Simulation of 20,000 obese patients with non-alcoholic steatohepatitis found that sleeve gastrectomy (SG) led to a gain of 14.3 years compared to medical weight management (MWM), with only 5% of SG patients requiring liver transplantation (LT) after one year, compared to 9% in the MWM group. SG reduced the need for LT in patients with […]
Category: Transplant Surgery
Crucial Role of EUS in LT Workup for Unresectable pCCA
EUS plays a crucial role in the liver transplantation (LT) workup for patients with unresectable perihilar cholangiocarcinoma (pCCA). In a nationwide study, EUS identified malignant nonregional lymph nodes (LNs) in 4% of patients potentially eligible for LT. Surgical staging confirmed malignancy in 14% of patients with nonregional LNs. The study emphasizes the limited but clinically […]
Long-term Mortality Risk in Total Pancreatectomy Patients with Islet Autotransplant
Total pancreatectomy with islet autotransplant (TPIAT) for pancreatitis patients has a 10-year survival rate of 85.2% and a 15-year rate of 76.2%. Most deaths (53 out of 89) were possibly related to TPIAT, with causes including chronic gastrointestinal issues, malnutrition, and diabetes. Younger age, longer disease duration, and recent procedures were linked to lower mortality. […]
Comparison of laparoscopic liver resection outcomes in centers with and without liver transplant programs
Centers with liver transplant programs in France perform more difficult laparoscopic liver resections for hepatocellular carcinoma in cirrhotic patients compared to centers without transplant programs. Despite this complexity, both types of centers showed comparable safety and quality of care in terms of postoperative severe morbidity and mortality rates, demonstrating that all centers can achieve good […]
Bariatric Surgery in ESRD Patients on Dialysis: Safety and Outcomes in the Transplant Era
Patients with end-stage renal disease (ESRD) on dialysis who underwent bariatric surgery experienced longer operative times and increased postoperative complications compared to those without renal disease. The study, analyzing data from the 2015-2020 MBSAQIP database, found that laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) were safe procedures for ESRD patients seeking kidney […]
Bariatric Surgery Facilitates Renal Transplantation in Patients with End-Stage Renal Disease and Obesity
Bariatric surgery (BS) can be a beneficial intervention for patients with obesity and end-stage renal disease (ESRD) who require renal transplantation (RT). A review of 31 patients referred for BS found that those who underwent the procedure had increased access to RT and experienced safe and effective outcomes. These findings suggest that the use of […]
Endoscopic Ultrasound Identifies Malignant Lymph Nodes in LT Work-up for Unresectable Perihilar Cholangiocarcinoma
The study investigated the impact of endoscopic ultrasound (EUS) in the liver transplantation (LT) work-up for patients with unresectable perihilar cholangiocarcinoma (PCCA). EUS screenings were performed on a selected group of patients, and the primary outcome was the number of patients precluded from further screening due to malignant lymph nodes (LN). The study found that […]
Surgical repair of hernias in patients with ascites is a rare event with increased adverse outcomes
Researchers conducted a retrospective review of 176 patients with ascites undergoing ventral or inguinal hernia repair. The study found that surgical repair of hernias in patients with ascites is rare (1.4% in ventral hernia cohort, 0.2% in inguinal hernia cohort). The post-operative 30-day adverse clinical outcomes were significantly higher in both cohorts compared to patients […]
New Guidelines Provide Comprehensive Non-Surgical Treatment Approach for Hepatocellular Carcinoma
Italian scientific societies have collaborated to develop updated multidisciplinary treatment guidelines for hepatocellular carcinoma (HCC). The second part of these guidelines focuses on the non-surgical treatment options and the role of multidisciplinary tumor boards. The document, produced using evidence-based grading methodology, addresses the increasing complexity of HCC management and aims to assist clinicians and researchers […]
Multidisciplinary Treatment Guidelines for Hepatocellular Carcinoma in Italy: Surgical Treatments and Expert Collaboration.
The Italian scientific societies involved in hepatocellular carcinoma (HCC) management have collaborated to create updated treatment guidelines using evidence-based methods. This study presents the first part of the guidelines, focusing on the surgical treatments and expert tumor board collaboration for HCC. HCC is the third most common cause of cancer-related death worldwide, and the complexity […]