Postoperative antibiotic prophylaxis (ppa) significantly lowers the incidence of liver-specific surgical site infections (liver-ssi) in patients undergoing simultaneous liver and colorectal resections. In a cohort of 250 patients, those receiving ppa experienced a liver-ssi rate of 11% versus 29.3% in the control group (p
Author: STITCHES Newsletter
IBD Patients Face Higher Clot Risk After Colorectal Cancer Surgery
Patients with inflammatory bowel disease (IBD) undergoing colorectal cancer surgery face a significantly elevated risk of venous thromboembolism (VTE) compared with those without IBD. The analysis highlights VTE as a critical postoperative complication in this population, underscoring the need for heightened vigilance and tailored thromboprophylaxis strategies. Surgeons should recognize IBD as an independent risk factor […]
New standards improve evaluation of laparoscopic bile duct procedures
Laparoscopic transcystic common bile duct exploration (LTCBDE) achieves a 71.1% textbook outcome rate, defined by seven key criteria including postoperative complications and length of stay. Researchers identified major risk factors for failure: delayed drainage removal and prolonged hospitalization. Preoperative endoscopic retrograde cholangiopancreatography emerged as a significant predictor. These findings push for standardized outcome measures, enhancing […]
Low Income Linked to Higher Surgical Complications and Mortality Rates
Lower patient income significantly increases the risk of postoperative complications and mortality within 90 days of surgery. A comprehensive analysis of 36 studies involving over 24 million patients revealed that those on Medicaid and Medicare face higher odds of adverse outcomes compared to their privately insured counterparts. Specifically, Medicaid patients showed a 1.85 times greater […]
Preoperative Nutrition Significantly Predicts Survival in Abdominal Tumor Surgery
Preoperative nutritional status plays a critical role in predicting overall survival for patients undergoing abdominal tumor surgery. A meta-analysis of 32 studies involving over 10,000 patients revealed a strong link, with a pooled hazard ratio of 1.61 indicating that better nutritional health correlates with improved survival outcomes post-surgery. As malnutrition is prevalent in this patient […]
AI-Assisted Detection System Elevates Polyp Identification During Colonoscopies
A real-time AI-driven polyp detection system significantly improved detection rates in a multicenter trial. The system achieved a polyp detection rate of 67.18% compared to 56.92% in the control group. It particularly excelled at identifying smaller polyps (5 mm), enhancing both sensitivity and specificity. Results indicate that this technology not only increases efficiency in colorectal […]
New Technique Cuts Surgical Time and Blood Loss in Robotic Pancreatic Surgery
A novel pancreatic head clockwise devascularization approach during robotic pancreaticoduodenectomy significantly reduced operation time and blood loss compared to the traditional superior mesenteric artery-first method. Surgery duration dropped to 616 minutes with only 50 ml of blood loss, while the conventional method saw 772 minutes and 330 ml. Both groups had similar postoperative complications, with […]
Perinephric Vein Identified as Key Landmark for Pancreatectomy
A new anatomical landmark, the perinephric vein, enhances access to the left renal vein during minimally invasive distal pancreatectomy (MIDP) for pancreatic cancer. In a cohort of 114 patients, 63.2% with pancreatic ductal adenocarcinoma showed the vein could help secure the posterior surgical margin, improving overall surgical precision. Of those, 92% had visible perinephric veins, […]
Active Surveillance Emerges as a Viable Option for Oesophageal Cancer Treatment
An organ-sparing approach via active surveillance shows promise for oesophageal cancer patients achieving complete clinical response after neoadjuvant therapy. Trials validate a comprehensive diagnostic strategy while early results suggest comparable survival rates and improved quality of life versus immediate surgery. Despite concerns over delayed interventions upon recurrence, data indicate no significant compromise in surgical outcomes. […]
Index Admission Cholecystectomy Cuts Mortality and Readmission Rates in Acute Cholangitis
Cholecystectomy during the initial hospital admission for acute cholangitis significantly reduces in-hospital mortality and lowers readmission rates at 30 and 90 days. Among over 29,000 patients studied, those receiving surgery on admission exhibited a 60% lower mortality risk and substantially improved readmission outcomes, regardless of severity. Findings urge a re-evaluation of surgical timing in management […]