Antecolic reconstruction after pancreaticoduodenectomy significantly increases the risk of delayed gastric emptying compared to transmesocolic reconstruction. Patients who underwent antecolic reconstruction had a higher incidence of severe delayed gastric emptying and a 2-fold increase in severe cases. Tmc reconstruction may be superior in minimizing the development and severity of delayed gastric emptying following pancreaticoduodenectomy. Journal […]

This prospective study assessed benchmark outcomes for distal pancreatectomy (DP) across Spanish HPB centers. Key findings include a median DP rate of 7 per center, 69.3% performed minimally invasively, with a major complication rate of 21.1% and a 90-day mortality of 1.6%. Compared to previous benchmarks, this study showed an increasing rate of minimally invasive […]

Drain amylase on postoperative day three is an independent predictor of clinically relevant postoperative pancreatic fistula after both open and laparoscopic distal pancreatectomy. However, the optimal cutoff value for predicting this complication is significantly higher after laparoscopic surgery than after open surgery. This difference suggests that the threshold for drain removal may need to be […]

After assessing spleen-preserving distal pancreatectomy (SPDP) and distal splenopancreatectomy (DSP) for body pancreatic ductal adenocarcinoma, it was found that SPDP is associated with less postoperative morbidity and does not impair oncological outcomes. Propensity score matching balanced patient characteristics, showing that SPDP is a viable option for b-PDAC patients located at least 5 cm from the […]

Navigator nurse implementation in liver resections led to reduced length of stay, fewer emergency room visits, and readmissions. Patients receiving counseling and postoperative follow-up from navigator nurses had faster functional recovery and discharge, especially those with complications and undergoing open surgery. The presence of navigator nurses was an independent predictor of shorter length of stay, […]

Clinicians inaccurately estimate future liver remnant volume visually, tending to overestimate it, especially in cases with small remnants leading to higher risk of post-hepatectomy liver failure. Accuracy is lower for right hepatectomy (mean percent overestimation of 22%) and right trisectionectomy (mean percent overestimation of 25%), with specialists in hepatopancreatobiliary surgery having even higher overestimations. Experience […]

Analysis of 1,701 patients with hepatocellular carcinoma after curative resection revealed 38.4% experienced late recurrence, with median time to recurrence of 4.0 years. Risk factors for late recurrence included age >60, chronic hepatitis C, cirrhosis, high albumin-bilirubin grade, absence of family history, and specific tumor characteristics. Surgical treatment was associated with better survival outcomes post-recurrence. […]

Readmission post-robotic hepatectomy correlates with hypertension, higher Child-Pugh scores, and R1 margins. Neoadjuvant chemotherapy is associated with lower readmission rates due to less diffuse liver disease. While not affecting five-year survival, readmissions elevate hospital costs significantly. The study found 44 out of 244 patients were readmitted within 90 days, with risk factors including hypertension, Child-Pugh […]