A multi-institutional study investigated the accuracy of preoperative imaging in detecting lymph node metastasis (lnm) in patients with pancreatic neuroendocrine tumors (pnets). They found that traditional imaging modalities such as computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET)-CT, and octreoscan had low sensitivities to determine nodal status. Preoperative imaging indicating nodal involvement […]

A cohort study comparing minimally invasive repeat hepatectomy (MIRH) and open repeat hepatectomy (ORH) revealed that MIRH is a feasible and safe approach after previous open hepatectomy. Among 46 patients included in the study, 43% underwent MIRH and 57% underwent ORH. MIRH was associated with less blood loss and shorter length of stay compared to […]

This retrospective study analyzes the optimal biliary stenting strategy for palliation in cholangiocarcinoma patients. It found that self-expanding metal stents (SEMS) and plastic stents (PS) within SEMS had higher clinical success rates but also higher stent-specific adverse events. Removing PS may facilitate percutaneous biliary drainage (PTBD). Double-pigtail stents had fewer complications compared to straight PS. […]

The study evaluated surgical-oncologic textbook outcomes in patients with stage I to III pancreatic ductal adenocarcinoma using national registries. The results showed that over 50% of patients achieved surgical-oncologic textbook outcomes in both the US and Germany. Patients who failed to achieve these outcomes had significantly impaired survival rates. The median overall survival was higher […]

The nationwide study analyzed the use and outcome of tailored surgical treatment for symptomatic chronic pancreatitis (CP) based on pancreatic morphology. The analysis revealed that surgical drainage procedures, such as extended lateral pancreaticojejunostomy, resulted in the best safety profile and excellent functional outcomes. Mortality rates were lower and major complications, pancreatic fistula, surgical reinterventions, and […]

The study evaluated the safety and accuracy of the temporary inflow control of the Glissonean pedicle (TICGL) technique combined with indocyanine green (ICG) fluorescence imaging in laparoscopic anatomical S2/3 resection. Twelve patients underwent this procedure, with 7 undergoing S2 resection and 5 undergoing S3 resection. The operation time was 76.92±11.95 minutes, blood loss was 15.42±5.82 […]

The study analyzed the evolution of laparoscopic liver resection (LLR) over the past two decades at a Korean referral center. The number of technically challenging LLR procedures increased significantly, but perioperative outcomes improved. The most recent period showed shorter operation time, lower blood loss, reduced transfusions, and shorter hospital stays. Technical major resections and underlying […]

In robotic distal pancreatectomy, researchers compared manual sutures and staplers for pancreatic stump closure. Among 119 patients, the manual suture group exhibited shorter operative time, lower estimated blood loss, and a shorter postoperative hospital stay compared to the stapler group. The incidence of clinically relevant postoperative pancreatic fistulas (POPFs) was similar between groups, emphasizing the […]

Propensity score analysis of 424 patients who underwent liver resection for high difficulty hepatocellular carcinoma compared laparoscopic (LLR) and open approaches. LLR had significantly fewer severe complications (3% vs. 10.8%) and shorter hospital stays (6 days vs. 8 days). Long-term outcomes, including tumor recurrence rate, 5-year overall survival rate, and 5-year recurrence-free survival rate, were […]