Venous resection for adenocarcinoma of head of pancreas: Does extent of portal vein resection affect outcomes?

Background: Venous resection with pancreaticoduodenectomy (PD) increases resectability rates in patients with adenocarcinoma of head of pancreas. The effect of extent of portal vein resection on perioperative morbidity and mortality is less clear. This retrospective cohort study compares results of PD with and without venous resection and explores the influence of extent of vein resection on perioperative morbidity and mortality.

Proximal spleno-renal shunt with retro-aortic left renal vein in a patient with extra-hepatic portal vein obstruction: first case report.

Background: Presence of retro-aortic left renal vein poses special challenge in creating spleno-renal shunt potentially increasing the chance of shunt failure. The technical feasibility and successful outcome of splenectomy with proximal spleno-renal shunt (PSRS) with retro-aortic left renal vein is presented for the first time. The patient was treated for portal hypertension and hypersplenism due to idiopathic extra-hepatic portal vein obstruction.

Debakey forceps crushing technique for hepatic parenchymal transection in liver surgery: a review of 100 cases and ergonomic advantages.

Introduction and Objective. Bleeding is an important complication in liver transections. To determine the safety and efficacy of Debakey forceps for liver parenchymal transection and its ergonomic advantages over clamp crushing method we analysed our data.

Hepatic hydatid: PAIR, drain or resect?

Study Background: Hydatid disease of the liver is endemic in India and is a common health problem. Although various treatment options have been described ranging from pharmacotherapy to radiological interventions and surgical procedures (both conservative and radical), the best treatment option in an individual case continues to be debated.

Methods: We did a retrospective analysis of patients with hydatid disease of the liver who were managed at our centre between January 2000 and December 2009.

Carcinoma of the pancreas with portal vein involvement--our experience with a modified technique of resection.

Background/aims: Up to 40% of the patients with pancreatic carcinoma are not fit for curative resection due to the locally advanced nature of the disease in the form of vascular involvement. In recent years a more aggressive approach of vascular resection with pancreaticoduodenectomy (PD) has resulted in the increase in resectability rate and survival in this group of patients. The most important determinant of survival in these patients is negative resection margins.

Recent advances in the treatment of colorectal liver metastases.

Liver metastases are the major cause of death coloroctal resection for cancer. Colorectal liver metastases are unique because of the potential for cure. Presently surgical resection is the gold standard of treatment.

Adenocarcinoma of the pancreas--past, present and future.

Adenocarcinoma of the pancreas has always been a disease with a dismal prognosis. Almost every patient with this cancer dies of the tumor. Over the years there has been extensive advancement in the understanding of etiology, molecular biology, diagnosis and treatment of this disease.

Reappraisal of a method of reconstruction after pancreatoduodenectomy.

Background/aims: After pancreatoduodenectomy (PD), pancreatic leak and the functional pancreatic and gastrointestinal disorders are the most important complications. Still there is no single method which takes care of all of them. After identifying the various reasons behind these complications, the senior author started performing the present method in the 1980s.

Peritonitis and fulminant sepsis due to spontaneous rupture of iliopsoas abscess.

We report a 25-year-old woman who presented with features of peritonitis. At laparotomy, the cause of the pyoperitoneum was found to be a left-sided ilio-psoas abscess. This was drained, but the patient continued to deteriorate with sepsis, and died on the fourth post-operative day.

Treatment of appendiceal mass: prospective, randomized clinical trial.

Background: Appendiceal mass may be treated in several ways. However, no randomized trial has been conducted to find the best option.

Objective: To compare the three most commonly used methods for treating appendiceal mass.