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Am J Surg27 Mar 2024

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…

Surg Endosc26 Mar 2024

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…

Am J Surg Pathol25 Mar 2024

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…

Ann Surg Oncol25 Mar 2024

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…

HPB & Spleen24 Mar 2024

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…