Liver transplantation after prolonged preservation with dual hypothermic oxygenated machine perfusion yielded similar outcomes to standard perfusion, showing no compromised donor liver quality and equal safety for recipients.
1. Patients with primary hepatocellular carcinoma randomized to receive primary hepatectomy versus conventional hepatectomy had less operation time, fewer complications, higher immune function post-op, and lower rates of recurrence at 3 years, amongst other advantages. Evidence Rating Level: 1 (Excellent) For patients with primary liver cancer, precision hepatectomy is a novel surgical approach that aims to
MyJournals.org - Science - Totally laparoscopic associating simultaneous bile duct and portal vein ligation for planned hepatectomy for primary liver cancer: a case report (Journal of Medical Case Reports)
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Complex gastrointestinal (GI) cancer surgery had less risk of postoperative adverse outcomes when supported by anesthesiologists performing a high annual volume of certain procedures, a large Canadian population-based study found.
Care by high-volume anesthesiologists was independently associated with 15% lower odds of combined 90-day major morbidity (including mortality) and readmission, after adjustment for patient case mix, institutional volume, and surgeon volume, reported Julie Hallet, MD, of the University of Toronto, and colleagues.
The primary outcome a composite of major 90-day morbidity (Clavien-Dindo 3-5) with readmission occurred in 36.3% of patients in the high-volume group (cutoff point of six or more procedures per year or ranking in the 75th percentile) and 45.7% of patients in the low-volume group, they stated in