Amidst an aging population and improved surgical outcomes, a review found a concerning lack of perioperative function reporting in older adults undergoing major abdominal cancer surgery. Only a small proportion of studies included in the review reported on postoperative function, suggesting a need for greater focus on functional recovery as an outcome measure to improve […]
Author: STITCHES Newsletter
Factors Predicting Readmission and Mortality in Patients Admitted for Malignant Bowel Obstruction
Non-English speaking patients had a higher risk of readmission for malignant bowel obstruction, with patient age, primary language, and palliative care consultation serving as predictors for readmission and potentially impacting 90-day mortality. Modifiable factors such as palliative care consultation and multidisciplinary goals of care discussions should be emphasized to reduce readmissions and improve quality of […]
Enhanced Lymph Node Retrieval in Left-Sided Colorectal Cancer with Indocyanine Green Fluorescence Imaging
This preliminary study showed that indocyanine green (ICG) fluorescence imaging-guided laparoscopic para-aortic lymphadenectomy in left-sided colorectal cancer patients resulted in increased retrieval of total lymph nodes, including inferior mesenteric artery and para-aortic lymph nodes. ICG imaging may improve the completeness of lymph node dissection without significantly affecting complications. Journal Article by Sun Y, Tang Z […]
Predictive Model for Postoperative Delirium in Elderly Abdominal Cancer Patients Using SMOTE
A synthetic minority oversampling technique (SMOTE)-based model was developed to predict postoperative delirium in elderly patients with abdominal malignancies. In this cohort of 611 patients, risk factors for delirium included Charlson comorbidity index, American Society of Anesthesiologists classification, history of cerebrovascular disease, surgical duration, perioperative blood transfusion, and postoperative pain score. The SMOTE-based predictive model […]
Impact of Surgeon Age on Long-Term Survival After Gastrectomy
In this population-based cohort study involving 1,647 patients undergoing gastrectomy for gastric adenocarcinoma, surgeon age ≥47 years was associated with worse 5-year all-cause mortality rates. Adjusted hazard ratios for surgeons aged 55+ were 1.21 (95% CI 1.04 to 1.41), and for those aged 47-54 were 1.16 (95% CI 0.99 to 1.36), compared with those aged […]
Benefits of Microencapsulated Sodium Butyrate for Gastrointestinal Health
Microencapsulated sodium butyrate, a stable form of the compound, is gaining attention for its potential use in gastrointestinal disease prevention and treatment. It offers energy to the large intestine, supports intestinal epithelium integrity, and stimulates the immune system. This review discusses its use from both surgical and gastroenterological perspectives, highlighting its role in prehabilitation, perioperative […]
Improved Overall Survival with Portal and Hepatic Vein Embolization in Liver Resection
Comparing portal vein embolization (PVE) with simultaneous portal and hepatic vein embolization (PVE/HVE) in liver cancer patients showed significantly higher overall survival with PVE/HVE. The study demonstrated a longer 3-year overall survival in the PVE/HVE group compared to PVE alone, making PVE/HVE an independent predictor of survival in primary and secondary liver cancer cases. Comparative […]
Accuracy and Clinical Correlation of AI-based Computer Vision in Laparoscopic Appendectomy
Implementation of an AI-based computer-vision model in laparoscopic appendectomy accurately assesses complexity grading and safety adherence, predicting operative time and intraoperative course. However, no clinical correlation is found regarding postoperative outcomes. Surgeons and inter-surgeons agreements were high for complexity grading and safety adherence. Further studies are needed to validate these findings. Journal Article by Dayan […]
Advancements in Endoscopic Cryotherapy in Gastrointestinal Diseases
Endoscopic cryotherapy has shown safety and efficacy in treating gastrointestinal conditions, including complete eradication of dysplasia and neoplasia in Barrett’s esophagus. It serves as a second-line treatment for refractory cases and an alternative to surgical resection for duodenal adenomas. Innovative applications for gastrointestinal bleeding and esophageal strictures have also been reported. Overall, endoscopic cryotherapy is […]
Robotic D3-D4 Lymphadenectomy Improves Survival in Upper Rectum and Sigmoid Colon Cancer Patients
Standardized robotic D3-D4 lymphadenectomy improves survival in upper rectum and sigmoid colon cancer patients with more than N2 lymph node metastasis. Specific nodal stations contribute differently to overall survival, with common iliac vessels and infra-renal vein being significant predictors. Results suggest optimized surgical techniques and potential updates to treatment guidelines. Journal Article by Chen TC, […]