Transitioning to robotic liver resection in a limited resource setting may offer feasible surgical outcomes, with no conversions to open surgery, low complication rates, and decreased operative time based on a retrospective study of 67 cases. Major hepatectomies and complex procedures were successfully performed, indicating that robotic technology in skilled hands can be effective even […]
Category: HPB & Spleen
Predicting Early Recurrence of Hepatocellular Carcinoma in Cirrhotic Patients Post-Hepatectomy
Radiomics and clinical-radiologic features were integrated to develop a machine learning model for predicting early recurrence of hepatocellular carcinoma in cirrhotic patients post-hepatectomy. The model showed excellent predictive performance, with an AUC of 0.844 in the training cohort and 0.790 in the validation cohort, facilitating risk stratification and exhibiting significant discriminatory ability for overall survival. […]
Age-based Prediction of Neoplastic Gallbladder Polyps Using Ultrasound Features
The prevalence of neoplastic polyps in gallbladder polyps increases with age. Linear scoring models based on ultrasound features effectively predicted neoplastic polyps in different age groups. Independent risk factors included number and size of polyps. The models outperformed using polyp size alone. This study provides valuable insights for tailored treatment strategies in patients with gallbladder […]
Outcomes of Liver Resection with Vascular Reconstruction
Study identifies risk factors for mortality & morbidity in liver resection with vascular reconstruction. Surgical mortality rate highest in hepatic artery reconstruction (15.8%). Factors include age, male sex, comorbidities, liver function, and biliary reconstruction. Portal venous reconstruction most common (59.6% of cases). Analysis provides insights for improving patient outcomes in hepatobiliary surgeries. Journal Article by […]
Improved Outcomes with Neoadjuvant Therapy in Pancreatic Ductal Adenocarcinoma
Patients with resectable or borderline resectable pancreatic ductal adenocarcinoma (PDAC) who received neoadjuvant chemotherapy and radiation (total neoadjuvant therapy, TNT) or neoadjuvant chemotherapy only (NAC) had longer overall survival (OS) and disease-free survival (DFS) compared to those who underwent upfront surgery. In a study with 26 patients receiving TNT, 28 receiving NAC, and 168 undergoing […]
Improved Overall Survival with Portal and Hepatic Vein Embolization in Liver Resection
Comparing portal vein embolization (PVE) with simultaneous portal and hepatic vein embolization (PVE/HVE) in liver cancer patients showed significantly higher overall survival with PVE/HVE. The study demonstrated a longer 3-year overall survival in the PVE/HVE group compared to PVE alone, making PVE/HVE an independent predictor of survival in primary and secondary liver cancer cases. Comparative […]
Improved Skill Transfer with 3D-Printed Model for Laparoscopic Biliary-Enteric Anastomosis Training
A randomized controlled trial found that training with a 3D-printed model for laparoscopic biliary-enteric anastomosis led to significantly shorter operation times, higher performance scores, and greater goal achievement compared to traditional training methods. This suggests improved skill acquisition and transferability to a clinical setting with the novel simulation model. Randomized Controlled Trial by Shen J, […]
Organizational Factors of New Pancreas Units: Insights from Surgical Leaders
Pancreas units, a new model of care, rely on multidisciplinary meetings, team leadership, and performance metrics as key organizational factors. Surgical leaders stress the importance of involving clinical professionals and patients in decision-making. Non-technical skills like ethics and teamwork are valued, with mentoring and training as crucial facilitating factors. Trust in functional leaders, key performance […]
Early Recurrence Prediction in Hepatocellular Carcinoma Patients
Pre-operative enhanced MRI combined with clinical features can predict early recurrence of hepatocellular carcinoma after radical resection. Patient age, microvascular invasion, tumor boundary, and large vessel invasion were identified as independent predictive factors. The combined predictors had an area under the curve of 0.861, suggesting a reasonable predictive model for early recurrence of HCC. Journal […]
Global Trends in Early-Onset Pancreatic Cancer: A 30-Year Analysis
Early-onset pancreatic cancer (EOPC) is increasing globally, particularly in Asia, with high burden in central and eastern Europe. From 1990 to 2019, EOPC saw a rise in incidence, mortality, and disability-adjusted life-years (DALYs). Risk factors include smoking, high BMI, and high glucose levels. Prevention strategies targeted at high-risk populations are essential to curb this growing […]