The study revealed a significant association between postoperative hypothermia and increased complications in patients undergoing major abdominal surgery. Out of 30,194 patients, those who experienced hypothermia had a 9% higher incidence of complications, particularly acute kidney injury, which was 14% more prevalent in this group. Factors linked to hypothermia included the type of surgery performed. […]
Author: STITCHES Newsletter
Intracorporeal triangular anastomosis enhances robotic gastrectomy safety
The study evaluated the intracorporeal triangular anastomotic technique (INTACT) in robotic distal gastrectomy (RDG) with Billroth I reconstruction, involving 81 patients aged 31 to 91 years. Results showed median blood loss was 0 ml, and postoperative stays averaged 8 days. Importantly, there were no incidences of reanastomosis, anastomotic leakage, reoperations, or strictures. With enhanced precision […]
Staging laparoscopy improves diagnosis of incurable gastric cancer.
A population-based study indicates that staging laparoscopy in gastric cancer patients increased from 19.6% in 2016 to 32.3% in 2021 (p
Combination therapy improves survival in unresectable upper biliary tract cancers
A retrospective study of 60 patients with unresectable upper biliary tract cancer revealed that gemcitabine and cisplatin plus S-1 (GCS) therapy, followed by conversion surgery, significantly increased median overall survival to 28 months compared to 12.4 months for those receiving only GCS. The response rate to therapy was 33.9%, with conversion surgery performed in 35% […]
RD2 Ver.02 shows promising efficacy in treating pilonidal sinus
In a phase II study involving 51 patients with pilonidal sinus (PNS), RD2 Ver.02 demonstrated significant results. Three months post-treatment, 82.4% achieved primary healing, increasing to 90.2% and 82.4% at six and twelve months, respectively. Recurrence occurred in 11.8% of patients within a year, while five adverse events were reported, none severe. Thus, RD2 Ver.02 […]
Preoperative iron deficiency anemia needs urgent management in CRC patients.
Preoperative iron deficiency anemia (IDA) significantly impacts colorectal cancer (CRC) patients, with up to 80% experiencing iron deficiency. This condition predisposes them to increased risk of allogeneic blood transfusion, postoperative complications, prolonged hospital stays, and higher mortality. An effective strategy for managing IDA involves using the reticulocyte hemoglobin equivalent as a diagnostic tool and administering […]
Innovative protocol enables high compliance in genetic testing
A novel protocol for germline genetic testing (GGT) in pancreatic ductal adenocarcinoma (PDAC) demonstrated a high patient compliance rate of 98.7%, with 310 patients tested over three years. The physician compliance rate was 82.6%, and 14.2% of patients had actionable pathogenic variants. The protocol effectively allocated genetic counseling resources to benefit those most in need, […]
Modified Surgical Apgar Score enhances postoperative complication prediction
Modified Surgical Apgar Score (MSAS) may serve as a valuable tool in predicting postoperative complications in rectal cancer patients undergoing robotic surgery. The study analyzed 524 patients, revealing a 17.4% complication rate, with MSAS scores of 6 identified as optimal cut-off values. The area under the ROC curve was 0.740 for predicted complications, while the […]
Gastric stimulator improves outcomes after pyloroplasty failure.
Patients undergoing pyloroplasty for gastroparesis showed significant symptom improvement, with a GCSI score reduction from 3.5 to 2.7 at 18.7 months. However, 28.8% required gastric stimulation due to inadequate recovery. Patients who needed adjunct stimulation were younger and had higher baseline GCSI scores. Following gastric stimulation, GCSI scores improved from 4.1 to 2.6, demonstrating comparable […]
European Hernia Society Classification Aids Surgical Planning for Parastomal Hernias
The study validates the European Hernia Society classification for parastomal hernias (PH) by analyzing 160 cases at a single center. It demonstrates that this classification effectively categorizes PH, essential for surgical planning and anticipating complications. Findings reveal a high incidence of complex type III and IV hernias, emphasizing increased complication rates in these cases. This […]