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  1. Article: Continuous versus interrupted anastomotic technique for the hepaticojejunostomy: a prospective cohort study.

    Yadav, Tek Narayan / Pandit, Narendra / Deo, Kunal Bikram / Awale, Lalijan / Neupane, Durga / Adhikary, Shailesh

    Annals of medicine and surgery (2012)

    2024  Volume 86, Issue 4, Page(s) 1950–1955

    Abstract: Background: Interrupted sutures is the gold standard technique of hepaticojejunostomy (HJ) for bilioenteric anastomosis. This study compares the safety and early complications of continuous and interrupted suture HJ.: Methods: A prospective study ... ...

    Abstract Background: Interrupted sutures is the gold standard technique of hepaticojejunostomy (HJ) for bilioenteric anastomosis. This study compares the safety and early complications of continuous and interrupted suture HJ.
    Methods: A prospective study involving all elective HJ between September 2019 and June 2021 was conducted. Patients with type IV or V biliary strictures, duct diameter less than 8 mm and/or associated vascular injury, and bilateral HJ were excluded. The study patients were divided into two random groups; interrupted and continuous anastomotic technique. Patient demographics, preoperative parameters including pathology (benign vs. malignant), HJ leak, suture time, and postoperative morbidity were recorded.
    Results: Total 34 patients were enroled. Eighteen (52.9%) were into interrupted and 16 (47.1%) patients into the continuous group. Both the groups were comparable with regards to demographics, haemoglobin, serum albumin, preoperative cholangitis and biliary stenting. Total three (8.8%) patients in the entire study developed bile leak; interrupted-2 and continuous-1, which was not significant statistically (
    Conclusions: Both the techniques is safe with comparable morbidity. Further, continuous has an added advantage of decreased anastomotic time and cost.
    Language English
    Publishing date 2024-03-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1097/MS9.0000000000001902
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Choledochal Cyst: A Retrospective Study of 30 Cases From Nepal.

    Pandit, Narendra / Deo, Kunal Bikram / Yadav, Tek N / Gautam, Sujan / Dhakal, Yogesh / Awale, Lalijan / Adhikary, Shailesh

    Cureus

    2020  Volume 12, Issue 11, Page(s) e11414

    Abstract: Introduction Choledochal cysts (CCs) are uncommon biliary lesions. Considering the evolution of imaging, we describe our experience with the presentation and management of choledochal cysts. Methods A review of the records of all patients with ... ...

    Abstract Introduction Choledochal cysts (CCs) are uncommon biliary lesions. Considering the evolution of imaging, we describe our experience with the presentation and management of choledochal cysts. Methods A review of the records of all patients with choledochal cyst managed in our institute were retrospectively analyzed. The study analyzed clinical presentation, diagnosis, treatment and postoperative outcomes.  Results Between 2015 and 2019, 30 CCs (male/female: 7/23) were operated. We observed more adults compared to children (17 vs. 13). The median age at surgery was 18.5 years (4-67 years). The presentation included abdominal pain (90%), pancreatitis (17%0, cholangitis (13%), and incidental diagnosis in (7%). Anomalous union of the bile duct and the pancreatic duct was seen in 17%. Two patients had synchronous cholangiocarcinoma. The cysts were classified (Todani's): I: 26; IV:3; and V: 1. The patients underwent complete excision of the cyst and Roux-en-Y hepaticojejunostomy - 27; pancreaticoduodenectomy - 1; hepaticoduodenostomy - 1; and cholecystectomy with T-tube drainage - 1 patient. The operative complications were observed in 10 (33.3%) patients: biliary leaks (four), superficial surgical site infections (four), and cholangitis (three). Only one patient developed a major complication; required re-operation for bile leak peritonitis. There was no operative mortality. One patient with cholangiocarcinoma died with the disease at three months of surgery. The remaining 29 patients are doing well at a mean follow-up of 29.5 months (12-56). Conclusion Adults CCs now far outnumber children at the time of presentation. The majority were symptomatic Todani's type I cyst. Complete cyst excision and bilio-digestive anastomosis is the best treatment for type I and IV CCs, thus eliminating the risk of malignancy with an excellent operative outcome.
    Language English
    Publishing date 2020-11-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.11414
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Undifferentiated embryonal sarcoma of liver in an adult with spontaneous rupture and tumour thrombus in the right atrium.

    Pandit, Narendra / Jaiswal, Lokesh S / Shrestha, Vijay / Awale, Lalijan / Adhikary, Shailesh

    ANZ journal of surgery

    2018  Volume 89, Issue 9, Page(s) E396–E397

    MeSH term(s) Adult ; Disease Progression ; Heart Atria/diagnostic imaging ; Heart Atria/pathology ; Heart Neoplasms/diagnostic imaging ; Heart Neoplasms/secondary ; Humans ; Liver Neoplasms/complications ; Liver Neoplasms/pathology ; Liver Neoplasms/surgery ; Male ; Neoplasms, Germ Cell and Embryonal/complications ; Neoplasms, Germ Cell and Embryonal/pathology ; Neoplasms, Germ Cell and Embryonal/surgery ; Rupture, Spontaneous ; Sarcoma/complications ; Sarcoma/pathology ; Sarcoma/surgery ; Thrombosis/diagnostic imaging ; Thrombosis/pathology
    Language English
    Publishing date 2018-05-22
    Publishing country Australia
    Document type Case Reports ; Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.14670
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 180: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Disappearing Lump-an Unusual Presentation of Large Metastatic Small Bowel Malignant Melanoma.

    Pandit, Narendra / Khadka, Sarada / Sah, Rupesh / Awale, Lalijan / Dhakal, Sushil / Jaiswal, Lokesh Shekher / Adhikary, Shailesh

    Journal of gastrointestinal cancer

    2018  Volume 50, Issue 2, Page(s) 353–356

    MeSH term(s) Digestive System Surgical Procedures ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/pathology ; Gastrointestinal Hemorrhage/surgery ; Humans ; Ileum/pathology ; Ileum/surgery ; Intestinal Neoplasms/complications ; Intestinal Neoplasms/diagnosis ; Intestinal Neoplasms/secondary ; Intestinal Neoplasms/surgery ; Male ; Melanoma/complications ; Melanoma/diagnosis ; Melanoma/secondary ; Melanoma/surgery ; Middle Aged ; Skin Neoplasms/pathology ; Treatment Outcome
    Language English
    Publishing date 2018-07-12
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2452514-5
    ISSN 1941-6636 ; 1559-0739 ; 1941-6628 ; 1537-3649
    ISSN (online) 1941-6636 ; 1559-0739
    ISSN 1941-6628 ; 1537-3649
    DOI 10.1007/s12029-017-0031-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2184: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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