Subject(s)
Humans , Male , Adult , Intestinal Perforation/complications , Intestinal Perforation/diagnosis , Intestinal Perforation/surgery , Foreign Bodies/complications , Foreign Bodies/diagnosis , Foreign Bodies/surgery , Colostomy/methods , Surgical Wound Infection/complications , Surgical Wound Infection/diagnosis , Surgical Wound Infection/therapy , Intestinal Perforation , Abdominal Pain/complications , Abdominal Pain/etiology , Colon/injuries , Colon/pathology , Colon/surgery , Colorectal Surgery/methodsSubject(s)
Colonic Neoplasms/complications , Gastrointestinal Hemorrhage/etiology , Lipoma/complications , Rectum , Aged , Colonic Neoplasms/diagnosis , Colonic Neoplasms/pathology , Colonic Neoplasms/surgery , Colonoscopy , Humans , Lipoma/diagnosis , Lipoma/pathology , Lipoma/surgery , Male , Ulcer/etiologySubject(s)
Humans , Male , Middle Aged , Colonic Neoplasms/complications , Colonic Neoplasms/diagnosis , Gastrointestinal Hemorrhage/etiology , Lipoma/complications , Lipoma/diagnosis , Rectum/pathology , Colonic Neoplasms/pathology , Colonic Neoplasms/surgery , Colonoscopy , Lipoma/pathology , Lipoma/surgeryABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Abdominal Wall , Cholecystectomy, Laparoscopic/adverse effects , Epigastric Arteries/injuries , Hematoma/etiology , Hematoma , Radiography, Abdominal , Surgical Instruments/adverse effects , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Endometrial Stromal Tumors , Rectal Neoplasms , Endometrial Stromal Tumors/diagnosis , Endometrial Stromal Tumors/surgery , Rectal Neoplasms/diagnosis , Rectal Neoplasms/surgerySubject(s)
Abdominal Wall , Cholecystectomy, Laparoscopic/adverse effects , Epigastric Arteries/injuries , Hematoma/diagnostic imaging , Hematoma/etiology , Radiography, Abdominal , Surgical Instruments/adverse effects , Tomography, X-Ray Computed , Diabetes Mellitus, Type 2/complications , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Humans , Female , Pregnancy , Adult , Cutaneous Fistula/diagnosis , Intestinal Fistula/diagnosis , Postoperative Complications , Intestinal Fistula/diet therapyABSTRACT
No disponible
Subject(s)
Male , Aged , Humans , Pneumoperitoneum/etiology , Gastrostomy/adverse effects , Tomography, X-Ray Computed , Head and Neck Neoplasms/complications , Tonsillar Neoplasms/complicationsABSTRACT
Hepaticojejunostomy is a good alternative technique for biliary reconstruction in liver transplantation. Among 517 liver transplants performed between March 1992 and July 2005, 33 involved hepaticojejunostomy, namely, 18 men and 12 women of average age: 44.8 years. The main cause for this technique was retransplant (n = 10), secondary biliary cirrhosis (n = 5), alcoholic cirrhosis (n = 5), HCV cirrhosis (n = 2), primary biliary cirrhosis (n = 1), cryptogenic cirrhosis (n = 1), sclerosing cholangitis (n = 3), fulminant liver failure (n = 1), autoimmune cirrhosis (n = 1), and insulinoma metastasis (n = 1). Choledochojejunostomy was performed for all Roux-en-Y loops, with an average cold ischemia time of 361.16 minutes (180-780). The biliary complications were biliary fistula in four cases (13.3%), including two who required surgery; stenosis of the anastomosis in two cases (6.6%) including one diagnosed by HIDA that resolved with medical treatment and the other, diagnosed by cholangio-MRI, requiring a new hepaticojejunostomy; and biliary peritonitis in three cases (10%), all of whom required surgery. The vascular complications were thrombosis of the hepatic artery (n = 1), which required retransplantation, and pseudoaneurysm of hepatic artery (n = 1). No biliary complications occurred. The 6-month patient survival was 80% and the 6-month graft survival was 77%; no patient died due to biliary complications. Hepaticojejunostomy is a technique with higher morbidity than choledocho-choledochostomy, but it is the best alternative when the latter is not possible.
Subject(s)
Anastomosis, Surgical/methods , Gallbladder/surgery , Jejunostomy , Liver Transplantation/methods , Adolescent , Adult , Female , Humans , Liver Diseases/classification , Liver Diseases/surgery , Male , Middle Aged , Reoperation/statistics & numerical data , Retrospective StudiesABSTRACT
No disponible
