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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…
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…
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…
Patients younger than 50 years, of non-white race, with annual income
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…
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%),…
Patients with KRAS-mutated colorectal liver metastases had shorter overall and disease-free survival after liver resection. In these cases, the resection margin did not affect oncologic outcomes. However, for KRAS wild-type tumors, achieving an R0 resection was crucial for prolonged overall and disease-free survival. Primary tumor…
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…
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…
Researchers reviewed advances in diagnosis and management of hepatic adenomas (HA), classified into at least eight subtypes. MRI is the best imaging method for diagnosis and can differentiate among subtypes. HA larger than 5cm have higher risks of bleeding and malignancy and should be resected.…
