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Clin Res Hepatol Gastroenterol18 Jul 2024

Laparoscopic treatment of extrahepatic choledochal cyst

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 Predicts Vascular Resection and Pathological Invasion in Pancreatic Cancer

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

Augmented Reality System Enhances 3D Visualization in Liver Surgeries

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…

HPB (Oxford)14 Jul 2024

3D Liver Reconstruction Enhances Surgical Planning and Accuracy

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

New Classification System Improves Laparoscopic Treatment of Extrahepatic Choledochal Cyst

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

Augmenter of Liver Regeneration Impacts Blunt Liver Trauma

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…

HPB & Spleen13 Jul 2024

Minimally Invasive Liver Surgery Outperforms Open Surgery in Surgical Outcomes

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 of G2 Pancreatic Neuroendocrine Tumors Reveals Behaviorally Distinct Subsets

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…