Complex Liver Resections for Intrahepatic Cholangiocarcinoma.

The only curative treatment option for intrahepatic cholangiocarcinoma (iCCA) is liver resection. Due to central tumor localization and vascular invasion, complex liver resections play an important role in curative treatment. However, the long-term outcomes after complex liver resection are not known.

Impact of acute kidney injury after extended liver resections.

Background: Complex liver resection is a risk factor for the development of AKI, which is associated with increased morbidity and mortality. Aim of this study was to assess risk factors for acute kidney injury (AKI) and its impact on outcome for patients undergoing complex liver surgery.

Methods: AKI was defined according to the KDIGO criteria.

Extended liver resection including hypertrophy concept with portal venous embolisation for giant haemangioma. Too much surgery?

Haemangiomas of the liver are benign tumours, which are often diagnosed randomly. With an increase in size haemangiomas could become symptomatic. In this case therapeutic options, surgical or interventional, have to be weighted to a conservative approach.

Portal vein arterialization for iatrogenic embolization of the hepatic artery. An old but still useful technique?

Introduction: Portal Vein Arterialization is a rare procedure for total de-arterialized livers to ensure arterial inflow to the liver.

Presentation Of Case: A 55-year-old male patient underwent pancreatoduodenectomy for chronic pancreatitis. One month after discharge the patient was re-admitted because of bleeding from a pseudoaneurysm of the ligated gastroduodenal artery.