Hepatob Pancreat Dis
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Hilar cholangiocarcinoma has a low radical resection rate and a poor long-term survival rate. In recent years, its prognosis has been improved with advancement of preoperative diagnostic techniques and surgical techniques. The aim of this study was to evaluate the prognostic factors of hilar cholangiocarcinoma and the relations of surgical procedure to the prognosis of the carcinoma. ⋯ Operative procedure is the most important prognostic factor affecting the operative results of hilar cholangiocarcinoma. Radical resection is still the primary measure for a cure and long-term survival of the patients. For patients with irresectable hilar cholangiocarcinoma, no evidence has shown that the prognosis after treatment of ERBD or EMBE is poorer than that after laparotomy.
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Hepatob Pancreat Dis · Feb 2004
Comparative StudyChanges of plasma D(-)-lactate, diamine oxidase and endotoxin in patients with liver cirrhosis.
Plasma D(-)-lactate and diamine oxidase (DAO) can reflect patients' intestinal mucosal condition. We evaluated the changes of plasma D(-)-lactate, DAO and endotoxin activities and their significance in patients with liver cirrhosis. ⋯ The data suggest that both plasma D(-)-lactate and DAO activity are sensitive markers for early diagnosis of gut failure and endotoxemia in patients with liver cirrhosis. The impairment of intestinal barrier function may be one of the critical reasons for deterioration of liver cirrhosis.
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Hepatob Pancreat Dis · Feb 2003
The value of color Doppler ultrasonography in monitoring normal orthotopic liver transplantation and postoperative complications.
To assess the value of color Doppler ultrasonography in monitoring normal orthotopic liver transplantation and postoperative complications. ⋯ Color Doppler ultrasonography is valuable for monitoring normal liver transplantation and postoperative complications.