Author: STITCHES Newsletter

Favorable safety profile of same-day discharge bariatric surgery

Findings indicate that the same-day discharge (SDD) protocol for bariatric surgery shows a favorable safety profile, achieving a 30% success rate for SDD sleeve gastrectomy and a 6% rate for SDD Roux-en-Y gastric bypass. The study recorded 811 sleeve gastrectomies and 325 Roux-en-Y procedures, highlighting a significant increase in ambulatory surgeries over a three-year timeframe. […]

Two-parts wrapping technique lowers surgical complications in LPD

The two-parts wrapping technique significantly reduces postoperative pancreatic fistula (POPF) and postpancreatectomy hemorrhage (PPH) in laparoscopic pancreaticoduodenectomy (LPD). Analyzing data from 172 patients, researchers found lower rates of overall and severe complications, particularly in patients with soft pancreatic textures and smaller duct diameters. Notably, the two-parts wrapping group experienced no instances of severe PPH and […]

SASI bypass demonstrates enhanced weight loss and metabolic improvements.

Comparative analysis revealed that single anastomosis sleeve ileal (SASI) bypass leads to greater weight loss than sleeve gastrectomy (SG) with a mean difference of 11.32 kg, and improves metabolic parameters, including type 2 diabetes mellitus (RR=1.35), dyslipidemia (RR=1.41), and obstructive sleep apnea (RR=1.50). No significant differences were found compared to one-anastomosis gastric bypass (OAGB), and […]

AI models effectively predict successful sphincter preservation in low rectal cancer

A study involving 604 low rectal cancer patients revealed a 71.9% successful sphincter-preserving resection (SSPR) rate, with hospital rates ranging from 37.7% to 94.4%. Researchers developed seven AI algorithms, including logistic regression and light gradient boosting, achieving excellent discrimination for predicting SSPR, with Area Under the Receiver Operating Characteristic (AUROC) values exceeding 0.8 for the […]

Tumor necrosis can independently predict colorectal cancer survival.

Evaluation of tumor necrosis as a prognostic indicator in colorectal cancer led to the development of criteria for three assessment methods: average percentage, hotspot, and linear methods. All methods demonstrated independent predictive ability for colorectal cancer-specific survival, with the average percentage method showing the highest hazard ratios. Reproducibility assessments revealed strong agreement among investigators, particularly […]

Access to total neoadjuvant therapy shows improvement, yet disparities remain.

Significant increases in access to total neoadjuvant therapy for rectal cancer were noted in California, rising from 36.6% in 2010 to 66.3% in 2020, with no disparity in growth between racial and ethnic groups. However, Latino patients were less likely to receive this treatment compared to non-Latino white patients. While survival rates among treated patients […]

Single-vessel transection reconstruction reduces surgery time and bleeding

The clinical study revealed that single-vessel transection Roux-en-Y reconstruction following total gastrectomy significantly shortened operation time (162.5 min vs. 178.5 min) and reduced intraoperative bleeding (167.2 ml vs. 207.8 ml) compared to conventional Roux-en-Y reconstruction in patients with proximal gastric cancer. No notable differences were found in baseline characteristics, mesentery tension, peritoneal drainage durations, postoperative […]

Surgical intervention can lead to statistical cures for HPB cancers.

A systematic review of eleven studies indicates curative-intent surgery for hepato-pancreato-biliary (HPB) cancers can yield statistically significant cures. Hepatocellular carcinoma showed cure fractions of 63.4% to 75.8% with liver transplantation and 31.8% to 40.5% with hepatic resection. Intrahepatic cholangiocarcinoma demonstrated a cure fraction of 9.7% based on tumor stage, while pancreatic neuroendocrine tumors and pancreatic […]