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| 1 | Epithelioid hemangioendothelioma of the liver as a rare indication for liver transplantation显示文摘AIM: To investigate the indications and outcomes of liver transplantation for hepatic epithelioid hemangioendothelioma(HEHE). METHODS: Between 1989 and August 2013, in the Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, 1306 orthotopic liver transplantations(OLTx) were performed, including 72 retransplantations. Unresectable HEHE was an indication for OLTx in 10 patients(0.8% of primary OLTx), the mean age of the patients was 40.5 ± 13.3 years(range 23-65 years), and the male-to-female ratio was 2:8. Kaplan-Meier survival analysis in HEHE, hepatocellular carcinoma(HCC), and other OLTx recipients groups was performed. The differences in mortality were compared using the χ2 test. A P-value < 0.05 indicated statistical significance.RESULTS: No concomitant liver disease was found in any patient. There was no neoadjuvant chemotherapy or radiotherapy. Liver function test results were normal in most of the patients. The levels of alpha-fetoprotein, carcinoembryonic antigen, and carbohydrate antigen 19-9 were normal. In immunohistochemical staining, the neoplastic cells were positive for factor Ⅷ-related antigen, CD31, and CD34, which are endothelial cell markers, and negative for cytokeratin 19, cytokeratin 7, and HepPar-1. Nine patients were alive without tumor recurrence. One patient died 2 mo after OLTx due to septic complications. No morbidity was observed. Maximum follow-up was 11.4 years, with a minimum of 1 mo. The cumulative survival rate at the end of followup in HEHE patients was 87.5% compared with 54.3% in the HCC group and 76.3% in the other OLTx recipients group(χ2 test = 1.784, df = 2, P = 0.409).CONCLUSION: Unresectable HEHE, without extrahepatic metastases is an excellent indication for liver transplantation. Long-term survival is very good and much better than in HCC patients and the entire group of OLTx patients. | Piotr Remiszewski Ewa Szczerba Piotr Kalinowski Beata Gierej Krzysztof Dudek Mariusz Grodzicki Marcin Kotulski Rafa Paluszkiewicz Waldemar Patkowski Krzysztof Zieniewicz Marek Krawczyk | 2014 | World Journal of Gastroenterology2014,20,32: | 10 |
| 2 | Isolated right posterior bile duct injury following cholecystectomy:Report of two cases显示文摘Anatomic variations of the right biliary system are one of the most common risk factors for sectoral bile duct injury(BDI)during cholecystectomy.Isolated right posterior BDI may in particular be a challenge for both diagnosis and management.Herein we describe two cases of isolated right posterior sectoral BDI that took place during laparoscopic cholecystectomy.Despite effective external biliary drainage from the liver hilum in both cases,there was a persistent biliary leak observed which was not visible on endoscopic retrogradecholangiogram.Careful evaluation of images from both endoscopic and magnetic resonance cholangiograms revealed the diagnosis of an isolated right posterior sectoral BDI.These were treated with a delayed bisegmental(segments 6 and 7)liver resection and a Roux-en-Y hepaticojejunostomy respectively with good outcomes at 24 and 4 mo of follow-up.This paper discusses strategies for prevention of such injuries along with the diagnostic and therapeutic challenges it offers. | Maciej Wojcicki Waldemar Patkowski Tomasz Chmurowicz Andrzej Bialek Anna Wiechowska-Kozlowska Rafal Stankiewicz Piotr Milkiewicz Marek Krawczyk | 2013 | World Journal of Gastroenterology2013,19,36: | 5 |
| 3 | Fulminant liver failure following a marathon: Five case reports and review of literature显示文摘BACKGROUND The growing popularity of marathon and half-marathon runs has led to an increased number of patients presenting with exertion-induced heat stroke. Mild hepatic involvement is often observed in these patients;however, fulminant liver failure may occur in approximately 5% of all cases. Liver transplantation is a potentially curative approach for exertion-induced liver failure, although there is a lack of consensus regarding the criteria and optimal timing of this intervention. CASE SUMMARY This paper describes 5 patients (4 men and 1 woman) who were referred to the department where this study was performed with the diagnosis of exertioninduced acute liver failure. Three patients underwent liver transplantation, 1 recovered spontaneously, and 1 patient died on day 11 following the exertion. CONCLUSION Exertion-induced heat stroke may present as fulminant liver failure. These patients may recover with conservative treatment, may require liver transplantation, or may die. No definitive criteria are available to determine patient suitability for a conservative vs surgical approach. | Wojciech Figiel Marcin Morawski Michal Grat Oskar Kornasiewicz Grzegorz Niewiński Joanna Raszeja-Wyszomirska Maciej Krasnodebski Arkadiusz Kowalczyk Waclaw Holówko Waldemar Patkowski Krzysztof Zieniewicz | 2019 | World Journal of Clinical Cases2019,7,12: | 2 |
| 4 | Combination of Morphologic Criteria and α-Fetoprotein in Selection of Patients With Hepatocellular Carcinoma for Liver Transplantation Minimizes the Problem of Posttransplant Tumor Recurrence显示文摘 | Micha? Gr?t Oskar Kornasiewicz Zbigniew Lewandowski Wac?aw Ho?ówko Karolina Gr?t Konrad Kobryń Waldemar Patkowski Krzysztof Zieniewicz Marek Krawczyk | 2014 | World Journal of Surgery2014,,10: | 2 |
| 5 | Biliary tract complications following liver transplantation显示文摘 | Patkowski W Nyckowski P Zieniewicz K | 2003 | Transplantation Proceedings2003,35,: | 1 |
| 6 | Percutaneous internal ring suturing:a simple minimally invasive technique for inguinal hernia repair in children显示文摘 | PATKOWSKI D CZERNIK J CHRZAN R | 2006 | J Laparoendosc Adv Surg Tech A2006,16,5: | 1 |
| 7 | Biliary tract complications following liver transplantation显示文摘 | Patkowski W Nyckowski P Zieniewicz K | 2003 | Transpl Proc2003,35,6: | 1 |
| 8 | Age and accent in a second language: A reply to James Emil Flege 显示文摘 | Patkowski M | 1990 | Applied Linguistics1990,11,: | 1 |
| 9 | Biliary tract complications following liver transplantation显示文摘 | Patkowski W Nyckowski P Zieniewicz K | 2003 | Transplant Proc2003,35,: | 1 |
| 10 | Biliary tract complications following liver transplantation 显示文摘 | Patkowski W Nyckowski P Zieniewicz K | 2003 | Transplant Proc2003,35,6: | 1 |
| 11 | Biliary tract complications following liver transplantation 显示文摘 | Patkowski W Nyckowski P Zieniewicz K | 2003 | Transplant Proc2003,35,6: | 1 |
| 12 | The sensitive period for the acquisition of syntax in a second language显示文摘 | Patkowski M | 1983 | Language learning1983,,30: | 1 |
| 13 | The Sensitive Period for the Acquisition of Syntax in a Second Language显示文摘 | Patkowski M.S | | 0,,02: | 1 |
| 14 | Biliary tract complications following liver transplantation 显示文摘 | Patkowski W Nyckowski P Zieniewicz K | 2003 | Transplant Proc2003,35,1: | 1 |
| 15 | Age and accent in a second language: A re- ply to James Emil Flege 显示文摘 | Patkowski M | 1990 | Applied Linguistics1990,,11: | 1 |
| 16 | Correlation between selected prognostic factors and postoperative course in liver trans- plant recipients 显示文摘 | Patkowski W Zieniewicz K Skalski M | 2009 | Transplant Proc2009,41,8: | 1 |
| 17 | Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children显示文摘 | Patkowski D Czernik J Chrzan R | 2006 | J Laparoendosc Adv Surg Tech A2006,16,5: | 1 |
| 18 | Experiences with recombinant activated factor VII in the treatment of severe refractory thrombocytopenia显示文摘 | Wr6bel G Dobaczewski G Patkowski D | 2006 | Pediatric Blood&Cancer2006,47,5: | 1 |
| 19 | Age and Accent in a Second Language: A Replay to James Flege 显示文摘 | Patkowski | 1990 | Applied Linguistics1990,7389,: | 1 |
| 20 | Biliary tract complications following liver transplantation显示文摘 | Patkowski W Nyckowski P Zieniewicz K | 2003 | Transplant Proc2003,35,6: | 1 |