Publications by authors named "R Gasque"

A 69-year-old man underwent liver transplantation with a deceased donor for cirrhosis secondary to steatohepatitis. The arterial anastomosis was performed between the celiac trunk of the donor and the hepatic artery of the recipient. In the second postoperative month, he developed abdominal pain and abnormal liver function tests.

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Objective: Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related mortality globally. In our region, there is a scarcity of studies addressing its epidemiology and treatment. The aim was to characterize a cohort of HCC patients in a high-complexity public center in Argentina over a span of 10 years.

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This report presents the case of a 20-year-old man who sustained a severe liver injury from a close-range shotgun blast. A prompt medical intervention, including damage control exploratory laparotomy and surgical debridement, was undertaken due to the extent of liver damage. Despite challenges such as a nondirected biliary fistula and extensive liver parenchymal injury, comprehensive surgical management led to successful treatment.

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Article Synopsis
  • Hepatocellular carcinoma (HCC) is the most prevalent type of primary liver cancer and is a leading cause of cancer deaths globally, with treatment options varying based on whether the patient has cirrhosis.
  • A retrospective study at Hospital El Cruce over seven years analyzed 44 patients who underwent hepatic resection, evaluating their recovery outcomes, recurrence rates, and overall survival.
  • Findings indicated that 59% of patients experienced disease recurrence, with factors like tumor size and AFP levels influencing this; surprisingly, cirrhotic patients showed better survival rates than non-cirrhotic ones, highlighting the need for ongoing monitoring for recurrence.
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