Bariatric surgery post-liver transplantation, particularly sleeve gastrectomy, resulted in significant and sustained weight loss, improved liver health, and reduced metabolic dysfunction in a Belgian nationwide study. Patients experienced a decrease in body mass index and notable reductions in liver enzyme and HbA1c levels post-surgery. The study highlights the safety and feasibility of sleeve gastrectomy in […]
Author: STITCHES Newsletter
Changes in J-Pouch Phenotypes Over Time
Endoscopic pouch phenotypes in patients with inflammatory bowel disease can transition over time, with normalization of pouches associated with favorable outcomes. Subsequent development of diffuse inflammation, pouch-related fistulas, and afferent limb/inlet stenoses significantly worsen pouch outcomes. Patients with pouch inflammation who achieve subsequent normalization have lower pouch excision risks. Understanding these changes is crucial for […]
Omentoplasty Reduces Complications in Various Surgeries
Omentoplasty significantly lowers overall complications, particularly in gastrointestinal and liver surgery. It reduces postoperative infection in thoracic and liver surgery. Patients with a BMI over 25 undergoing esophageal or gastrointestinal surgery benefit the most. No significant differences in pelvi-perineal surgery were found, except for specific cases. Overall, omentoplasty effectively prevents postoperative infection and decreases complications […]
Shock Index Predicts Outcomes in Major Abdominal Emergency Surgery Patients
Shock index (SI) is a valuable tool for predicting postoperative mortality, acute kidney injury (AKI), ICU admission, and ICU length of stay in major abdominal emergency surgery patients. Significant associations were found between SI and mortality at 1 month, 3 months, and 2 years. Multivariate analysis confirmed the relationship between SI and 1-month and 3-month […]
Positive reaction to immersive robotic surgical training
Researchers found that using 3D visors for immersive robotic surgery training garnered positive feedback from medical students and residents. Nearly 90% of participants expressed high engagement and intention to use the technology. The median System Usability Scale score was 80, and the median Simulator Sickness Questionnaire score was 44.88. These results suggest that immersive reality […]
High Incidence of Aberrant Hepatic Artery in Patients with Hepatocellular Carcinoma
Aberrant hepatic artery is common in patients with hepatocellular carcinoma, with complex variations impacting treatment. A retrospective study of 1250 patients showed a high incidence of aberrant hepatic artery (21.3%), affecting operation duration and postoperative outcomes. Variations included aberrant left and right hepatic artery origins. Differences in tace operation duration, nausea, vomiting, and laboratory results […]
Preoperative Chemotherapy Enables Resection in Advanced Pancreatic Cancer
Establishing preoperative chemotherapy (PCT) with FOLFIRINOX and gemcitabine/nab-paclitaxel enabled resectability in 61.2% of 139 patients with initially unresectable locally advanced pancreatic cancer. PCT did not increase perioperative mortality or morbidity, with 92.9% achieving R0 resection. Median postoperative survival was 31 months, highlighting the significant potential of PCT in extending recurrence-free and overall survival for resected […]
Superiority of Laparoscopic Surgery for Gallbladder Cancer
Laparoscopic surgery shows improved survival rates, less bleeding, shorter hospital stays, and lower complication rates compared to open surgery for gallbladder cancer. However, concerns remain due to factors like incidental cancer, heterogeneity, publication bias, and lymph node dissection. Subgroup analyses suggest ethnicity, sample size, and follow-up duration as potential sources of variability. Further research is […]
Decision Support Tool Clarifies Appendicitis Treatment Choices
Introduction of decision support tool (DST) for appendicitis treatment led to reduced uncertainty in treatment choice, with significant shifts from undecided to antibiotic or surgery preference. Over half of users reported low decisional conflict levels post-DST, indicating enhanced clarity. The publicly available DST, appyornot.org, showed promise in aiding treatment decision-making and is now part of […]
Positive Safety and Efficacy of Miniaturized Robotic Assisted Surgery Device in Colectomy
Novel miniaturized robotic-assisted surgery device demonstrated safety and efficacy in colectomy procedures, with no conversions to open surgery, adverse events, or mortalities. The study included 30 patients, showcasing successful completion of procedural steps and minimal morbidity rates. Results suggest potential for expanded clinical and economic effectiveness in colorectal surgery. Further assessments and long-term follow-up planned […]