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A case of laparoscopic excision of choledochal cyst, hepaticojejunostomy, and Roux-en-Y anastomosis using Artisential®

Shim Y, Kang CM

Choledochal cyst is a condition involving an abnormal dilation of the bile ducts, which can lead to various symptoms and comorbidities, including cancer. The treatment of choice for choledochal cyst is...
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The duodenal window approach to pancreatoduodenectomy

Tebala GD, Desiderio J, Nardo DD, Gemini A, Cirocchi R

The pancreatoduodenectomy (PD) technique is yet to be standardized. One of the most difficult passages in PD is the mobilization of the second, third, and fourth parts of the duodenum....
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Surgical outcome and risk scoring to predict survival after hepatic resection for hepatocellular carcinoma with portal vein tumor thrombosis

Kim TS, Yang K, Choi GH, Yang HY, Kim DS, Jo HS, Choi GS, Kim KW, Yoon YC, Han J, Kim DJ, Hwang S, Kang KJ

Backgrounds/Aims: The hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) is classified as the advanced stage (BCLC stage C) with extremely poor prognosis, and in current guidelines is recommended...
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Undifferentiated carcinoma with osteoclast-like giant cells of the pancreas: An individual participant data meta-analysis

Mylonakis A, Driva TS, Lykoudis P, Frountzas M, Machairas N, Tsapralis D, Toutouzas KG, Schizas D

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...
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Prognostic factors and predictive models in hot gallbladder surgery: A prospective observational study in a high-volume center

Tebala GD, Shabana A, Patel M, Samra B, Chetwynd A, Nixon M, Pradhan S, Elhag B, Mok G, Mighiu A, Antunes D, Slack Z, Cirocchi R, Bond-Smith G

Backgrounds/Aims: The standard treatment for acute cholecystitis, biliary pancreatitis and intractable biliary colics (“hot gallbladder”) is emergency laparoscopic cholecystectomy (LC). This paper aims to identify the prognostic factors and create...
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Survival benefit of neoadjuvant FOLFIRINOX for patients with borderline resectable pancreatic cancer

Waugh E, Glinka J, Breadner D, Liu R, Tang E, Allen L, Welch S, Leslie K, Skaro A

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...
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Comparison of short-term outcomes of open and laparoscopic assisted pancreaticoduodenectomy for periampullary carcinoma: A propensity score-matched analysis

Anand U, Kodali R, Parasar K, Singh BN, Kant K, Yadav S, Anwar S, Arora A

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...
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Practice guidelines for managing extrahepatic biliary tract cancers

Kim HS, Kang MJ, Kang J, Kim K, Kim B, Kim SH, Kim SJ, Kim YI, Kim JY, Kim JS, Kim H, Kim HJ, Nahm JH, Park WS, Park E, Park JK, Park JM, Song BJ, Shin YC, Ahn KS, Woo SM, Yu JI, Yoo C, Lee K, Lee DH, Lee MA, Lee SE, Lee IJ, Lee H, Im JH, Jang KT, Jang HY, Jun SY, Chon HJ, Jung MK, Chung YE, Chong JU, Cho E, Chie EK, Choi SB, Choi SY, Choi SJ, Choi JY, Choi HJ, Hong SM, Hong JH, Hong TH, Hwang SH, Hwang IG, Park JS

Backgrounds/Aims: Reported incidence of extrahepatic bile duct cancer is higher in Asians than in Western populations. Korea, in particular, is one of the countries with the highest incidence rates of...
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Prognostication for recurrence patterns after curative resection for pancreatic ductal adenocarcinoma

Ang A, Michaelides A, Chelala C, Ullah D, Kocher HM, Barts Pancreas Tissue Bank

Backgrounds/Aims: This study aimed to investigate patterns and factors affecting recurrence after curative resection for pancreatic ductal adenocarcinoma (PDAC). Methods: Consecutive patients who underwent curative resection for PDAC (2011-21) and consented...
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Laparoscopic subtotal cholecystectomy in difficult gallbladder: Our experience in a tertiary care center

Haldeniya K, S. R. K, Raghavendra A, Singh PK

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...
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Safety and efficacy of early corticosteroid withdrawal in liver transplant recipients: A randomized controlled trial

Kim J, Joh JW, Lee KW, Choi DL, Wang HJ

Backgrounds/Aims: Prolonged use of steroids after liver transplantation (LT) significantly increases the risk of diabetes or cardiovascular disease, which can adversely affect patient outcomes. Our study evaluated the effectiveness and...
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Low versus standard central venous pressure during laparoscopic liver resection: A systematic review, meta-analysis and trial sequential analysis

Stephanos M, Stewart CMB, Mahmood A, Brown C, Hajibandeh S, Hajibandeh S, Satyadas T

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...
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Associations between income and survival in cholangiocarcinoma: A comprehensive subtype-based analysis

Geng CX, Gudur AR, Kadiyala J, Strand DS, Shami VM, Wang AY, Podboy A, Le TM, Reilley M, Zaydfudim V, Buerlein RCD

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...
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Incidence of incisional hernia following liver surgery for colorectal liver metastases. Does the laparoscopic approach reduce the risk? A comparative study

Hassan A, Arujunan K, Mohamed A, Katheria V, Ashton K, Ahmed R, Subar D

Backgrounds/Aims: No reports to compare incisional hernia (IH) incidence between laparoscopic and open colorectal liver metastases (CRLM) resections have previously been made. This is the first comparative study. Methods: Single-center retrospective...
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