Laparoscopic transcystic common bile duct exploration (LTCBDE) achieves a 71.1% textbook outcome rate, defined by seven key criteria including postoperative complications and length of stay. Researchers identified major risk factors for failure: delayed drainage removal and prolonged hospitalization. Preoperative endoscopic retrograde cholangiopancreatography emerged as a significant predictor. These findings push for standardized outcome measures, enhancing […]

A novel pancreatic head clockwise devascularization approach during robotic pancreaticoduodenectomy significantly reduced operation time and blood loss compared to the traditional superior mesenteric artery-first method. Surgery duration dropped to 616 minutes with only 50 ml of blood loss, while the conventional method saw 772 minutes and 330 ml. Both groups had similar postoperative complications, with […]

A new anatomical landmark, the perinephric vein, enhances access to the left renal vein during minimally invasive distal pancreatectomy (MIDP) for pancreatic cancer. In a cohort of 114 patients, 63.2% with pancreatic ductal adenocarcinoma showed the vein could help secure the posterior surgical margin, improving overall surgical precision. Of those, 92% had visible perinephric veins, […]

A 6-week multimodal prehabilitation program significantly slashed postoperative morbidity in patients with sarcopenia undergoing major hepatectomy. The prehabilitation group experienced a mere 13.3% complication rate compared to 50% in the standard care arm, translating to a 36.7% absolute risk reduction. All major complications occurred in the control group. Beyond lowering complications, the program also enhanced […]

The burden of liver cancer in Europe has escalated significantly from 1990 to 2021, with age-standardized incidence rising from 3.04 to 4.20 per 100,000. Males experienced disproportionately higher rates, particularly in older populations. Key risk factors include hepatitis C, alcohol consumption, and nonalcoholic steatohepatitis, with Andorra recording the highest rates and Ukraine the lowest. The […]

A modified Appleby procedure successfully treated a pancreatic body tumor encasing the celiac axis, previously deemed inoperable. Utilizing a replaced left hepatic artery, surgeons safeguarded gastric and hepatic perfusion during the distal pancreatectomy and en bloc celiac axis resection. This rare vascular variant opened new avenues for safe surgical intervention, demonstrating that careful mapping and […]

A novel perineural invasion (PNI) severity score effectively predicts disease recurrence and survival in resected pancreatic ductal adenocarcinoma. Among 300 patients, PNI severity correlated with worse pathological outcomes: shorter recurrence times (24 months for PNI 0 vs. 15 months for PNI 2) and reduced survival (57 months for PNI 0 vs. 32 months for PNI […]