Rectal cancer patients undergoing lateral pelvic node dissection post preoperative chemoradiotherapy face high long-term complication rates, with lymphocele and anastomotic leakage as common issues. Half of them experience asymptomatic lymphoceles, mostly resolving spontaneously, while pelvic node metastases and number of nodes harvested correlate with long-term complications. Efforts to minimize complications from pelvic node dissection are […]
Author: STITCHES Newsletter
Impact of County Health Ranking on Short-Term Bariatric Surgery Outcomes
Study examines the influence of social determinants of health, race/ethnicity, and surgical risk factors on short-term metabolic surgery outcomes. Patients from counties with lower County Health Rankings (CHRs) were at higher risk but CHR was not independently linked to 30-day outcomes. Racial disparities in outcomes persisted despite adjustments. Middle and worst CHR tercile patients were […]
Bariatric surgery reduces the risk of developing hidradenitis suppurativa
Bariatric surgery significantly reduces the risk of developing hidradenitis suppurativa (hs) in individuals with obesity, with a protective effect on hs recurrence. Individuals without a history of hs who underwent bariatric surgery had a significantly lower risk of de novo hs. Those with hs history showed a trend towards reduced hs recurrence after bariatric surgery. […]
Prophylactic and Adjuvant Hyperthermic Intraperitoneal Chemotherapy in Advanced Colorectal Cancer
Hyperthermic intraperitoneal chemotherapy (HIPEC) combined with cytoreductive surgery shows potential in preventing peritoneal metastases in high-risk colorectal cancer. Recent randomized controlled trials, including Hipect4, demonstrate improved locoregional disease control with HIPEC, without an increase in complications. Despite negative results in trials like Prophylochip and Colopec, the methodology and patient selection criteria provide valuable insights. Ongoing […]
Preoperative Factors and Middle Rectal Artery Evaluation in Lateral Lymph Node Metastasis of Lower Rectal Cancer
Study identifies preoperative factors like clinical lymph node metastasis and PET/CT status as key predictors of lateral lymph node metastasis in rectal cancer. The presence of middle rectal artery significantly correlates with pathological lymph node metastasis, particularly in the internal iliac region. Combination of clinical factors and imaging techniques shows high negative predictive value for […]
Colorectal Signet-Ring Cell Carcinoma: Risk Factors, Prognosis, and Management
Colorectal signet-ring cell carcinoma (CSRCC) is a rare entity with poor prognosis, often diagnosed at advanced stages. Studies show an incidence of 0.1%-2.4%, associated with lower survival rates than other adenocarcinomas. Surgical intervention is challenging, and exploratory laparoscopy is advised to assess peritoneal metastases. Tailored treatment approaches are necessary due to the unique characteristics of […]
Lymph Node Staging Systems and Prognosis of Colorectal Neuroendocrine Neoplasms
Colorectal neuroendocrine neoplasms prognosis in surgical treatment can be predicted by lymph node staging systems like LNR, PLN, and LODDS. A cohort study of 895 patients showed significant predictive values for mortality. After adjusting confounders, these systems were linked with patient outcomes, proving their effectiveness in assessing prognosis. This study highlights the importance of lymph […]
Improving Prognosis in Pancreatic Head Cancer
TRIANGLE operation, combined with adequate adjuvant chemotherapy, can improve the prognosis of pancreatic head cancer. The triangle operation is safe for PDAC patients undergoing PD, reduces local recurrence rates, and may enhance patient survival with proper adjuvant chemotherapy support, according to a retrospective study. This surgical approach shows promising long-term oncological outcomes for patients with […]
Association Between Liver Stiffness Changes and Risk of Liver-related Events in NAFLD
Increases and decreases in liver stiffness measurements independently predict liver-related events in NAFLD. Progression to higher stiffness levels was linked to a higher risk of liver events, while regression to lower levels decreased this risk. These findings highlight the clinical significance of monitoring liver stiffness changes as a non-invasive marker for predicting outcomes in patients […]
Practice Patterns and Outcomes Among Surgical Oncology Fellowship Graduates
Rates of serious complications and 90-day mortality were comparable across different career stages for surgical oncology fellowship graduates performing complex cancer surgery in the United States. Surgeon case-specific volume was found to be a strong predictor of postoperative outcomes, highlighting the importance of individual expertise regardless of years of independent practice or career stage. Journal […]