Advancements in robotic-assisted laparoscopic surgery have fostered substantial growth in academic research, particularly after 2019. Analyzing 8,375 publications, the study reveals a surge in productivity and citation impact, with Yonsei University leading contributions. The United States remains dominant in output, while “Surgical Endoscopy” tops volume metrics. Notably, frequent keywords highlight focal areas like robotic and […]
Author: STITCHES Newsletter
New staging system enhances prognosis accuracy for gastric cancer
A novel prognostic staging system developed from residual tumor burden significantly outperforms the AJCC’s YpTNM staging in predicting overall survival (OS) and recurrence-free survival (RFS) in patients with locally advanced gastric cancer post-neoadjuvant chemotherapy. The study analyzed data from 537 patients, finding that factors like lymph node stage and carcinoembryonic antigen levels were robust indicators […]
Prehabilitation significantly lowers postoperative mortality and care facility discharges
A department-wide prehabilitation program notably reduced 30-day mortality, discharges to post-acute care facilities, and length of stay for high-risk surgical patients. In a study comparing prehabilitation recipients to matched historical controls, mortality decreased from 2.8% to 0.8%, and discharges to care facilities dropped from 12.9% to 8.8%. The benefits of prehabilitation differ by age, with […]
AI Revolutionizes Surgical Video Analysis in Cholecystectomy
AI algorithms were utilized to analyze 481 laparoscopic cholecystectomy videos, revealing that operative time elongated with case complexity. The study found that consultants had a longer duration of anatomy visualization compared to trainees, particularly in complex cases, with the cystic duct often identified before the cystic artery. By correlating AI-derived analytics with clinical variables, the […]
Lidocaine reduces inflammation and postoperative complications in surgery
Lidocaine, a common local anesthetic, exhibits notable anti-inflammatory and immunomodulatory effects during surgical procedures. It effectively decreases neutrophil and macrophage activation, reduces pro-inflammatory cytokines, and supports endothelial integrity. Benefits of lidocaine include reduced postoperative pain, lower opioid needs, and quicker intestinal recovery. Furthermore, preliminary findings suggest it may inhibit tumor cell migration and inflammatory pathways […]
Endoscopic techniques improve outcomes for rectal precancerous lesions.
Innovative endoscopic procedures, including endoscopic submucosal dissection (ESD) and full-thickness resection, significantly enhance treatment for widespread precancerous lesions and early rectal cancers. ESD achieves over 90% R0 resection rates and offers a low recurrence risk of 3%. Notably, lesions up to 20 cm can be resected in one piece. These advancements allow thorough histopathologic analysis, […]
Abnormal Demeester Score Predicts Outcomes in Revisional Surgery
Abnormal Demeester scores significantly predict the need for revisional antireflux surgery (ARS) and correlate with improved post-operative outcomes. In a study of 278 patients, those with abnormal scores were more likely to undergo revisional surgery (68.9% vs. 47.3%) and reported higher satisfaction rates (82.9% vs. 65.5%) and freedom from proton pump inhibitors (77.6% vs. 60.3%) […]
Machine learning model improves survival predictions for pancreatic neuroendocrine tumors
A novel machine learning model has been developed by researchers to predict survival in metastatic pancreatic neuroendocrine tumors (PNETs), a condition traditionally associated with poor prognosis. Utilizing data from 1430 patients, the model employed the extreme gradient boosting (XGBoost) algorithm and integrated ten prognostic factors. It demonstrated strong predictive accuracy, achieving area under the receiver […]
New strategies identified to prevent complications from ERCP
In the past five years, research highlights advancements in avoiding complications from endoscopic retrograde cholangiopancreatography (ERCP), particularly post-ERCP pancreatitis (PEP). Key findings include identifying pancreatic steatosis as a novel risk factor and employing machine learning models for PEP prediction. Prophylactic measures have expanded to encompass rectal NSAIDs, aggressive fluid hydration, and pancreatic duct stents. These […]
Effective blood management improves surgical outcomes
Evidence-based perioperative blood management strategies significantly enhance patient outcomes by addressing anemia and minimizing blood loss. Early identification and correction of anemia lead to fewer transfusions, reduced complications, and improved patient safety. Both liberal and restrictive transfusion thresholds are evaluated, emphasizing the importance of tailored approaches based on patient conditions. Real-time clotting analysis techniques enable […]