In a comparative study involving 96 patients, robot-assisted hemihepatectomy (rob-hh) demonstrated significant advantages over laparoscopic hemihepatectomy (lap-hh) via dorsal approach. Rob-hh resulted in reduced estimated blood loss (median: 100 ml vs. 300 ml), lower blood transfusion rates (4.9% vs. 29.1%), and fewer postoperative complications (26.8% vs. 54.5%). The study confirms that the dorsal approach is […]
Category: HPB & Spleen
New nomogram predicts postoperative survival in gallbladder cancer
A novel nomogram has been developed to predict postoperative survival in gallbladder cancer patients, incorporating eight critical factors including TNM stage and serum biomarkers. Performance metrics demonstrated consistent time-dependent concordance indices exceeding 0.70 and area under the curve surpassing 75% for 1-, 3-, and 5-year survival rates. These findings indicate strong prognostic capability and generalizability, […]
Laparoscopic hepatectomy outperforms radiofrequency ablation for small tumors
A comparison of laparoscopic hepatectomy (LH) and radiofrequency ablation (RFA) revealed that LH provides significantly better overall survival (OS) and disease-specific survival (DSS) for small hepatocellular carcinoma patients. In matched cohorts, 1, 3, and 5-year OS and DSS rates favored LH over RFA. For tumors ≤2 cm, LH demonstrated a trend toward superiority in survival, […]
Surgical intervention improves survival in liver-only gastric metastases
Analysis of 10,977 patients with gastric adenocarcinoma and liver-only metastases revealed that those undergoing primary tumor resection combined with liver metastasectomy experienced significantly longer median overall survival (18.6 months) compared to non-surgical treatment (6.5 months). The study indicates that surgical resection, especially in highly selected patients with favorable biology, is associated with improved survival outcomes. […]
MVI grading severity influences survival outcomes after liver resection
A multicenter study involving 233 early-stage hepatocellular carcinoma patients revealed that microvascular invasion (MVI) grading significantly affects long-term outcomes post-laparoscopic liver resection. Specifically, median overall survival (OS) was 84.9 months for M0, 40.1 months for M1, and 25.2 months for M2. Likewise, recurrence-free survival (RFS) showed similar disparities. M1 and M2 classifications were identified as […]
Significant disparities in treatment for locally advanced pancreatic cancer
Treatment trends for locally advanced pancreatic cancer reveal that 67.67% of patients received primarily chemotherapy, with notable improvement in surgical resection rates over time. However, 41.19% also received radiation, yet many patients went untreated or did not receive guideline-recommended treatment (GRT). Socioeconomic factors like race, education, and insurance significantly influenced access to care and overall […]
Contrast-enhanced ultrasound enhances survival in liver metastases
In a study involving 130 patients with unresectable colorectal cancer liver metastases, the use of contrast-enhanced intraoperative ultrasound (ce-ious) significantly improved hepatic recurrence-free survival rates compared to standard intraoperative ultrasound alone. Specifically, the ce-ious group demonstrated a lower recurrence rate (hazard ratio 0.55), especially in those with bilobar metastases, fewer than three tumors, or extrahepatic […]
Transatlantic disparities in minimally invasive pancreatoduodenectomy outcomes
An analysis of 44,076 pancreatoduodenectomy patients reveals significant variability in the adoption and outcomes of minimally invasive pancreatoduodenectomy (mipd) across North America, Germany, the Netherlands, and Sweden. Usage rates of mipd ranged from 0.1% in Sweden to 17% in the Netherlands, with higher rates attributed to robotic techniques. Mortality rates were notably different, with mipd […]
Endoscopic ultrasound effectively diagnoses unexplained bile duct dilation.
Endoscopic ultrasound (EUS) demonstrated significant diagnostic yield for patients with unexplained common bile duct (CBD) dilation, particularly among those with negative prior imaging. In a cohort of 109 patients, 41 tested positive for various conditions, including choledocholithiasis and chronic pancreatitis. Factors such as older age and symptoms like jaundice increased the likelihood of positive findings. […]
A novel nomogram improves prediction of HCC recurrence post-surgery
A new prognostic nomogram has been developed to predict tumor recurrence in hepatocellular carcinoma (HCC) patients post-liver resection. Analyzing 726 patients, the research identified independent factors such as alpha-fetoprotein and portal vein tumor thrombosis affecting recurrence-free survival (RFS). The nomogram achieved strong predictive performance, with 1-year and 3-year AUCs of 0.813 and 0.739, respectively. Kaplan-Meier […]