The British journal of surgery
-
Review Meta Analysis Comparative Study
Meta-analysis of an artery-first approach versus standard pancreatoduodenectomy on perioperative outcomes and survival.
The aim of this systematic review and meta-analysis was to evaluate perioperative outcomes and survival in patients undergoing an artery-first approach to pancreatoduodenectomy in comparison with those having standard pancreatoduodenectomy. ⋯ The artery-first approach to pancreatoduodenectomy may be associated with improved perioperative outcomes and survival.
-
Review Meta Analysis Comparative Study
Meta-analysis of an artery-first approach versus standard pancreatoduodenectomy on perioperative outcomes and survival.
The aim of this systematic review and meta-analysis was to evaluate perioperative outcomes and survival in patients undergoing an artery-first approach to pancreatoduodenectomy in comparison with those having standard pancreatoduodenectomy. ⋯ The artery-first approach to pancreatoduodenectomy may be associated with improved perioperative outcomes and survival.
-
Despite a 5-year overall survival rate of 58 per cent after liver resection for colorectal liver metastases (CLMs), more than half of patients develop recurrence, highlighting the need for accurate risk stratification and prognostication. Traditional prognostic factors have been superseded by newer outcome predictors, including those defined by the molecular origin of the primary tumour. ⋯ Knowledge of somatic mutations can guide the use of preoperative therapy, extent of surgical margin and selection for ablation alone.