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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…
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…
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…
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…
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…
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…
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…
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…
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…
A nomogram incorporating treatment data proved better than the AJCC staging system in predicting overall survival for gastroenteropancreatic neuroendocrine tumors. Key factors include sex, age, race, tumor location, and treatment modalities. Internal and external validation showed superior performance, advocating for individual risk evaluation to enhance…
