In low and middle-income countries, injuries are a significant cause of surgical disease, outweighing the mortality rates of HIV/AIDS, tuberculosis, and malaria combined. With road traffic injuries as the leading cause of death among young individuals, the lack of robust trauma systems and emergency medical services poses a challenge. The World Health Organization recommends the […]
Author: STITCHES Newsletter
Real-time Detection of Active Bleeding in Laparoscopic Colectomy using AI
Developing a real-time AI model to detect active intraoperative bleeding, this study achieved an average precision of 0.574 for active bleeding and 48.5 frames per second. Surgeons rated the sensitivity and overdetection areas of the model highly, indicating its potential to improve surgical outcomes by providing real-time support in laparoscopic colectomy. The AI model can […]
Temporal Disparities in Curative-Intent HCC Treatment Utilization
Racial and socioeconomic disparities impact access to curative treatments for hepatocellular carcinoma (HCC). African-American and Hispanic patients had lower odds of receiving ablative therapy and surgical resection compared to whites, while disparities in liver transplantation varied. While trends improved for white and API/other patients, African-American and Hispanic patients showed non-significant changes over time, indicating widening […]
Effectiveness of Lumen-Apposing Metal Stents for Benign Biliary Strictures
Lumen-apposing metal stents (LAMS) show promising results for treating short benign biliary strictures, with a high technical success rate of 100% and a clinical success rate of 85.7%. Adverse events, including stent migration, were found in 17.1% of patients, and stricture recurrence occurred in 18.5% of cases. LAMS placement appears to be a safe and […]
Effectiveness of Infrahepatic Inferior Vena Cava Clamping with Pringle Maneuver in Hepatectomy
Infrahepatic inferior vena cava clamping combined with Pringle maneuver leads to greater reduction in central venous pressure, reduced intraoperative blood loss, and decreased blood transfusion during hepatectomy compared to Pringle maneuver alone. Patients in the combined technique group also experienced shorter hospital stays and lower overall complication rates without affecting operative times. This meta-analysis suggests […]
Effect of Surgical Treatment on Patients with Peritoneal Metastasis from Gastric Adenocarcinoma
Survival analysis of 399 patients with peritoneal metastasis from gastric adenocarcinoma revealed that surgical treatment significantly improves overall survival. Subgroup analysis suggests benefits for patients with certain tumor characteristics and previous chemotherapy. Surgery may be an option to enhance prognosis in specific groups of patients with gastric adenocarcinoma and peritoneal metastasis. Journal Article by Shen […]
Perioperative Inflammatory Indicators Predict Disease-Free Survival in Rectal Cancer
Perioperative inflammatory indicators, including preoperative neutrophil-to-lymphocyte ratio (NLR) and postoperative systemic immune-inflammation index (SII), are crucial for predicting 3-year disease-free survival (DFS) in rectal cancer patients. A nomogram based on TNM stage III and neural invasion effectively stratifies high-risk patients, enabling timely postoperative follow-up and adjuvant treatment. The model demonstrates good discrimination and calibration, highlighting […]
Robotic Spleen-Preserving Lymph Node Dissection in Gastric Cancer
Robotic spleen-preserving suprapancreatic and splenic hilar lymph node dissection using the preemptive retropancreatic approach in total gastrectomy for gastric cancer proved effective in reducing postoperative pancreatic complications. The novel preemptive retropancreatic technique facilitated a clear operative field and prevented contact with the pancreas during surgery, resulting in a median operating time of 488 min and […]
EndoRobotic Submucosal Dissection for Colorectal Neoplasia
EndoRobotic Submucosal Dissection using the da Vinci SP platform showed a 100% en-bloc resection rate in 28 patients with colorectal neoplasms. There were no intraoperative complications or mortality, with only two minor postoperative complications. Pathology outcomes revealed a mix of benign and malignant lesions, indicating the procedure’s safety and feasibility. Further studies are needed to […]
Optimal Imaging Modalities for Detecting Gastric Neoplasms
The trial compared the effectiveness of three imaging modalities – third-generation narrowband imaging (3G-NBI), texture and color enhancement imaging (TXI), and high-definition white-light imaging (WLI) – in detecting gastric neoplasms (GNs). Results showed that 3G-NBI outperformed TXI and WLI, with higher GN detection rates and lower rates of missed GNs and increased positive predictive value […]