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In this prospective multicenter cohort, staging laparoscopy found occult metastases in 25% of imaging-M0 patients—including 20.6% with resectable disease—potentially sparing some patients a nonbeneficial resection.
In an instrumental-variable analysis of 55,514 Medicare pancreatectomies, robotic surgery was associated with better outcomes than open surgery, but not laparoscopy.
In this 743-patient single-center series, laparoscopic bile duct exploration achieved 95.6% stone clearance with a 0.4% bile-leak rate—reassuring results for surgeons considering T-tube-free closure.
A single-case report details robotic partial central hepatectomy and bile-duct resection with Roux-en-Y reconstruction for gallbladder adenocarcinoma—an example of a complex operation performed minimally invasively, not evidence that it is ready for routine use.
In resectable biliary tract cancer, clinical node positivity or CA19-9 ≥200 U/mL flagged early-recurrence risk; neoadjuvant chemotherapy was associated with better survival in this high-risk group.
In this 505-patient retrospective study, extended lymphadenectomy was associated with longer overall survival after matching—but also more postoperative morbidity.
A structured training program for robotic pancreatoduodenectomy (RPD) demonstrated feasibility, improving technical skills and outcomes among 20 European centers previously inexperienced in RPD.
This study investigates the use of computer vision to improve the identification of extrahepatic biliary ducts during laparoscopic cholecystectomy, showing significantly enhanced visibility through a novel fusion imaging approach.
A randomized trial found no significant difference in delayed gastric emptying (DGE) rates between side-to-side gastrojejunostomy (SSGJ) and end-to-side gastrojejunostomy (ESGJ) after pancreatoduodenectomy.
Patients undergoing pancreatectomy for pancreatic cancer frequently experience debilitating gastrointestinal symptoms, significantly impacting their quality of life.
