• Subcutaneous Drain Versus Abdominal Binder with Percutaneous Aspiration in Repair of abdominal ventral hernia using polypropylene Mesh: A Comparative Study in 60 Egyptian Patients
    Ahmed Abd Al Aziz, MD1, Nader Sh. Zaki, MD2,Karim G. Moustafa, MD3, M. Fathy Elshaal
  • 3D Dynamic Ano-rectal Ultra-sonography (Echodefecography) vs. Conventional Defecography in Assessment of Obstructed Defecation.
    Abdrabou N Mashhour, Haitham S.E. Omar, Ramy S. Abdelkader.
  • 3D Dynamic Ano-rectal Ultra-sonography (Echodefecography) vs. Magnetic Resonance Defecography in Assessment of Obstructed Defecation
    Hany MS Mikhail, Mohamed M Raslan, Mohamed Y Elbarmelgi, Ramy S. Abdelkader
  • Outcome of anal Fistula Plug as a Sphincter-saving Technique in Management of Complex Ano-rectal Fistula
    Adel Morad Abdallah (M.D.)
  • Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair without Mesh Fixation
    Ahmed S.M. Omar, MD
  • Single HCC with Compensated Liver: Best Surgical Strategy
    H. Said1, Ahmed Khalil1, Ahmed Fathy Hilal2
  • Effect of Laparoscopic Sleeve Gastrectomy in Treatment of Type II Diabetes Mellitus
    Ragai S. Hanna1, George Abdelfady Nashed2, Gamal A Makhlouf 3, Nahed A Makhlouf 4, Manal El Sayed Abdelmooty 5
  • The Effectiveness of Combined Wound and Intraperitoneal Local Anesthesia as Pain Relief in Laparoscopic Cholecystectomy: Prospective Case Control Study
    Ragai S. Hanna1 , George Abdelfady Nashed2,Ashraf, A Helmy 3, Gamal A Makhlouf4, Emad Z.K. Said5, Abdelraouf MS Abdelraouf 6
  • Prospective Study Evaluating Intraoperative and Postoperative Parathyroid Hormone Assay versus Serum Calcium Monitoring to Predict Hypocalcemia after Total Thyroidectomy
    Ramy Mikhael Nageeb1, *, MD, and Shaban M. Abdel Mageed2, *, MD
  • Clipping versus Transection in Endoscopic Thoracic Sympathectomy (ETS) as Regards Postoperative Compensatory Sweating (CS)
    Shawki M.K Sharouda1*; Ramy Mikhael Nageeb2*; MD and Shaban M. Abdel Mageed1*, MD
  • Management of Umbilical Pilonidal Sinus: Complete Umbilical Excision and Immediate Reconstruction
    Sherif Abdel Halim MD, MRCS, Hanna Habib MD, Hossam Elsadek MD
  • Transanal Colonic Pull-through Procedure with Delayed Colo-anal Anastomosis in Complex Colorectal Conditions (Initial Experience)
    Ahmed Morad, MD; Wael A Jumuah, MD; Hanna Habib, MD
  • A Comparative Study between Oncoplastic Breast Surgery and Standard Conservative Surgery: Margin status and Patient Satisfaction among Egyptian Females
    Yasser El Ghamrini, MD. Karim Sabry Abdel Samee, MD, MRCS(Ed), Wael Abdel Aziem Gumuah, MD.
  • Outcome of Harmonic Scalpel Hemorrhoidectomy in Comparison with Bipolar Diathermy
    Anas Mashal MD; Abdallah Magdy MD,FRCS
  • The Effect of TAPP Technique for Hernia Repair with or without Mesh Fixation
    Anas Mashal MD, *Abdallah Abdelwahed MD;**Hady Saleh Abou-Ashour, MD,MRCS

    • Single HCC with Compensated Liver: Best Surgical Strategy

    H. Said1, Ahmed Khalil1, Ahmed Fathy Hilal2
    1General Surgery Department, Faculty of Medicine, Ain Shams University 2Tropical Medicine Department, Faculty of Medicine, Ain Shams University

    Aim of the work: comparison of 1 year overall and recurrence free survival and complication between patients offered Living Donor Liver Transplantation (LDLT) and patients offered Liver Resection (LR) in management of single Hepatocellular carcinoma (HCC) less than 5cm in well compensated cirrhosis. Type of study: cohort prospective study. Patients and method: This study includes 36 patients who had surgical intervention for HCC between June 2013 and June 2016, sixteen patients underwent LDLT and 20 patients underwent LR. They were then followed for up to 1 year with record the outcomes and complications. This study was done in Ain Shams University Hospitals and Egypt Air Hospital. Results: Recurrence of HCC in the resection group occurred in 4 patients (20%) These were managed by radiofrequency (RF), Transarterial Chemoembolization (TACE), re-resection and best supportive care. In the transplant group, there was 1 case (6.2%) of HCC recurrence that was managed by sorafenib (P-value = 0.0431). Mortality in the transplant group occurred in 2 cases (12.5%), [ 3rd week and 10th month]. In the resection group, there was 1 mortality (5%) [4th week] (P-value = 0.418). The overall complication rate between LDLT and LR was nearly similar, but with a different pattern. In the transplantation group there were more vascular (12.5% Vs 0%) and biliary (18.8% Vs 5%) complications and also complications related to immune-suppressant like chest infection (18.8% Vs 5%) and renal impairment (6.2% Vs 5%). In resection group the main complications were related to liver decompensation (25% Vs 0%), hepato-renal syndrome, and biliary leak in major hepatectomy. Conclusion: LDLT is better than LR for single HCC < 5 cm regarding Disease free survival (DFS) with no difference in overall survival (OS) in short term follow up. Postoperative morbidity is nearly similar for both strategies as regard overall incidence but with a different pattern. Key Words: Single HCC, Compensated Liver, Strategy. 

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