Right (H145678) and Left (H123458) 6-segmentectomies show potential for long-term survival in select patients with malignant liver tumors.

• Surgical futility occurred in 15.6%, with failure-to-rescue rates at 30.3%.
• Achieved textbook outcomes in 30.8% of patients, with a median follow-up of 26 months.
• 5-year overall survival at 30.8% and disease-free survival at 18.9%.

Consider targeted strategies to enhance outcomes and patient selection, as liver transplantation is not viable for most cases.

Hypofractionated ablative radiation therapy before surgery improves overall survival in locally advanced pancreatic cancer.

• 38% overall survival at 2 years; 54% for those who underwent resection.
• Only 11% local progression and 73% distant metastasis rates at 2 years.

This strategy shows no increase in surgical morbidity, making it significant for patient selection and preoperative planning in LAPC.

• 94% of participants received mFOLFIRINOX, highlighting effective induction therapy prior to radiation.

Late-onset venous stenosis after hepatic vein reconstruction may signal tumor recurrence, impacting how you monitor and treat patients.

• In a study of 72 reconstructed veins, 19 developed stenosis: 14 due to technical issues, and 5 linked to tumor recurrence.
• Technical stenoses occurred within 6 months, whereas late stenoses were associated with tumor recurrence detected years later.

Surgeons should maintain a high index of suspicion for recurrent disease in patients with late venous stenosis.

• Redo reconstruction is viable, as demonstrated in a case involving a 49-year-old woman with unresectable rectal cancer.

Surgeons can effectively navigate complex liver anatomy using the Arantius-first approach, particularly with right-sided ligamentum teres (RSLT).

• RSLT occurs in about 0.43% of patients, complicating conventional techniques.
• The Arantius-first approach enhances visibility and control, reducing the risk of injuries during laparoscopic left hemi-hepatectomy.

Effective application of this method can improve surgical outcomes in patients with atypical anatomical variations.

• A successful case involved an 80-year-old man with hepatocellular carcinoma, demonstrating the technique’s practicality.