Annals of hepato-biliary-pancreatic surgery最新文献_第3页

Robotic versus laparoscopic cholecystectomy: Can they be compared? A narrative review and personal considerations disproving low-level evidence. 机器人胆囊切除术与腹腔镜胆囊切除术：可以比较吗？反驳低级证据的叙述性回顾和个人考虑。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-12-04 DOI: 10.14701/ahbps.24-192

Giovanni D Tebala, Paolo Pietro Bianchi, Giles Bond-Smith, Andrea Coratti, Fabrizio Panaro, Graziano Pernazza, Davide Cavaliere

{"title":"Robotic versus laparoscopic cholecystectomy: Can they be compared? A narrative review and personal considerations disproving low-level evidence.","authors":"Giovanni D Tebala, Paolo Pietro Bianchi, Giles Bond-Smith, Andrea Coratti, Fabrizio Panaro, Graziano Pernazza, Davide Cavaliere","doi":"10.14701/ahbps.24-192","DOIUrl":"10.14701/ahbps.24-192","url":null,"abstract":"Laparoscopic cholecystectomy (LC) is the gold standard for the treatment of symptomatic gallstones, acute cholecystitis, and acute gallstone pancreatitis. In recent years, the development and diffusion of robotic surgery have provided surgeons with the opportunity to apply this innovative approach to cholecystectomy, yielding interesting results. However, as with any new surgical technique, robotic cholecystectomy (RC) has met with skepticism within the surgical community. Beyond the understandable concerns regarding increased costs, some authors have claimed that RC is associated with a higher complication rate compared to LC. We reviewed the existing literature on this subject, discussing the limitations and strengths of the most significant publications and critically analyzing them. The analysis of the literature indicates that RC is safe and effective, with no definitive evidence of its inferiority compared to LC. Some of the published papers are of low quality and biased, even with significant sample sizes. Furthermore, we believe that comparing an established technique like LC with a new and not yet standardized one such as RC is somewhat illogical. RC represents a significant advance in minimally invasive surgery and should be viewed as an opportunity to familiarize oneself with the robotic device and to enhance the surgeon's skills in preparation for more complex robotic operations. The robotic approach can be beneficial in selected cases of cholecystectomy where fine dissection is required. With further reductions in costs, RC could become the future gold standard for benign gallbladder disorders.","PeriodicalId":72220,"journal":{"name":"Annals of hepato-biliary-pancreatic surgery","volume":" ","pages":"5-10"},"PeriodicalIF":1.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic total pancreatectomy with total mesopancreas dissection using counterclockwise technique and tail-first approach. 使用逆时针技术和尾先入路进行腹腔镜全胰腺切除术和全胰系膜解剖。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-11-12 DOI: 10.14701/ahbps.24-176

Thanh Khiem Nguyen, Ham Hoi Nguyen, Tuan Hiep Luong, Thanh Tung Lai, Van Duy Le, Pisey Chantha

{"title":"Laparoscopic total pancreatectomy with total mesopancreas dissection using counterclockwise technique and tail-first approach.","authors":"Thanh Khiem Nguyen, Ham Hoi Nguyen, Tuan Hiep Luong, Thanh Tung Lai, Van Duy Le, Pisey Chantha","doi":"10.14701/ahbps.24-176","DOIUrl":"10.14701/ahbps.24-176","url":null,"abstract":"Laparoscopic total pancreatectomy (LTP) is technically challenging and infrequently documented in the literature. In this paper, we present a new approach for performing fully LTP, a pancreatic tail-first approach with a counterclockwise technique, to accomplish total mesopancreas dissection and standard lymphadenectomy en bloc. Firstly, the tail and body of the pancreas without the spleen were dissected retrogradely, starting from the lower border of the body of pancreas and then from left to right. After that, a counterclockwise dissection of the tail and body of the pancreas was performed. The splenic artery and vein were divided at the terminal end of the pancreatic tail. The spleen was preserved. The entire body and tail of the pancreas were then pulled to the right side. This maneuver facilitated the isolation and dissection of arteries in the retropancreatic region more easily via laparoscopy, including the splenic artery, gastroduodenal artery, and supporting superior mesenteric artery first-approach. It also enabled total mesopancreas dissection. The inferior pancreaticoduodenal artery was resected last during this phase. The remainder of the dissection was like that of a laparoscopic pancreaticoduodenectomy with total mesopancreas dissection, involving two laparoscopic manual anastomoses. The operative time was 490 minutes and the total blood loss was 100 mL. Pathology revealed a low-grade intraductal papillary mucinous neoplasm extending from the head to the tail of the pancreas.","PeriodicalId":72220,"journal":{"name":"Annals of hepato-biliary-pancreatic surgery","volume":" ","pages":"79-82"},"PeriodicalIF":1.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anesthesia management for total robotic liver transplantation: Inaugural case series in Europe. 全机器人肝移植手术的麻醉管理：欧洲首例系列病例。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-11-21 DOI: 10.14701/ahbps.24-170

Ana Duarte, Vasyl Katerenchuk, Rita Poeira, Paula Rocha, Filipe Pissarra, Margarida Canas, Sandra Dias, Diogo Andrade, Hugo Pinto Marques, Susana Cadilha, José Silva Pinto

{"title":"Anesthesia management for total robotic liver transplantation: Inaugural case series in Europe.","authors":"Ana Duarte, Vasyl Katerenchuk, Rita Poeira, Paula Rocha, Filipe Pissarra, Margarida Canas, Sandra Dias, Diogo Andrade, Hugo Pinto Marques, Susana Cadilha, José Silva Pinto","doi":"10.14701/ahbps.24-170","DOIUrl":"10.14701/ahbps.24-170","url":null,"abstract":"Robotic liver transplantation represents a cutting-edge technique that may surpass traditional open surgery. Nonetheless, it introduces unique anesthetic challenges, including extended pneumoperitoneum, restricted patient access, and a risk of undetected blood loss. This article describes an anesthetic approach and patient outcomes for the first four total robotic liver transplants performed at a tertiary university hospital in Portugal, along with inaugural procedures of their kind in Europe. We retrospectively analyzed surgical and anesthetic data from four patients who underwent total robotic liver transplantation from February to April 2024. Data encompassed clinical profile, preoperative assessment, surgical and anesthesia details, postoperative course, and outcomes. Patients' age ranged from 51 to 69 years. Their cirrhosis was primarily due to alcohol use, hepatitis C virus infection, hepatocellular carcinoma, or nonalcoholic steatohepatitis. General anesthesia was administered. Hemodynamic monitoring and goal-directed fluid therapy were conducted using a PiCCO system. Blood loss varied from 1,000 to 5,000 mL. Blood products were transfused as needed. All donor livers underwent hypothermic oxygenated machine perfusion before transplantation. After surgery, two patients were immediately extubated, while two required extended ventilation. Hospital stays ranged from 10 to 40 days. The 30-day survival rate was 100%. This initial case series affirmed the feasibility and safety of total robotic liver transplantation for carefully selected patients, yielding favorable short-term results. Anesthetic management can rely on proactive strategies, acute situational awareness, and effective multidisciplinary collaboration.","PeriodicalId":72220,"journal":{"name":"Annals of hepato-biliary-pancreatic surgery","volume":" ","pages":"88-94"},"PeriodicalIF":1.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of artificial intelligence in pancreatic surgery: Current and future perspectives. 人工智能在胰腺手术中的作用：当前和未来展望。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-09-04 DOI: 10.14701/ahbps.24-130

Alvaro Ducas, Alberto Mangano, Leonardo Borgioli, Jessica Cassiani, Paula Lopez, Pier Cristoforo Giulianotti

引用次数: 0

Irreversible electroporation as an intraoperative adjunctive treatment for locally advanced pancreatic cancer after neoadjuvant therapy: An initial clinical experience. 不可逆电穿孔术作为局部晚期胰腺癌新辅助治疗后术中辅助治疗：初步临床经验。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2025-01-17 DOI: 10.14701/ahbps.24-193

Agastya Patel, Francesco Lancellotti, Ajith Kumar Siriwardena, Vinotha Nadarajah, Nicola de Liguori Carino

{"title":"Irreversible electroporation as an intraoperative adjunctive treatment for locally advanced pancreatic cancer after neoadjuvant therapy: An initial clinical experience.","authors":"Agastya Patel, Francesco Lancellotti, Ajith Kumar Siriwardena, Vinotha Nadarajah, Nicola de Liguori Carino","doi":"10.14701/ahbps.24-193","DOIUrl":"10.14701/ahbps.24-193","url":null,"abstract":"Backgrounds/aims: Irreversible electroporation (IRE) may have a potential application as either a \"back-up therapy\" or for margin accentuation during trial dissection of locally advanced pancreatic cancer (LAPC). The aim of this report was to describe our experience with IRE in terms of its potential applications mentioned above.Methods: A clinical policy to use IRE in LAPC patients undergoing exploratory surgery after neoadjuvant therapy (NAT) was initiated in 2017. If resection was feasible, IRE was used for margin accentuation. If not, then IRE was undertaken as a \"back-up therapy\" of non-resectable tumor. Data on baseline characteristics, perioperative 90-day morbidity, recurrence-free survival (RFS) and overall survival (OS) were collected.Results: IRE was successfully performed in 18 (95%) patients. IRE was abandoned in one case for technical reasons. Nine patients who were found to have an unresectable disease underwent IRE as a \"back-up therapy\" while the remaining patients received IRE for margin accentuation. Complications were recorded in 33% patients. There was no procedure-related mortality. In the group receiving IRE for margin accentuation, the median RFS was 10.0 months (range, 4.5-15.0 months). The median OS of our cohort was 22 months (range, 14.75-27.50 months).Conclusions: This report shows that in patients with LAPC undergoing exploratory surgery following NAT, IRE seems technically feasible for margin accentuation or as a \"back-up therapy\". More data are needed to determine procedure-related morbidity, mortality, and any effects of IRE on cancer-related survival.","PeriodicalId":72220,"journal":{"name":"Annals of hepato-biliary-pancreatic surgery","volume":" ","pages":"72-78"},"PeriodicalIF":1.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Three-dimensional printing of intra-abdominal cavity to prevent large-for-size syndrome in liver transplantation: Correspondence. 三维打印腹腔以防止肝移植中的大尺寸综合征：通讯。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-11-05 DOI: 10.14701/ahbps.24-188

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Single-stage laparoendoscopic management of cholecystocholedocholithiasis: A retrospective study comparing starting with ERCP versus with laparoscopic cholecystectomy. 胆囊胆总管结石的单期腹腔镜治疗：一项回顾性研究，比较ERCP与腹腔镜胆囊切除术。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-12-23 DOI: 10.14701/ahbps.24-157

Mostafa M Sayed, Ahmed Shawkat Abdelmohsen, Mostafa Ibrahim, Mohamad Raafat

{"title":"Single-stage laparoendoscopic management of cholecystocholedocholithiasis: A retrospective study comparing starting with ERCP versus with laparoscopic cholecystectomy.","authors":"Mostafa M Sayed, Ahmed Shawkat Abdelmohsen, Mostafa Ibrahim, Mohamad Raafat","doi":"10.14701/ahbps.24-157","DOIUrl":"10.14701/ahbps.24-157","url":null,"abstract":"Backgrounds/aims: Endoscopic retrograde cholangiopancreatography (ERCP) combined with laparoscopic cholecystectomy (LC) remains the most common therapeutic strategy used for cholecystocholedocholithiasis (CCL). Recently, single-stage ERCP + LC has gained popularity for treating CCL due to patient satisfaction and financial considerations. In this study, we aimed to compare the feasibility and efficacy of the two variants of single-stage ERCP + LC (starting with ERCP followed by LC versus starting with LC followed by ERCP) for treatment of CCL.Methods: A total of 115 patients who underwent single-stage ERCP + LC for CCL from January 2021 to December 2023 were enrolled in a retrospective comparative cohort study. These patients were divided into two groups: Group A (ERCP-first approach) and Group B (LC-first approach).Results: Patients in Group A had a common bile duct clearance rate of 88.2%, which was comparable to the 95.7% observed in Group B (p = 0.163). The mean duration of the ERCP procedure was comparable between the two groups (43.3 ± 11.8 vs 39.5 ± 13.5 minutes; p = 0.112). However, the mean duration of the LC procedure was significantly longer in Group A than in Group B (41.2 ± 8.98 vs 37.2 ± 12.2 minutes; p = 0.045). The mean total operative time for the combined ERCP + LC was significantly longer in Group A compared to Group B (81.9 ± 16.7 vs 75.1 ± 19.3 minutes; p = 0.046). Post-ERCP pancreatitis occurred in 4 patients in Group A and in 2 patients in Group B (p = 0.701).Conclusions: Both LC-1st approach and ERCP-1st approach are feasible and highly effective for treating CCL through single-stage ERCP + LC. However, the LC-1st approach has the advantage of a shorter operative time.","PeriodicalId":72220,"journal":{"name":"Annals of hepato-biliary-pancreatic surgery","volume":" ","pages":"55-61"},"PeriodicalIF":1.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on: "Deep learning-based surgical phase recognition in laparoscopic cholecystectomy". 评论"基于深度学习的腹腔镜胆囊切除术手术阶段识别

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-09-19 DOI: 10.14701/ahbps.24-149

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Improved graft survival by using three-dimensional printing of intra-abdominal cavity to prevent large-for-size syndrome in liver transplantation. 利用腹腔内三维打印技术提高移植物存活率，防止肝移植中的大尺寸综合征。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2024-09-26 DOI: 10.14701/ahbps.24-153

Sunghae Park, Gyu-Seong Choi, Jong Man Kim, Sanghoon Lee, Jae-Won Joh, Jinsoo Rhu

{"title":"Improved graft survival by using three-dimensional printing of intra-abdominal cavity to prevent large-for-size syndrome in liver transplantation.","authors":"Sunghae Park, Gyu-Seong Choi, Jong Man Kim, Sanghoon Lee, Jae-Won Joh, Jinsoo Rhu","doi":"10.14701/ahbps.24-153","DOIUrl":"10.14701/ahbps.24-153","url":null,"abstract":"Backgrounds/aims: While large-for-size syndrome is uncommon in liver transplantation (LT), it can result in fatal outcome. To prevent such fatality, we manufactured 3D-printed intra-abdominal cavity replicas to provide intuitive understanding of the sizes of the graft and the patient's abdomen in patients with small body size between July 2020 and February 2022.Methods: Clinical outcomes were compared between patients using our 3D model during LT, and patients who underwent LT without 3D model by using 1 : 5 ratio propensity score-matched analysis.Results: After matching, a total of 20 patients using 3D-printed abdominal cavity model and 100 patients of the control group were included in this study. There were no significant differences in 30-day postoperative complication (50.0% vs. 64.0%, p = 0.356) and the incidence of large-for-size syndrome (0% vs. 7%, p = 0.599). Overall survival of the 3D-printed group was similar to that of the control group (p = 0.665), but graft survival was significantly superior in the 3D-printed group, compared to the control group (p = 0.034).Conclusions: Since it showed better graft survival, as well as low cost and short production time, our 3D-printing protocol can be a feasible option for patients with small abdominal cavity to prevent large-for-size syndrome after LT.","PeriodicalId":72220,"journal":{"name":"Annals of hepato-biliary-pancreatic surgery","volume":" ","pages":"21-31"},"PeriodicalIF":1.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of indocyanine green fluorescence imaging to predict biliary complications in living donor liver transplantation: A pilot study. 吲哚菁绿荧光成像预测活体供肝移植胆道并发症的可行性：一项初步研究。

IF 1.1

Annals of hepato-biliary-pancreatic surgery Pub Date : 2025-02-28 Epub Date: 2025-01-15 DOI: 10.14701/ahbps.24-196

Jaewon Lee, YoungRok Choi, Nam-Joon Yi, Jae-Yoon Kim, Su Young Hong, Jeong-Moo Lee, Suk Kyun Hong, Kwang-Woong Lee, Kyung-Suk Suh

{"title":"Feasibility of indocyanine green fluorescence imaging to predict biliary complications in living donor liver transplantation: A pilot study.","authors":"Jaewon Lee, YoungRok Choi, Nam-Joon Yi, Jae-Yoon Kim, Su Young Hong, Jeong-Moo Lee, Suk Kyun Hong, Kwang-Woong Lee, Kyung-Suk Suh","doi":"10.14701/ahbps.24-196","DOIUrl":"10.14701/ahbps.24-196","url":null,"abstract":"Backgrounds/aims: Liver transplantation (LT) is now a critical, life-saving treatment for patients with liver cirrhosis or hepatocellular carcinoma. Despite its significant benefits, biliary complications (BCs) continue to be a major cause of postoperative morbidity. This study evaluates the fluorescence intensity (FI) of the common bile duct (CBD) utilizing near-infrared indocyanine green (ICG) imaging, and examines its association with the incidence of BCs within three months post-LT.Methods: This investigation analyzed data from nine living donor LT (LDLT) recipients who were administered 0.05 mg/kg of ICG prior to bile duct anastomosis. Real-time perfusion of the CBD was recorded for three minutes using an ICG camera, and FI was quantified using Image J (National Institutes of Health). Key parameters assessed included F max, F1/2 max, T1/2 max, and the slope (F max/T max) to evaluate the fluorescence response.Results: BCs occurred in two out of nine patients. These two patients exhibited the longest T1/2 max values, which were linked with lower slope values, implicating a potential relationship between extended T1/2 max, reduced slope, and the occurrence of postoperative BCs.Conclusions: The study indicates that ICG fluorescence imaging may serve as an effective tool for assessing bile duct perfusion in LDLT patients. While the data suggest that an extended T1/2 max and lower slope may correlate with an increased risk of BCs, further validation through larger studies is required to confirm the predictive value of ICG fluorescence imaging in this setting.","PeriodicalId":72220,"journal":{"name":"Annals of hepato-biliary-pancreatic surgery","volume":" ","pages":"32-37"},"PeriodicalIF":1.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0