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A new prognostic nomogram has been developed to predict tumor recurrence in hepatocellular carcinoma (HCC) patients post-liver resection. Analyzing 726 patients, the research identified independent factors such as alpha-fetoprotein and portal vein tumor thrombosis affecting recurrence-free survival (RFS). The nomogram achieved strong predictive performance, with…
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…
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 <…
An artificial intelligence model effectively predicted "futile" surgeries in intrahepatic cholangiocarcinoma patients, utilizing ten preoperative factors. In a study of 827 cases, 378 (45.7%) experienced insufficient surgical outcomes, with notable rates of recurrence (78.6%) and mortality (21.4%) within 12 months. The model achieved high accuracy,…
A meta-analysis involving 2,978 patients confirms that endoscopic ultrasound-guided fine needle acquisition (EUS-FNA/B) is an effective method for diagnosing and pre-operatively grading pancreatic neuroendocrine tumors (PANNETs). The overall concordance rate with surgical grading was 0.77, with a notable increase in the G1 subgroup (0.88). Notably,…
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…
A multicentre study on colorectal liver metastases establishes that an intraprocedural minimum ablative margin of at least 5 mm significantly reduces the risk of local disease progression. With data from 400 ablated tumors across various institutions, findings reveal 3-year progression rates drop to below 1%…
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…
A study evaluated the feasibility of EUS-guided fine-needle biopsy (EUS-FNB) for next-generation sequencing (NGS) in unresectable pancreatic ductal adenocarcinoma (PDAC). The technical yield of EUS-FNB met criteria in 48% of cases, while the molecular yield was remarkably high at 98%. This means that nearly all…
A systematic review and meta-analysis revealed that endoscopic ultrasound-guided biliary drainage (EUS-BD) is a safe alternative to ERCP transpapillary drainage (ERCP-TPD) for primary biliary drainage in patients with distal malignant biliary obstruction (DMBO). Among 815 patients analyzed, clinical and technical success rates were similar for…
