Am J Surg27 Mar 2024
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…
Am J Surg27 Mar 2024
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
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…
Ann Surg25 Mar 2024
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…
Am J Surg Pathol25 Mar 2024
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…
Br J Surg25 Mar 2024
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…
Ann Surg Oncol25 Mar 2024
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
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…
Ann Surg Oncol24 Mar 2024
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…
HPB (Oxford)24 Mar 2024
Gadoxetate disodium-enhanced MRI can predict post-hepatectomy liver failure. Low signal intensity of the remnant liver compared to the spleen post-contrast is associated with higher odds of liver failure. Functional liver remnant determined by this imaging can accurately predict post-hepatectomy liver failure, with a specific cut-off…