Anatomy and Complications Related to Ligation of the Left Gastric Vein During Pancreatectomy: A Systematic Literature Review.

Pancreatectomy remains the gold standard treatment for pancreatic malignancies but is frequently complicated by delayed gastric emptying (DGE) and gastric venous congestion (GVC). Disruption of the left gastric vein (LGV) has been increasingly implicated in these postoperative complications. We conducted a systematic review, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, to assess the impact of LGV preservation on post-operative complications.

The final cut: a multi-centre cohort study evaluating outcomes of robotic completion cholecystectomy.

Background: Subtotal and abandoned cholecystectomies are on the rise due to the increase of laparoscopic cholecystectomies performed in the emergency setting. Persistent biliary symptoms postoperatively may necessitate a completion cholecystectomy (CC) which is a technically challenging procedure. The literature describing outcomes of minimally invasive CC is scarce and consisting of small studies only.

A multi-centre, UK-based, cohort study assessing the role of robotic common bile duct exploration for complex choledocholithiasis.

Background: There is no consensus on the gold-standard treatment for choledocholithiasis. This retrospective multicentric cohort study aimed to assess the safety, efficacy, and role of robotic common bile duct exploration (RCBDE) in treating choledocholithiasis.

Methods: All adult (≥18 years) consecutive patients undergoing RCBDE either alongside or following cholecystectomy between 2018 and 2024 were included.

A Novel Technique of SMA Massage with Systemic Fibrinolytic Therapy in Ischemic Midgut Volvulus: As a Lifesaving Last Expedient.

Purpose: Midgut volvulus is a surgical emergency requiring immediate intervention. Intestinal ischemia of the midgut as a consequence of volvulus from malrotation is a fateful event with high mortality and significant morbidity even in survivors. Derotation followed by correction of malrotation is the procedure of choice though has significant morbidity if intestinal reperfusion was not successful.