A multicenter cohort study analyzed data from 1,479 patients with clinical stage II/III low rectal cancer in Japan, identifying key risk factors for local recurrence (LR). The 5-year cumulative incidence of LR was found to be 12.3%. Notable preoperative, treatment-related, and postoperative factors were linked to increased LR risk. Of particular concern, patients without neoadjuvant […]
Author: STITCHES Newsletter
Revised predictive model shows improved accuracy for post-ERCP pancreatitis
A new predictive model for post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis has been developed, highlighting procedural factors such as total procedure time, unintended pancreatic duct cannulation, and pancreatic opacification as significant risks. Among 1,112 patients, the model stratified participants into low, intermediate, and high-risk groups, revealing pancreatitis incidences of 2.6%, 7.1%, and 12.6%, respectively. This revised […]
Robotic approach enhances outcomes in complex liver surgeries
A seven-year retrospective study at Weill Cornell revealed that transitioning from laparoscopic to robotic liver surgery significantly improves perioperative outcomes in hepatectomies. Among 353 cases analyzed, robotic hepatectomies demonstrated shorter median lengths of stay by 43% and reduced complication odds by 62% compared to open surgery. The robotic approach also had an 87% lower rate […]
Modified suturing technique achieves high closure rate in duodenal ESD
A modified double-layered suturing method, known as the origami method, demonstrated a 96% success rate in achieving complete closure of large mucosal defects following duodenal endoscopic submucosal dissection (ESD). In a review of 28 cases, closure was completed with a median time of 16 minutes, and no complications such as perforations or bleeding were observed. […]
Single-port techniques vary in efficacy for adrenal tumor surgeries
A comparative analysis of single-port techniques for adrenalectomies revealed that single-port single-channel laparoscopic surgery offers significant benefits for tumors up to 4 cm, including reduced hospital stay and pain. For tumors exceeding 4 cm, single-port multi-channel approaches facilitate shorter hospital stays and fewer additional punctures. All 218 adrenalectomies were successfully performed without conversion to open […]
BIG score outperforms traditional methods in trauma mortality prediction
In a retrospective study with 563 adult patients, the BIG score proved to be an independent predictor of in-hospital mortality in trauma cases, significantly outperforming the Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and Injury Severity Score (ISS). With a cutoff value of 10.65, it achieved 67.7% sensitivity and 86.5% specificity, predicting mortality risks […]
Key predictors identified for successful outcomes in gastroparesis treatment
A systematic review of 1,899 articles identified 30 relevant studies on gastric peroral endoscopic myotomy (GPOEM) for refractory gastroparesis. Findings revealed a GPOEM response rate of 63.1%. Key predictors for a positive response included older age, shorter gastroparesis duration, nondiabetic etiology, lower body mass index, and previous improvement with intrapyloric botulinum toxin. However, variability in […]
Enhancing access to global cancer surgical care
The second Lancet Oncology Commission released a roadmap focused on improving access to cancer surgery worldwide through eight actionable solutions. By integrating the Consolidated Framework for Implementation Research (CFIR) and addressing barriers and implementation timelines, the commission aims to enhance clinical care and reduce inequities. The series in the Annals of Surgical Oncology will highlight […]
Automated Deep Learning Framework Enhances Pelvimetry Accuracy
A novel automated pelvimetry approach using deep learning shows promise in analyzing pelvic dimensions from MRI for total mesorectal excision (TME) difficulty assessment. The framework employs a 3D U-Net to precisely localize anatomical landmarks, achieving a mean localization error of 5.6 mm and demonstrating strong correlations (0.7 to 0.87) between automated and manual measurements. This […]
Sleeve gastrectomy improves outcomes for obesity and sleep apnea.
A meta-analysis revealed that sleeve gastrectomy (SG) significantly reduces the apnea-hypopnea index (AHI), body mass index (BMI), weight, and fat areas while enhancing forced vital capacity (FVC) and sleep metrics in patients with obesity and obstructive sleep apnea (OSA). Key post-surgical benefits included decreased arousal index, oxygen desaturation index (ODI), and improvements in metabolic markers […]