Heart rate variability parameters, measured immediately post-operatively and combined with patient age, were used to develop a predictive model with an AUC of 0.980, providing a negative predictive value of 1.00 for post-operative cardiovascular complications in patients undergoing major abdominal surgery. This model has the potential to aid in early risk stratification, clinical decision-making, and […]
Author: STITCHES Newsletter
Prognostic Factors for Liver Metastasis in Small Intestinal Stromal Tumors
Researchers analyzed data from 1582 patients with small intestinal stromal tumors to identify risk factors for liver metastasis. They found that poor tumor grade, absence of surgery, later T-stage, and no chemotherapy were associated with an increased risk of liver metastasis. A nomogram prediction model showed good performance in predicting liver metastasis, and patients with […]
Global Surgery Collaborations with Africa
Global surgery collaborations with Africa are dominated by European institutions, with most African countries participating. South Africa and Nigeria have the highest collaboration frequency, but most publications originate from Eastern Africa. High- and low- to middle-income countries leveraging synergies, well-defined structures, and secure data platforms facilitate collaboration. However, the underrepresentation of collaborators from LMICs remains […]
Low Rates of Metastases in Mucosal Esophageal Adenocarcinoma with Poor Differentiation
Patients with mucosal esophageal adenocarcinoma and poor differentiation had low rates of metastases after endoscopic resection, even when additional risk factors were present. Metastasis rates were 4.0% for single risk factor patients and 20.0% for those with additional risk factors. Overall death rates were 28.0% and 20.0% for the respective groups. A conservative approach may […]
Esophagectomy improves 5-year overall survival in locally advanced esophageal adenocarcinoma
Esophagectomy is associated with improved 5-year overall survival in locally advanced esophageal adenocarcinoma. Factors like age, race, treatment location, insurance, and tumor size influence esophagectomy use. Non-surgical treatment, government insurance, low income, non-academic centers, comorbidities, and larger tumors increase the risk of all-cause mortality. Esophagectomy and systemic therapy decrease mortality risk. Patients undergoing esophagectomy had […]
Histological Growth Pattern Predicts Survival in Peritoneal Metastases
Patients with colorectal peritoneal metastases who underwent cytoreductive surgery had better disease-free and overall survival if they had a dominant pushing histological growth pattern compared to infiltrating pattern. The study confirmed the prognostic value of these patterns regardless of neoadjuvant chemotherapy or extent of peritoneal disease burden. No significant associations were found between neoadjuvant chemotherapy […]
Optimal Weight Loss Improves CVD Risk After Bariatric Surgery
After bariatric surgery, cardiovascular disease risk scores significantly decrease, showing a greater reduction in patients with optimal weight loss compared to suboptimal weight loss. 91% of patients experienced a decrease in their Framingham score one year post-surgery, with a mean CVD risk score decrease from 7.2% to 4.1%. Weight loss post-surgery is directly associated with […]
Anti-reflux Suture Reduces De Novo GERD After Gastric Bypass
Researchers compared the efficacy of adding an anti-reflux mechanism during one anastomosis gastric bypass (OAGB) to treat preoperative GERD and prevent de novo GERD. The study found that the anti-reflux suture reduced the incidence of de novo GERD symptoms, with a lower rate in patients who received the intervention. While there was no statistically significant […]
Improving Surgeon Skilling Through Video Management and Analytics
Surgeons record a limited portion of eligible cases due to barriers such as lack of perceived value, forgetfulness, legal concerns, and difficulty accessing equipment and videos. Touch Surgery Enterprise, a new recording solution, addresses these barriers and is highly recommended by respondents for adoption due to features like ease of use, AI for privacy, full-length […]
Deep Learning Model Successfully Segments Robotic Pancreaticojejunostomy Videos
Researchers developed a deep learning model for automated segmentation of robotic pancreaticojejunostomy videos. The model achieved an accuracy of 88.01% and mean per-class f1 scores of 85.34%, proving to be effective in identifying the tasks involved in the procedure. Future work will focus on skills assessment and outcome prediction based on the segmentation results. Journal […]