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JOURNAL ARTICLE
Kulbhushan Haldeniya, Krishna S R, Annagiri Raghavendra, Pawan Kumar Singh
BACKGROUNDS/AIMS: Open cholecystectomy is becoming obsolete and laparoscopic cholecystectomy has become the treatment of choice in gallstone diseases. Difficult gallbladders are encountered whenever there is a frozen calot's triangle, obliterated cystic plate, or both. Rather than converting to open procedure, there has been a growing preference for laparoscopic subtotal cholecystectomy (LSC) during difficult gallbladders. This study aimed to assess the advantages, indications, and viability of LSC in difficult gallbladders...
February 27, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#22
REVIEW
Adam Mylonakis, Tatiana S Driva, Panagis Lykoudis, Maximos Frountzas, Nikolaos Machairas, Dimitrios Tsapralis, Konstantinos G Toutouzas, Dimitrios Schizas
Undifferentiated carcinoma with osteoclast-like giant cells (UC-OGCs) of the pancreas is a rare neoplasm that accounts for less than 1% of all pancreatic malignancies. The aim of this study was to review the literature regarding UC-OGC, and to highlight its biological behavior, clinicopathologic characteristics, prognosis, and therapeutic options. A systematic review of the literature in PubMed/Medline and Scopus databases was performed (last search October 31st, 2023) for articles concerning pancreatic UC-OGC in the adult population...
February 23, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#23
JOURNAL ARTICLE
Utpal Anand, Rohith Kodali, Kunal Parasar, Basant Narayan Singh, Kislay Kant, Sitaram Yadav, Saad Anwar, Abhishek Arora
BACKGROUNDS/AIMS: Postoperative pancreatic fistula is the key worry in the ongoing debate about the safety and effectiveness of total laparoscopic pancreaticoduodenectomy (TLPD). Laparoscopic-assisted pancreaticoduodenectomy (LAPD), a hybrid approach combining laparoscopic resection and anastomosis with a small incision, is an alternative to TLPD. This study compares the short-term outcomes and oncological efficacy of LAPD vs. open pancreaticoduodenectomy (OPD). METHODS: A retrospective analysis of data of all patients who underwent LAPD or OPD for periampullary carcinoma at a tertiary care center in Northeast India from July 2019 to August 2023 was done...
February 22, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#24
JOURNAL ARTICLE
Babette I Kuiper, Mohammad Abu Hilal, Luca A Aldrighetti, Bergthor Björnsson, Mathieu D'Hondt, Cristina Dopazo, Åsmund A Fretland, Helena Isoniemi, J Philip Jonas, Geert Kazemier, Mickael Lesurtel, John Primrose, Andreas A Schnitzbauer, Tineke Buffart, Birgit Gruenberger, Rutger-Jan Swijnenburg, Thomas Gruenberger
BACKGROUND: There is a lack of consensus on the definition of upfront resectability and use of perioperative systemic therapy for colorectal liver metastases (CRLM). This survey aimed to summarize the current treatment strategies for upfront resectable CRLM throughout Europe. METHODS: A survey was sent to all members of the European-African Hepato-Pancreato-Biliary Association to gain insight into the current views on resectability and the use of systemic therapy for upfront resectable CRLM...
January 29, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#25
JOURNAL ARTICLE
Gregory Hooks, Han Lu, Anne Eaton, Guru Trikudanathan, Elissa Downs, Martin L Freeman, Sarah J Schwarzenberg, Timothy L Pruett, Srinath Chinnakotla, Karthik Ramanathan, Gregory J Beilman, Melena D Bellin
BACKGROUND: Total pancreatectomy with islet autotransplant (TPIAT) can improve quality of life for individuals with pancreatitis but creates health risks including diabetes, exocrine insufficiency, altered intestinal anatomy and function, and asplenia. METHODS: We studied survival and causes of death for 693 patients who underwent TPIAT between 2001 and 2020, using the National Death Index with medical records to ascertain survival after TPIAT, causes of mortality, and risk factors for death...
February 9, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#26
JOURNAL ARTICLE
Mina Stephanos, Christopher M B Stewart, Ameen Mahmood, Christopher Brown, Shahin Hajibandeh, Shahab Hajibandeh, Thomas Satyadas
To compare the outcomes of low central venous pressure (CVP) to standard CVP during laparoscopic liver resection. The study design was a systematic review following the PRISMA statement standards. The available literature was searched to identify all studies comparing low CVP with standard CVP in patients undergoing laparoscopic liver resection. The outcomes included intraoperative blood loss (primary outcome), need for blood transfusion, mean arterial pressure, operative time, Pringle time, and total complications...
February 16, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#27
JOURNAL ARTICLE
Calvin X Geng, Anuragh R Gudur, Jagannath Kadiyala, Daniel S Strand, Vanessa M Shami, Andrew Y Wang, Alexander Podboy, Tri M Le, Matthew Reilley, Victor Zaydfudim, Ross C D Buerlein
BACKGROUNDS/AIMS: Socioeconomic determinants of health are incompletely characterized in cholangiocarcinoma (CCA). We assessed how socioeconomic status influences initial treatment decisions and survival outcomes in patients with CCA, additionally performing multiple sub-analyses based on anatomic location of the primary tumor. METHODS: Observational study using the 2018 submission of the Surveillance, Epidemiology, and End Results (SEER)-18 Database. In total, 5,476 patients from 2004-2015 with a CCA were separated based on median household income (MHI) into low income (< 25th percentile of MHI) and high income (> 25th percentile of MHI) groups...
February 15, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#28
REVIEW
Victor Lopez-Lopez, Ester Gongora, Kohei Miura, Christoph Kuemmerli, Sergio Hernández-Kakauridze, Dilmurodjon Eshmuminov, Dominique Birrer, Victoria García-Zafra, Asuncion López-Conesa, Roberto Brusadin, Álvaro Navarro, Maria Monteagudo, Ricardo Robles-Campos
BACKGROUND: Postoperative complications after perihilar cholangiocarcinoma surgical procedure are still very high. The implementation of a multimodal prehabilitation program could improve these outcomes. Based on our experience and that of the literature in hepatobiliary and pancreatic surgery, we propose a protocol to promote its implementation. METHODS: First, we performed a retrospective analysis of the implementation feasibility of a multimodal prehabilitation program in patients' candidates for elective perihilar cholangiocarcinoma surgery in our center...
February 14, 2024: Langenbeck's Archives of Surgery
#29
JOURNAL ARTICLE
Giampaolo Perri, Ajith K Siriwardena, Stefan Gilg, Ernesto Sparrelid
BACKGROUND: There are no established training pathways for hepato-pancreato-biliary (HPB) surgery in Europe. This study aims to overview the current status of fellowship training from both fellows' and institutions' perspectives. METHODS: A web-based snapshot survey was distributed to all members of the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) to reach for former fellows and program directors of European HPB surgery fellowships held between 2013 and 2023...
February 1, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#30
JOURNAL ARTICLE
Okello Michael, Dave Darshit, Kiconco Mary, Umar Mutekoba, Mugabi Timothy, Baseka Xavier Francis, Kakaire Denis, Kyomugisha Edward, Okuku Fred Machyo, Ddungu Henry, Buwembo William, Ocama Ponsiano
INTRODUCTION: Uganda has until recently mostly referred patients for complex hepato-pancreato-biliary (HPB) surgery abroad due to lack of local expertize. We report indications and a spectrum of surgeries performed in the first 4 years following the establishment of a routine HPB service at Lubaga Hospital (LH), Kampala, Uganda. We also detailed the challenges encountered in setting up this service. METHODS: Demographic, clinical parameters, surgery indications, procedures performed, and outcomes of consecutive patients that underwent HPB surgeries at LH from December 2018 to October 2022 were analyzed...
February 7, 2024: World Journal of Surgery
#31
JOURNAL ARTICLE
Hee Ju Sohn, Mirang Lee, Youngmin Han, Wooil Kwon, Yoo-Seok Yoon, Ho-Seong Han, Chang Sup Lim, Jin-Young Jang
BACKGROUND: This multicenter study aimed to compare the clinical outcomes of minimally invasive extended cholecystectomy (MI-EC) versus open EC (O-EC) for patients with gallbladder cancer (GBC). METHODS: Patients who underwent EC (cholecystectomy, wedge resection of the liver bed, and regional lymphadenectomy) for GBC between 2010 and 2020 in three centers were included in the study. The clinicopathological data were compared after propensity score matching. Additional subgroup analysis on laparoscopic and robotic EC (L-EC and R-EC) was performed...
February 7, 2024: Journal of Hepato-biliary-pancreatic Sciences
#32
Young Mok Park, Hyung Il Seo, Byeong Gwan Noh, Suk Kim, Seung Baek Hong, Nam Kyung Lee, Dong Uk Kim, Sung Yong Han
No abstract text is available yet for this article.
February 7, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#33
JOURNAL ARTICLE
Núria Lluís, Shunsuke Onoe, Mario Serradilla-Martín, Mar Achalandabaso, Takashi Mizuno, François Jehaes, Bobby V M Dasari, Sara Mambrilla-Herrero, Ernesto Sparrelid, Anita Balakrishnan, Frederik J H Hoogwater, María J Amaral, Bodil Andersson, Frederik Berrevoet, Alexandre Doussot, Víctor López-López, Olivier Detry, Carlos Domingo-Del Pozo, Nikolaos Machairas, Damján Pekli, Cándido F Alcázar-López, Horacio Asbun, Bergthor Björnsson, Thalis Christophides, Alberto Díez-Caballero, David Francart, Colin B Noel, Donzília Sousa-Silva, Enrique Toledo-Martínez, George N Tzimas, Sheraz Yaqub, Junpei Yamaguchi, Safi Dokmak, Mikel Prieto-Calvo, Melroy A D'Souza, Harry V M Spiers, Marius C van den Heuvel, Ramón Charco, Mickaël Lesurtel, Tomoki Ebata, José M Ramia
BACKGROUND: Intraductal papillary neoplasm of the bile ducts (IPNB) is a rare disease in Western countries. The aim of this study was to compare tumor characteristics, management strategies, and outcomes between Western and Eastern patients who underwent surgical resection for IPNB. METHODS: A multi-institutional retrospective series of patients with IPNB undergoing surgery between January 2010 and December 2020 was gathered under the auspices of the European-African Hepato-Pancreato-Biliary Association (E-AHPBA), and at Nagoya University Hospital, Japan...
January 19, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#34
JOURNAL ARTICLE
Kohdai Ueno, Yasuji Seyama, Hiroko Okinaga, Mikiya Takao, Nobuhiro Harada, Jun Nakahodo, Kazuro Chiba, Toshihiro Okuya, Mizuka Suzuki, Shinichiro Horiguchi
As medical insurance coverage for robotic surgery has been expanded in the field of gastrointestinal surgery in Japan, the number of cases undergoing robotic surgery for hepato-biliary-pancreatic disease has been increasing. Therefore, cases with malignant tumors and metastatic lesions tend to undergo robotic operation for both primary tumors and metastases. Herein, we report a case of neuroendocrine tumor(NET)in the pancreatic tail with simultaneous single liver metastasis, which was treated with two-stage robotic-assisted surgery...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
#35
JOURNAL ARTICLE
Evelyn Waugh, Juan Glinka, Daniel Breadner, Rachel Liu, Ephraim Tang, Laura Allen, Stephen Welch, Ken Leslie, Anton Skaro
BACKGROUNDS/AIMS: While patients with borderline resectable pancreatic cancer (BRPC) are a target population for neoadjuvant chemotherapy (NAC), formal guidelines for neoadjuvant therapy are lacking. We assessed the perioperative and oncological outcomes in patients with BRPC undergoing NAC with FOLFIRINOX for patients undergoing upfront surgery (US). METHODS: The AHPBA criteria for borderline resectability and/or a CA19-9 level > 100 μ/mL defined borderline resectable tumors retrieved from a prospectively populated institutional registry from 2007 to 2020...
February 1, 2024: Annals of Hepato-Biliary-Pancreatic Surgery
#36
REVIEW
Christoph Kuemmerli, Gianpaolo Balzano, Stefan A Bouwense, Marco Braga, Mariëlle Coolsen, Sara K Daniel, Christos Dervenis, Massimo Falconi, Dae Wook Hwang, Daniel J Kagedan, Song Cheol Kim, Harish Lavu, Daniel Nussbaum, Stefano Partelli, Michael J Passeri, Nicolò Pecorelli, Venu G Pillarisetty, Michael J Pucci, Robert P Sutcliffe, Bobby Tingstedt, Marion van der Kolk, Dionisios Vrochides, Misha Armstrong, Alice Wei, Caroline Williamsson, Charles J Yeo, Sabino Zani, Efstratios Zouros, Renzo Rozzini, Mohammed Abu Hilal
BACKGROUND: This meta-analysis investigated the effects of enhanced recovery after surgery (ERAS) protocols compared to conventional care on postoperative outcomes in patients aged 70 years or older undergoing pancreatoduodenectomy (PD). METHODS: Five databases were systematically searched. Comparative studies with available individual patient data (IPD) were included. The main outcomes were postoperative morbidity, length of stay, readmission and postoperative functional recovery elements...
January 29, 2024: Journal of Hepato-biliary-pancreatic Sciences
#37
JOURNAL ARTICLE
Shogo Kobayashi, Akira Tomokuni, Yutaka Takeda, Hiroshi Wada, Yoshiteru Katsura, Kazuhiko Hashimoto, Yoshito Tomimaru, Tadafumi Asaoka, Terumasa Yamada, Masanori Tsujie, Takehiro Noda, Satoshi Morita, Hiroaki Nagano, Masaki Mori, Yuichiro Doki, Hidetoshi Eguchi
AIM: Neoadjuvant transcatheter arterial chemoembolization (TACE) for large tumors is controversial, especially in the minimally invasive surgery era. The aim of this study was to compare features between groups treated with neoadjuvant TACE followed by surgery (TACE + surgery) or upfront surgery for hepatocellular carcinoma >5 cm. METHODS: In this exploratory, multicenter, randomized phase I study, the primary measure was 2-year disease-free survival (DFS)...
January 27, 2024: Hepatology Research: the Official Journal of the Japan Society of Hepatology
#38
JOURNAL ARTICLE
Anouk G Overdevest, Jeska A Fritzsche, Mark A D Smit, Marc G Besselink, Alessandro M Bonomi, Olivier R Busch, Freek Daams, Otto M van Delden, Geert Kazemier, Jesse Langver, Cyriel Y Ponsioen, Rutger-Jan Swijnenburg, Roy L J van Wanrooij, Mattheus C B Wielenga, Babs M Zonderhuis, IJsbrand A J Zijlstra, Joris I Erdmann, Rogier P Voermans
BACKGROUND: Cholangitis is a well-known complication after hepaticojejunostomy (HJ), which is mainly caused by a stenotic anastomosis. However, the rate of cholangitis in patients with a non-stenotic (i.e. patent) HJ is unknown. We aimed to evaluate the incidence and risk factors of recurrent cholangitis in patients with a non-stenotic HJ. METHODS: This single-center retrospective cohort study included all consecutive patients who had undergone hepatobiliary or pancreatic (HPB) surgery requiring HJ (2015-2022)...
January 7, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
#39
REVIEW
Toru Beppu, Kensuke Yamamura, Katsunori Imai, Hiromitsu Hayashi, Yuji Miyamoto
The annual postoperative disease-free survival for colorectal liver metastases can be easily estimated by weighting six preoperative clinical parameters (Beppu score). We identified three recurrence-risk stratification groups: the low (≤6 points), moderate (7-10 points), and high-risk (≥11 points). For low-, moderate-, and high-risk patients, hepatectomy alone, hepatectomy with adjuvant chemotherapy, and hepatectomy with preoperative chemotherapy are recommended, respectively. The Beppu score enables the decision on the necessity and timing of perioperative chemotherapy...
January 18, 2024: Journal of Surgical Oncology
#40
JOURNAL ARTICLE
Yutaka Takigawa, Junichi Matsui, Takao Igarashi, Masateru Uchiyama, Aya Sasaki
BACKGROUND: We previously conducted a retrospective study investigating pancreatic morphological abnormalities that lead to early diagnosis of pancreatic cancer (PC) using computed tomography (CT). We reviewed 41 of 308 PC patients between 2011 and 2017 who had previously undergone CT to look for morphological changes leading to cancer development. In 24 patients (58.5%), a K-shaped constriction of the pancreas ("K-sign") was observed before the appearance of cancer. This study aimed to investigate whether an early PC diagnosis is possible by prospective CT follow-up of patients with the K-sign...
January 18, 2024: Journal of Hepato-biliary-pancreatic Sciences
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