Researchers compared robotic versus open hepatic arterial infusion pump placement for unresectable intrahepatic cholangiocarcinoma. The study found that robotic placement led to a significantly shorter time to functional recovery (2 versus 5 days) and hospital stay (3 versus 5 days) compared to open placement. Both groups had similar rates of postoperative complications. Robotic placement allowed […]
Category: HPB & Spleen
Disparities in overall survival between rural and urban patients with pancreatic neuroendocrine tumors
Rural patients with pancreatic neuroendocrine tumors (pnets) have significantly shorter overall survival (OS) following primary pnet resection compared to urban patients. After adjustments for various factors, living in a rural area remained significantly associated with worse OS. This study highlights survival disparities between rural and urban pnet patients and emphasizes the need for targeted interventions […]
Penetrating Trauma Patients Benefit from Spleen-Conserving Surgery in Nationwide Study
Spleen-conserving surgeries are more common in patients with penetrating trauma, age under 65, stable vital signs, and low-grade injuries. These procedures were associated with a lower risk of pneumonia and venous thromboembolism compared to total splenectomy. Clinicians should consider spleen-conserving surgeries for appropriate patients to improve outcomes in splenic injuries. Journal Article by Tang-Tan A, […]
Deep Learning Model Successfully Segments Robotic Pancreaticojejunostomy Videos
Researchers developed a deep learning model for automated segmentation of robotic pancreaticojejunostomy videos. The model achieved an accuracy of 88.01% and mean per-class f1 scores of 85.34%, proving to be effective in identifying the tasks involved in the procedure. Future work will focus on skills assessment and outcome prediction based on the segmentation results. Journal […]
Robotic Liver Surgery Achieves Higher Textbook Outcome Rates Than Laparoscopic Surgery
Robotic liver surgery (RLS) showed higher rates of textbook outcome in liver surgery (TOLS) and TOLS+ compared to laparoscopic liver surgery (LLS), with lower blood loss, transfusions, morbidity, and higher R0 resection margins, despite longer operative times. In subgroup analyses, RLS tended to have higher TOLS rates for minor and major resections. Journal Article by […]
Long-term Pancreatic Complications from Trauma: Unique Pathology in Focal Duct Stenosis
Patients with focal stenosis of the main pancreatic duct without pancreatic cancer may have unique pathology including fibrosis, inflammation, and calcifications. Blunt trauma, such as from motor vehicle accidents, can cause long-term complications in the pancreas, leading to obstructive changes. Awareness of this distinctive pathology is crucial for pathologists to accurately diagnose and understand the […]
Validation of Genetic and Morphological Evaluation Score for Patients with Colorectal Liver Metastases
Researchers validated the genetic and morphological evaluation score as a prognostic tool for patients with colorectal liver metastases, showing that the high-risk group had significantly lower median relapse-free survival and overall survival compared to the low-risk group. The histopathological, clinical, and molecular score was also developed, including variables such as age, tumour burden score, and […]
Enucleation is Safe for Solid Pseudopapillary Tumor of the Pancreas
Patients who underwent enucleation (en) for solid pseudopapillary tumor of the pancreas had a shorter hospital stay and similar rates of 30-day and 90-day mortality compared to those who underwent partial pancreatectomy (pp) or pancreaticoduodenectomy (pd). Survival analysis showed no difference in overall survival between en and resection groups. Patients with lymph node metastases had […]
Improved Outcomes in Hepatocellular Carcinoma with Anatomic Liver Resection
Anatomic liver resection prioritizing portal territory margins for hepatocellular carcinoma (HCC) treatment offers improved surgical efficacy over traditional approaches. MPT-AR maximizes oncological and rehabilitation benefits, overcoming limitations of traditional AR and local liver resection while avoiding postoperative complications like liver failure. This innovation addresses challenges posed by HCC’s portal vein spread and cirrhosis-related liver function […]
Identification of Hepatic Lymphatic Drainage in Intrahepatic Cholangiocarcinoma using Laparoscopic Tracer Technique
Injecting indocyanine green into the Glisson pedicle in a patient with intrahepatic cholangiocarcinoma allowed accurate tracing of hepatic lymphatic drainage area during laparoscopic surgery. The technique enabled identification and dissection of regional lymph nodes, providing a potential method for precise lymph node mapping in liver cancer surgery. Journal Article by Wang X, Xie F (…) […]