Quantification of surgical workflow in robotic proctectomy revealed strong correlations between step times and console time (ct). Steps such as inferior mesenteric vein dissection, lateral-to-medial splenic flexure mobilisation, and rectal dissection showed significant associations with ct. Total operative time (tot) was also strongly correlated with certain steps, indicating the importance of specific surgical tasks in […]
Author: STITCHES Newsletter
Robotic liver resection is safe and feasible for huge hepatocellular carcinoma in a single-surgeon study
Robotic liver resection for huge hepatocellular carcinoma (HCC) is feasible, with comparable perioperative outcomes to regular HCC cases. A single-surgeon study of 337 patients showed no significant differences in major perioperative indicators between regular and huge HCC groups. Effective perioperative risk management suggests potential benefits for subsequent minimally invasive surgeries. Journal Article by Wu S, […]
Robotic 8-mm Trocar Fascial Wounds: Patient Comorbidities Influence Complications, Not Trocar Position
Results show a low rate of 8-mm trocar site hernia (0.31%) and a slightly higher rate of wound infection (4.68%) and haematoma (6.87%). Trocar-related complications were linked to patient comorbidities, not trocar position. Findings suggest no need for 8-mm fascial wound closure, emphasizing the importance of managing patient metabolic state and perioperative therapy to reduce […]
High Recurrence Rates in Contaminated Hernia Repair with Bio-A Mesh
Researchers evaluated the long-term outcomes of using bio-A biosynthetic mesh in ventral hernia repairs, finding a 17.4% overall recurrence rate. Contaminated cases had a higher recurrence rate of 28.8% compared to 10.4% in clean cases. Despite this, the study confirms the cost-effective use of biosynthetic mesh in all wound classifications, with good outcomes, limited long-term […]
Identifying Genetic and Biologic Risk Factors for Hernia Formation
Genetic and biologic markers associated with hernia formation were investigated, with 65 studies selected from a total of 5946. Notable findings include 92 susceptible loci across 66 genes in inguinal hernias, elevated MMP-2 levels in direct versus indirect inguinal hernias, unique gene-expression profiles in incisional hernias, and genetic risk loci in hiatal hernias. Collagen ratios […]
Reduced Risk of Esophageal Adenocarcinoma in Patients with Obesity After Bariatric Surgery
Meta-analysis of 14 studies demonstrates a significantly reduced risk of esophageal adenocarcinoma in patients with obesity undergoing metabolic and bariatric surgery, with an overall incidence reduction (OR=0.69) and particularly lower risk in European populations (OR: 0.60) and studies with larger sample sizes (OR: 0.59). Articles published before and in 2020, as well as those with […]
Relative Muscle Strength Improves Post-Bariatric Surgery
Findings from a randomized controlled trial on an 11-month multicomponent exercise program after bariatric surgery showed no significant improvements in absolute muscle strength in knee and trunk regions, but significant enhancements in relative muscle strength, particularly in dominant knee flexion. Further exploration of different exercise intensities and frequencies is suggested to optimize postoperative muscle recovery. […]
High Rate of Malnutrition Found After Single Anastomosis Sleeve Ileal Bypass
Researchers conducted a study on 30 patients who underwent single anastomosis sleeve ileal bypass (SASI) and found that despite good short-term weight loss and improvement in obesity-related complications, there was a high alarming rate of malnutrition observed, even in the short-term follow-up. This highlights the importance of evaluating novel metabolic and bariatric surgeries for their […]
Proximal gastrectomy may be an alternative approach for well-selected patients with proximal gastric cancer following neoadjuvant chemotherapy
Study comparing total and proximal gastrectomy for proximal gastric cancer found that more patients underwent proximal gastrectomy, with a higher likelihood of receiving neoadjuvant chemotherapy. Pathologically, total gastrectomy patients had more advanced tumors and fewer evaluated lymph nodes, but lower margin negativity. Long-term survival did not differ between the two procedures, but neoadjuvant chemotherapy was […]
Impact of Preoperative Anemia on Outcomes in GEP-NET Resections
Patients with preoperative anemia undergoing curative-intent resection for gastroenteropancreatic neuroendocrine tumors (GEP-NETs) had higher rates of major complications and poorer long-term outcomes. Anemia was associated with worse overall survival, while postoperative transfusions were linked to lower overall survival and recurrence-free survival rates. Preoperative anemia affected around one-third of patients and significantly increased the risk of […]