Publications by authors named "Parisa Y Kenary"
Background: Minimally invasive technique for surgical management of colorectal metastasis is becoming the standard practice in the United States. Paracaval colorectal metastasis is a technically challenging tumor to resect due to its location. Abutment of the inferior vena cava (IVC) often requires advanced technique for vascular dissection and potential need for partial venous resection.
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- * A 78-year-old man with a caudate lobe mass underwent a robotic total anatomical left hepatectomy with caudate resection, using a robotic platform and intraoperative ultrasound to ensure safety and precision during the procedure.
- * The surgery took 4.5 hours with minimal blood loss, and the patient had a smooth recovery, being discharged six days later; pathological results revealed moderately differentiated cholangiocarcinoma, indicating the procedure's efficacy and potential for broader application. *
Article Synopsis
- A new Difficulty Scoring System (DSS) has been created for robotic hepatectomy to help predict surgical difficulty and improve preoperative planning, filling a gap since current DSS only applies to laparoscopic procedures.
- The study analyzed data from 328 patients, ultimately including 274 after removing certain cases, and identified key factors such as tumor characteristics and surgical requirements that influence operative time and estimated blood loss (EBL).
- The final scoring system classified cases into four difficulty levels, with associated metrics showing significant variances in patient outcomes like operative duration and mortality across these groups, highlighting the DSS's potential for clinical application and future validation.