General surgery teaching faculty in the US generally support pregnant surgical residents, but acknowledge the need for institutional culture improvements. Despite positive perceptions, there is still evidence of discrimination and negative comments towards pregnant residents. More efforts are needed to normalize pregnancy and enhance policies for better support during training. Journal Article by Freudenberger DC, […]
Author: STITCHES Newsletter
Robotic Surgery Reduces Ergonomic Risk in Minimally Invasive Colorectal Resections
Robotic-assisted surgery with the open-console versius® system significantly reduces surgeons’ ergonomic risks and cognitive strain during major colorectal resections compared to laparoscopic surgery, without compromising team communication or patient outcomes. This may be a safe and feasible solution to prevent work-related musculoskeletal injuries in surgeons. Randomized Controlled Trial by Dixon F, Vitish-Sharma P, Khanna A […]
Age-based Prediction of Neoplastic Gallbladder Polyps Using Ultrasound Features
The prevalence of neoplastic polyps in gallbladder polyps increases with age. Linear scoring models based on ultrasound features effectively predicted neoplastic polyps in different age groups. Independent risk factors included number and size of polyps. The models outperformed using polyp size alone. This study provides valuable insights for tailored treatment strategies in patients with gallbladder […]
Factors influencing operative time for laparoscopic cholecystectomy by trainee surgeons
Operative time for laparoscopic cholecystectomy by trainee surgeons is affected by factors such as surgeon experience, patient characteristics, and certification. Male sex, higher BMI, and lack of endoscopic skill certification in attending surgeons were associated with longer operative times. Skilled attending surgeons can help reduce operative time and improve outcomes in laparoscopic cholecystectomy. Journal Article […]
Outcomes of Liver Resection with Vascular Reconstruction
Study identifies risk factors for mortality & morbidity in liver resection with vascular reconstruction. Surgical mortality rate highest in hepatic artery reconstruction (15.8%). Factors include age, male sex, comorbidities, liver function, and biliary reconstruction. Portal venous reconstruction most common (59.6% of cases). Analysis provides insights for improving patient outcomes in hepatobiliary surgeries. Journal Article by […]
Impact of Cachexia Index on Prognosis After Gastrointestinal Cancer Surgery
The study evaluated the prognostic impact of cachexia index on gastrointestinal cancer surgery outcomes, finding that a low cachexia index was associated with worse overall and progression-free survival. Cachexia index was identified as a potential biomarker for assessing oncological outcomes in these patients, though study limitations should be considered. Review by Takano Y, Kai W […]
Metabolic Bariatric Surgery Reduces Risk of New-Onset Type 2 Diabetes
Metabolic bariatric surgery lowers the risk of new-onset type 2 diabetes in patients with obesity, with a more pronounced reduction in those of low socioeconomic status. In a cohort study with 917 patients and 1811 controls, new-onset type 2 diabetes was less frequent in the surgery group (4.1 per 1000 person-years) than in the control […]
Advancing Diversity in Surgical Leadership
The SAGES White Paper discusses the creation and evaluation of the Fundamentals of Leadership Development (FLD) curriculum to enhance diversity, equity, and inclusion in surgical practice. The FLD curriculum, developed using the ADDIE model, focuses on pipeline improvement, healthcare equity, and conflict negotiation. Surgeon leaders are empowered with tools to drive positive change in their […]
Impact of Social Support on Weight Loss After Bariatric Surgery
Exploring patient and provider perceptions of social support post-bariatric surgery, this study identified key themes influencing weight loss maintenance. Family involvement, partner/friend engagement, transportation assistance, and addressing life stressors are crucial for sustained weight loss outcomes. Providers play a vital role in reinforcing facilitators of social support and making appropriate referrals for patient success. Journal […]
Improved Outcomes with Neoadjuvant Therapy in Pancreatic Ductal Adenocarcinoma
Patients with resectable or borderline resectable pancreatic ductal adenocarcinoma (PDAC) who received neoadjuvant chemotherapy and radiation (total neoadjuvant therapy, TNT) or neoadjuvant chemotherapy only (NAC) had longer overall survival (OS) and disease-free survival (DFS) compared to those who underwent upfront surgery. In a study with 26 patients receiving TNT, 28 receiving NAC, and 168 undergoing […]