Advancing complex hepato-pancreato-biliary surgery in Uganda: Challenges and outcomes.
Michael OkelloDave DarshitKiconco MaryUmar MutekobaMugabi TimothyBaseka Xavier FrancisKakaire DenisKyomugisha EdwardOkuku Fred MachyoDdungu HenryBuwembo WilliamOcama PonsianoPublished in: World journal of surgery (2024)
Despite many challenges like limited access to ERCP accessories, lack of endoscopic ultrasound scans and PET-CT scans in the whole country, late presentation, and low quality imaging especially in preoperative determination of resectability of hepato-pancreato-biliary cancers, we managed to establish a functional HPB service. Patient results achieved were good in spite of these limitations.
Keyphrases
- pet ct
- computed tomography
- case report
- ultrasound guided
- positron emission tomography
- minimally invasive
- high resolution
- magnetic resonance imaging
- healthcare
- mental health
- coronary artery bypass
- patients undergoing
- contrast enhanced
- dual energy
- surgical site infection
- solid phase extraction
- magnetic resonance
- molecularly imprinted
- metabolic syndrome
- adipose tissue
- type diabetes
- weight loss
- mass spectrometry
- insulin resistance
- coronary artery disease
- atrial fibrillation
- photodynamic therapy
- skeletal muscle
- contrast enhanced ultrasound