Researchers compared treatments for common bile duct (CBD) stones, and ultrasound-guided percutaneous transhepatic cholangioscopic lithotripsy (PTCSL) stood out. PTCSL outperformed laparoscopic exploration, with better perioperative outcomes and fewer complications. It also beat endoscopic treatment with fewer instances of pancreatitis, reflux esophagitis, and papillary stenosis. Additionally, the study identified gallstones and family history as independent risk […]
Category: HPB & Spleen
No Negative Impact: Aberrant Right Hepatic Artery in Pancreaticoduodenectomy
A systematic review and meta-analysis explored whether the presence of an aberrant right hepatic artery (A-RHA) influences outcomes after pancreaticoduodenectomy (PD). Results indicate that A-RHA doesn’t significantly affect critical endpoints, such as tumor margin (R1) rate, overall survival, morbidity, mortality, and biliary fistula rate. Additionally, non-critical outcomes like postoperative pancreatic fistula, delayed gastric emptying, post-pancreatectomy […]
Hepatic Arterial Infusion Pump (HAIP) Chemotherapy Improves Survival in Liver-Confined Intrahepatic Cholangiocarcinoma (ICCA)
Researchers compared the outcomes of liver-confined unresectable intrahepatic cholangiocarcinoma (ICCA) patients receiving systemic chemotherapy (gemcitabine and cisplatin) with those given hepatic arterial infusion pump (HAIP) chemotherapy. The study, involving 268 patients, revealed that HAIP chemotherapy significantly outperformed systemic treatment. Median survival for HAIP was 27.7 months compared to 11.8 months with gem-cis. Notably, HAIP resulted […]
Early Cholecystectomy Benefits Frail Geriatric Patients with Acute Biliary Pancreatitis
When it comes to frail geriatric patients with acute biliary pancreatitis (ABP), opting for early cholecystectomy (CCY) during the index admission is a wise choice. A study comparing these patients to those managed nonoperatively (NOM) through endoscopic procedures found that CCY led to significantly lower 6-month rates of complications, readmissions, mortality, and fewer days spent […]