The role of radiomics in hepato-bilio-pancreatic surgery: a literature review

De Robertis, Riccardo; Todesco, Marco; Autelitano, Daniele; Spoto, Flavio; D’Onofrio, Mirko

doi:10.20517/ais.2023.18

Art Int Surg

2023

DOI: 10.20517/ais.2023.18

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The role of radiomics in hepato-bilio-pancreatic surgery: a literature review

Riccardo De Robertis,

Marco Todesco,

Daniele Autelitano

et al.

Abstract: Radiomics is an advanced computational analysis of biomedical images that aims to obtain a detailed, objective, and multidimensional characterization of biological tissues. Radiomics features ultimately represent the physiopathology of the tissue under study and can be used to characterize and quantify the spatial distribution and interactions between the voxels that compose a biomedical image. The aim of this paper was to review the current role of radiomics in hepato-bilio-pancreatic surgery by analyzing sys… Show more

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2024

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Cited by 3 publications

References 86 publications

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Ethics and Trustworthiness of Artificial Intelligence in Hepato-Pancreato-Biliary Surgery: A Snapshot of Insights from the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) Survey

Rashidian,

Hilal,

Frigerio

et al. 2024

HPB

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Ethics and Trustworthiness of Artificial Intelligence in Hepato-Pancreato-Biliary Surgery: A Snapshot of Insights from the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) Survey

Rashidian,

Hilal,

Frigerio

et al. 2024

HPB

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Clinical outcomes of preservation versus resection of portal/superior mesenteric vein during pancreaticoduodenectomy in pancreatic cancer patients who respond to neoadjuvant treatment: a retrospective cohort study

Chae,

Jung,

Yun

et al. 2024

International Journal of Surgery

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Background: R0 rates have increased as neoadjuvant treatment (NAT) has become the primary treatment for pancreatic ductal adenocarcinoma (PDAC) with venous involvement, suggesting a decrease in venous tumor infiltration. The aim of this study was to investigate the clinical outcomes of preserving the portal/superior mesenteric vein (PV/SMV) during pancreaticoduodenectomy (PD) in PDAC patients who underwent NAT. Material and Methods: The 113 patients with resectable and borderline resectable PDAC with venous involvement who responded to NAT and underwent curative PD between 2012 and 2022 were retrospectively reviewed. Results: Among the 113 patients, PV/SMV preservation (PVP) was performed in 68 patients (60.2%), and PV/SMV resection (PVR) was performed in 45 patients (39.8%). There was no significant difference in the R0 rate, 5-year overall survival (OS) and recurrence-free survival between the two groups. PV/SMV stenosis within 3 months after surgery was more common in the PVR group than in the PVP group (1.5% versus 22.2%; P < 0.001), and 5-year PV/SMV stenosis-free survival was significantly higher in the PVP group than in the PVR group (76.5% versus 53.4%; P=0.014). Multivariate analysis showed that gemcitabine-based neoadjuvant chemotherapy was associated with poor OS. PVR, clinically relevant postoperative pancreatic fistula, and locoregional recurrence were independent risk factors for PV/SMV stenosis. Conclusion: The PVP group had similar oncologic outcomes and better vessel-functional outcomes than the PVR group. Therefore, if dissection is possible and there is a high likelihood of achieving R0 resection after NAT, routine PVR may be unnecessary in PDAC patients with venous involvement.

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Use of Vascular Shunt at the Time of Pancreatectomy with Venous Resection: A Systematic Review

Libia,

Marchese,

D’Ugo

et al. 2024

Cancers

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Background: The rising diffusion of vascular resections during complex pancreatectomy for malignancy, for both oncological and technical matters, brought with it the use of vascular shunts, either temporary or definitive, to prevent bowel congestion and liver ischemia. This study aimed to systematically review the literature on the technical feasibility of vascular shunts during advanced pancreatic surgery, analyzing intraoperative and postoperative outcomes. Methods: A systematic literature search was performed on PubMed, Scopus, Web of Science, and the Cochrane Library Central, according to PRISMA guidelines. Studies published before 2006 were excluded, considering the lack of a standardized definition of locally advanced pancreatic cancer. The main outcomes evaluated were the overall complication rate and shunt patency. Results: Among 789 papers retrieved from the database search, only five fulfilled the inclusion criteria and were included in the review, amounting to a total of 145 patients undergoing a shunt creation at the time of pancreatectomy. Pancreatic adenocarcinoma (PDAC) was found to be the most common diagnosis and pancreaticoduodenectomy was the main surgical procedure, accounting for 88% and 83% of the overall cohort, respectively. The distal splenorenal shunt was the most performed. Overall, 44 out of 145 patients (30%) experienced postoperative complications; the long-term patency of definitive shunts was 83% (110 out of 120 patients). Conclusions: An increasing number of patients with borderline resectable or locally advanced PDAC are becoming amenable to resection and shunt creation may facilitate vascular resection with clear margins, becoming a valid tool of modern pancreatic surgery.

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The role of radiomics in hepato-bilio-pancreatic surgery: a literature review

Cited by 3 publications

References 86 publications

Ethics and Trustworthiness of Artificial Intelligence in Hepato-Pancreato-Biliary Surgery: A Snapshot of Insights from the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) Survey

Ethics and Trustworthiness of Artificial Intelligence in Hepato-Pancreato-Biliary Surgery: A Snapshot of Insights from the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) Survey

Clinical outcomes of preservation versus resection of portal/superior mesenteric vein during pancreaticoduodenectomy in pancreatic cancer patients who respond to neoadjuvant treatment: a retrospective cohort study

Use of Vascular Shunt at the Time of Pancreatectomy with Venous Resection: A Systematic Review

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