Clin Res Hepatol Gastroenterol18 Jul 2024
A novel classification system for extrahepatic choledochal cyst (ecc) has been developed, consisting of type a, type b, type c, and type d. The incidence of comorbidities and postoperative biliary stricture varies significantly among the types. Factors like age, BMI > 30, classification, and presence…
Eur J Surg Oncol16 Jul 2024
Computed tomography-based vascular burden index accurately predicts vascular resection and pathological vascular invasion in pancreatic cancer patients post neo-adjuvant chemotherapy. The study found that the vascular burden index values, specifically around adjacent arteries and veins, significantly predicted vessel resection and invasion. These indices, particularly the…
Surg Laparosc Endosc Percutan Tech16 Jul 2024
An augmented reality (AR) system for laparoscopic liver surgery shows promise in improving visualization of internal anatomy. The system achieved a mean registration time of 2.4 minutes and a high accuracy rate of 93.8% in aligning preoperative 3D models with real-time laparoscopic images. Evaluations by…
Medicine (Baltimore)15 Jul 2024
Identification of potential mRNA vaccine targets in pancreatic cancer patients using immune- and oxidative stress-related genes. A model incorporating ERAP2, MET, CXCL9, and AGT genes predicts patient prognosis more accurately than current models. ERAP2 aids immune activation and cancer immune evasion, MET regulates cancer cell…
HPB (Oxford)14 Jul 2024
A systematic review of 47 studies involving 3D liver reconstruction highlights its benefits in liver surgery. 87.2% of studies used 3D reconstructions for preoperative planning, particularly for complex hepatectomies and liver grafts. The approach improved navigation and accuracy in 55.3% of cases, facilitated graft selection…
Clin Res Hepatol Gastroenterol14 Jul 2024
A new classification system for extrahepatic choledochal cyst (ecc) has been established through imaging clustering, unveiling types A, B, C, and D. Significant differences in comorbidities and postoperative complications were found among the types. Factors like age, BMI, and stone presence impacted operative time. Machine…
Ulus Travma Acil Cerrahi Derg14 Jul 2024
The study explores the role of Augmenter of Liver Regeneration (ALR) in blunt liver trauma using a rat model. ALR levels in plasma and liver tissue showed significant fluctuations depending on the time post-trauma. Plasma ALR levels peaked at 30 minutes, while intact liver tissue…
Eur J Surg Oncol13 Jul 2024
A multicenter study developed and validated a scoring system to predict the risk of not achieving textbook outcomes (non-TOS) following hepatectomy for hepatocellular carcinoma (HCC). The scoring system, based on factors like obesity, ASA score, Child-Pugh grade, tumor size, and extent of hepatectomy, accurately stratified…
HPB & Spleen13 Jul 2024
Minimally invasive liver resection (MILR) demonstrated superior outcomes compared to open surgery in a study of 260 patients. MILR, performed in 68% of cases, resulted in shorter operative times, less blood loss, lower rates of major complications and bile leaks, and reduced hospital stays. Despite…
Ann Surg Oncol12 Jul 2024
Subgrading G2 pancreatic neuroendocrine tumors into 2A (Ki67 3% to < 10%) and 2B (10% to ≤ 20%) identifies distinct subsets with different metastasis rates and aggressiveness. G2B cases show significantly higher rates of liver/distant metastasis, lymph node metastasis, and histopathologic signs of aggressiveness compared…