Synchronous primary colorectal and liver metastasis: impact of operative approach on clinical outcomes and hospital charges
ConclusionsPatients with synchronous CLM managed with either simultaneous or staged surgery have comparable perioperative and longterm outcomes. However, patients treated with simultaneous surgery spent an average of 6 days fewer in hospital, resulting in a reduction of median hospital charges of US$27 824 (55.1%). When appropriate and technically feasible, the simultaneous surgery approach to synchronous CLM should be preferred. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 26, 2014 Category: Gastroenterology Authors: Aslam Ejaz, Eugene Semenov, Gaya Spolverato, Yuhree Kim, Dylan Tanner, John Hundt, Timothy M. Pawlik Tags: Original Article Source Type: research

Survival analysis of patients with stage I and II hepatocellular carcinoma after a liver transplantation or liver resection
ConclusionLiver transplantation offers a survival advantage compared with a liver resection among patients with Stage I and II HCC. LT is the best surgical treatment for early stage (I/II) HCC in patients with advanced fibrosis or cirrhosis, whereas LR provides equivalent outcomes to LT in patients without advanced fibrosis and should be considered as the first surgical option. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 25, 2014 Category: Gastroenterology Authors: Ramanathan M. Seshadri, Siddesh Besur, David J. Niemeyer, Megan Templin, Iain H. McKillop, Ryan Z. Swan, John B. Martinie, Mark W. Russo, David A. Iannitti Tags: Original Article Source Type: research

Volumetric analysis and indocyanine green retention rate at 15 min as predictors of post‐hepatectomy liver failure
ConclusionsRegardless of ICG R15, an sFLR of ≥25% in patients without cirrhosis, and an sFLR of ≥25% with an sFLR : ICG R15 ratio of >1.9 in patients with cirrhosis indicate acceptable levels of safety in major hepatectomy. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 25, 2014 Category: Gastroenterology Authors: Hee Joon Kim, Choong Young Kim, Eun Kyu Park, Young Hoe Hur, Yang Seok Koh, Hyun Jong Kim, Chol Kyoon Cho Tags: Original Article Source Type: research

Development of an international online learning platform for hepatopancreatobiliary surgical training: a needs assessment
ConclusionsAn international online distance learning format is an appealing mechanism for improved dissemination and operationalization of the established HPB fellow curricula. Fellows will engage in interactive discussions monthly. Controversial topics or those requiring complex decision making are best suited to this learning format. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 24, 2014 Category: Gastroenterology Authors: Susanne G. Warner, Saxon Connor, Christopher Christophi, Ijeoma A. Azodo, Tara Kent, David Pier, Rebecca M. Minter Tags: Original Article Source Type: research

Transarterial embolization therapies for the treatment of hepatocellular carcinoma: CEPO review and clinical recommendations
The objective of this guideline is to review the efficacy and safety of transarterial embolization therapies for the treatment of HCC and to develop evidence‐based recommendations. MethodA review of the scientific literature published up to October 2013 was performed. A total of 38 studies were included. RecommendationsConsidering the evidence available to date, the CEPO recommends the following: (i) transarterial chemoembolization therapy (TACE) be considered a standard of practice for the palliative treatment of HCC in eligible patients; (ii) drug‐eluting beads (DEB)‐TACE be considered an alternative and equivalent...
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 24, 2014 Category: Gastroenterology Authors: Gino Boily, Jean‐Pierre Villeneuve, Luc Lacoursière, Prosanto Chaudhury, Félix Couture, Jean‐François Ouellet, Réal Lapointe, Stéphanie Goulet, Normand Gervais, Tags: Original Article Source Type: research

Optimal management of colorectal liver metastases in older patients: a decision analysis
ConclusionsHR may be optimal for healthy 70‐year‐old patients with CLM. In older patients with comorbidities, RFA may provide better LE and QALE. Treatment decisions in older cancer patients should account for patient age, comorbidities, local expertise and individual values. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 24, 2014 Category: Gastroenterology Authors: Simon Yang, Shabbir M.H. Alibhai, Erin D. Kennedy, Abraham El‐Sedfy, Matthew Dixon, Natalie Coburn, Alex Kiss, Calvin H.L. Law Tags: Original Article Source Type: research

Pancreatic fistulae after a pancreatico‐duodenectomy: are pancreatico‐gastrostomies safer than pancreatico‐jejunostomies? An expertise‐based trial and propensity‐score adjusted analysis
DiscussionPatients undergoing PG reconstruction had a similar rate of PF as those undergoing a PJ after a PD. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 19, 2014 Category: Gastroenterology Authors: Jad Abou Khalil, Nancy Mayo, Sinziana Dumitra, Mohammed Jamal, Prosanto Chaudhury, Peter Metrakos, Jeffrey Barkun Tags: Original Article Source Type: research

Surgical management of hepatic hemangiomas: a multi‐institutional experience
ConclusionA hemangioma resection can be safely performed at high‐volume institutions. The primary indication for surgery remains for intractable symptoms. The development of severe complications associated with non‐operative management remains a rare event, ultimately challenging the necessity of additional surgical indications for a hemangioma resection. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 19, 2014 Category: Gastroenterology Authors: John T. Miura, Albert Amini, Ryan Schmocker, Shawnn Nichols, Daniel Sukato, Emily R. Winslow, Gaya Spolverato, Aslam Ejaz, Malcolm H. Squires, David A. Kooby, Shishir K. Maithel, Aijun Li, Meng‐Chao Wu, Juan M. Sarmiento, Mark Bloomston, Kathleen K. Chr 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 - June 17, 2014 Category: Gastroenterology Tags: Letter to the Editor Source Type: research

Evaluation of stapler hepatectomy in laparoscopic liver resection
(Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 17, 2014 Category: Gastroenterology Authors: John McCall Tags: Letter to the Editor Source Type: research

Percutaneous cholecystostomy for acute cholecystitis: who should really benefit from this procedure?
(Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 17, 2014 Category: Gastroenterology Authors: Devender Mittapalli, Sanjay Pandanaboyana Tags: Letter to the Editor 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 - June 17, 2014 Category: Gastroenterology Authors: Stephen J Wigmore, Mark Callery, Saxon Connor Tags: Highlights in this issue Source Type: research

Hepatic and pancreatic resection in patients with end‐stage renal disease: a propensity analysis
ConclusionsHepatic and pancreatic resections can be performed safely in selected patients with ESRD. These patients may have an increased risk for the development of postoperative sepsis. Further study is needed to characterize modifiable risk factors that impact outcomes in patients with ESRD who require hepatic or pancreatic resection. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 16, 2014 Category: Gastroenterology Authors: Andrew S. Barbas, Paul J. Speicher, Bryan M. Clary Tags: Original Article Source Type: research

Cost comparison analysis of open versus laparoscopic distal pancreatectomy
ConclusionsIn appropriately selected patients, LDP is more cost‐effective than ODP. The increased OR cost associated with LDP is offset by the shorter hospitalization. These data clarify targets for further cost reductions. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)
Source: HPB: official journal of the International Hepato Pancreat Biliary Association - June 16, 2014 Category: Gastroenterology Authors: Daniel R. Rutz, Malcolm H. Squires, Shishir K. Maithel, Juan M. Sarmiento, Joanna W. Etra, Sebastian D. Perez, William Knechtle, Kenneth Cardona, Maria C. Russell, Charles A. Staley, John F. Sweeney, David A. Kooby Tags: Original Article Source Type: research