Rectal cancer patients who achieved pathologic complete response after neoadjuvant therapy had improved survival compared to those with residual carcinoma in situ. Factors associated with decreased survival included older age, higher comorbidity score, and poorly differentiated tumors, while factors linked to improved survival were female gender, private insurance, and receiving both neoadjuvant and adjuvant chemotherapy. […]
Author: STITCHES Newsletter
High Rate of Total Thyroidectomy in Papillary Thyroid Microcarcinoma Despite Guidelines
Despite recent evidence supporting conservative management, 63.4% of papillary thyroid microcarcinoma (PTMC) patients in the community underwent total thyroidectomy, leading to higher rates of recurrent laryngeal nerve injury and hypocalcemia compared to lobectomy. Non-endocrine surgeons also administered radioactive iodine more frequently. Subgroup analysis showed variations in total thyroidectomy rates based on tumor size and surgery […]
Robotic colectomy reduces postoperative morbidity and mortality compared to laparoscopic colectomy
Significantly lower rates of postoperative morbidity, mortality, and postoperative ileus were observed in robotic colectomy compared to laparoscopic colectomy. However, robotic approach was associated with longer operative times, though with shorter hospital stays. No significant difference was found in anastomotic leak rates. This study provides evidence supporting the benefits of robotic colectomy in minimizing postoperative […]
Robotic Hepatic Arterial Infusion Pump Placement Shortens Recovery Time for Unresectable Intrahepatic Cholangiocarcinoma
Researchers compared robotic versus open hepatic arterial infusion pump placement for unresectable intrahepatic cholangiocarcinoma. The study found that robotic placement led to a significantly shorter time to functional recovery (2 versus 5 days) and hospital stay (3 versus 5 days) compared to open placement. Both groups had similar rates of postoperative complications. Robotic placement allowed […]
Increased Relative Risk of Cancer in Patients with Diverticular Disease
Patients with diverticular disease had an increased long-term relative risk of cancer, excluding colorectal cancer, possibly due to shared risk factors. The highest standardized incidence ratios were for lung, bronchi, trachea, and kidney cancers. The decreased risk of colorectal cancer may be due to increased colonoscopy rates in diverticular disease patients, potentially leading to early […]
Extreme gradient boost machine learning model accurately predicts mortality risk in primary appendiceal cancer patients
Researchers developed a novel machine learning algorithm using extreme gradient boost to predict 1-, 5-, and 10-year mortality risk in patients with primary appendiceal cancer. The model exhibited high prediction accuracy, with a maximum area under the curve of 0.909 for the 10-year model. Variables such as disease grade, histology, lymph node involvement, and distant […]
Hybrid Surgical Approach in Esophageal Cancer: Real-World Validation of MIRO Trial
A national cohort study validated the external validity of the MIRO randomized controlled trial in a real-life population within France by comparing postoperative complications in esophageal cancer patients. The hybrid approach was found to be protective against severe respiratory complications, with no significant difference in 30-day mortality or leakage rate between surgical approaches. Journal Article […]
Enhanced digital education improves patient understanding of consent for laparoscopic cholecystectomy
Using a digital education platform alongside standard verbal consent significantly increased patient knowledge of risks and benefits of laparoscopic cholecystectomy (LC) immediately after the intervention, as well as in delayed assessments. Patient retention of acquired knowledge was also higher in the intervention group. Satisfaction with the consent discussion did not differ between groups. This study […]
Disparities in overall survival between rural and urban patients with pancreatic neuroendocrine tumors
Rural patients with pancreatic neuroendocrine tumors (pnets) have significantly shorter overall survival (OS) following primary pnet resection compared to urban patients. After adjustments for various factors, living in a rural area remained significantly associated with worse OS. This study highlights survival disparities between rural and urban pnet patients and emphasizes the need for targeted interventions […]
Penetrating Trauma Patients Benefit from Spleen-Conserving Surgery in Nationwide Study
Spleen-conserving surgeries are more common in patients with penetrating trauma, age under 65, stable vital signs, and low-grade injuries. These procedures were associated with a lower risk of pneumonia and venous thromboembolism compared to total splenectomy. Clinicians should consider spleen-conserving surgeries for appropriate patients to improve outcomes in splenic injuries. Journal Article by Tang-Tan A, […]