Failure to rescue in living donor liver transplantation: Patterns and predictors.

Background: As a quality assessment tool, failure to rescue (FTR) has been employed in various surgical specialties. However, its role in liver transplantation has only recently been explored. To the best of our knowledge, role of FTR in living donor liver transplant (LDLT) has not been assessed previously.

An Update on Endoscopic Management of Post-Liver Transplant Biliary Complications.

Biliary complications are the most common post-liver transplant (LT) complications with an incidence of 15%-45%. Furthermore, such complications are reported more frequently in patients who undergo a living-donor LT compared to a deceased-donor LT. Most post-LT biliary complications involve biliary strictures, bile leakage, and biliary stones, although many rarer events, such as hemobilia and foreign bodies, contribute to a long list of related conditions.

Assigning Treatment to HCC Patients for Transplantation: Utility of a New Decision-Making Tool.

BACKGROUND The Barcelona clinic liver cancer (BCLC) staging system is considered the standard of care for hepatocellular carcinoma (HCC) management. It has various limitations, including lack of second-line treatment options and combination therapy. We prospectively collected data on our HCC patients based on a new decision-making tool (NDT).

Prognostication of Learning Curve on Surgical Management of Vasculobiliary Injuries after Cholecystectomy.

Background. Concomitant vascular injury might adversely impact outcomes after iatrogenic bile duct injury (IBDI). Whether a new HPB center should embark upon repair of complex biliary injuries with associated vascular injuries during learning curve is unknown.

Paediatric Living Donor Liver Transplantation: ASingle Centre Experience from Pakistan.

Objective: To determine the outcomes of paediatric living donor liver transplantation (LDLT) recipients from Pakistan in terms of 90-day morbidity and mortality.

Study Design: Cohort study.

Place And Duration Of Study: Shifa International Hospital, Islamabad, Pakistan, between April 2012 and April 2015.

Survival advantage with para aortic lymphadenectomy in peri-ampullary cancer: A retrospective cohort study.

Background: Metastatic para aortic lymph nodes (PALN) in patients with peri ampullary cancer entail poor prognosis. Role of curative surgery in these patients remains debatable. The objective of the current study was to evaluate outcome after extended pancreaticoduodenectomy (PD) in patients with and without positive PALN.

Short Term Donor Outcomes After Hepatectomy in Living Donor Liver Transplantation.

Objective: To determine the outcome of living-donor liver transplant (LDLT) donors from the first liver transplant program in Pakistan.

Study Design: Cohort study.

Place And Duration Of Study: Shifa International Hospital, Islamabad, from April 2012 to August 2014.

Hepatocellular Carcinoma in Pakistan: National Trends and Global Perspective.

Hepatocellular carcinoma (HCC) ranks second amongst all causes of cancer deaths globally. It is on a rise in Pakistan and might represent the most common cancer in adult males. Pakistan contributes significantly to global burden of hepatitis C, which is a known risk factor for HCC, and has one of the highest prevalence rates (>3%) in the world.

Is pancreaticodoudenectomy with vascular resection a safe procedure in developing country? Early outcomes and review of national literature.

Introduction: Safety of extended lymphadenectomy (EL) ± vascular resection in patients undergoing pancreaticoduodenectomy (PD) in resource limited settings is not well established. The objective of this study was to report outcomes of PD resection with EL ± vascular resection from Pakistan and review national literature.

Methods: Data of patients who underwent PD between 2011 and 2014 was reviewed.

Quality of Life After Living Donor Hepatectomy for Liver Transplantation.

Background: Living donor liver transplantation (LDLT) involves healthy individuals undergoing voluntary major hepatic resection. LDLT program only started in 2012 in Pakistan and its impact on donor's quality of life (QOL) post resection is not known. The objective of this study was to determine health-related QOL in donors who underwent hepatectomy in country's first liver transplant program.

The travails of setting up a living donor liver transplant program: Experience from Pakistan and lessons learned.

Living donor liver transplantation (LDLT) is the only treatment option for patients with end-stage liver disease (ESLD) where cadaveric donors are not available. In developing countries, the inception of LDLT programs remains a challenge. The first successful liver transplantation program in Pakistan started transplantation in 2012.