1.Liver transplantation in a patient with situs inversus: a case report.
Jun-ming WEI ; Yan-nan LIU ; Jiang-chun QIAO ; Wei-ran WU
Chinese Medical Journal 2007;120(15):1376-1377
Humans
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Lithiasis
;
surgery
;
Liver Diseases
;
surgery
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Liver Transplantation
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Male
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Middle Aged
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Situs Inversus
;
complications
;
surgery
4.Solitary necrotic nodule of the liver.
Zhong ZUO ; Jin-feng ZHANG ; Feng-xian TANG ; Liang FENG
Chinese Journal of Pathology 2006;35(5):317-317
Adenocarcinoma
;
complications
;
pathology
;
surgery
;
Aged
;
Colectomy
;
methods
;
Colonic Neoplasms
;
complications
;
pathology
;
Diagnosis, Differential
;
Female
;
Hepatectomy
;
methods
;
Humans
;
Liver
;
pathology
;
surgery
;
Liver Diseases
;
complications
;
pathology
;
surgery
;
Necrosis
5.Current Status of Laparoscopic Liver Resection in Korea.
Joon Seong PARK ; Ho Seong HAN ; Dae Wook HWANG ; Yoo Seok YOON ; Jai Young CHO ; Yang Seok KOH ; Choon Hyuck David KWON ; Kyung Sik KIM ; Sang Bum KIM ; Young Hoon KIM ; Hyung Chul KIM ; Chong Woo CHU ; Dong Shik LEE ; Hong Jin KIM ; Sang Jae PARK ; Sung Sik HAN ; Tae Jin SONG ; Young Joon AHN ; Yung Kyung YOO ; Hee Chul YU ; Dong Sup YOON ; Min Koo LEE ; Hyeon Kook LEE ; Seog Ki MIN ; Chi Young JEONG ; Soon Chan HONG ; In Seok CHOI ; Kyung Yul HUR
Journal of Korean Medical Science 2012;27(7):767-771
Since laparoscopic liver resection was first introduced in 2001, Korean surgeons have chosen a laparoscopic procedure as one of the treatment options for benign or malignant liver disease. We distributed and analyzed a nationwide questionnaire to members of the Korean Laparoscopic Liver Surgery Study Group (KLLSG) in order to evaluate the current status of laparoscopic liver resection in Korea. Questionnaires were sent to 24 centers of KLLSG. The questionnaire consisted of operative procedure, histological diagnosis of liver lesions, indications for resection, causes of conversion to open surgery, and postoperative outcomes. A laparoscopic liver resection was performed in 416 patients from 2001 to 2008. Of 416 patients, 59.6% had malignant tumors, and 40.4% had benign diseases. A total laparoscopic approach was performed in 88.7%. Anatomical laparoscopic liver resection was more commonly performed than non-anatomical resection (59.9% vs 40.1%). The anatomical laparoscopic liver resection procedures consisted of a left lateral sectionectomy (29.3%), left hemihepatectomy (19.2%), right hemihepatectomy (6%), right posterior sectionectomy (4.3%), central bisectionectomy (0.5%), and caudate lobectomy (0.5%). Laparoscopy-related serious complications occurred in 12 (2.8%) patients. The present study findings provide data in terms of indication, type and method of liver resection, and current status of laparoscopic liver resection in Korea.
*Hepatectomy/statistics & numerical data
;
Humans
;
*Laparoscopy/statistics & numerical data
;
Liver/*surgery
;
Liver Diseases/pathology/surgery
;
Liver Neoplasms/pathology/surgery
;
Postoperative Complications/epidemiology
;
Questionnaires
;
Republic of Korea
6.Simultaneous liver-kidney transplantation in polycystic kidney and hepatic disease with kidney and liver failure.
Li-xin YU ; Yan-bin WANG ; Jian XU ; Wen-feng DENG ; Shao-jie FU ; Chuan-fu DU ; Yi-bin WANG ; Yun MIAO ; Gui-rong YE
Chinese Journal of Surgery 2009;47(20):1557-1559
OBJECTIVETo review the clinical experiences concerning simultaneous liver-kidney transplantation in polycystic kidney and hepatic disease with kidney and liver failure.
METHODSThis study involved 8 cases of simultaneous liver-kidney transplantation in polycystic kidney and hepatic disease with kidney and liver failure. There were 5 male and 3 female patients, aged from 41 to 67 years old with a mean of 52.8 years old. Six cases transplanted kidney after liver with orthotopic liver transplantation, and 2 cases transplanted liver after kidney with piggy-back liver transplantation. The acute rejections, complications, liver function, kidney functions, and survival rates of patient/liver/kidney were recorded.
RESULTSWithin the follow-up of 28 to 65 months, all 8 patients are still alive with normal liver and kidney functions: 2 living more than 5 years, 2 living more than 4 years and 4 living more than 2 years. 2 cases of pleural effusion and 1 case of pneumonia were complications after operation, which had been cured successfully. No acute rejection of allograft was observed.
CONCLUSIONSSimultaneous liver-kidney transplantation is a safe and effective treatment for polycystic kidney and hepatic disease with kidney and liver failure.
Adult ; Aged ; Female ; Follow-Up Studies ; Humans ; Kidney Transplantation ; Liver Diseases ; complications ; surgery ; Liver Failure ; etiology ; surgery ; Liver Transplantation ; Male ; Middle Aged ; Polycystic Kidney Diseases ; complications ; surgery ; Renal Insufficiency ; etiology ; surgery ; Retrospective Studies ; Treatment Outcome
7.Multiple Pyogenic Liver Abscesses Caused by Microperforation of an Idiopathic Cecal Ulcer.
Dong Han YEOM ; Ki Chang SOHN ; Min Su CHU ; Dong Ho JO ; Eun Young CHO ; Haak Cheoul KIM
The Korean Journal of Gastroenterology 2016;67(1):44-48
Idiopathic cecal ulcer is a rare disease entity of unknown cause diagnosed by ruling out other known causes of cecal ulceration. The most common complication of an idiopathic cecal ulcer is bleeding; perforation, peritonitis, abscess, and stricture formation have been noted. The authors treated a 53-year-old woman who presented with fever and intermittent right upper quadrant abdominal pain. Multiple pyogenic liver abscess and a solitary cecal ulcer were diagnosed by radiologic, endoscopic, and pathologic examination, followed by laparoscopic cecectomy. After extensive study, we concluded that this patient's liver abscesses were a complication of the idiopathic cecal ulcer. Herein, we report a case of multiple pyogenic liver abscess caused by microperforation of idiopathic cecal ulcer.
Cecal Diseases/complications/*diagnosis/surgery
;
Colonoscopy
;
Female
;
Humans
;
Laparoscopy
;
Liver/pathology
;
Liver Abscess, Pyogenic/*diagnosis/etiology
;
Middle Aged
;
Tomography, X-Ray Computed
;
Ulcer/complications/*diagnosis/surgery
8.The Influence of the Severity of Chronic Virus-Related Liver Disease on Propofol Requirements during Propofol-Remifentanil Anesthesia.
Jian WU ; Su Qin HUANG ; Qing Lian CHEN ; Shu Sen ZHENG
Yonsei Medical Journal 2013;54(1):231-237
PURPOSE: The purpose of this study was to investigate the influence of chronic virus-related liver disease severity on propofol requirements. MATERIALS AND METHODS: In this study, 48 male patients with chronic hepatitis B infection were divided into three groups according to Child-Turcotte-Pugh classification of liver function (groups A, B, and C with mild, moderate and severe liver disease, respectively). After intubation, propofol concentration was adjusted by +/-0.3 microg/mL increments to maintain bispectral index in the range of 40-60. Target propofol concentrations at anesthesia initiation, pre-intubation and pre-incision were recorded. RESULTS: The initial concentration used in group C was significantly lower than that used in group A or B (p<0.05), whereas no difference was observed between groups A and B. At pre-intubation, the actual required concentration of propofol increased significantly (3.2 microg/mL) in group A (p<0.05), which lead to significant differences between the groups (p<0.05). At pre-incision, the requirements for propofol decreased significantly in both groups A and B (3.0 microg/mL and 2.7 microg/mL, respectively) compared with those at pre-intubation (p<0.05), and were significantly different for all three groups (p<0.05), with group C demonstrating the lowest requirement (2.2 microg/mL). The required concentrations of propofol at pre-incision were similar to those at induction. CONCLUSION: In this study, propofol requirements administered by target-controlled infusion to maintain similar depths of hypnosis were shown to depend on the severity of chronic virus-related liver dysfunction. In other words, patients with the most severe liver dysfunction required the least amount of propofol.
Adult
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Anesthesia
;
Anesthetics, Intravenous/*administration & dosage
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Chronic Disease
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Electroencephalography
;
Hepatitis B, Chronic/complications/drug therapy/*surgery
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Humans
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Liver Diseases/*complications/surgery
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Male
;
Middle Aged
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Piperidines/*administration & dosage
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Propofol/*administration & dosage
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Virus Diseases/*complications/surgery
10.Managements Of Liver Cirrhosis Patients In Oral And Maxillofacial Surgery -Case Reports.
Sang Hwy LEE ; Seung Hoon LEE ; Hyun Ho JOO ; Dong Hwan WON
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1999;25(1):69-76
To evaluate the pathophysiology and surgical considerations for liver cirrhosis in the field of oral and maxillofacial surgery, 4 cases with maxillofacial traumas or infections in different stages of liver cirrhosis were reviewed. Although appropriate medical cares were ensured, 2 patients were died due to complications of the liver disease. Each cases were classified by the Pugh's classification system and analyzed with reference to laboratory findings and hospital courses. For improved understandings of pathophysiology of liver cirrhosis, the congulopathies, the lowered detoxification, the hepatic encephalopathy, the hepatorenal syndrome, the sepsis, other conditions-ascites, esophageal varix, portal hypertension, etc-and pre or postoperative complications were reviewed. And special emphases were made at the staging of liver cirrhosis in oral and maxillofacial surgery, preoperative preparations, and prevention of intraoperative or postoperative complications.
Classification
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Esophageal and Gastric Varices
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Hepatic Encephalopathy
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Hepatorenal Syndrome
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Humans
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Hypertension, Portal
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Liver Cirrhosis*
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Liver Diseases
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Liver*
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Postoperative Complications
;
Sepsis
;
Surgery, Oral*