Robotic natural orifice specimen extraction surgery (r-noses) exhibits advantages over robotic transabdominal specimen extraction surgery (r-tses) for early-stage rectal cancer. A multicenter study in China revealed r-noses resulted in longer operation time, but shorter times to first flatus and oral intake, reduced hospital stay, lower wound complications, and improved surgical stress response compared to r-tses. […]
Author: STITCHES Newsletter
Endoscopic submucosal dissection outperforms endoscopic mucosal resection for rectal lesions involving the dentate line
Endoscopic submucosal dissection (ESD) demonstrated superior efficacy over endoscopic mucosal resection (EMR) in treating rectal lesions involving the dentate line. ESD had higher en bloc and complete resection rates, lower recurrence rates, and higher curative rates, especially for low-risk adenocarcinomas. ESD should be considered the preferred treatment for these lesions based on the study’s findings. […]
ERAS Program in Laparoscopic Distal Gastrectomy
ERAS program in laparoscopic distal gastrectomy significantly reduced postoperative recovery time, hospital stays, and costs compared to traditional care. Patients in the ERAS group also had lower postoperative complication rates. Combining ERAS with laparoscopy was safe and effective for managing distal gastric cancer perioperatively. These findings suggest the potential benefits of implementing ERAS protocols in […]
Impact of Major Hepatectomy on Recurrence in HCC Patients
Patients with hepatocellular carcinoma undergoing major hepatectomy had higher complication rates and shorter recurrence-free survival compared to those undergoing minor hepatectomy, regardless of propensity score matching. Major hepatectomy was identified as an independent predictor for HCC recurrence. Minor hepatectomy resulted in fewer postoperative complications and better recurrence-free survival outcomes. Therefore, parenchyma-sparing resection should be favored […]
Nomogram Model for Predicting Perineural Invasion in Gastric Cancer
Development of a preoperative nomogram model effectively predicts perineural invasion in advanced gastric cancer. Key independent risk factors include extramural vascular invasion, Borrmann classification, tumor thickness, and systemic inflammation response index. The nomogram demonstrates a high AUC value of 0.838, good calibration, and clinical net benefit. Patients predicted to be PNI-positive have significantly lower disease-free […]
High Success and Safety of EUS-Guided Gallbladder Drainage
Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) shows high technical and clinical success rates (96.55% and 82.75%, respectively) with low adverse events (27.59%) in acute cholecystitis and malignant distal biliary obstruction. This multicenter study in India highlights the safety and effectiveness of EUS-GBD, offering a minimally invasive alternative for high-risk patients and serving as a rescue biliary […]
Factors Influencing Postoperative Weight Trajectories in Bariatric Surgery
Study identifies key factors influencing postoperative weight loss trajectories after bariatric surgery, including demographics like age, sex, and race/ethnicity, as well as preoperative clinical factors such as preoperative BMI and comorbidities. Men, older patients, and certain ethnic groups were more likely to have lower postoperative weight loss. These findings could help improve patient support to […]
Robotic vs. Laparoscopic Total Mesorectal Excision: Superior 5-Year Survival
Robotic total mesorectal excisions show higher 5-year overall survival rates and comparable long-term oncological outcomes compared to laparoscopic approach for rectal cancer. Additionally, robotic surgery results in lower conversion rates, shorter hospital stays, and fewer postoperative complications. This study suggests robotic surgery as a safe and favorable alternative to traditional approaches for rectal cancer treatment, […]
Revisional Bariatric Surgery Reduces Antidiabetic Costs
Revisional bariatric surgery showed a positive impact on antidiabetic treatment reimbursement over a 4-year follow-up, reducing or discontinuing treatments and decreasing costs per patient. A study in France compared different revisional surgery sequences after sleeve gastrectomy and adjustable gastric banding, revealing significant changes in reimbursed antidiabetic treatments. These findings suggest the potential cost-effectiveness of revisional […]
Improved Outcomes with Comprehensive Gastric Cancer Surgery Program
Comprehensive regional program, including the mirec pathway, significantly reduced hospital stays after laparoscopic gastrectomy without increasing adverse events. Gastric cancer surgery outcomes improved with decreased hospital stays and lower complication rates. The program revolutionizes care delivery, enhancing quality and value for patients through regionalization, laparoscopic approach, oncologic care, subspecialization, and mirec pathway integration. Chemotherapy utilization […]