Vol 14, No 6 (December 01, 2025): Hepatobiliary Surgery and Nutrition

Original Article

Performance of major liver resection for gallbladder cancer—a western retrospective single center cohort study
Constantin Scholz, Maria Hoppe-Lotichius, Arndt Weinmann, Friedrich Foerster, Fabian Bartsch, Hauke Lang
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:914-926
.
Major liver resection alone for advanced gallbladder cancer does not improve overall survival but was rather associated with increased morbidity and mortality. Nevertheless, it may offer a chance for long-term survival in selected cases.
Anatomical study of the paracaval branch of the caudate lobe: implications of paracaval portion-preserving right hepatectomy for donors with marginal remnant liver volume
Na Reum Kim, Dai Hoon Han, Jin Sub Choi, Gi Hong Choi
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:927-936
.
The paracaval branch is categorized into right, left, and bifurcation types based on origin. Paracaval portion-preserving donor right hepatectomy is feasible for left and bifurcation types, seen in over half of cases, and beneficial for large sizes reaching the liver surface.
Safety and learning curve of robotic pancreatoduodenectomy with limited robotic platform access: a propensity score-matched comparison with open surgery in a high-volume center
Antoine Castel, Raffaele Vincenzo De Rosa, Maxime Esvan, Aude Merdrignac, Marie Livin, Edouard Wasielewski, Fabien Robin, Laurent Sulpice
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:937-948
.
The present study demonstrates the safety of Robotic pancreatoduodenectomy (RPD) in the specific context of Limited Access to Robotic Platform (ARP). The CUSUM analysis shows that the learning curve was reached at the 40th procedure as well as with no limited ARP.
Impact of donor-recipient sex-matching patterns on liver transplantation outcomes: a cohort study based on United Network of Organ Sharing data
Fengqiang Gao, Libin Dong, Jian Chen, Shengjun Xu, Zhoucheng Wang, Hanzhi Xu, Xun Qiu, Yichao Wu, Chuxiao Shao, Xuyong Wei, Shusen Zheng, Kai Wang, John Fung, Xiao Xu
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:949-962
.
We have demonstrated that donor-recipient sex-matching patterns could impact the recipient survival based on the big database of UNOS. And our proposed grading system could be utilized to stratify female donor-male recipient sex group to guide clinical decision to amend allocation process and optimize organ utility.
Anatomical complexity of the right-lobe grafts: influence on the outcomes in living donor liver transplantation
Seung Hyuk Yim, Incheon Kang, Deok-Gie Kim, Eun-Ki Min, Jae Geun Lee, Dai Hoon Han, Gi Hong Choi, Myoung Soo Kim, Dong Jin Joo
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:963-973
.
Anatomical complexities in right-lobe grafts in LDLT do not affect five-year survival, despite of increased biliary complications. Interestingly, graft with multiple IHVs improved survival. Right lobe graft with anatomical complexity can be safely used in LDLT, with vigilant monitoring for biliary complications.

Review Article

From NAFPD to MAFPD: a literature review of implications of a nomenclature change
Wen Zheng, Wen-Yue Liu, Wenhui Lou, Giovanni Targher, Christopher D. Byrne, Péter Hegyi, Mohammed Eslam, Jacob George, Ming-Hua Zheng
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:974-988
.
The review aims to discuss our current understanding of pancreatic fat accumulation, taking the naming process for MAFLD as a point of reference. We have investigated the possible benefits and challenges of renaming NAFPD to MAFPD and analyzed the clinical implications of this terminology change.

Surgical Technique

The British technique of purely robotic Whipple’s pancreatoduodenectomy a systematic and stepwise (‘clockwise’) approach
Hassaan Bari, Adithya Malolan Pathanki, Zaed Hamady, Ali Arshad, Declan Dunne, Ryan Baron, Timothy Pencavel, Rajiv Lahiri, Tim Worthington, Ricky Bhogal, Michael Silva, Zahir Soonawalla, Siong-Seng Liau, Jawad Ahmad
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:989-1005
.
This article outlines a standardized, fully robotic pancreaticoduodenectomy technique developed by experienced UK HPB surgeons. Robotic systems overcome limitations of laparoscopic surgery, offering enhanced precision and ergonomics. The approach may improve outcomes and broaden adoption of minimally invasive PD, despite current variability and evidence limitations.

French Editorial Commentary from the ACHBPT

Acute cholecystitis in older adults with multimorbidity: does surgery offer better outcomes?
Anaïs Tribolet, Sophie Chopinet
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1006-1008
.

Editorial Commentary

Biliary tract cancers: topaz-1 up-date, a practice changing study
Matthieu Sarabi, Pascal Artru
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1009-1011
.
Assessing the risk of metabolic dysfunction-associated steatotic liver disease in type 2 diabetes: is the Fibrosis-4 index still a reliable tool?
Masato Yoneda, Takashi Kobayashi, Michihiro Iwaki, Naohiro Wada, Asako Nogami, Atsushi Nakajima
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1012-1015
.
Never change a winning team—liver stiffness measurement and platelet count as key surrogates for clinically significant portal hypertension
Georg Semmler, Mathias Jachs, Mattias Mandorfer
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1016-1019
.
Rethinking resectability: the case for neoadjuvant treatment in resectable pancreatic cancer
Kai Tai Derek Yeung, Ricky Harminder Bhogal
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1020-1022
.
Do Asian patients with HCC derive greater benefit from anti-PD-L1 plus anti-CTLA-4 therapy?
Atsushi Ono, C. Nelson Hayes, Masataka Tsuge, Shiro Oka
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1023-1027
.
Application progress of spatial omics in hepatobiliary tumor research
Liwei Du, Hongyuan Yi, Haifeng Xu
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1028-1030
.
Metabolic surgery in metabolic dysfunction-associated steatohepatitis: emerging evidence and clinical promise
Masanori Fukushima, Satoshi Miuma, Hisamitsu Miyaaki
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1031-1033
.
Radiofrequency ablation for colorectal liver metastases: an evolving alternative or complement to resection?
Yang Sun, Siyu Jiang, Ruolin Wu, Bo Zhou
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1034-1037
.
Insights in efficacy of simple oral nutritional supplements after gastrectomy for gastric cancer
Guanmo Liu, Jie Li, Chenggang Zhang, Pan Li, Yihua Wang, Shihan He, Weiming Kang, Xin Ye
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1038-1041
.
Organoid models for T cell-based immunotherapy in hepatobiliary cancers
Liwei Du, Jiaxun Dong, Shunda Du
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1042-1044
.

Editorial

The limits of segmental dichotomy: rethinking how we classify and compare minimally invasive liver resections
Víctor Lopez-Lopez, Cecilia Maina, Ricardo Robles-Campos
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1045-1048
.
Improving outcomes of patients with severe respiratory and circulatory failure following living donor liver transplantation: efficacy of extracorporeal membrane oxygenation
Akihiko Soyama, Motohiro Sekino, Tetsuya Hara, Susumu Eguchi
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1049-1052
.
Should all patients be offered liver venous deprivation for insufficient future liver remnant hypertrophy prior to major hepatectomy?
Adriana C. Gamboa, Timothy E. Newhook
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1053-1055
.
Living donor liver re-transplantation: a viable option?
Souhail A. Thabet, Samar Semaan, Ashton A. Connor, Linda W. Moore, R. Mark Ghobrial
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1056-1058
.
Portal and hepatic vein(s) embolization as a preparation for major hepatectomy: Enough is enough or more is better?
Daniel Azoulay
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1059-1062
.

Letter to the Editor

Survival impact of conversion therapy for Barcelona Clinic Liver Cancer (BCLC) stage B and C hepatocellular carcinoma—a propensity score matching analysis
Karin K. Y. Ho, Chi Leung Chiang, Tiffany Wong, Wing Chiu Dai, Simon Tsang, Sui Ling Sin, Kin Pan Au, Miu Yee Chan, Tan To Cheung, Albert C. Y Chan
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1063-1077
.
Machine learning-enhanced radiomics for predicting portal vein thrombectomy in liver transplantation
Xing-Yu Luo, Zhi-Kun Liu, Chen-Hao Gao, Shu-Sen Zheng, Zhe Yang
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1078-1083
.
Intraductal papillary mucinous neoplasm with specific fibroinflammatory pancreatitis: a rare but potential mimicker of malignant transformation
Shengwei Mo, Ming Cui, Jingci Chen, Qiang Xu, Xiaoyan Chang
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1084-1086
.
Comprehensive treatment and surgical features of giant hepatic hemangioma with Kasabach-Merritt syndrome in an adult
Yongqi Deng, Weikang Liu, Yu Zhu, Xin Wang, Yongsu Ma, Hongqiao Gao, Hao Hu, Xiaodong Tian, Yinmo Yang
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1087-1091
.
Beyond precision: why time and human judgment still matter in the era of autonomous surgery
Xiaokun Chen, Shunda Du
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1092-1094
.
Expanding the ethnic and geographic spectrum of hereditary pancreatitis: first report of a Tibetan case with compound SPINK1 variants
Yonghao Chen, Zhen Yu, Jianing Li, Yangjin Ciren, Qiang Wang, Dong Wu
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1095-1098
.

Viewpoint

Rethinking the classical hepatic inflow occlusion time in hepatectomy for hepatocellular carcinoma under new circumstances
Xuehai Jia, Gang Xu, Li Jiang
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1099-1104
.

Images in Clinical Medicine

A puzzling mixed cystic-solid mass at the hepatic hilum
Haizhou Qiu, Yang Huang, Yang Li, Li Jiang
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1105-1107
.
Ectopic hepatocellular carcinoma of the abdominal wall
Binglin Lai
HepatoBiliary Surgery and Nutrition  
2025;
14
(6)
:1108-1110
.