Advances in Diagnosis and Treatment of Hepatobiliary Pancreatic Disorders

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 31 August 2024 | Viewed by 375

Special Issue Editors


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Guest Editor
Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
Interests: pediatric transplantation; pediatric surgery; liver transplantation; hepatobiliary surgery

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Guest Editor
Department of Transplantation Surgery, Aristotle University School of Medicine, Thessaloniki, Greece
Interests: liver transplantation; hepatobiliary surgery; pancreatic surgery; kidney transplantation
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Special Issue Information

Dear Colleagues,

Hepatobiliary and pancreatic disorders are being diagnosed with an increasing incidence over the past years. The most common primary hepatobiliary malignancies are hepatocellular carcinoma and cholangiocarcinoma, while the most common primary pancreatic malignancy is adenocarcinoma, and they account for a significant proportion of cancer-related mortality worldwide. The armamentarium of clinicians regarding the diagnosis and management of such malignancies or other benign hepatobiliary and pancreatic disorders is rapidly evolving, which allows for improved outcomes for these patients. Therefore, the current Special Issue aims to present a collection of articles that highlight the most up-to-date advancements in the diagnosis and management of diseases of the liver, bile ducts and pancreas. Contributions with original research articles, reviews and case reports or series are welcome.

Dr. Ioannis A. Ziogas
Prof. Dr. Georgios Tsoulfas
Guest Editors

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Keywords

  • liver cancer
  • pancreatic cancer
  • hepatobiliary disorders
  • pancreatic disorders
  • liver transplantation

Published Papers (1 paper)

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13 pages, 496 KiB  
Systematic Review
Robotic Stereotactic Body Radiation Therapy for Oligometastatic Liver Metastases: A Systematic Review of the Literature and Evidence Quality Assessment
by Ilektra Kyrochristou, Ilias Giannakodimos, Maria Tolia, Ioannis Georgakopoulos, Nikolaos Pararas, Francesk Mulita, Nikolaos Machairas and Dimitrios Schizas
Diagnostics 2024, 14(10), 1055; https://doi.org/10.3390/diagnostics14101055 - 19 May 2024
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Abstract
Introduction: The role of stereotactic body radiation therapy (SBRT) as a locally effective therapeutic approach for liver oligometastases from tumors of various origin is well established. We investigated the role of robotic SBRT (rSBRT) treatment on oligometastatic patients with liver lesions. Material and [...] Read more.
Introduction: The role of stereotactic body radiation therapy (SBRT) as a locally effective therapeutic approach for liver oligometastases from tumors of various origin is well established. We investigated the role of robotic SBRT (rSBRT) treatment on oligometastatic patients with liver lesions. Material and Methods: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The PubMed and Scopus databases were accessed by two independent investigators concerning robotic rSBRT for liver metastases, up to 3 October 2023. Results: In total, 15 studies, including 646 patients with 847 lesions that underwent rSBRT, were included in our systematic review. Complete response (CR) after rSBRT was achieved in 40.5% (95% CI, 36.66–44.46%), partial response (PR) in 19.01% (95% CI, 16.07–22.33%), whereas stable disease (SD) was recorded in 14.38% (95% CI, 11.8–17.41%) and progressive disease (PD) in 13.22% (95% CI, 10.74–16.17%) of patients. Progression-free survival (PFS) rates at 12 and 24 months were estimated at 61.49% (95% CI, 57.01–65.78%) and 32.55% (95% CI, 28.47–36.92%), respectively, while the overall survival (OS) rates at 12 and 24 months were estimated at 58.59% (95% CI, 53.67–63.33%) and 44.19% (95% CI, 39.38–49.12%), respectively. Grade 1 toxicity was reported in 13.81% (95% CI, 11.01–17.18%), Grade 2 toxicity in 5.57% (95% CI, 3.82–8.01%), and Grade 3 toxicity in 2.27% (955 CI, 1.22–4.07%) of included patients. Conclusions: rSBRT represents a promising method achieving local control with minimal toxicity in a significant proportion of patients. Further studies are needed to evaluate the role of rSBRT in the management of metastatic liver lesions. Full article
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