A new nomogram accurately predicts clinically relevant postoperative pancreatic fistula (cr-popf), helping surgeons identify high-risk patients.

• 28% of patients developed cr-popf in a study of 300 cases.
• Key independent risk factors include operation time, preoperative C-reactive protein levels, CT pancreas-to-CT psoas major ratio, and pancreatic thickness.
• The nomogram shows excellent predictive power with an AUC of 0.901, outperforming four other models.

This tool can aid in tailoring surgical approaches and optimizing patient outcomes.

Increasing experience results in better outcomes for robotic pancreatoduodenectomies.

• Operating time decreased from 420 to 369 minutes across learning phases.
• Conversion rate dropped from 21.7% to 7.5%.
• Rate of delayed gastric emptying improved from 32.3% to 15.4%.

Surgeons should consider patient selection and institutional experience when planning robotic procedures to enhance recovery and minimize complications.

• Reoperation rates fell from 9.9% to 4.9%.
• In-hospital/30-day mortality remained stable at 3.9%.

Laparoscopic splenectomy significantly improves liver function in decompensated cirrhosis patients.

• 73% of patients treated with splenectomy achieved recompensation versus 33% with endoscopic therapy.
• Recompensation contributed to a 43% reduction in mortality over 3 years, dropping to 16% by 8 years.

Younger patients have better outcomes with this approach.

• Overall, 54% of patients in the study met the Baveno VII criteria for recompensation.

Intraoperative blood loss is a key risk factor for postoperative pancreatic fistula (POPF) in pancreatic surgery, impacting patient recovery.

• Among 13,108 patients, the overall POPF rate was 20%.
• In patients with POPF, intraoperative blood loss was 112.46 ml higher than those without, highlighting its significance as an independent risk factor.

Minimizing blood loss during surgery could enhance outcomes and reduce complications for pancreatic surgery patients.

Delayed gastric emptying (DGE) is a major complication after pancreatic surgery, impacting recovery and hospital stays.

• The overall DGE grade B/C rate was 11.9%, with 12.7% after pancreatoduodenectomy and 4.2% after left pancreatectomy.
• No effective treatments for DGE were found, but 12 strategies showed promise in reducing rates, notably minimally invasive left pancreatectomy.

Minimally invasive techniques may offer the best prevention against DGE, underscoring the need for further research in this area.