Antecolic reconstruction after pancreaticoduodenectomy significantly increases the risk of delayed gastric emptying compared to transmesocolic reconstruction. Patients who underwent antecolic reconstruction had a higher incidence of severe delayed gastric emptying and a 2-fold increase in severe cases. Tmc reconstruction may be superior in minimizing the development and severity of delayed gastric emptying following pancreaticoduodenectomy. Journal […]
Author: STITCHES Newsletter
ERAS Protocol Reduces Hospital Stay in Gastric Cancer Surgery
Implementation of enhanced recovery after surgery (ERAS) protocol in distal gastrectomy for gastric cancer significantly reduces adjusted hospital stay without increasing complications. However, no significant differences were observed in long-term nutritional outcomes and quality of life between ERAS and conventional care groups Journal Article by Choi CI, Park JK (…) Kim DH et 4 al. […]
Comparable Long-Term Survival Rates of Endoscopic Therapy and Surgical Resection for 2-5 cm Gastrointestinal Stromal Tumors
In a comparative study of endoscopic therapy (ET) versus surgical resection for 2-5 cm gastrointestinal stromal tumors, long-term outcomes showed no significant difference in overall or cancer-specific survival rates. After propensity score matching, both groups had comparable survival rates, suggesting that ET may be a viable treatment option for these tumors. Further research is needed […]
Prospective Benchmarking of Distal Pancreatectomy Outcomes
This prospective study assessed benchmark outcomes for distal pancreatectomy (DP) across Spanish HPB centers. Key findings include a median DP rate of 7 per center, 69.3% performed minimally invasively, with a major complication rate of 21.1% and a 90-day mortality of 1.6%. Compared to previous benchmarks, this study showed an increasing rate of minimally invasive […]
Scoring System of Appendicitis Severity 2.0 Accurately Predicts Complicated Appendicitis
External validation of the Scoring System of Appendicitis Severity (SAS) fell short in distinguishing complicated appendicitis. The SAS 2.0 was developed and externally validated, showing high accuracy in predicting complicated appendicitis in patients. It provides individual probability estimates with a 95% confidence interval, aiding in decision-making for nonoperative treatment. Journal Article by Scheijmans JCG, Bom […]
Higher 28-Day Mortality and Respiratory Complications in Oncology Patients During COVID-19 Pandemic
During the COVID-19 pandemic, oncology patients had a higher hazard of 28-day mortality, with a 4.35 adjusted hazard ratio. They also experienced higher odds of respiratory complications (OR 5.35) and pulmonary infections (OR 1.53), although the adjusted incidence of other infections was lower. This study highlights the significant impact of the pandemic on postoperative outcomes […]
Potent Nomogram Predicts Lymph Node Involvement in Early Gastric Cancer
A potent nomogram incorporating tumor budding accurately predicts lymph node involvement in early gastric cancer patients, providing exceptional discriminative power and precise predictive capabilities. Tumor budding, along with other clinicopathological factors, demonstrated a robust association with lymph node involvement, improving clinical decision-making by reducing the risk of overtreatment in endoscopic curability C-2. Journal Article by […]
Superior Outcomes of Modified Billroth-II in Gastric Cancer Reconstruction
Comparing modified Billroth-II with hinged anti-peristaltic afferent loop and Roux-en-Y reconstruction after distal gastrectomy for gastric cancer, the former showed superior outcomes in terms of operating time, postoperative hospital stays, and time to semi-solid diet tolerance. However, both methods had similar functional outcomes. The study suggests that Billroth-II could be a favorable alternative to Roux-en-Y […]
Optimal Drain Amylase Cutoff Values Differ Between Open and Laparoscopic Distal Pancreatectomy
Drain amylase on postoperative day three is an independent predictor of clinically relevant postoperative pancreatic fistula after both open and laparoscopic distal pancreatectomy. However, the optimal cutoff value for predicting this complication is significantly higher after laparoscopic surgery than after open surgery. This difference suggests that the threshold for drain removal may need to be […]
Robotic-assisted abdominopelvic surgery: Meta-analysis finds lower complications and shorter hospital stays
Robotic surgery showed similar overall complications to laparoscopic surgery, better than open surgery, with fewer open conversions and shorter hospital stays. Longer operative times were noted for robotic surgery but were offset by benefits for experienced robotic surgeons in reducing complications and open conversions. These findings suggest that robotic surgery may improve outcomes in terms […]