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Pancreatic cancer surveillance in high-risk individuals led to early diagnosis of pancreatic malignancies and premalignant lesions, with most cases found at baseline. Of the 156 participants with at least a 3-year follow-up or cancer-related events, 9 individuals had malignant or premalignant lesions, demonstrating the feasibility…
Robot-assisted and laparoscopic pancreatoduodenectomy showed similar major morbidity and mortality rates in a pan-European cohort. However, laparoscopic approach was associated with shorter operation time and lower rates of postoperative complications, while robot-assisted approach had lower conversion rates and higher lymph node retrieval. The study highlights…
ABCD1 is identified as a promising diagnostic marker for differentiating solid pseudopapillary neoplasm of the pancreas from other pancreatic neoplasms, including pancreatic neuroendocrine tumors, with exceptional efficacy in immunohistochemical staining. Through a large-scale patient cohort analysis, researchers found that ABCD1 shows high sensitivity (99.10%) and…
High rates of fragmented practice in hepatopancreatic surgery were associated with increased odds of postoperative complications, extended length of stay, 90-day mortality, and lower likelihood of achieving a textbook outcome. This negative impact persisted regardless of surgeon volume and was more pronounced among female surgeons.…
Patients with locally advanced pancreatic cancer (LAPC) who underwent resection following induction therapy showed comparable postoperative pancreas-specific complications, mortality, disease-free interval, and overall survival rates as those with (borderline) resectable pancreatic cancer ((B)RPC). Laparoscopic patients had a higher rate of delayed gastric emptying post-surgery compared…
A parenchymal-sparing central pancreatectomy was performed with robotic assistance and intraoperative endoscopic evaluation of the main pancreatic duct. The procedure had a relatively short operative time of 290 minutes and minimal blood loss. Despite a postoperative complication requiring angioembolization and drainage, the patient was discharged…
Survival outcomes of incidental intrahepatic cholangiocarcinoma patients who did not undergo lymph node dissection were similar to those who underwent dissection in T1 stage, but poorer in T2 and T3+4 stages. Patients incidentally diagnosed with T2 or above T stage may benefit from additional lymph…
After analyzing 26 studies with 4055 patients, the pooled incidence of nonalcoholic fatty liver disease after pancreatectomy was 29%. Female sex, pancreatic ductal adenocarcinoma, portal vein or superior mesenteric vein resection, dissection of nerve plexus around the superior mesenteric artery, and adjuvant chemotherapy were significantly…
Researchers introduced an inferior vena cava (IVC) priority approach in laparoscopic caudate lobectomy, studying 21 patients with caudate hepatic tumors. Those who underwent the pure IVC approach had shorter hepatic pedicle clamping and operation times as well as shorter hospital stays compared to the combined…
Completion pancreatectomy during pancreatoduodenectomy significantly reduces postoperative complications and mortality rates in high-risk patients. In a study of 139 patients, total pancreatectomy (TP) resulted in shorter hospital stays, lower risks of post-pancreatectomy hemorrhage, and a significant reduction in reoperation, postoperative pancreatic fistula, hemorrhage, and mortality…
