Enhanced recovery pathways significantly reduced postoperative morbidity and LOS in cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Among 150 patients studied, average compliance reached 77.6%, showing a notable negative correlation with postoperative complications and delays in return to intended oncological therapy. Specifically, patients with compliance below 71.6% faced increased morbidity. These findings support the efficacy of […]
Author: STITCHES Newsletter
Robotic malfunction checklist improves surgical efficiency and confidence
Researchers demonstrated that a robotic malfunction checklist (RMC) significantly reduced the resolution time for complex robotic errors by 43%, averaging 3.9 minutes. In a randomized controlled simulation, participants using the RMC reported lower task load across multiple dimensions and increased confidence in addressing robotic issues during actual surgeries. These findings suggest that implementing an RMC […]
To Cut or Not to Cut? Rethinking Appendectomy in the Era of Antibiotics
A clear-eyed look at the evolving conversation around uncomplicated appendicitis — and what it means for surgeons. What’s happening? We used to think there were only two kinds of people: those who had their appendix out, and those who hadn’t yet. The scalpel was a rite of passage. You doubled over in pain, someone pressed […]
Jejunal limb decompression reduces early-onset postoperative cholangitis
Researchers found that jejunal limb decompression (JLD) significantly lowers the incidence of early-onset postoperative cholangitis in patients undergoing pancreaticoduodenectomy. In a study involving 281 patients, the incidence dropped from 20.7% to 1.7% when JLD was employed. Additionally, a drainage volume of ≥1555 ml within 14 days post-surgery was identified as an independent risk factor for […]
TROPIS shows high cure rates for complex anal fistulas
Researchers conducted a systematic review and meta-analysis of the Transanal Opening of Intersphincteric Space (TROPIS) procedure for high complex anal fistulas, involving six studies and 499 patients. The analysis revealed a one-time cure rate of 80%, with a recurrence rate of 20% and an impressive final cure rate of 89%. Notably, no adverse events were […]
Endoscopic submucosal dissection outperforms endoscopic mucosal resection
Researchers found that endoscopic submucosal dissection (ESD) offers superior clinical outcomes for early oesophageal cancer compared to endoscopic mucosal resection (EMR). ESD demonstrated a shorter hospitalization time (7.51 vs. 9.16 days) and a significantly better postoperative quality of life. Although ESD surgeries took longer, both techniques achieved comparable resection rates. Importantly, ESD resulted in fewer […]
Soft Coagulation Scissors Enhance Safety in Robot-Assisted Surgery
Researchers have introduced the Soft Coagulation Scissors (SoCS) method, revolutionizing robot-assisted colorectal surgery. This innovative technique combines soft coagulation with curved scissors, effectively preventing vessel wall damage and minimizing bleeding during lymph node dissection. The SoCS method demonstrates high hemostatic efficacy while allowing for precise dissection, thereby enhancing the safety of surgical procedures near critical […]
Social vulnerability limits clinical trial participation in cancer surgery.
An analysis of over 399,000 gastrointestinal cancer surgery patients revealed that only 1.9% participated in clinical trials, with significant barriers linked to social vulnerability. Factors such as being female, Black, having Medicaid, and residing in economically disadvantaged neighborhoods correlated with lower enrollment rates. Furthermore, patients treated at community hospitals faced even greater obstacles, as high […]
High-Volume Centers Offer Better Long-Term Survival for Esophageal Cancer Surgery
Patients undergoing esophagectomy for cancer at high-volume centers exhibit improved long-term survival, as shown in a meta-analysis involving 23,194 individuals. Those treated in these centers lived an average of 4.3 months longer compared to their counterparts in low-volume centers. The analysis also indicated a significantly reduced risk of mortality over a 60-month follow-up period. This […]
Predictive model enhances surgical planning for advanced gastric cancer
A new predictive model developed for assessing surgical difficulty in distal gastrectomy for advanced gastric carcinoma shows promise. An analysis of 520 patients revealed seven independent risk factors, including BMI and tumor size. The model achieved an impressive area under the curve (AUC) of 0.787, indicating strong predictive accuracy. This tool aims to aid surgeons […]