Liver transplantation – acute liver failure – end-stage liver disease

Liver transplantation (LT) is indicated for the treatment of acute liver failure (ALF) and end-stage liver disease (ESLD). Currently, the overall 1-year and 5-year post-LT patient survival rates are 80-90% and 60-75%, respectively. Liver transplantation can be classified according to the type of donor, into deceased and live donor liver transplants. Liver grafts in the Western countries come predominantly from deceased donors in around 95% of the cases*. Orthotopic…

Read More
FB IMG 1637111685466

(Trans-Duodenal): Approcah for CBD Stones

(Trans-Duodenal): •Remove cbd stones by instrumentation (Randall stones forceps, scoops of several types and sizes, irrigation catheter, biliary Fogarty catheter) or extrinsic pressure by milking the stones to the upward #choledochotomy (Figs. 14.30and 14.31). •Demonstrate ampullary patency using a small French catheter. If doubt about patency remains, use a Bakes No. 3 dilator very carefully…

Read More