Am J Surg18 Mar 2024
Robotic-assisted surgery for gallbladder cancer is found to be as effective as traditional methods in terms of oncological outcomes, with potential benefits in precision and perioperative recovery. A systematic review comparing robotic, open, and laparoscopic techniques highlights the feasibility and safety of robotic surgery, suggesting…
J Am Coll Surg17 Mar 2024
Baseline fdg-pet imaging in treatment naïve pdac patients revealed 96.3% had fdg-avid tumors with median suvmax 6.4. fdg-pet identified suspicious extrapancreatic metastatic lesions in 50% of patients, with pet/mri being superior in detection. Ca19-9 elevation did not affect fdg-pet's performance, highlighting its utility in initial…
J Gastrointest Surg17 Mar 2024
Between 1990 and 2019, the number of pancreatic cancer deaths in older adults, age-standardized death rate, disability-adjusted life years, and age-standardized DALY rate increased globally. The burden is highest in southern Latin America and has grown fastest in the Caribbean. Males aged 65 to 74…
Ann Surg16 Mar 2024
In a randomized clinical trial comparing laparoscopic and open pancreaticoduodenectomy for pancreatic or periampullary tumors, researchers found similar 3-year overall survival rates between the two groups. Quality of life, depression, and other outcomes also showed no significant differences. Laparoscopic pancreaticoduodenectomy, when performed by experienced surgeons,…
Ann Surg16 Mar 2024
Researchers compared robotic pancreaticoduodenectomy (RPD) and open pancreaticoduodenectomy (OPD) outcomes in a high-volume center. RPD showed lower blood loss, higher rates of no complications, longer operative time, and fewer harvested lymph nodes in patients with ductal adenocarcinoma compared to OPD. No significant differences were found…
Ann Surg16 Mar 2024
Antibiotic duration did not impact infection rates in pancreatoduodenectomy patients with biliary stents. A retrospective cohort study found similar composite infection rates among patients receiving short, medium, or long-duration antibiotics, with no significant differences in other outcomes. Postoperative pancreatic fistula and male sex were associated…
Liver Cancer16 Mar 2024
Patients with BCLC-A/B HCC beyond Milan criteria and tumor burden beyond the up-to-7 criteria but within 3 tumors showed better overall survival with surgical resection compared to transarterial chemoembolization. The seven-eleven criteria can help identify candidates for surgical resection in this patient population, emphasizing the…
Ann Surg Oncol15 Mar 2024
Analyzing a national cancer database, researchers found that adjuvant chemoradiation in resected extrahepatic bile duct or gallbladder adenocarcinoma, following the SWOG S0809 protocol, yielded a median overall survival of 36.9 months. A propensity score-matched cohort revealed a survival benefit for those receiving adjuvant chemoradiation over…
Surg Endosc14 Mar 2024
Robotic distal pancreatectomy (rdp) had longer operative times but shorter postoperative stays compared to laparoscopic distal pancreatectomy (ldp). RDP also had fewer pancreatic leaks and required fewer interventions. While RDP was more expensive than LDP, reduced hospital stays and lower reintervention rates partially offset this…
HPB & Spleen14 Mar 2024
Analysis of 86 patients with hepatocellular carcinoma and portal vein tumor thrombosis showed no significant difference in overall survival and recurrence-free survival between laparoscopic and open liver resections. The only predictors of recurrence-free survival were specific pathological factors, not the type of surgery. Laparoscopic resection…