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Appendix, Gallbladder and Surgical Emergencies5 Feb 2024

Implications of precursor lesions and early cancerous changes in the gallbladder and bile ducts

The study explores terminology, classification, and significance of dysplasia and early carcinoma in the gallbladder and bile ducts. Most precursor lesions and early cancerous changes are clinically undetectable. Low-grade dysplasia is challenging to define and lacks clinical significance, but additional sampling is required to exclude…

HPB & Spleen3 Feb 2024

Improved Localization and Complete Resection in Pancreatic Hypoglycemia Using Intraoperative Segmental Pancreatic Occlusion and Insulin Assay

Combining intraoperative segmental pancreatic occlusion and insulin assays significantly enhances the localization and complete resection of hypersecretory pancreatic tissues in patients with pancreatic hypoglycemia. A retrospective analysis of 11 cases showed that the insulin assay, performed 30 minutes post-resection, accurately located target tissues and achieved…

BMC Surg3 Feb 2024

Portal Vein Resection in Pancreatic Neuroendocrine Neoplasms

Portal vein resection in surgery for pancreatic neuroendocrine neoplasms was analyzed in this study. Among 666 patients, 8% underwent portal vein resection. Postoperative complications were comparable to standard resection, with a low 90-day mortality rate. Radical resection resulted in excellent 5-year overall and disease-specific survival…

HPB & Spleen2 Feb 2024

Improved neoadjuvant and adjuvant therapy needed for biliary tract cancer

Neoadjuvant and adjuvant therapy for biliary tract cancer (BTC) have shown limited success in improving outcomes for patients. This review highlights that while a minority of BTC patients are eligible for curative surgery, their survival rates remain poor with high recurrence rates. The study evaluates…