In laparoscopic subtotal gastrectomy for gastric cancer, utilizing indocyanine green (ICG) fluorescence for lymph node dissection significantly enhances metastasis detection, with a sensitivity of 75.86% and a high negative predictive value of 97%. The method effectively visualizes lymph nodes, aiding in clinically radical gastrectomy, suggesting its potential as a valuable tool in gastric cancer surgery. […]
Author: STITCHES Newsletter
Impact of Triclosan-Coated Sutures on Surgical Site Infections in Abdominal Surgery
Triclosan-coated sutures significantly reduce the incidence of surgical site infections (SSI) after abdominal surgery by 2%, as demonstrated in a meta-analysis of 11 randomized controlled trials with over 10,000 patients. This study found lower SSI rates in the triclosan-coated group compared to uncoated sutures, particularly with polydioxanone and polyglactin 910 sutures. Review by Depuydt M, […]
Robotic Pancreaticoduodenectomy Benefits for Pancreatic Cancer Patients
Robotic pancreaticoduodenectomy (RPD) offers similar or superior outcomes compared to open approaches for pancreatic ductal adenocarcinoma (PDAC) treatment. RPD shows reduced blood loss, lower post-operative pain, and shorter hospital stays. Despite similar operative times, RPD yields better oncological results, including margin status and survival rates. With increasing experience, RPD is poised to become the preferred […]
Deep Learning Algorithm for Abdominal Trauma Diagnosis on CT Imaging
Deep learning algorithms demonstrate high accuracy in detecting renal, liver, and spleen injuries on abdominal CT scans. With a notable performance in renal injury detection (accuracy: 0.932), the model exhibits potential for rapid preliminary screening and adjunctive diagnosis of traumatic abdominal injuries. The results suggest promising applicability in emergency settings, aiding clinicians in timely and […]
Oligo-like Liver Metastasis: Prognostic Indicator in Pancreatic Cancer
Patients with “oligo-like liver metastasis” (OLLM) in post-surgical pancreatic cancer have better overall survival after recurrence through surgical intervention. Key factors defining OLLM include long recurrence-free interval, stable disease interval, and fewer recurrent tumors. OLLM patients show significantly improved prognosis compared to non-OLLM patients, suggesting OLLM as a potential prognostic indicator for post-recurrence survival and […]
Comparison of Painless and Ordinary Gastroscopy for Early Gastric Cancer Detection
Painless gastroscopy significantly increases early gastric cancer detection rates compared to ordinary gastroscopy. It is safer, with shorter lesion lengths and more specific endoscopic characteristics for early detection. Painless gastroscopy is especially effective for identifying hard-to-see, small, superficial lesions. This study underscores the importance of painless gastroscopy in improving early gastric cancer screening and diagnostic […]
Evolution of Common Bile Duct Stone Management
Comparing treatments for common bile duct stones (CBD), historical data and recent studies reveal a shift towards laparoscopic-endoscopic rendezvous (LER) technique. Before 1990, endoscopic sphincterotomy (ES) and surgery showed similar efficacy. Since 1991, LER emerged as effective, with fewer complications and shorter hospital stays. It’s favored, especially in younger, healthier patients, though its superiority over […]
Benefits of Same-Day Ileostomy Closure Discharge
A retrospective study compared same-day discharge (SDD) ileostomy closure with traditional enhanced recovery pathways (ERP) to assess patient outcomes. Among 375 patients, the 30-day complication rate was significantly lower in the SDD group (14.8%) compared to the standard ERP group (25.7%), driven by a reduced incidence of ileus. Readmission and reoperation rates were similar between […]
Predicting Anastomotic Leakage After Esophagectomy: Role of Early Inflammatory Biomarkers
Early postoperative CRP levels are a key predictor of anastomotic leakage after esophagectomy, with a cutoff value of < 222 mg/l on day 2 showing 81% sensitivity and 88% specificity. Other biomarkers like WBC counts and albumin levels had limited diagnostic accuracy. A NUN score >10 on day 4 was unreliable. CRP < 127 mg/l […]
Beneficial effects of simultaneous cholecystectomy in CRC patients with asymptomatic gallstones
Simultaneous cholecystectomy during elective colorectal cancer surgery for patients with asymptomatic gallstones reduces long-term biliary complications without increasing postoperative morbidity. Female gender, old age (≥65 years old), and small multiple gallstones are identified as independent risk factors for developing gallstone-related diseases in patients who undergo elective colorectal surgery without simultaneous cholecystectomy. Prophylactic cholecystectomy is recommended […]