Patients who have undergone adenoma with high-grade dysplasia (HGD) removal face higher risks of advanced neoplasia (AN) and colorectal cancer (CRC), with AN and CRC incidences of 44.3 and 4.4 per 1000 person-years, respectively. Those with synchronous polyps or elevated baseline carcinoembryonic antigen levels are at higher risk and may need more frequent surveillance, although […]
Author: STITCHES Newsletter
Impact of Nutritional Support on Prognosis in Critical Surgical Patients
High-risk patients identified by the mnutric score had significantly poorer in-hospital survival rates compared to low-risk patients. Adequate nutritional support was associated with improved prognosis, highlighting the importance of timely intervention in critically ill surgical patients. Inadequate nutritional support and high mnutric scores were significant risk factors for in-hospital mortality, underscoring the need for optimized […]
Enhanced Precision in Laparoscopic Left Hemihepatectomy for Hepatolithiasis
Augmented reality navigation combined with indocyanine green fluorescence imaging significantly improves safety and precision in laparoscopic left hemihepatectomy for hepatolithiasis. The new method successfully aided in guiding hilar vessel dissection and identifying liver resection boundaries, with no major complications reported. This combined approach offers enhanced surgical accuracy and may be particularly beneficial when fluorescence imaging […]
ctDNA as a Prognostic Biomarker in Locally Advanced Rectal Cancer
Circulating tumor DNA (ctDNA) shows promise as a prognostic biomarker in locally advanced rectal cancer (LARC), with meta-analysis revealing a significantly increased risk of recurrence in post-neoadjuvant and post-operative periods for ctDNA-positive patients. This systematic review underscores the value of ctDNA in identifying LARC patients at higher risk of disease recurrence, providing insights into disease […]
Improved Patient Outcomes with SPARC Collaboration
Establishing the SPARC program led to improved patient outcomes for retroperitoneal sarcoma at RPAAH and COBLH. The program saw an increase in operations from 15 to 35 cases annually, with liposarcomas and leiomyosarcomas being the most common types resected. The majority of cases underwent extended resections, resulting in a high rate of R0/R1 resections. Collaboration, […]
Comparable Long-Term Survival Prognoses in Gastrointestinal Neuroendocrine Neoplasms
Endoscopic treatment and surgery show similar overall and cancer-specific survival rates in gastrointestinal neuroendocrine neoplasms. Endoscopic treatment may offer a better cancer-specific survival in certain cases such as stage I tumors and those smaller than 10mm. Both treatment options are viable for patients, with endoscopic treatment as a potential alternative for those hesitant about surgery. […]
GLR as an Independent Prognostic Marker in Colorectal Cancers
Preoperative glucose/lymphocyte ratio (GLR) in colorectal cancers independently predicts prognosis. Analysis of 222 patients showed high GLR (≥3.04) correlated with increased mortality (p=0.001) and lower overall survival rates. GLR levels (p≤0.001) significantly related to age, perineural invasion, tumor grade, TNM stage, and surgery time. GLR ≥3.04 raised mortality risk 2.9 times (p=0.003). GLR could aid […]
Improved Outcomes with Robotic and Transanal Total Mesorectal Excision
Robotic total mesorectal excision (TME) and transanal TME showed better postoperative results compared to laparoscopic TME in locally advanced rectal cancer patients. Robotic TME had lower rates of anastomotic leakage and open surgery conversions, while transanal TME had shorter hospital stays and time to flatus. No significant differences were observed in operating time, complications, blood […]
Shift in Treatment Outcome Valuation for Low-Risk Thyroid Cancer
Patients with low-risk thyroid cancer changed their valuation of treatment outcomes after surgical decisions, favoring quality of life factors post-treatment. Emotional impact led to overuse of total thyroidectomy. Those choosing lobectomy increased importance on risk of recurrence, while total thyroidectomy patients valued it less. Surgeons can better discuss post-surgery effects on energy levels with patients […]
Impact of Socioeconomic Vulnerability on Emergency General Surgery Outcomes
Study finds that socioeconomic vulnerability is independently associated with increased in-hospital mortality, perioperative complications, longer hospital stays, higher costs, non-home discharge, and readmission rates after emergency general surgery. Results highlight the need for new interventions to address healthcare disparities and improve outcomes for vulnerable patient populations. Journal Article by Sakowitz S, Bakhtiyar SS (…) Benharash […]