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A study involving 706 patients highlights the significant impact of high compliance with enhanced recovery programs (ERP) on achieving textbook outcomes after elective liver surgery. Of the patients, 30.7% attained these outcomes, with 24% from the high compliance group and only 6.6% from the low…
A new model for predicting delayed gastric emptying (DGE) in pancreatic ductal adenocarcinoma patients post-pancreatoduodenectomy has been developed and validated. Researchers identified four key predictors: days to pancreatic drain removal, pancreatic fistula presence, sepsis/septic shock, and reoperation. The model, described as a DGE risk stratification…
A study analyzed 163 patients who underwent either robotic-assisted hemi-hepatectomy (rh) or open hemi-hepatectomy (oh). Robotic procedures demonstrated significantly less blood loss overall and achieved better postoperative outcomes, especially for left hemi-hepatectomy, which resulted in fewer complications and shorter hospital stays. In the case of…
A preoperative recurrence score (PRS) model was developed to predict early recurrence in peri-hilar cholangiocarcinoma patients based on radiological features. In a study of 215 patients, significant predictors included tumor size, portal vein involvement, hepatic artery involvement, and suspicious lymph nodes. The PRS demonstrated excellent…
A study of 471 patients undergoing pancreaticoduodenectomy and distal pancreatectomy revealed that postoperative hyperlipasemia and hyperamylasemia on the first day post-surgery are significant independent risk factors for developing postoperative pancreatic fistula. In multivariate analysis, hyperlipasemia was identified as a notable predictor of this complication, suggesting…
A machine learning model utilizing CT-based radiomics significantly surpassed traditional radiologist assessments in estimating pathologic response of colorectal liver metastases after neoadjuvant therapy. In a study involving 85 patients, the model achieved an area under the curve (AUC) of 0.87, contrasting sharply with the AUCs…
A comprehensive meta-analysis identified several modifiable environmental factors associated with gallbladder cancer (GBC). Key risk factors included body mass index, waist circumference, and bile duct infections, all showing moderately high credibility in longitudinal studies. Interestingly, higher education levels correlated with reduced GBC risk. With 350…
In a comparison of minimally invasive common bile duct exploration (MICBDE) and endoscopic retrograde cholangiopancreatography (ERCP) for treating choledocholithiasis, significant advantages were found for MICBDE. Fluoroscopy time was notably lower for MICBDE (1.54 minutes) compared to ERCP (3.1 minutes, p
A randomized controlled trial is underway to compare the safety and efficacy of a surgical stapler method versus traditional energy devices for pancreatic parenchymal transection during pancreatoduodenectomy. Initiated in September 2023, the STRAP-PD trial at Wakayama Medical University Hospital aims to evaluate its effectiveness in…
Surgery following neoadjuvant chemotherapy significantly improves overall survival for patients with borderline resectable and locally advanced unresectable pancreatic ductal adenocarcinoma, according to a retrospective study involving 124 patients. After applying methods to reduce selection and immortal time biases, analysis revealed marked survival advantages for those…
