Publications by authors named "W Holowko"

: Hypothermic oxygenated machine perfusion has emerged as a strategy to alleviate ischemic-reperfusion injury in liver grafts. Nevertheless, there is limited data on the effectiveness of hypothermic liver perfusion in evaluating organ quality. This study aimed to introduce a readily accessible real-time predictive biomarker measured in machine perfusate for post-transplant liver graft function.

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Article Synopsis
  • Liver transplantation (LT) is used to treat severe liver diseases, including acute liver failure, but post-hepatectomy liver failure (PHLF) is a rare reason for needing LT.
  • In a study of 2,703 LT cases from 2000 to 2023, only six patients (0.2%) underwent LT due to PHLF, with a high 90-day mortality of 66.7%.
  • Despite high risks and complications, LT remains a vital option for patients with PHLF, as it can be life-saving even though it tends to have poor outcomes.
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Article Synopsis
  • The study investigates the effectiveness of end-ischemic dual hypothermic oxygenated machine perfusion (dHOPE) compared to static cold storage (SCS) for preserving livers from brain-dead donors.
  • A total of 104 liver transplant recipients were analyzed, focusing on biliary complications and graft survival over two years, with dHOPE showing promising results primarily in high-risk grafts.
  • The findings indicate that while dHOPE did not significantly improve outcomes in low-risk cases, it led to 100% graft survival in high-risk patients compared to 73.1% with SCS.
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Introduction: Laparoscopic liver resection is a challenging surgical procedure that may require prolonged operation time, particularly during the learning curve. Operation time significantly decreases with increasing experience; however, prolonged operation time may significantly increase the risk of postoperative complications.

Aim: To assess whether prolonged operation time over the benchmark value influences short-term postoperative outcomes after laparoscopic liver resection.

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Transarterial chemoembolization (TACE) represent the standard of therapy for non-operative hepatocellular carcinoma (HCC), while prediction of long term treatment outcomes is a complex and multifactorial task. In this study, we present a novel machine learning approach utilizing radiomics features from multiple organ volumes of interest (VOIs) to predict TACE outcomes for 252 HCC patients. Unlike conventional radiomics models requiring laborious manual segmentation limited to tumoral regions, our approach captures information comprehensively across various VOIs using a fully automated, pretrained deep learning model applied to pre-TACE CT images.

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