Radiomics-based prediction of nonalcoholic fatty liver disease following pancreatoduodenectomy
ConclusionsPreoperative CT-derived radiomic features from the pancreatic and liver regions are promising for the prediction of NAFLD post-PD. Using these features enhances the predictive model, enabling earlier intervention for high-risk patients. (Source: Surgery Today)
Source: Surgery Today - April 6, 2024 Category: Surgery Source Type: research

Surgical interpretation of the WHO subclassification of intrahepatic cholangiocarcinoma: a narrative review
AbstractIntrahepatic cholangiocarcinoma (iCCA) has been subclassified by its gross morphology into the mass-forming (MF), periductal-infiltrating (PI), and intraductal growth (IG) types and their combinations. This classification correlates well with clinical features; for example, MF-iCCA has less lymph-node metastasis and a better prognosis than PI-iCCA. According to the recently accumulated evidence from histological investigations, the WHO classification endorsed a subclassification scheme in which iCCA cases are classified into small- and large-duct types. Small-duct iCCA is considered to originate from septal or smal...
Source: Surgery Today - April 2, 2024 Category: Surgery Source Type: research

The aortic knob index: an anatomical marker for new ‑onset atrial fibrillation
(Source: Surgery Today)
Source: Surgery Today - April 1, 2024 Category: Surgery Source Type: research

How to do it: rescue duct-to-duct biliary reconstruction techniques to avoid severe biliary complications of hepatic resection for hepatocellular carcinoma
AbstractThere are few reports on duct-to-duct biliary reconstruction for complex liver resection with limited bile duct resection. We performed duct-to-duct biliary reconstruction in two patients undergoing limited bile duct resection where Roux-en-Y hepaticojejunostomy (HJ) was difficult. An external biliary drainage tube was placed routinely at the anastomotic site to prevent stenosis. In case 1, the tumor-infiltrated part of the left hepatic duct (LHD) was resected and the LHD was repaired using duct-to-duct reconstruction with interrupted sutures. In case 2, after the tumor-infiltrated part of the LHD and posterior hep...
Source: Surgery Today - March 29, 2024 Category: Surgery Source Type: research

Preventing iatrogenic ureteral injury in colorectal surgery: a comprehensive and systematic review of the last 2 decades of literature and future perspectives
AbstractIatrogenic ureteral injury (IUI) during colorectal surgery is a rare complication but related to a serious burden of morbidity. This comprehensive and systematic review aims to provide a critical overview of the most recent literature about IUI prevention techniques in colorectal surgery. We performed a comprehensive and systematic review of studies published from 2000 to 2022 and assessed the use of techniques for ureteral injury prevention and intraoperative localization. 26 publications were included, divided into stent-based (prophylactic/lighted ureteral stent and near-infrared fluorescent ureteral catheter [P...
Source: Surgery Today - March 29, 2024 Category: Surgery Source Type: research

Simple pelvimetry predicts the pelvic manipulation time in robot-assisted low and ultra-low anterior resection for rectal cancer
ConclusionSimple pelvic anatomical measurements using abdominal radiography and CT may predict the pelvic manipulation time in robot-assisted surgery for rectal cancer. (Source: Surgery Today)
Source: Surgery Today - March 29, 2024 Category: Surgery Source Type: research

Long-term survival and clinical outcomes of delayed chest closure following lung transplantation
ConclusionsIn view of the profoundly complicated intra- and post-operative courses, DCC should be performed cautiously and only when clinically indicated, despite which it can result in equivalent long-term survival and acceptable outcomes to PCC. (Source: Surgery Today)
Source: Surgery Today - March 28, 2024 Category: Surgery Source Type: research

Lung cancer after kidney transplantation: a 50-year experience at a single institution
ConclusionsRoutine chest examination would be useful for the early diagnosis and treatment of lung cancer after kidney transplantation. Moreover, surgical resection for early-stage lung cancer was associated with a better prognosis for kidney transplantation patients. (Source: Surgery Today)
Source: Surgery Today - March 28, 2024 Category: Surgery Source Type: research

Long-term survival and clinical outcomes of delayed chest closure following lung transplantation
ConclusionsIn view of the profoundly complicated intra- and post-operative courses, DCC should be performed cautiously and only when clinically indicated, despite which it can result in equivalent long-term survival and acceptable outcomes to PCC. (Source: Surgery Today)
Source: Surgery Today - March 28, 2024 Category: Surgery Source Type: research

Lung cancer after kidney transplantation: a 50-year experience at a single institution
ConclusionsRoutine chest examination would be useful for the early diagnosis and treatment of lung cancer after kidney transplantation. Moreover, surgical resection for early-stage lung cancer was associated with a better prognosis for kidney transplantation patients. (Source: Surgery Today)
Source: Surgery Today - March 28, 2024 Category: Surgery Source Type: research

Oncologic investigation of the interval from stent placement to surgery in patients with obstructive colorectal cancer
ConclusionsA longer interval did not deteriorate the oncological outcomes. Individual perioperative management with an appropriate interval to improve the patient ’s condition is required to ensure safe surgery. (Source: Surgery Today)
Source: Surgery Today - March 25, 2024 Category: Surgery Source Type: research