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Article
The road to tailored adjuvant chemotherapy for all four non-pancreatic periampullary cancers: An international multimethod cohort study
Despite differences in tumour behaviour and characteristics between duodenal adenocarcinoma (DAC), the intestinal (AmpIT) and pancreatobiliary (AmpPB) subtype of ampullary adenocarcinoma and distal cholangioca...
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Article
Surgical optomics: hyperspectral imaging and deep learning towards precision intraoperative automatic tissue recognition—results from the EX-MACHYNA trial
Hyperspectral imaging (HSI), combined with machine learning, can help to identify characteristic tissue signatures enabling automatic tissue recognition during surgery. This study aims to develop the first HSI...
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Article
Spontaneous idiopathic liver hemorrhage: a systematic review of a rare entity
Spontaneous idiopathic liver hemorrhage (SILH) is a rare life-threatening condition occurring without a clear and specific etiology. A systematic review was performed to provide guidelines for the perioperativ...
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Article
Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis
This systematic review and meta-analysis assessed the effectiveness of robotic surgery compared to laparoscopy or open surgery for inguinal (IHR) and ventral (VHR) hernia repair.
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Article
Multi-visceral resection for left-sided pancreatic ductal adenocarcinoma: a multicenter retrospective analysis from European countries
Due to delayed diagnosis and a lower surgical indication rate, left-sided pancreatic ductal adenocarcinoma (PDAC) is often associated with a poor prognosis in comparison to pancreatic head tumors.
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Article
Liver resection versus radiofrequency ablation in octogenarian patients for hepatocellular carcinoma: a propensity score multicenter analysis
Liver resection (LR) and radiofrequency ablation (RFA) are considered curative options for hepatocellular carcinoma (HCC). The aim of this study was to compare outcomes after LR and RFA in octogenarian patient...
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Article
Open AccessTraining curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper
Minimally invasive surgery (MIS), including laparoscopic and robotic approaches, is widely adopted in elective digestive surgery, but selectively used for surgical emergencies. The present position paper summa...
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Article
Open AccessRobotic surgery in emergency setting: 2021 WSES position paper
Robotics represents the most technologically advanced approach in minimally invasive surgery (MIS). Its application in general surgery has increased progressively, with some early experience reported in emerge...
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Article
Open AccessA human liver cell-based system modeling a clinical prognostic liver signature for therapeutic discovery
Chronic liver disease and hepatocellular carcinoma (HCC) are life-threatening diseases with limited treatment options. The lack of clinically relevant/tractable experimental models hampers therapeutic discover...
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Article
Prepancreatic common hepatic artery arising from superior mesenteric artery: an exceptional but important finding during pancreaticoduodenectomy
The hepato-mesenteric trunk is an extremely rare condition in which the common hepatic artery (CHA) originates from the superior mesenteric artery (SMA). Usually, CHA passes behind the head of the pancreas. A ...
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Article
Laparoscopic major hepatectomy for hepatocellular carcinoma in elderly patients: a multicentric propensity score‑based analysis
Considering the increase in overall life expectancy and the rising incidence of hepatocellular carcinoma (HCC), more elderly patients are considered for hepatic resection. Traditionally, major hepatectomy has ...
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Article
Open Access2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy
Bile duct injury (BDI) is a dangerous complication of cholecystectomy, with significant postoperative sequelae for the patient in terms of morbidity, mortality, and long-term quality of life. BDIs have an esti...
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Article
Open AccessFluoroless intravascular ultrasound image-guided liver navigation in porcine models
An intravascular ultrasound catheter (IVUSc) was developed for intracardiac ultrasound to assess interventions with compelling results. However, intrahepatic vascular exploration was rarely tested and was alwa...
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Chapter
Augmented Surgery: An Inevitable Step in the Progress of Minimally Invasive Surgery
After the revolution of minimal access surgery, a new surgery area is rising: Augmented Surgery. It aims at augmenting surgeon vision, surgeon gesture and surgeon decision, introducing the Augmented Surgery co...
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Chapter
Hepatocellular Cancer
Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer in adults, and currently it still remains third leading cause of cancer death.
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Chapter
The Visible Patient: Augmented Reality in the Operating Theater
Minimally invasive surgery represents one of the main evolutions of surgical techniques. However, minimally invasive surgery adds difficulty that can be reduced by computer technology. Indeed, from a patient’s...
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Article
With regard to the article “Acute abdomen in patients with SARS-CoV-2 infection or co-infection”
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Article
Acute abdomen in patients with SARS-CoV-2 infection or co-infection
Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in ...
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Article
Autologous peritoneal graft for venous vascular reconstruction after tumor resection in abdominal surgery: a systematic review
Radical surgical resection (R0) is the only option to cure patients with borderline resectable or multivisceral intraabdominal malignancies involving major vessels. Autologous peritoneal flap has been describe...
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Article
Open AccessEnteral versus parenteral nutrition in the conservative treatment of upper gastrointestinal fistula after surgery: a multicenter, randomized, parallel-group, open-label, phase III study (NUTRILEAK study)
Postoperative upper gastrointestinal fistula (PUGIF) is a devastating complication, leading to high mortality (reaching up to 80%), increased length of hospital stay, reduced health-related quality of life and...