Appendix, Gallbladder and Surgical Emergencies5 Feb 2024
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…
Ann Surg4 Feb 2024
A recent study conducted at a German pancreatic center investigated the role of microbiota in perioperative outcomes of pancreatic head resections. The study utilized 16s rrna sequencing and microbial culturing to analyze samples collected from various gastrointestinal sites of 101 patients undergoing surgery. The findings…
Am J Surg Pathol4 Feb 2024
Researchers analyzed a large number of tissue samples and found that gad2 immunohistochemistry is a highly specific diagnostic marker for neuroendocrine neoplasms of the pancreas. The expression of gad2 was only observed in a few normal cell types, making it a potential diagnostic tool. It…
Gut3 Feb 2024
The long-term consequences of necrotising pancreatitis, including complications, interventions, and quality of life, were assessed in a follow-up study of 373 patients. Results showed that 26% of patients were readmitted for recurrent pancreatitis, 13% received endoscopic or percutaneous drainage, and 8% underwent pancreatic necrosectomy or…
HPB & Spleen3 Feb 2024
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 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…
Endoscopy3 Feb 2024
The study aimed to identify the predictors of persistent pain in patients with chronic calcific pancreatitis following extracorporeal shockwave lithotripsy (ESWL). A total of 640 patients were assessed, and 68% experienced pain relief after ESWL while 32% had persistent pain. Predictors of persistent pain included…
Langenbecks Arch Surg3 Feb 2024
In a retrospective cohort study of 123 patients with intrahepatic cholangiocarcinoma (ICC) who underwent curative surgery, researchers investigated the prognostic value of the Geriatric Nutritional Risk Index (GNRI). Patients with low GNRI scores had significantly poorer outcomes in terms of recurrence-free survival (RFS) and overall…
HPB & Spleen2 Feb 2024
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…
Int J Surg2 Feb 2024
Despite the involvement of major arteries in pancreatic cancer, pancreatectomy with arterial resection (AR) following neoadjuvant therapy (NAT) can potentially enhance survival rates. A systematic review and meta-analysis of nine retrospective studies, with a total sample size of 215, showed that pancreatectomy with AR achieved…