J Gastrointest Surg17 Apr 2024
Study evaluates how radiologic splenic vessels involvement affects postoperative complications, overall survival, and disease-free survival in pancreatic adenocarcinoma patients undergoing distal pancreatectomy. Findings suggest that radiologic splenic vessels involvement increases major complication rates and decreases survival outcomes, serving as a potential prognostic marker for treatment…
BMC Surg16 Apr 2024
The study found that while operations for pancreatic malignancies remained stable during the pandemic, operations for hepatic malignancies were temporarily reduced but quickly returned to normal levels. Additionally, there was an increase in pancreatic operations following neoadjuvant therapy. These results suggest that surgery for hepato-pancreato-biliary…
HPB (Oxford)16 Apr 2024
Therapeutic effects of routine lymph node dissection (LND) with liver resection for intrahepatic cholangiocarcinoma (ICC) were inconclusive. However, subgroup analyses revealed a potential benefit for ICC patients with low risk of bias, suggesting a positive impact on overall survival. More studies are needed to clarify…
HPB & Spleen15 Apr 2024
Duodenum-preserving pancreatic head resection for benign tumors, cystic neoplasms, and neuroendocrine tumors offers a cure with fewer complications compared to pancreatoduodenectomy. The meta-analysis showed lower mortality and reoperation rates with duodenum-preserving resection. It also demonstrated comparable rates of tumor recurrence between the two procedures. This…
World J Gastroenterol15 Apr 2024
Consensus meeting of national experts led to national practice guidelines for hilar cholangiocarcinoma, highlighting the importance of a multidisciplinary approach for patient management. Diagnostic and staging workup includes imaging modalities and histopathologic confirmation may not always be necessary before resection. Surgical resection based on the…
HPB & Spleen15 Apr 2024
Aspartate transaminase to platelet ratio index (APRI) ≥0.7 is independently associated with perioperative transfusion, overall morbidity, and 30-day mortality following minor hepatectomy. This suggests APRI could serve as a noninvasive tool for risk stratification in elective hepatectomy patients.
HPB & Spleen14 Apr 2024
Initial outcomes of minimally invasive pancreatoduodenectomy (MIPD) by a well-trained junior surgeon were comparable to a veteran surgeon, despite longer operation times. Both groups showed similar results in blood loss, complications, pancreatic fistula, and hospital stay length. This suggests that junior surgeons may achieve comparable…
Appendix, Gallbladder and Surgical Emergencies14 Apr 2024
Patients with gallbladder dysmotility who underwent laparoscopic cholecystectomy showed significant improvement in biliary pain symptoms and quality of life compared to those who did not undergo the procedure. This retrospective analysis supports the effectiveness of laparoscopic cholecystectomy in managing symptoms associated with gallbladder dysmotility.
HPB & Spleen14 Apr 2024
Frail cancer patients undergoing hepatectomy show improved outcomes with the minimally invasive approach, with lower risks of complications and shorter length of stay. The study analyzed 3,116 patients and found that the minimally invasive approach conferred lower risk of prolonged hospital stay, discharge not-to-home, transfusion,…
Ann Surg13 Apr 2024
Minimum CA19-9 decrease of ≥40% and optimal decrease of ≥60% after induction chemotherapy are independent predictors for prolonged overall survival in patients with locally advanced pancreatic cancer, particularly when CA19-9 levels are elevated at baseline. These thresholds can guide treatment decisions during early response evaluation.
