visitor # 1 since May 2003
JN : Endoscopy. 2008 Sep;40 Suppl 2:E242-3. Epub 2008 Nov 7.
TI : Reconnecting "missing" part of duct by needle knife using rendezvous technique.
AU : Rerknimitr R, Geratikornsupuk N, Janchai A, Kullavanijaya P. (NO 18991220)
JN : Hepatogastroenterology. 2007 Dec;54(80):2297-300.
TI : Role of portal vein embolization in hepatobiliary malignancy.
AU : Sirichindakul B, Nonthasoot B, Taesombat W, Supaphol J, Nivatvongs S, Janchai A, Tantivatana J.
EN-AB: BACKGROUND/AIMS: Inadequate remnant liver volume is the major cause of postoperative liver failure. Preoperative portal vein embolization (PVE) is the well accepted procedure to increase future liver remnant (FLR) volume and decrease the incidence of this complication. This study described the author's experience of preoperative PVE at King Chulalongkorn Memorial Hospital since 2002. METHODOLOGY: The clinical data of 29 patients who underwent PVE were reviewed. The FLR volumes before and after the procedure were calculated by CT volumetry. PVE was performed when estimated FLR volume was < 25% in normal liver or < 40% in damaged liver and also when major liver resection combined with major intraabdominal surgery was planned. The complications after PVE and hepatectomy were recorded. RESULTS: There were no deaths or complications after PVE. The mean growth of FLR was 11%. Power of liver regeneration was suboptimal in old age patients. Sixteen patients underwent liver resection (resectability rate 55.17%). There were 2 cases of postoperative hyperbilirubinemia (12.5%). The hospital mortality rate was 1/16 (6.25%). CONCLUSIONS: PVE is a useful and safe optional procedure to increase FLR. It not only reduces the postoperative liver failure but also increases the chance of curative resection. (NO 18265651)
JN : J Med Assoc Thai. 2005 Aug;88(8):1115-9.
TI : Preoperative portal vein embolization in hepatobiliary tract malignancy: an experience at King Chulalongkorn Memorial Hospital.
AU : Sirichindakul B, Nonthasoot B, Thienpaitoon P, Nivatvongs S, Janchai A.
EN-AB: BACKGROUND: Major hepatic resections are increasingly performed for both primary and secondary liver cancers nowadays. However, morbidity from these operations is still high. One of the dreadful complications, sometimes lead to fatality, is postoperative liver failure. There are many factors which are associated with this complication such as chronic liver disease, low residual liver volume after resection. Portal vein embolization (PVE) is the procedure which increases the liver volume of the non-embolized lobe. Now, PVE has gained acceptance in many centers to overcome or reduce this complication. This report described the authors' experiences of PVE since 2001 at King Chulalongkorn Memorial Hospital. MATERIAL AND METHOD: The records of 10 patients who had PVE were reviewed CT volumetry of the liver was done before and after procedure. The authors calculated future liver remnant from CT volumetry and compared this volume to standard liver volume. The postoperative complications and hospital courses of these patients were also recorded. RESULTS: Mean growth of future liver remnant (FLR) ratio after PVE was 13.7 +/- 6.2% (median 13, range 4-25). There was no major complication after PVE. Six patients underwent liver resection and there was no major complication or mortality. No one had persistent hyperbilirubinemia 2 weeks after operation. CONCLUSION: The PVE is the useful and safe optional procedure to increase future liver remnant volume. It not only reduces the postoperative liver failure but increases the chance for curative resection. (NO 16404841)
AU : Suwanwela NC, Phanthumchinda K, Suwanwela N, Tantivatana J, Janchai A.
TI : Thrombolytic treatment for acute ischemic stroke: a 2 year-experience at King Chulalongkorn Memorial Hospital.
JN : J Med Assoc Thai 2001 Jun ; 84 (Suppl 1) : S428-436 (NO 06878)
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