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Robotic liver surgery was studied in the first 100 cases to assess the validity of the IWATE difficulty score. Based on the analysis of perioperative and postoperative parameters, researchers found that robotic surgery provides favorable clinical outcomes, even in the implementation phase. The IWATE difficulty…
The study analyzed the outcomes and patient experiences of laparoscopic central pancreatectomy for benign or low-grade malignant tumors in the pancreatic neck and proximal body. Sixteen cases were retrospectively analyzed, with all surgical procedures successfully completed without the need for open surgery conversion. The postoperative…
The study examined the impact of tumor cells in close proximity to the resection margin on the survival and development of distant metastasis in pancreatic head ductal adenocarcinoma. The results showed that direct microscopic infiltration or tumor cells within 1 mm of the resection margin…
Researchers conducted a single-center retrospective study on 1,601 living-donor liver transplant recipients to evaluate the risks of hepatic artery thrombosis (HAT) and the efficacy of reconstructing two hepatic arteries (HA) in right lobe grafts. They found that HAT occurred in 1.2% of patients, and risk…
A study investigated the use of a 3D volume analyzer to accurately calculate the drained liver volume (DLV) in patients with unresectable malignant hilar biliary obstruction (UMHBO). Out of 104 cases, 63% of patients underwent drainage of ≥50% liver volume, which resulted in a significantly…
The study examined the efficacy of surgical resection (SR) and radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) in elderly patients aged 65 or older. After propensity score matching, there was no significant difference in mortality rates between the two groups. Liver-related mortality was also similar.…
The study investigated the factors associated with offering surgery for pancreatic and small bowel neuroendocrine neoplasms (pannen and sbnen). Analysis of the surveillance databases revealed that non-white race was associated with decreased odds of surgery offer for sbnen but not pannen. These findings highlight racial/ethnic…
A retrospective clinical study on 1,077 patients undergoing pancreaticoduodenectomy compared hand-sewn anastomosis to stapled anastomosis in reducing delayed gastric emptying. After propensity score matching, the hand-sewn group demonstrated a significantly lower incidence of delayed gastric emptying and upper gastrointestinal tract bleeding. It also resulted in…
Recurrence after surgery for colorectal liver metastases (CRLM) is common within two years, but there is no established guidance on follow-up methods and intensity. A systematic review of 25 articles involving 9,945 patients revealed wide variation in follow-up methods, with CT as the most common…
A retrospective multicenter cohort study compared two follow-up strategies for patients after curative resection of biliary tract cancer. The study found that structured follow-up resulted in more patients receiving palliative therapy after recurrence compared to pragmatic follow-up. Additionally, the median overall survival was significantly lower…
