Robotic tumor-specific mesorectal resection using a rolling division technique resulted in successful outcomes for rectal cancer patients, with low complication rates, minimal blood loss, and no surgical mortality in the short term. This study reports on the feasibility and reliability of robot-assisted laparoscopic anterior resection, emphasizing the effectiveness of mesorectal division. Overall, the technique proved […]
Author: STITCHES Newsletter
Prognostic Stratification in pT4bN0M0 Colorectal Cancer Patients
Colorectal cancer patients at stage pT4b exhibit varied prognoses based on invaded organs following multivisceral resection. Those with digestive or genitourinary system invasion show significantly better survival outcomes compared to gynecological system invasion. Age and type of organs invaded are key prognostic factors. Stratifying patients based on these factors reveals distinct risk groups with notable […]
Bowel Perfusion in Emergency Setting: Fluorescence Imaging Meta-Analysis
Fluorescence imaging with indocyanine green in emergency settings showed promising results for assessing bowel perfusion, with statistically significant findings supporting its feasibility and safety. The meta-analysis, including six studies, demonstrated comparable outcomes to traditional assessment methods. Further high-quality studies are warranted to validate the utility of this methodology in emergency settings. Journal Article by Rizzo […]
Improved Efficacy and Safety with HARO-ALPPS Procedure for HCC Treatment
Novel HARO-ALPPS procedure significantly restricts hepatic artery blood supply post-surgery, enhancing liver regeneration in HCC patients with severe fibrosis. Results show superior outcomes in terms of mortality and liver function compared to conventional ALPPS procedure. Further studies required to confirm oncologic benefits of HARO-ALPPS in long-term follow-up. Journal Article by Wen Z, Jin Z (…) […]
Enhancing Surgical Performance in Robotic Gastrectomy for Gastric Cancer Patients
Optimizing surgical performance in robotic gastrectomy for gastric cancer patients led to improved short-term outcomes. The study established a learning curve for robotic gastrectomy and evaluated its impact by analyzing data from 527 patients. With phase advancement, postoperative complication rates decreased, more lymph nodes were retrieved, and textbook outcome attainment improved. These findings support the […]
Impact of Intraoperative Anastomotic Testing on Colorectal Surgery Outcomes
Surgeons’ perception of anastomotic perfusion and integrity during left-sided colorectal resections significantly affects anastomotic leakage (AL) rates and related morbidity. The use of indocyanine green fluorescent angiography (ICG-FA) and air-leak test (ALT) did not mitigate the higher risk in the subgroup where both tests were performed. AL, major morbidity, and reoperation for AL risks were […]
Feasibility of Percutaneous Transhepatic Cholangioscopy-Assisted Biliary Polypectomy for Intraductal Papillary Neoplasm of the Bile Duct
Effective local palliative treatment of intraductal papillary neoplasm of the bile duct using percutaneous transhepatic cholangioscopy-assisted biliary polypectomy. Feasible, safe, and successful in five patients, with technical and therapeutic success achieved. Patients with mucin-hypersecreting cast-like or polypoid type tumors benefited, with no serious adverse events. Resulted in curative resection and clinical success for mucin-hypersecreting ipnb. […]
Quality of Life in Esophageal Cancer Patients
Quality of Life (QoL) significantly impacts mortality risk in patients with esophageal cancer. A systematic review and meta-analysis found that overall QoL, as well as physical, emotional, role, cognitive, and social QoL, were all associated with mortality risk. Subgroup analyses by timing of QoL assessment and types of treatment further supported these findings. Regular QoL […]
Revisiting Lesion Classification in Pancreatic Cancer: PanIN or IPMN?
3D imaging challenges traditional size-based classification of precancerous lesions in pancreatic ductal adenocarcinoma. Over 1400 lesions meeting size criteria for pancreatic intraepithelial neoplasia (PanIN) were identified in 3D analysis, with a quarter digitally sectioning as intraductal papillary mucinous neoplasms (IPMN). Half of these large lesions were visible on preoperative CT scans. Current classification based on […]
Technical Difficulty in Laparoscopic Sphincter-Preserving Radical Resection for Rectal Cancer
Colorectal surgeons developed a nomogram model to predict technical challenges in performing laparoscopic sphincter-preserving radical resection for rectal cancer. Parameters such as surgical approach, intraoperative preventive ostomy, sacrococcygeal distance, and pelvic inlet diameter were identified as independent risk factors for operative difficulty. Understanding these predictive factors could aid clinicians in anticipating surgical challenges and optimizing […]