Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?

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.

Early adoption of laparoscopic liver surgery in Poland: a national retrospective cohort study.

Background: The need for safe and efficient dissemination of minimally invasive approach in liver surgery is among the current challenges for hepatobiliary surgeons. After the stage of innovators and pioneers, the following countries should adopt a laparoscopic approach. The aim of this study was to assess the national experience and trend in implementing laparoscopic liver resection (LLR) in Poland.

Port site metastases a year after initial laparoscopic cholecystectomy. Should the use of retrieval bags during laparoscopic cholecystectomy be the new gold standard?

As a result of gallbladder cancer being rare, it is often an understudied disease. There is lack of information particularly about long-term outcomes after resection during either laparoscopic or open surgery techniques [4]. There is also little data on the ways in which surgical techniques can be improved to further aid patients diagnosed with gallstones or other indications for cholecystectomy, and resulting positive histopathology.

The concentration of D-dimers in portal blood positively correlates with overall survival in patients with non-resectable pancreatic cancer.

Background: Several recent studies provide evidence that D-dimer (DD) concentration in peripheral blood correlates negatively with overall survival (OS) in patients with pancreatic ductal adenocarcinoma (PDAC). Contrarily, there are recent evidence indicating that preoperative plasma fibrinogen, but not D-dimer might represent a prognostic factor in non-metastatic gastrointestinal cancers.

Methods: In a single-center prospective study, we enrolled 62 patients undergoing surgery for pathologically confirmed PDAC without detectable venous thrombosis.

Successful hemihepatectomy following chemotherapy for primary liver lymphoma: case report and review of literature.

Non-Hodgkin lymphomas (NHL) comprise a heterogeneous group of B-cell and T-cell neoplasms. Diffuse large B-cell lymphoma (DLBCL), the most common type of NHL, accounts for around 30-40% of NHL cases. However, primary hepatic location of NHLs is rare and constitutes 0.

Ruptured Hemangioma of a Native Kidney: An Unusual Cause of Postoperative Hemorrhage in Kidney Transplant Recipients.

BACKGROUND Retroperitoneal bleeding as a consequence of non-traumatic kidney or allograft rupture is well known, but there are no reports on hemorrhagia from a native kidney after allogeneic renal transplantation. Therefore, we present the first such case to be published and highlight the possibility of this complication after renal transplantation. CASE REPORT We report the case of a 28-year-old male patient who developed early post-transplant hemorrhagia from a ruptured native kidney.

2D speckle tracking echocardiography for the assessment of regional contractile reserve after myocardial infarction.

Aims: To assess whether quantitative resting assessment of local myocardial function by 2D speckle tracking echocardiography may be helpful for the evaluation of myocardial viability in patients after ST-elevation myocardial infarction (STEMI) and for the prediction of left ventricular function recovery after 12-month follow-up.

Methods: The study group comprised 96 patients with first STEMI treated with successful primary percutaneous coronary intervention. Seven to 12 days after STEMI, all patients underwent resting echocardiography and low-dose dobutamine stress echocardiography (LDDSE) with visual assessment of contractile reserve which was the reference method for the evaluation of myocardial viability.

Portal blood - a new source of dendritic cells for pancreatic cancer vaccine.

Introduction: Cohort study evaluated dendritic cells (DCs) subsets in portal and peripheral blood of patients with pancreatic cancer (PC) and chronic pancreatitis (CHP).

Material And Methods: Myeloid type 1 (mDCs1) and 2 (mDCs2), plasmocytoid (pDCs) and SLAN + DCs were assessed in PC (n = 20) and CHP (n = 6) patients.

Results: Percentage of mDCs1 was significantly lower in PC patients when compared to CHP (0.

Preliminary report from a prison survey: should prisoners be considered as organ donors?

Background: Opinions on letting prisoners donate organs appear increasingly. The aim of this preliminary study was to evaluate attitudes toward transplantation among inmates from a single prison in Poland.

Material And Methods: We administered a questionnaire consisting of 14 open queries about the knowledge, attitude, and personal views on organ donation to 100 male prisoners from the Second Penitentiary in Lodz, Poland.

Risk management in intensive therapy units - the method of determination of black spots.

Background: Patients hospitalised in intensive care units are more likely to suffer an adverse event than those treated in other hospital wards. The aim of this study was to assess the usefulness of identifying the events (the so-called 'black spots') that constitute a significant threat to life and health of patients and/or financing of the hospital.

Methods: We retrospectively analysed 30 medical records and other documents relating to the stay of patients hospitalised in the Department of Anaesthesiology and Intensive Care at the Regional Hospital in Swidnica in 2010.