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  1. Article ; Online: Laparoscopic D2 lymphadenectomy with preservation of an aberrant left hepatic artery.

    Puerta, Ana / Cuadrado, Marta / Vilar, José Alberto / Priego, Pablo

    Cirugia espanola

    2021  Volume 99, Issue 7, Page(s) 539

    MeSH term(s) Hepatic Artery/surgery ; Humans ; Laparoscopy ; Lymph Node Excision
    Language English
    Publishing date 2021-07-06
    Publishing country Spain
    Document type Video-Audio Media
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2021.06.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Leiomyosarcoma of the inferior vena cava.

    Puerta, Ana / Vilar, José Alberto / Núñez, Jordi / López Hervás, Pedro / Nuño, Javier

    Cirugia espanola

    2019  Volume 98, Issue 4, Page(s) 243–245

    Title translation Leiomiosarcoma de vena cava inferior.
    MeSH term(s) Female ; Humans ; Leiomyosarcoma/diagnostic imaging ; Leiomyosarcoma/surgery ; Middle Aged ; Postoperative Complications/surgery ; Reoperation ; Tomography, X-Ray Computed ; Vascular Neoplasms/diagnostic imaging ; Vascular Neoplasms/surgery ; Vena Cava, Inferior/diagnostic imaging ; Vena Cava, Inferior/surgery
    Language Spanish
    Publishing date 2019-08-21
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2019.07.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Cystic Duct Bile Leak in Graft: An Unexpected Origin for Choleperitoneum After Liver Transplant.

    Puerta, Ana / Núñez, Jordi / Vilar, José Alberto / Hervás, Pedro López / Nuño, Javier

    Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation

    2019  Volume 18, Issue 5, Page(s) 638–640

    Abstract: From the beginning of liver transplant implementation, biliary anastomosis has been considered its weakness. An anastomotic bile leak is the most frequent cause of bile in the peritoneum (choleperitoneum) after liver transplant but not the only one. Here, ...

    Abstract From the beginning of liver transplant implementation, biliary anastomosis has been considered its weakness. An anastomotic bile leak is the most frequent cause of bile in the peritoneum (choleperitoneum) after liver transplant but not the only one. Here, we report a 58-year-old man with hepatitis C virus-related cirrhosis who had orthotopic liver transplant due to presence of hepatocellular carcinoma.During the immediate postoperative period, bile leakwas diagnosed on trans-Kehr cholangiography. Contrast extravasation was observed on the graft's cystic duct, and no contrast flow into the native biliary tract was demonstrated. Surgical intervention was required after endoscopic management failure. Bile leak through the cystic duct was repaired, and a Rouxen-Y bilioenteric diversion was performed. Biliary complications can significantly increase morbidity and mortality after liver transplant. Anastomotic bile leaks are the most frequent; however, other locations must not be dismissed as possible origins of leak. It is mandatory to consider underlying hepatic artery complications as thrombosis or stenosis. Treatment will depend on the leak origin, which are most times accessible to endoscopic retrograde cholangiopancreatography. However, other locations and the different treatment options must also be considered. It is also necessary not to forget the influence of bile leaks on biliary stenosis development in the long term and its contribution to increased patient morbidity and mortality.
    MeSH term(s) Anastomotic Leak/diagnostic imaging ; Anastomotic Leak/etiology ; Anastomotic Leak/metabolism ; Anastomotic Leak/surgery ; Bile Acids and Salts/metabolism ; Biliary Tract Surgical Procedures/adverse effects ; Carcinoma, Hepatocellular/diagnosis ; Carcinoma, Hepatocellular/surgery ; Carcinoma, Hepatocellular/virology ; Cystic Duct/diagnostic imaging ; Cystic Duct/surgery ; Hepatitis C/complications ; Hepatitis C/diagnosis ; Humans ; Liver Neoplasms/diagnosis ; Liver Neoplasms/surgery ; Liver Neoplasms/virology ; Liver Transplantation/adverse effects ; Male ; Middle Aged ; Peritoneum/metabolism ; Reoperation ; Treatment Outcome
    Chemical Substances Bile Acids and Salts
    Language English
    Publishing date 2019-10-01
    Publishing country Turkey
    Document type Case Reports
    ZDB-ID 2396778-X
    ISSN 2146-8427 ; 1304-0855
    ISSN (online) 2146-8427
    ISSN 1304-0855
    DOI 10.6002/ect.2019.0118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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