Diagnostic laparoscopy with peritoneal lavage in gastric adenocarcinoma has a high diagnostic yield, with 24.5% of patients having positive findings leading to exclusion from neoadjuvant treatment or surgical resection. Peritoneal metastases were identified in 10.3% of patients, with 12.5% having positive peritoneal cytology without macroscopic disease. Diffuse type carcinoma had the highest risk of peritoneal […]
Author: STITCHES Newsletter
Virtual Informed Consent and the Importance of Trust-Building
Virtual formats for informed consent in surgery may hinder trust-building, as they rely on an information-transfer model rather than a trust-building one. This study suggests that a trust-building model is essential for a fuller understanding of the consent process, highlighting potential shortcomings of virtual formats on interpersonal and systemic levels. The ethical framework proposed can […]
Development and Validation of a Privacy-proof Surgical Anonymization Algorithm for Live Streaming
Researchers developed and validated a pioneer surgical anonymization algorithm, named Robotic Anonymization Network (ROBAN), for real-time removal of out-of-body images during live surgery streaming. The algorithm achieved a high ROC AUC score of 99.89% after post-processing, outperforming previous state-of-the-art methods and offering reliable, accurate, and safe anonymization across different robotic platforms and procedural types. Journal […]
What is the main reason for re-establishing care in bariatric patients after metabolic/bariatric surgery?
Patients after metabolic/bariatric surgery who sought to re-establish care mostly presented due to recurrent weight gain. Sleeve gastrectomy patients had a higher rate of revision surgery, while Roux-en-Y gastric bypass patients underwent more endoscopic interventions. Additionally, response to anti-obesity medications, particularly GLP-1 drugs, was more effective in Roux-en-Y gastric bypass patients compared to sleeve gastrectomy […]
High waist circumference positively affects clinical outcomes in esophageal cancer patients receiving immune checkpoint inhibitors.
In patients with unresectable or recurrent esophageal cancer receiving immune checkpoint inhibitors, high waist circumference was associated with favorable progression-free survival and disease control rates. This suggests that body composition, specifically waist circumference, may influence clinical outcomes in esophageal cancer patients undergoing ICI treatment. Journal Article by Kosumi K, Baba Y (…) Baba H et […]
Association of Race/Ethnicity with Invasive Intraductal Papillary Mucinous Neoplasms
Patients of race/ethnicity other than white had significantly higher rates of invasive intraductal papillary mucinous neoplasms during surgical resection, with 20.5% of cases demonstrating invasion. Despite being younger and healthier, non-white patients had higher odds of invasive neoplasms, independent of clinicodemographic variables. Postoperative morbidity did not differ among racial/ethnic groups. This national cohort study highlights […]
Histopathological Evaluation of Pouch Neoplasia Reveals the Importance of Annual Surveillance for High-Risk Patients
Neoplasia in the ileal pouch of patients with inflammatory bowel diseases or familial adenomatous polyposis is rare but poses a significant risk. Annual endoscopic surveillance is crucial for detecting dysplasia in high-risk patients. While dysplastic polyps in familial adenomatous polyposis are easily identifiable and removable, glandular dysplasia in ulcerative colitis may be challenging to detect. […]
Which Bariatric Procedure Shows Superior Long-Term Results: LSG or OAGB?
After a 7-year follow-up, OAGB demonstrated significantly higher %EWL and %TWL compared to LSG. Quality of life scores improved in both groups, with more OAGB patients reaching very good or excellent outcomes on the BAROS score. Both procedures led to significant drops in total body weight and BMI, with most patients experiencing remission or improvement […]
Development of Prediction Models for Mortality Risk After Colorectal Cancer Surgery
Researchers developed prediction models using preoperative data to assess short-term mortality risk following colorectal cancer surgery. The models showed good discrimination and calibration, with an area under the receiver operating characteristic curve of 0.88, 0.878, and 0.861 for 30-day, 90-day, and 1-year mortality, respectively. Subgroup analysis did not improve discrimination or calibration. Combining all operated […]
Machine learning does not outperform expert-informed predictions for outcome after major liver surgery
Expert-informed prediction models and machine learning models both showed similar performance in predicting postoperative overall morbidity in liver surgery patients, with high variability and over/underprediction. There was no improvement in performance for major liver surgery patients, indicating that machine learning may not have clinical relevance for predicting postoperative outcomes at this stage. Journal Article by […]