Publications by authors named "Celia Caula"
Background: Perihilar cholangiocarcinoma (pCCA) is one of the most challenging tumours for hepatic surgeons. To reach radical resection, it is mandatory to extend the hepatectomy to segment 1 and biliary tract. With the advent of minimally invasive techniques, an increasing number of centres have begun to treat this tumour using robotic or laparoscopic approaches, demonstrating the ability to maintain oncological standards as well as morbidity and mortality criteria.
View Article and Find Full Text PDFBackground & Aims: Metabolic syndrome (MS) is a growing epidemic and a risk factor for the development of hepatocellular carcinoma (HCC). This study investigated the long-term outcomes of liver resection (LR) for HCC in patients with MS. Rates, timing, patterns, and treatment of recurrences were investigated, and cancer-specific survivals were assessed.
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- A study was conducted to compare the perioperative outcomes of robotic liver surgery (RLS) and laparoscopic liver surgery (LLS) across various healthcare settings from 2009 to 2021.
- The results showed that RLS had better outcomes in terms of "textbook outcomes," lower blood loss, fewer complications, and shorter operative times compared to LLS after matching patient groups for bias.
- Despite the higher costs generally associated with robotic surgery, this study suggests that RLS may offer specific clinical advantages over LLS in minimally invasive liver procedures.
Objective: To compare minimally invasive (MILR) and open liver resections (OLRs) for hepatocellular carcinoma (HCC) in patients with metabolic syndrome (MS).
Background: Liver resections for HCC on MS are associated with high perioperative morbidity and mortality. No data on the minimally invasive approach in this setting exist.
Article Synopsis
- Metabolic syndrome (MS) increases the risk of postoperative complications after liver resection for hepatocellular carcinoma (HCC), making careful patient selection essential.
- A study analyzed 1,087 patients from multiple centers to identify key factors associated with major morbidity, revealing that obesity, diabetes, ischemic heart disease, and other factors significantly increase risks.
- The resulting predictive model exhibited a 72.8% accuracy in assessing the likelihood of major complications, underscoring the importance of understanding individual patient characteristics for better surgical outcomes.
Article Synopsis
- The study examines the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols in both laparoscopic and open hepatic resections to determine any differences in outcomes.
- 80 patients were involved, with 47 undergoing open surgery and the rest laparoscopic, analyzing factors like hospital stay and complication rates.
- Results indicate no significant differences in outcomes between the two surgical approaches within the ERAS framework, although open surgery showed slightly better adherence and quicker ambulation rates.
Background: Anatomical resection of segment 8 (s8) is a challenging procedure. S8 can be subdivided into two areas: ventral (s8v) and dorsal (s8d). In the last years, different approaches for performing laparoscopic resection of s8 or any of its subsegments have been described, i.
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