Surg Endosc27 Dec 2023
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…
Gastrointest Endosc26 Dec 2023
The study aimed to describe the incidence, risk factors, and outcomes of post-ERCP cholecystitis using data from a multi-center registry. Among 4,428 patients, 17 cases of post-ERCP cholecystitis were identified, with an incidence of 0.38%. When using covered metal stenting, the incidence increased to 1.50%.…
Gastrointest Endosc26 Dec 2023
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…
BMC Surg26 Dec 2023
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…
Ann Surg25 Dec 2023
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…
Surg Endosc25 Dec 2023
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.…
Surg Endosc25 Dec 2023
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…
Surg Endosc25 Dec 2023
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…
Surg Endosc25 Dec 2023
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,…
Surg Endosc24 Dec 2023
Patients with intrahepatic cholangiocarcinoma (ICC) who required conversion from laparoscopic to open surgery were studied to determine the risk factors and outcomes associated with this conversion. Tumor proximity to major vessels and previous upper abdominal surgery were identified as independent predictors of unplanned conversions. Surgical…