Pancreatic ductoscopy guides tissue preservation
In two older patients having robotic surgery for a pancreatic growth, ductoscopy and checks of the cut edge let surgeons leave the remaining pancreas in place.
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Intrahepatic cholangiocarcinoma has more options
Resection remains central, but care now includes preoperative therapy, liver-directed treatments and drugs matched to tumor changes.
Pancreatic cancer: longer survival with combined treatment
For locally advanced pancreatic cancer, cryoablation plus drug treatment was linked to longer median survival than drug treatment alone, but the result does not prove benefit.
Robotic surgery, shorter stays in chronic pancreatitis
Robotic pancreatic drainage was linked to a shorter hospital stay, but clinically significant pancreatic fistulas were more common.
HAI pump complications: Half can be salvaged
In 2,935 hepatic artery infusion pump placements, 26% had a pump-related complication; just over half of those patients were able to continue HAI chemotherapy after intervention.
On-demand necrosectomy holds up in pancreatic necrosis
After EUS-guided drainage for infected necrotizing pancreatitis, immediate necrosectomy showed no clear clinical advantage over waiting to intervene as needed—and may expose more patients to the procedure.
Botox fails to prevent fistula after distal pancreatectomy
Preoperative botulinum toxin injection into the sphincter of Oddi did not reduce clinically relevant fistula after distal pancreatectomy; fistulas were numerically more frequent with injection.
SSTR PET finds more distant disease in GEP-NETs
In this 24-year surgical cohort, SSTR PET identified bone and retroperitoneal nodal metastases more often than Octreoscan—findings that may matter for operative planning.
Quantitative CT sharpens IPMN risk prediction
In resected IPMNs, adding quantitative CT features to guideline criteria modestly improved prediction of high-grade dysplasia or cancer—potentially useful for risk assessment, but not yet ready to guide surgery.
HCC conversion surgery matched early-stage survival
For selected patients with initially unresectable HCC who responded to conversion therapy, hepatectomy was followed by overall survival reported as comparable to direct surgery for BCLC-A disease.