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Day-case robotic liver resection is safe and feasible, with 65% of patients discharged within 24 hours. No major complications or mortalities were reported in this case series, indicating the potential for a shorter hospital stay and improved recovery. Implementation of follow-up pathways is crucial for…
Following preoperative biliary stenting, patients with persistent hyperbilirubinemia (>1.2 mg/dl) are at higher risk of serious complications post-anatomic hepatectomy. Persistent hyperbilirubinemia independently predicts increased rates of serious complications and mortality, highlighting its importance in preoperative risk assessment. Failed preoperative biliary drainage serves as a crucial…
Two-stage hepatectomy with portal vein embolization in Japanese patients with colorectal liver metastasis showed a 1-, 3-, and 5-year overall survival rate of 92.5%, 70.8%, and 34.7%. Patients with more than 10 liver nodules had a 4.2-fold increased mortality risk. Repeat hepatectomy post-tsh was more…
A study comparing lenvatinib plus drug-eluting bead transarterial chemoembolization with and without hepatic arterial infusion chemotherapy for hepatocellular carcinoma > 7.0 cm with major portal vein tumor thrombosis found that the addition of haic significantly improved objective response rate, time to progression, and overall survival,…
Robotic liver surgery in elderly patients leads to less blood loss and shorter hospital stays compared to open liver surgery, especially in minor liver resections. Overall morbidity is similar between the two groups, but operative times are longer with the robotic approach. These findings highlight…
A meta-analysis comparing piperacillin/tazobactam and traditional antibiotics for surgical prophylaxis during pancreatoduodenectomy showed significant reductions in surgical-site infections, major complications, postoperative pancreatic fistulas, and mortality in patients receiving piperacillin/tazobactam. Subgroup analysis demonstrated reduced incidences of superficial and organ/space infections. These findings support the use of…
First study assessing hpb surgical capacity in West Africa reveals limited availability of specialized procedures like major hepatic resections and the whipple procedure. Most institutions lack hpb-trained surgeons, highlighting the need for regional quality improvement initiatives to enhance surgical care for hepato-pancreato-biliary malignancies in the…
ICG-guided laparoscopic hepatectomy significantly improves R0 resection rates for liver malignancies compared to non-ICG methods. A meta-analysis of seven studies totaling 598 patients showed a higher rate of complete tumor eradication with ICG guidance, indicating its efficacy in enhancing surgical outcomes without compromising safety. This…
Long-term oncological outcomes of single-port laparoscopic hepatectomy for hepatocellular carcinoma were compared with multiport laparoscopic hepatectomy. Recurrence rates were higher in the splh group, but overall and recurrence-free survival did not significantly differ between groups. Splh method and portal vein invasion were identified as independent…
Pre-operative biliary drainage significantly raised complication rates in periampullary lesion patients, as shown by a meta-analysis including 35 studies and 2 randomized trials with 12,641 patients. Results revealed higher overall complication rates, increased delayed gastric emptying post-surgery, and a significant rise in wound infections post-operatively…
