6 results match your criteria: "Hepato-Pancreatico-Biliary (HPB) Surgical Research Center Hungary[Affiliation]"

Case report of actinomycotic liver abscess following COVID-19 infection.

Ann Med Surg (Lond)

October 2022

Department of Surgery, Transplantation and Gastroenterology, Hepato-Pancreatico-Biliary (HPB) Surgical Research Center Hungary, Semmelweis University, Budapest, Hungary.

Introduction And Importance: In the last few years, the novel coronavirus, named severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), generated a large health care problem worldwide. Due to the immunomodulation effect of the virus the number of opportunistic infections has also increased.

Case Presentation: We present the unique case of a patient who was diagnosed with an actinomycotic liver abscess after coronavirus disease 2019 (COVID-19) without the presence of any chronic disease or mucosal injury.

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Aim: Associating Liver Partition and Portal vein ligation for Staged hepatectomy (ALPPS) is a modification of two-stage hepatectomy profitable for patients with inoperable hepatic tumors by standard techniques. Unfortunately, initially poor postoperative outcome was associated with ALPPS, in which mitochondrial dysfunction played an essential role. Inhibition of cyclophilins has been already proposed to be efficient as a mitochondrial therapy in liver diseases.

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The Role of Farnesoid X Receptor in Accelerated Liver Regeneration in Rats Subjected to ALPPS.

Curr Oncol

December 2021

Hepato-Pancreatico-Biliary (HPB) Surgical Research Center Hungary, Department of Surgery, Transplantation and Interventional Gastroenterology, Semmelweis University, 1082 Budapest, Hungary.

Background: the role of bile acid (BA)-induced farnesoid X receptor (Fxr) signaling in liver regeneration following associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) was investigated in a rat model.

Methods: Male Wistar rats underwent portal vein ligation (PVL) ( = 30) or ALPPS ( = 30). Animals were sacrificed pre-operatively and at 24, 48, 72, or 168 h after intervention.

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The effects of physical prehabilitation: Improved liver regeneration and mitochondrial function after ALPPS operation in a rodent model.

J Hepatobiliary Pancreat Sci

August 2021

1st Department of Surgery and Interventional Gastroenterology, Hepato-Pancreatico-Biliary (HPB) Surgical Research Center Hungary, Semmelweis University, Budapest, Hungary.

Background: To identify the role of physical prehabilitation (PP) in liver regeneration, mitochondrial function, biogenesis, and inflammatory response was investigated after associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) in a rodent model.

Methods: Male Wistar rats (n = 60) underwent ALPPS. Animals were divided (n = 30) to the physical prehabilitation group (PP) and sedentary group (S).

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Variation in complications and mortality following ALPPS at early-adopting centers.

HPB (Oxford)

January 2021

Department of Surgery, Western University, Ontario, Canada; Division of Transplantation/Hepatobiliary Surgery, Department of Surgery, University of Rochester, NY, USA.

Background: Various, often conflicting, estimates for post-operative morbidity and mortality following ALPPS have been reported in the literature, suggesting that considerable center-level variation exists. Some of this variation may be related to center volume and experience.

Methods: Using data from seventeen centers who were early adopters of the ALPPS technique, we estimated the variation, by center, in standardized 90-day mortality and comprehensive complication index (CCI) for patients treated between 2012 and 2018.

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Animal Models for Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS): Achievements and Future Perspectives.

Eur Surg Res

November 2017

Hepato-Pancreatico-Biliary (HPB) Surgical Research Center Hungary, 1st Department of Surgery, Semmelweis University, Budapest, Hungary.

Article Synopsis
  • ALPPS (Associated Liver Partition and Portal vein ligation for Staged hepatectomy) has gained attention for treating liver tumors but faces issues like high mortality and morbidity, requiring more surgical research for improved patient safety.
  • Only 8 animal models have been developed to study ALPPS-induced liver regeneration, with most being small rodents and only one large animal (pigs), making it challenging to translate findings to human liver anatomy.
  • Current animal models fall short, as small models are cost-effective for basic research but have limited applicability to humans, while the existing large models do not perfectly reflect human liver conditions.
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