Developed predictive model using a nomogram to predict anastomotic stricture post anterior resection for rectal cancer. Key predictors include radiotherapy, diverting stoma, anastomotic leakage, and anastomotic distance. The model demonstrated high accuracy with AUC of 0.889 for training set and 0.930 for validation set. Nomogram has clinical value in predicting anastomotic stricture, aiding clinicians in […]
Author: STITCHES Newsletter
Factors influencing peroral endoscopic myotomy outcomes
Meta-analysis identifies that sigmoid esophagus, type of achalasia, and prior treatments impact the success of peroral endoscopic myotomy (POEM) for achalasia. Specifically, type I and III achalasia, sigmoid esophagus, and past heller myotomy or balloon dilation correlate with higher failure rates. Conversely, type II achalasia shows better response rates. This data can aid in treatment […]
Standardizing Laparoscopic Ventral Hernia Repair Techniques in India
Experts in India reached a consensus on laparoscopic ventral hernia repair (LVHR) techniques to improve patient safety and outcomes. Key recommendations include intraperitoneal onlay mesh (IPOM) and various minimally invasive approaches. These standardized practices aim to enhance decision-making and guide minimal access surgery for ventral hernias in the Indian context, filling critical gaps in current […]
Autofluorescence in Thyroidectomy Cuts Hypoparathyroidism Rates
Autofluorescence-guided total thyroidectomy significantly reduced immediate and permanent hypoparathyroidism rates in low-volume, nonparathyroid institutions. Introduction of autofluorescence decreased immediate hypoparathyroidism from 37% to 19% and permanent hypoparathyroidism from 32% to 6%, eventually reaching 0%. More parathyroid glands were identified and fewer inadvertently excised with autofluorescence. These findings suggest that the use of autofluorescence in thyroid […]
Long-Term Impact of Metabolic Bariatric Surgery on Cardiovascular Events
Metabolic bariatric surgery shows enduring weight reduction and improvement in obesity-related comorbidities. Both OAGB and SADJB-SG procedures lead to significant improvements in BMI, diabetes, hypertension, and dyslipidemia over three years. Patients also experience a substantial reduction in 10-year MACE, stroke, and atherosclerotic CVD risks. These findings highlight the effectiveness of OAGB and SADJB-SG in metabolic […]
Thermal Ablation Matches Lobectomy in Long-Term Outcomes for Thyroid Microcarcinoma
Long-term multicenter study comparing image-guided thermal ablation to lobectomy for solitary papillary thyroid microcarcinoma showed no significant differences in disease progression or survival outcomes. Ablation had lower complication rates, shorter hospitalization, procedure time, reduced blood loss, and lower costs compared to lobectomy. Thermal ablation could be a safe and effective alternative for properly selected patients […]
Preoperative Assessment Enhances Outcomes in Elderly Gastric Cancer Surgery
A comprehensive preoperative assessment and support program for elderly gastric cancer patients significantly reduces blood loss, serious complications, and postoperative hospital stay compared to standard care. Tailored support for sarcopenia patients contributes to improved outcomes, highlighting the importance of personalized preoperative care in enhancing surgical safety and reducing complication rates in this demographic. Journal Article […]
Laparoscopic Surgery Improves Outcomes for Colorectal Cancer
Comparing laparoscopic and open surgery for colorectal cancer, researchers found significant advantages with minimally invasive surgery, including shorter hospital stay, lower medical complications, and improved survival. Both approaches showed similar pathological outcomes in terms of lymph nodes and margins. Laparoscopic surgery, when performed by skilled surgeons, is oncologically safe and is increasingly becoming the standard […]
Liver Resection Improves Survival in Early Multinodular Hepatocellular Carcinoma
Comparative survival analysis of liver resection (LR), percutaneous radiofrequency ablation (PRFA), and transarterial chemoembolization (TACE) in early multinodular hepatocellular carcinoma (HCC) patients reveals LR as the preferred therapeutic option for improved survival rates at 1, 3, and 5 years. LR demonstrates superior outcomes compared to PRFA and TACE, highlighting the importance of considering LR as […]
Impacts of Upper Gastrointestinal Surgery Volume on Gastric Cancer Outcomes
High overall volume of upper gastrointestinal surgeries at hospitals, despite lower gastrectomy volume for cancer, leads to similar postoperative outcomes to high gastrectomy volume centers. Equivalence in 5-year survival rates between hospitals with mixed and high gastrectomy operation volumes across all disease stages. Findings suggest high-volume upper gastrointestinal surgery centers provide comparable outcomes and enhance […]