This study reveals a liver surface-guided method that significantly improves success rates for the Pringle maneuver in minimally invasive repeat liver resections.

• Pringle taping success jumped from 33% to 91.4% with the new technique.
• Median operative time was 331.5 minutes with only 70 ml blood loss and a short 8-day hospital stay.

This approach is especially beneficial for patients with prior open liver resections, enhancing surgical safety.

• Complications (Clavien-Dindo grade ≥ III) were low at 5.6%, with no mortality reported.

Waiting for surgery at high-volume centers yields better outcomes for pancreatic cancer patients than early surgery at low-volume centers.

• Patients at high-volume centers with longer waits (over 28 days) had a 5-year survival rate of 23%, compared to 19% at low-volume centers.
• Adjusted analysis shows a mortality hazard ratio of 0.81 for high-volume centers, indicating significantly improved survival.

This supports centralization of care despite longer wait times, enhancing patient outcomes.

• The long-wait group also showed better odds of complete resection and reduced 30-day mortality, though they faced higher risks of nodal disease.

A novel TNM staging system offers improved prognostic insight for intrahepatic cholangiocarcinoma, impacting surgical decision-making and patient outcomes.

• In a study of 496 patients, five-year survival rates surpassed 80% for specific tumor types (≤50 mm intraductal, ≤20 mm mass-forming without vascular invasion).
• The new system classified survival more accurately than the AJCC, especially for tumors with vascular invasion and lymph node involvement.

Surgeons should adapt to this new classification to better inform surgical candidates and outcomes.

• Tumors with extrahepatic vascular invasion had a median survival of 8.4-16.2 months, highlighting the need for careful assessment pre-operatively.