies. However, the oncologic efficacy of laparoscopic LARs (Lap-LARs) needs further investigation. This cohort study evaluated the oncologic outcomes of Lap-LAR for hepatocellular carcinoma (HCC) and colorectal liver metastasis (CRLM).

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Introduction: Knowledge of the clinical liver anatomy has evolved with advanced imaging modalities and laparoscopic surgery. Therefore, precise anatomical resection knowledge has become the standard treatment for primary and secondary liver cancer. Segmentectomy, a parenchymal-preserving approach, is regarded as an option for anatomical resections in patients with impaired liver.

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Minimally invasive liver resection (MILR) is being widely utilized owing to recent advancements in laparoscopic and robot-assisted surgery. There are two main types of liver resection: anatomical (minimally invasive anatomical liver resection (MIALR)) and nonanatomical. MIALR is defined as a minimally invasive liver resection along the respective portal territory.

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Background: Celiac trunk stenosis or occlusion is a common condition observed in patients undergoing pancreaticoduodenectomy (PD). The risk of upper abdominal organ ischemia or failure increases if the blood circulation in the celiac arterial system is not maintained after the surgery.

Case Summary: We present two cases of elderly patients with distal cholangiocarcinoma and celiac trunk occlusion who underwent PD.

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Introduction: Laparoscopic liver resection (LLR) has made remarkable progress over the past two decades, providing superior perioperative outcomes to open liver resection (OLR). The pros and cons of LLR for colorectal liver metastases (CRLMs) have been discussed along with the debate regarding optimal resection margins for CRLMs.

Evidence Acquisition: A literature review has been carried out (Pubmed and Embase) focusing on the resection margin status (R status) after LLR for CRLMs.

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Article Synopsis
  • Transverse colon volvulus is a rare condition compared to other types of colonic volvulus, making its diagnosis challenging for surgeons and potentially leading to serious health risks if not identified quickly.
  • An 18-year-old male presented with severe abdominal pain and signs of large bowel obstruction, ultimately diagnosed with transverse colon volvulus after surgery.
  • Early diagnosis and surgical intervention are crucial to prevent complications like bowel perforation and improve patient outcomes.
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Introduction: Laparoscopic cholecystectomy is one of the most frequent operations performed around the world. Some pathological findings are particularly rare and difficult to diagnose preoperatively. Here, we report a case of a patient who presented to our hospital with calculus cholecystitis with a unique Intraoperative finding of Hartmann pouch herniation through hepatocystic triangle.

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Introduction: Intestinal obstruction ascribed to internal hernia is quite rare, especially in adults. There are no differentiating features in the presentation of intestinal obstruction due to internal hernia as compared to other causes. Delay in the diagnosis of this condition carries a considerable risk especially in a virgin abdomen.

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