Category: HPB & Spleen

Comparative Study Reveals Differences in Intraductal Papillary Neoplasms of the Bile Ducts between Europe and Nagoya

This comparative study analyzed the tumor characteristics, management strategies, and outcomes of patients with intraductal papillary neoplasms of the bile ducts (IPNB) in Europe and Nagoya, Japan. The results showed that European patients had more multiple lesions, less invasive carcinoma, and more intrahepatic tumors compared to patients in Nagoya. European patients also had a lower […]

Postoperative Hyperamylasemia is an Early Predictor of Pancreatic Fistula Occurrence and Severity after Distal Pancreatectomy

The European multicentric study aimed to investigate the relationship between postoperative hyperamylasemia (POH) and postoperative pancreatic fistula (POPF) occurrence and severity in patients who underwent distal pancreatectomy. The study found that the presence of POH was a strong predictor of POPF, with the rate of POPF almost doubling in patients with POH. Additionally, higher POPF […]

The IWATE Criteria Validated for Predicting Difficulty and Outcomes in Robotic Liver Surgery

Robotic liver surgery was studied in the first 100 cases to assess the validity of the IWATE difficulty score. Based on the analysis of perioperative and postoperative parameters, researchers found that robotic surgery provides favorable clinical outcomes, even in the implementation phase. The IWATE difficulty score successfully predicted both surgical difficulty and postoperative complications in […]

Laparoscopic central pancreatectomy for benign or low-grade malignant tumors in the pancreatic neck and proximal body

The study analyzed the outcomes and patient experiences of laparoscopic central pancreatectomy for benign or low-grade malignant tumors in the pancreatic neck and proximal body. Sixteen cases were retrospectively analyzed, with all surgical procedures successfully completed without the need for open surgery conversion. The postoperative pathology results identified various types of tumors, with no instances […]

Tumor Cells in Close Proximity to Resection Margin Negatively Impact Survival in Pancreatic Head Ductal Adenocarcinoma

The study examined the impact of tumor cells in close proximity to the resection margin on the survival and development of distant metastasis in pancreatic head ductal adenocarcinoma. The results showed that direct microscopic infiltration or tumor cells within 1 mm of the resection margin were associated with shorter overall survival. The main result of […]

Reconstructing Both Hepatic Arteries in Right Lobe Grafts Is Safe in Living-Donor Liver Transplantation

Researchers conducted a single-center retrospective study on 1,601 living-donor liver transplant recipients to evaluate the risks of hepatic artery thrombosis (HAT) and the efficacy of reconstructing two hepatic arteries (HA) in right lobe grafts. They found that HAT occurred in 1.2% of patients, and risk factors included pretransplant hepatectomy, female donor, smaller graft-to-recipient weight ratio, […]

Novel Method of Calculating Drained Liver Volume for Improved Biliary Drainage in Unresectable Malignant Hilar Biliary Obstruction

A study investigated the use of a 3D volume analyzer to accurately calculate the drained liver volume (DLV) in patients with unresectable malignant hilar biliary obstruction (UMHBO). Out of 104 cases, 63% of patients underwent drainage of ≥50% liver volume, which resulted in a significantly higher clinical success rate compared to those with

Surgical Resection and Radiofrequency Ablation Yield Comparable Efficacy in Elderly Patients with Hepatocellular Carcinoma

The study examined the efficacy of surgical resection (SR) and radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) in elderly patients aged 65 or older. After propensity score matching, there was no significant difference in mortality rates between the two groups. Liver-related mortality was also similar. However, the SR group had significantly longer recurrence-free survival compared […]

Racial Disparities in Surgical Treatment Offer for Neuroendocrine Neoplasms

The study investigated the factors associated with offering surgery for pancreatic and small bowel neuroendocrine neoplasms (pannen and sbnen). Analysis of the surveillance databases revealed that non-white race was associated with decreased odds of surgery offer for sbnen but not pannen. These findings highlight racial/ethnic disparities in the course of treatment, indicating that non-white patients […]

Hand-sewn Gastrojejunal Anastomosis Reduces Delayed Gastric Emptying after Pancreaticoduodenectomy

A retrospective clinical study on 1,077 patients undergoing pancreaticoduodenectomy compared hand-sewn anastomosis to stapled anastomosis in reducing delayed gastric emptying. After propensity score matching, the hand-sewn group demonstrated a significantly lower incidence of delayed gastric emptying and upper gastrointestinal tract bleeding. It also resulted in reduced length of stay and hospitalization expenses. Logistic regression analysis […]