Pancreatic fistulae after pancreatic resections for neuroendocrine tumours compared with resections for other lesions
ConclusionsHigh rates of POPF were found in patients operated for PNET. However, this was mainly owing to the fact that atypical resections, known to be associated with a higher fistula rate, were performed more frequently in these patients. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 18, 2014 Category: Gastroenterology Authors: Jasper Jan Atema, Anneke P.J. Jilesen, Olivier R.C. Busch, Thomas M. Gulik, Dirk J. Gouma, Els J.M. Nieveen van Dijkum Tags: Original Article Source Type: research

Ratio of hepatic arterial flow to recipient body weight predicts biliary complications after deceased donor liver transplantation
ConclusionsA ratio of HA flow to weight of < 5 ml/min/kg is associated with higher rates of biliary complications. This ratio may be a useful parameter for application in the prevention and early detection of biliary complications. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 18, 2014 Category: Gastroenterology Authors: Peter T. W. Kim, Giovanna Saracino, Linda Jennings, Michael Ramsay, Gregory J. McKenna, Giuliano Testa, Tiffany L. Anthony, Nicholas Onaca, Richard M. Ruiz, Robert M. Goldstein, Marlon F. Levy, Goran B. Klintmalm Tags: Original Article Source Type: research

Predicting recurrence patterns after resection of hepatocellular cancer
ConclusionsRegardless of initial MC status, at 5 years the majority of patients remained disease‐free or experienced recurrence within the MC after LR, and thus were potentially eligible for salvage transplantation (ST). Incorporating clinicopathological parameters into the MC allows for better risk stratification, which improves the selection of patients for ST and identifies patients in need of closer surveillance. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 17, 2014 Category: Gastroenterology Authors: Ser Yee Lee, Ioannis T. Konstantinidis, Anne A. Eaton, Mithat Gönen, T. Peter Kingham, Michael I. D'Angelica, Peter J. Allen, Yuman Fong, Ronald P. DeMatteo, William R. Jarnagin Tags: Original Article Source Type: research

Cost effectiveness after a pancreaticoduodenectomy: bolstering the volume argument
ConclusionsFor PD, low volume centres have higher peri‐operative mortality rates and 10.9% higher cost per patient. Performance of PD at higher volume centres can lead to both better outcomes and substantial cost savings. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 16, 2014 Category: Gastroenterology Authors: Jeffrey M. Sutton, Gregory C. Wilson, Ian M. Paquette, Koffi Wima, Dennis J. Hanseman, R. Cutler Quillin, Jeffrey J. Sussman, Michael J. Edwards, Syed A. Ahmad, Shimul A. Shah, Daniel E. Abbott Tags: Original Article Source Type: research

The role of peri‐hepatic drain placement in liver surgery: a prospective analysis
DiscussionIn spite of preferential IPD use in patients with more complex tumours/resections, IPD did not decrease the rate of PC, collections and the need for a percutaneous post‐operative drain. IPD should be reserved for exceptional circumstances in liver surgery. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 16, 2014 Category: Gastroenterology Authors: Jean M. Butte, Jan Grendar, Oliver Bathe, Francis Sutherland, Sean Grondin, Chad G. Ball, Elijah Dixon Tags: Original Article Source Type: research

Conference Calendar
(Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 11, 2014 Category: Gastroenterology Tags: Original Articles Source Type: research

Portal vein arterialization: ‘enjoy’ it responsibly
(Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 11, 2014 Category: Gastroenterology Authors: Ernest Hidalgo Tags: Commentary Source Type: research

Highlights in this issue
(Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 11, 2014 Category: Gastroenterology Authors: Stephen J Wigmore, Mark Callery, Saxon Connor Tags: Highlights in this issue Source Type: research

Tumour biology of colorectal liver metastasis is a more important factor in survival than surgical margin clearance in the era of modern chemotherapy regimens
ConclusionA R1 resection had no prognostic value per se but reflected a more severe disease. The recent change in the prognostic value of a R1 resection may be linked to the beneficial effect of chemotherapy. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 9, 2014 Category: Gastroenterology Authors: Stéphanie Truant, Cédric Séquier, Emmanuelle Leteurtre, Emmanuel Boleslawski, Mehdi Elamrani, Guillemette Huet, Alain Duhamel, Mohamed Hebbar, François‐René Pruvot Tags: Original Article Source Type: research

Socioeconomic status influences the likelihood but not the outcome of liver resection for colorectal liver metastasis
ConclusionsLiver resection for CLM is performed more commonly among the least socioeconomically deprived population than among the most deprived. However, degree of deprivation was not associated with tumour recurrence after resection. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 3, 2014 Category: Gastroenterology Authors: Matthew G. Wiggans, Golnaz Shahtahmassebi, Somaiah Aroori, Matthew J. Bowles, David A. Stell Tags: Original Article Source Type: research

Tumour size over 3 cm predicts poor short‐term outcomes after major liver resection for hilar cholangiocarcinoma. By the HC‐AFC‐2009 group
ConclusionThe present analysis of a series of 331 patients with hilar cholangiocarcinoma showed that tumour size >30 mm was independently associated with death <12 months. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 3, 2014 Category: Gastroenterology Authors: Jean Marc Regimbeau, David Fuks, Patrick Pessaux, Philippe Bachellier, Denis Chatelain, Momar Diouf, Artigas Raventos, Georges Mantion, Jean‐Francois Gigot, Laurence Chiche, Gerard Pascal, Daniel Azoulay, Alexis Laurent, Christian Letoublon, Emmanuel Bo Tags: Original Article Source Type: research

Prophylactic octreotide for pancreatoduodenectomy: more harm than good?
ConclusionThis multi‐institutional study, using ISGPF criteria, evaluates POPF development across the entire risk spectrum. Octreotide appears to confer no benefit in preventing a CR‐POPF, and may even potentiate CR‐POPF development in the presence of risk factors. This analysis suggests octreotide should not be utilized as a POPF mitigation strategy. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 1, 2014 Category: Gastroenterology Authors: Matthew T. McMillan, John D. Christein, Mark P. Callery, Stephen W. Behrman, Jeffrey A. Drebin, Tara S. Kent, Benjamin C. Miller, Russell S. Lewis, Charles M. Vollmer Tags: Original Article Source Type: research

Post‐hepatectomy haemorrhage: a single‐centre experience
ConclusionsRe‐exploration for haemorrhage following hepatectomy for PLC is a rare event. Haemorrhage occurs predominantly at the cut parenchymal surface. Early return to the operating room is vital and perioperative survival is common in this high‐risk group. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 1, 2014 Category: Gastroenterology Authors: Aijun Li, Bin Wu, Weiping Zhou, Weifeng Yu, Li Li, Hang Yuan, Mengchao Wu Tags: Original Article Source Type: research

The impact of pancreaticojejunostomy versus pancreaticogastrostomy reconstruction on pancreatic fistula after pancreaticoduodenectomy: meta‐analysis of randomized controlled trials
ConclusionsReconstruction by PG decreases the rate of PF in comparison with PJ. Surgeons should consider reconstructing the pancreatic remnant following PD with PG, particularly in patients at high risk for PF. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 1, 2014 Category: Gastroenterology Authors: Julie Hallet, Francis S. W. Zih, Raymond G. Deobald, Adena S. Scheer, Calvin H. L. Law, Natalie G. Coburn, Paul J. Karanicolas Tags: Review Article Source Type: research

Liver transplantation for neuroendocrine tumour liver metastases
ConclusionNon‐resectable NET liver metastasis resistant to medical treatment and confined to the liver is an accepted indication for liver transplantation. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - July 1, 2014 Category: Gastroenterology Authors: Sheung Tat Fan, Yves Patrice Le Treut, Vincenzo Mazzaferro, Andrew K. Burroughs, Michael Olausson, Stefan Breitenstein, Andrea Frilling Tags: Review Article Source Type: research