Combining radiofrequency ablation (RFA) with immunotherapy shows promising efficacy and manageable safety for hepatocellular carcinoma (HCC). It induces immunogenic substances and regulates immune cell responses, enhancing the anti-tumor immune effects and reconstructing the tumor microenvironment. This synergy reduces the risk of cancer recurrence and metastasis, while also improving overall survival. The findings may provide valuable […]
Category: HPB & Spleen
Non-enhanced abbreviated MRI outperforms contrast-enhanced CT for liver metastases detection
In a prospective study involving 587 colorectal cancer patients, non-enhanced abbreviated MRI (ne-amri) demonstrated superior diagnostic accuracy for liver metastases detection compared to contrast-enhanced CT (ce-ct). Across three surveillance rounds, ne-amri consistently showed higher lesion-based detection rates and better patient-based metrics, including sensitivity and specificity. Notably, it outperformed ce-ct even for lesions ≤ 10 mm. […]
Robotic pancreaticoduodenectomy shows improved outcomes over open surgery
A meta-analysis including 54,287 patients found robotic pancreaticoduodenectomy (RPD) significantly reduces overall postoperative complications, wound infections, estimated blood loss, and hospital stays compared to open pancreaticoduodenectomy (OPD). Although RPD resulted in longer operating times, it demonstrated a lower risk of complications overall. Both surgical approaches exhibited comparable resection quality. Researchers emphasize the need for additional […]
Bile cfDNA Markers Syncytin-1 and SLC7A11 Enhance Cholangiocarcinoma Diagnosis
Elevated levels of bile-derived cfDNA markers, syncytin-1 and SLC7A11, were identified in cholangiocarcinoma patients compared to those with gallstones, demonstrating significant potential for early diagnosis. Researchers noted an area under the curve (AUC) of 0.805 for syncytin-1 and 0.755 for SLC7A11, indicating robust specificity, while the combination of these markers with CA19-9 significantly improved diagnostic […]
TEAD1 expression predicts liver regeneration outcomes post-ALPPS
TEAD1 expression correlates with liver regeneration outcomes in patients undergoing ALPPS, a two-stage surgical procedure. Analysis of tumor-free liver tissue from 44 patients reveals that nuclear and cytoplasmic scores of TEAD1 serve as predictive markers for clinical outcomes. The study also notes that TEAD family members are expressed in individual hepatocytes, indicating relationships with regeneration […]
Minimally invasive ALPPS reduces mortality and hospital stay.
A systematic review and meta-analysis evaluated minimally invasive associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) compared to open methods. Findings revealed a significant reduction in 90-day mortality (risk ratio = 0.48) and overall length of hospital stay (mean difference = -8 days) for minimally invasive procedures. Efficacy remained comparable regarding liver […]
Predictive model enhances surgical options for liver tumor patients
A predictive model for identifying intrahepatic collateral vessels in patients with caval confluence tumors reveals that 78% exhibited such vessels. Out of those, 92% underwent parenchyma-sparing hepatectomies, with zero operative mortality and no liver congestion reported. The study established tumor size, number, hepatic vein infiltration, and tissue density as key predictors for the presence of […]
Methylated ctDNA predicts outcomes in liver metastases treatment
A prospective study of 56 colorectal cancer patients reveals that preoperative circulating tumor DNA (meth-ctDNA) serves as a significant biomarker for assessing treatment plans. Negative preoperative meth-ctDNA correlates with longer median progression-free survival (PFS), identified as a strong independent predictor (HR=3.3). Similarly, negative postoperative meth-ctDNA also indicates improved survival outcomes. This study suggests that assessing […]
Gallbladder and biliary tract cancer incidence continues to rise.
Between 1990 and 2021, gallbladder and biliary tract cancer (GBTC) saw a substantial increase, with new cases rising by 101.09% and deaths by 74.26%. In 2021, there were approximately 216,768 new cases and 171,961 deaths globally, predominantly affecting females and older adults. Although age-standardized incidence and death rates have trended downward over the years, projections […]
Necrosis extent and QNI classification predict step-up needs.
A study of seventy patients undergoing EUS-guided drainage revealed that 35.7% required step-up procedures, mainly endoscopic necrosectomy. Independent predictors included necrosis ≥60% and classification in the high-risk Quadrant Necrosis Infection (QNI) group. Clinical success was high, at 92.9%, with those in the high-risk group experiencing longer hospital stays. EUS evaluations showed a tendency to overestimate […]
