All specialtiesHepatobiliary Surgery
Hepatobiliary Surgery Evidence Evolution
5 evidence evolution narratives tracing how landmark trials and guideline updates reshaped hepatobiliary surgery practice.
24.11990-2024
Liver Resection for Colorectal Metastases
Expanding resectability
Unresectable → Ekberg criteria → expanded criteria → oncosurgical → two-stage/ALPPS
Adam 2004ALPPS registry
Read evolution
24.22008-2024
Laparoscopic Liver Surgery
Minimally invasive becomes standard
Open-only → Louisville consensus → Southampton → ORANGE II → Oslo-CoMet RCT → robotic
LouisvilleSouthamptonORANGE IIOslo-CoMet
Read evolution
24.32000-2024
Pancreaticoduodenectomy Volume-Outcome
Centralization saves lives
High mortality → volume-outcome evidence → centralization → technique → ERAS
Birkmeyer 2002Birkmeyer 2003
Read evolution
24.42010-2024
Same-Admission Cholecystectomy for Gallstone Pancreatitis
Don't send them home first
Delayed 6-week → PONCHO (2015) → ACS/SAGES guidelines → implementation gaps
PONCHOACS guidelines
Read evolution
24.51990-2024
Portal Vein Embolization and ALPPS
Growing the future liver remnant
Insufficient FLR → PVE (1990s) → ALPPS (2012) → high morbidity → modified techniques
ALPPS registryMakuuchi PVE
Read evolution