Tag Archives: HPB

Effect of Specialist Decision‐Making on Treatment Strategies for Colorectal Liver Metastases The authors retrospectively review imaging of 53 patients with colorectal cancer liver metastases who were not referred to a specialist but who were instead sent for palliative chemotherapy.  The … Continue reading →

Splenic vessels preservation is recommended during spleen preserving left pancreatectomy in select patients This retrospective study focuses on surgical techniques directed at spleen preservation during laparoscopic distal pancreatectomy. It compares the Warshaw technique (n=55) with splenic vessel preservation (SVP; n=85), … Continue reading →

Response to preop chemo before resection of colorectal liver metz is surrogate marker of postop survival The prognostic impact of optimal CT morphological response to preoperative chemotherapy (either oxaliplatin or irinotecan based, with or without bevacizumab) for colorectal liver metastases … Continue reading →

Efficient centralisation of liver resections may improve numbers performed and outcomes The authors aimed to evaluate the incidence of liver resection, postoperative mortality, and variables that predict this outcome by analysing French health care database to identify all patients who … Continue reading →

Either the liver metz or the colorectal cancer can be treated first in patients with synchronous disease This study compared the management of patients presenting with synchronous colorectal liver metastases (CRLM). Reverse management (RM, liver-directed chemotherapy, the resection of the … Continue reading →

Slow response to chemo in initially unresectable colorectal liver metz may not benefit from liver resection The authors aimed to determine short- and long-term outcomes of major hepatectomy in patients with downstaged colorectal liver metastases considered initially unresectable (IU). Data … Continue reading →

Specialist multidisciplinary management is needed after failed biliary reconstruction following bile duct injury Roux-en-Y hepaticojejenostomy (RYHJ) is commonly employed in the repair of post cholecystectomy bile duct injuries. Failure of RYHJ is a complex situation, and a multidisciplinary approach with … Continue reading →

Surgical treatment strategies in chronic pancreatitis: A meta-analysis Both pancreaticoduodenectomy (PD) and duodenum preserving pancreatic head resections (DPPHR) are employed in the management of chronic pancreatitis. The authors conducted a systematic review of randomized and non randomized studies which compared … Continue reading →

Preop detected indeterminate pulmonary nodules may represent lung metz in those with hepatic malignancy Indeterminate pulmonary nodules (IPN) are identified on preoperative imaging for hepatic malignancies, and their impact on management is unclear due to a lack of knowledge of … Continue reading →

Effect of Billroth II or Roux-en-Y Reconstruction for the Gastrojejenostomy on Delayed Gastric Emptying After Pancreaticoduodenectomy: A Randomized Control Study Delayed gastric emptying (DGE) is one of the commonest causes of morbidity and prolonged hospital stay after pancreaticoduodenectomy. In this … Continue reading →