The study assessed the ACS NSQIP Risk Calculator’s accuracy in predicting postoperative complications based on surgery type and underlying liver disease. In a cohort of 376 patients, the calculator effectively predicted outcomes such as surgical site infections and mortality, but its accuracy diminished for those with cirrhosis, fibrosis, and steatosis, particularly undergoing major liver resections. […]

A novel resectability classification for hepatocellular carcinoma (HCC) categorizes patients into resectable, borderline resectable, and unresectable groups. Analysis of 409 patients showed that those classified as borderline demonstrated significantly worse progression-free and overall survival compared to resectable patients, with p-values indicating strong significance (p < 0.0001). This classification aids in predicting outcomes and may inform […]

The introduction of a modified pulley maneuver significantly improves surgical outcomes in minimally invasive liver surgery (MILS). By employing barbed sutures with nonabsorbable polymer and metal clips, this technique allows for three-time reuse of sutures and minimizes iatrogenic damage during liver transection. The approach enables optimal traction and enhances the safety and versatility of liver […]

A systematic review of 19 studies with 12,731 patients revealed that robotic pancreaticoduodenectomy (rpd) significantly outperformed laparoscopic pancreaticoduodenectomy (lpd) in key perioperative metrics. Findings included lower conversion rates (OR=0.58), reduced blood transfusions (OR=0.59), shorter hospital stays (MD=-0.54 days), and fewer postoperative complications such as pneumonia (OR=0.31) and wound disruption (OR=0.26). Furthermore, geographical variations influenced outcomes, […]