Patients with right-sided colonic diverticulitis who underwent surgery showed satisfactory short and long-term outcomes, with no disease recurrence or colorectal cancer detected on colonoscopy. A significant improvement in quality of life (QOL) was observed at 24 months post-surgery. The study highlights the effectiveness of surgical management in improving QOL and achieving successful outcomes in patients […]
Author: STITCHES Newsletter
How Navigator Nurse Implementation Improves Healthcare Service and Perioperative Results in Liver Resections
Navigator nurse implementation in liver resections led to reduced length of stay, fewer emergency room visits, and readmissions. Patients receiving counseling and postoperative follow-up from navigator nurses had faster functional recovery and discharge, especially those with complications and undergoing open surgery. The presence of navigator nurses was an independent predictor of shorter length of stay, […]
Gender-specific Nutrition and Body Composition Guidelines Improve Metabolic-Bariatric Surgery Outcomes
Researchers developed preliminary body composition guidelines for post-surgical patients based on gender-specific goals, leading to significant fat mass reduction and lean mass-sparing outcomes below obesity thresholds. Serial body composition analysis and evidence-based nutrition practices consistently influenced patient outcomes, supporting the effectiveness of the guidelines in enhancing metabolic-bariatric surgery success. Journal Article by Knopp KB in […]
Comparison of hybrid and open surgery for oesophageal cancer: similar recovery and cost-effectiveness
Hybrid oesophagectomy with minimally invasive gastric mobilization and thoracotomy did not result in faster recovery or greater cost-effectiveness compared to open surgery for patients with oesophageal cancer. Physical function and complication rates over the first 3 months post-randomization were similar between the two groups. Surgeons can continue to use their preferred approach without changing practice, […]
Clinicians tend to overestimate liver remnant volume, increasing risk of liver failure post-surgery
Clinicians inaccurately estimate future liver remnant volume visually, tending to overestimate it, especially in cases with small remnants leading to higher risk of post-hepatectomy liver failure. Accuracy is lower for right hepatectomy (mean percent overestimation of 22%) and right trisectionectomy (mean percent overestimation of 25%), with specialists in hepatopancreatobiliary surgery having even higher overestimations. Experience […]
Using Risk-Adjusted Cumulative Sum to Monitor Surgeon, Divisional, and Institutional Outcomes after Colorectal Operations
Researchers demonstrated the feasibility of using risk-adjusted cumulative sum to monitor outcomes after colorectal operations and identify performance variations. This method accurately tracked surgeon-specific outcomes, adjusting for patient-level risk factors. Outliers in performance were promptly identified at the surgeon, divisional, and institutional levels, contributing to quality assurance, root-cause analysis, and incentivization. Journal Article by Blackburn […]
Impact of KRAS status on surgical margins in liver resection for colorectal liver metastases
Patients with KRAS-mutated colorectal liver metastases had shorter overall and disease-free survival after liver resection. In these cases, the resection margin did not affect oncologic outcomes. However, for KRAS wild-type tumors, achieving an R0 resection was crucial for prolonged overall and disease-free survival. Primary tumor location was the only predictor of survival in multivariable analysis. […]
Factors influencing late recurrence and survival outcomes in hepatocellular carcinoma patients post-resection
Analysis of 1,701 patients with hepatocellular carcinoma after curative resection revealed 38.4% experienced late recurrence, with median time to recurrence of 4.0 years. Risk factors for late recurrence included age >60, chronic hepatitis C, cirrhosis, high albumin-bilirubin grade, absence of family history, and specific tumor characteristics. Surgical treatment was associated with better survival outcomes post-recurrence. […]
Factors influencing conversion to bailout procedures in interval cholecystectomy for cholecystitis with gallstones
Interval laparoscopic cholecystectomy for cholecystitis with gallstones poses challenges due to factors like impacted stones, post-choledocholithiasis, and older age. A study of 269 patients found that these factors were independent risk factors for conversion to bailout procedures. While bile duct injuries were rare (0.4%), caution is advised for patients with these risk factors during interval […]
Impact of Hospital Readmissions on Healthcare Costs following Robotic Hepatectomy for Neoplastic Disease
Readmission post-robotic hepatectomy correlates with hypertension, higher Child-Pugh scores, and R1 margins. Neoadjuvant chemotherapy is associated with lower readmission rates due to less diffuse liver disease. While not affecting five-year survival, readmissions elevate hospital costs significantly. The study found 44 out of 244 patients were readmitted within 90 days, with risk factors including hypertension, Child-Pugh […]