Quantification of fluorescence angiography for visceral perfusion assessment revealed a mean relative difference of +58.2% in normalized maximum slope measurements between two software algorithms. The agreement deteriorated at higher values, suggesting a linear bias. These discrepancies highlight potential limitations in the external validity of quantitative indocyanine green fluorescence angiography parameters, urging caution in their interpretation. […]
Author: STITCHES Newsletter
Recalibrated Fistula Risk Score Outperforms Others in Laparoscopic Pancreaticoduodenectomy
External validation and comparison of 3 pancreatic fistula risk scores were performed in 200 laparoscopic pancreaticoduodenectomy patients. The recalibrated updated alternative fistula risk score showed sufficient discrimination and calibration for predicting clinically relevant postoperative pancreatic fistula, with better performance in predicting general postoperative pancreatic fistula than clinically relevant cases. Pancreatic texture, pathology, and duct diameter […]
Postoperative Hyperamylasemia Reduces Pancreatectomy Outcomes
Postoperative hyperamylasemia significantly increases complications and reduces textbook outcomes after pancreatoduodenectomy compared to distal pancreatectomy. Hyperamylasemia is an independent predictor of poorer outcomes in pancreatoduodenectomy patients. This highlights the importance of monitoring amylase levels postoperatively to anticipate potential systemic complications and guide treatment decisions. Journal Article by Radulova-Mauersberger O, Mibelli N (…) Oehme F et […]
Simultaneous Resection of Liver Metastases Combined with HIPEC Improves Clinical Outcomes in Synchronous Colorectal Cancer Liver Metastasis
The study showed that simultaneous resection of liver metastases combined with HIPEC resulted in a significantly higher complete resection rate, total effective rate, and negative change of CEA compared to resection alone. This approach demonstrated superior efficacy in treating synchronous colorectal cancer liver metastases, potentially extending patient survival and improving quality of life. Journal Article […]
Optimizing Treatment and Expanding Indications in Non-Curative Endoscopic Submucosal Dissection
The study highlights the importance of assessing the quality of endoscopic submucosal dissection (ESD) not only for curative cases but also for non-curative ones. With unclear management strategies for Ecurac-1 tumors, research primarily focuses on additional surgical procedures for high-risk patients. Exploring management strategies and follow-up outcomes for non-curative cases and the use of molecular […]
Post-Discharge Outcomes for Acute Diverticulitis: Primary Anastomosis vs. Hartmann’s Procedure
Primary anastomosis with diverting loop ileostomy showed higher 1-year ostomy closure rates and less complications upon stoma closure compared to Hartmann’s procedure for acute diverticulitis. Despite increased unplanned readmissions, primary anastomosis patients had favorable outcomes, supporting guidelines favoring this approach. Journal Article by Rios Diaz AJ, Bevilacqua LA (…) Palazzo F et 5 al. in […]
Safety and Viability of Laparoscopic Subtotal Cholecystectomy
Laparoscopic subtotal cholecystectomy is a safe option for complex cholecystitis, with 8.5% of cholecystectomies requiring this procedure. Factors such as male sex, older age, necrotic gallbladder, and other complications increase the likelihood of needing lsc. Postoperative complications occurred in 26.4% of lsc patients, mainly bile leaks. Despite challenges, lsc remains a viable surgical choice in […]
Positive Effects of Laparoscopic Sleeve Gastrectomy
Significant weight loss and improvements in body composition and metabolic biomarkers were observed in obese patients after laparoscopic sleeve gastrectomy. These positive effects were seen regardless of the presence of metabolic syndrome. Visceral fat area and liver fat were notably reduced, indicating the effectiveness of this surgical intervention in improving health outcomes. Journal Article by […]
Comparable Textbook Outcomes: Open vs Minimally Invasive Hepatectomy for HCC
Patients with hepatocellular carcinoma undergoing minimally invasive hepatectomy (MIH) showed comparable likelihood of achieving textbook outcome in liver surgery (TOLS) compared to open hepatectomy (OH). MIH was associated with a shorter hospital stay, with TOLS incidence similar between the two approaches after propensity score matching. Tumor burden influenced MIH’s TOLS success, highlighting benefits and limitations […]
Enhancing Laparoscopic Skills Through Simulation
Laparoscopic simulation significantly improves surgical skills and reduces errors and time, even for participants with limited experience. In contrast, robotic simulation is less effective without prior laparoscopic experience. Transfer of skills from simulation to real surgical settings is feasible. Simulation is a valuable tool for optimizing laparoscopic skills and improving training outcomes. Review by Sarmiento-Altamirano […]