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RAPID-Type Auxiliary Liver Transplantation for Unresectable Colorectal Liver Metastases: A First-Stage Surgical Video.
Ann Surg Oncol
December 2024
Abdominal Surgery and Transplantation Department, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Background: The Resection and Partial Liver Transplantation with Delayed Total Hepatectomy (RAPID) procedure for unresectable colorectal liver metastases (uCRLM) has renewed interest by increasing, in selected cases, patients' long-term survival. Initially described using deceased donor graft, this technique evolved to living donors, tackling organ-shortage issues, allowing better scheduling, and reducing liver failure risk.
Methods: A 50-year-old patient presented 18 months earlier with a colic adenocarcinoma with synchronous uCRLM.
Pylorus-preserving pancreatoduodenectomy preserving blood supply for pancreatic cancer with a history of proximal gastrectomy and sigmoidectomy: a case report.
Surg Case Rep
November 2024
Department of Surgery, Toyota Kosei Hospital, 500-1 Josui-cho, Toyota, Aichi, 470-0396, Japan.
Background: Blood supply to the remnant stomach should be preserved during pancreatectomy in patients with a history of gastrectomy. Moreover, ischemic complications should be considered when performing pancreatoduodenectomy in patients with celiac axis and superior mesenteric artery (SMA) stenosis. However, whether these surgical procedures can be safely performed remains unclear.
View Article and Find Full Text PDFThe Importance of Abdominal Pain in the Elderly: An Unlikely Diagnosis of 17 cm Colo-Colonic Intussusception.
Cureus
September 2024
Emergency Medicine, University Hospitals Sussex NHS Foundation Trust, Brighton, GBR.
Article Synopsis
- A 79-year-old man with no prior health issues experienced mild abdominal pain, leading to a diagnosis of 17 cm colo-colonic intussusception involving parts of his colon and small intestine.
- After being transferred for surgery, he underwent a right hemicolectomy and recovery went smoothly, allowing for discharge just a week later.
- Post-surgery, he was diagnosed with mucinous adenocarcinoma of the caecum but was not recommended for additional treatment, instead starting a five-year cancer surveillance program.
Pancreatoduodenectomy with superior mesenteric vein resection and non-reconstruction for pancreatic head cancer paying particular attention to hemodynamics.
Langenbecks Arch Surg
September 2024
Department of Hepatobiliary-Pancreatic Surgery, Juntendo University Graduate School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Purpose: Locally advanced pancreatic ductal adenocarcinoma (PDAC) with an unreconstructible superior mesenteric vein (SMV) invasion is one of the criteria of unresectability in the National Comprehensive Cancer Network guidelines. Advances in chemotherapy have improved downstaging and conversion surgery outcomes, thereby broadening surgical options for locally advanced PDAC. However, operations for PDAC with an unreconstructible SMV is less well-documented.
View Article and Find Full Text PDFCongestive colopathy in a patient with arteriovenous malformations and multiple mesenteric thromboses.
BMJ Case Rep
August 2024
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Arteriovenous malformations (AVMs) in mesenteric vessels are exceptionally rare. These congenital vascular anomalies lead to direct vascular flow between the highly pressured arterial system and the low-pressure venous system. We describe the case of a patient with prior left colectomy for splenic flexure colonic adenocarcinoma presenting with persistent abdominal pain after developing multiple mesenteric thromboses.
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