Michael J. Passeri

Are enhanced recovery protocols after pancreatoduodenectomy still efficient when applied in elderly patients? A systematic review and individual patient data meta‐analysis

Christoph Kuemmerli, Gianpaolo Balzano, Stefan A.W. Bouwense, Marco Braga et autres

BACKGROUND: This meta-analysis investigated the effects of enhanced recovery after surgery (ERAS) protocols compared to conventional care on postoperative outcomes in patients aged 70 years or older undergoing pancreatoduodenectomy (PD). METHODS: Five databases were systematically searched. Comparative studies with available individual patient …

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Classification of intraoperative adverse events in visceral surgery

Larsa Gawria, Rachel Rosenthal, Harry van Goor, Salome Dell‐Kuster et autres

BACKGROUND: Intraoperative adverse events (iAEs) are frequent in visceral surgery, but severity and related postoperative outcome are poorly investigated. A novel classification of intraoperative adverse events, ClassIntra, includes surgical and anesthesiologic intraoperative adverse events using 5 severity grades and showed a high …

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Impact of enhanced recovery protocols after pancreatoduodenectomy: meta-analysis

Christoph Kuemmerli, Christoph Tschuor, Meidai Kasai, Adnan A. Alseidi et autres

BACKGROUND: This individual-patient data meta-analysis investigated the effects of enhanced recovery after surgery (ERAS) protocols compared with conventional care on postoperative outcomes in patients undergoing pancreatoduodenectomy. METHODS: The Cochrane Library, MEDLINE, Embase, Scopus, and Web of Science were searched systematically for articles …

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Robotic‐assisted completion cholecystectomy: A safe and effective approach to a challenging surgical scenario – A single center retrospective cohort study

Christoph Tschuor, William B. Lyman, Michael J. Passeri, Patrick N. Salibi et autres

BACKGROUND: Reoperation following a previous subtotal or aborted cholecystectomy presents a challenging surgical scenario that has traditionally required an open completion cholecystectomy. The aim of this study was to describe an institutional experience with a robotic-assisted approach to completion cholecystectomy. METHODS: A …

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Unifying the Hepatopancreatobiliary Surgery Fellowship Curriculum via Delphi Consensus

Keon Min Park, Nikdokht Rashidian, Sarah Mohamedaly, Karen J. Brasel et autres

BACKGROUND: Hepatopancreatobiliary (HPB) Fellowship training in the Americas consists of 3 distinctive routes with variable curricula: Surgical Oncology Fellowship via the Society of Surgical Oncology (SSO), Abdominal Transplant Surgery Fellowship via the American Society of Transplant Surgeons (ASTS), and HPB Fellowship via …

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Triple threat: pancreatic cystic lesion presenting with spontaneous hemorrhage is found to harbor three distinct neoplasms

Da Eun Cha, Callie Horn, Michael J. Passeri

BACKGROUND: Pancreatic serous cystadenoma (SCA) is a benign, cystic lesion with an indolent growth pattern. Complications such as spontaneous hemorrhage or malignant transformation from SCA are extremely rare. Our case report describes an unusual presentation of a patient with a previously diagnosed …

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Triple Threat; pancreatic cystic lesion presenting with spontaneous hemorrhage is found to harbor three distinct neoplasms.

Da Eun Cha, Callie Horn, Michael J. Passeri

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Effect of Margin Status on Survival After Resection of Hilar Cholangiocarcinoma in the Modern Era of Adjuvant Therapies

Michael David Watson, Maria R. Baimas‐George, Michael J. Passeri, Erin H. Baker et autres

Introduction Studies have shown that for patients with hilar cholangiocarcinoma (HC), survival is associated with negative resection margins (R0). This requires increasingly proximal resection, putting patients at higher risk for complications, which may delay chemotherapy. For patients with microscopically positive resection margins …

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Operative Microwave Ablation for the Multimodal Treatment of Neuroendocrine Liver Metastases

Ryan C. Pickens, Michael J. Passeri, Keith J. Murphy, Dionisios V. Vrochides et autres

Background and Purpose: Operative microwave ablation (MWA) is a safe modality for treating hepatic tumors. The aim of this study is to present our 10-year, single-center experience of operative MWA for neuroendocrine liver metastases (NLM). Methods: A single-institution retrospective review of patients …

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Use of Artificial Intelligence Deep Learning to Determine the Malignant Potential of Pancreatic Cystic Neoplasms With Preoperative Computed Tomography Imaging

Michael David Watson, William B. Lyman, Michael J. Passeri, Keith J. Murphy et autres

BACKGROUND: Society consensus guidelines are commonly used to guide management of pancreatic cystic neoplasms (PCNs). However, downsides of these guidelines include unnecessary surgery and missed malignancy. The aim of this study was to use computed tomography (CT)-guided deep learning techniques to predict …

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Triple Threat; pancreatic cystic lesion presenting with spontaneous hemorrhage is found to harbor three distinct neoplasms

Da Eun Cha, Callie Horn, Michael J. Passeri

Abstract BackgroundPancreatic serous cystadenoma (SCA) is a benign, cystic lesion with an indolent growth pattern. Spontaneous hemorrhage from SCA is extremely rare, as is malignant transformation. Our case report describes an unusual presentation of a patient with a previously diagnosed SCA, made …

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Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study

Salome Dell‐Kuster, Nuno V. Gomes, Larsa Gawria, Soheila Aghlmandi et autres

OBJECTIVE: To prospectively assess the construct and criterion validity of ClassIntra version 1.0, a newly developed classification for assessing intraoperative adverse events. DESIGN: International, multicentre cohort study. SETTING: 18 secondary and tertiary centres from 12 countries in Europe, Oceania, and North America. …

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