A new nomogram predicts post-hepatectomy liver failure (PHLF) for hepatocellular carcinoma, improving patient outcomes. Analyzed 654 patients, identifying 55 PHLF cases linked to seven key predictors: liver cirrhosis, total bilirubin, prothrombin time, albumin-bilirubin, fibrosis-4 index, ascites, and intraoperative blood loss. Nomogram achieved an AUC of 0.880 for training and 0.879 for validation, indicating strong predictive […]
Author: STITCHES Newsletter
Effective Prehabilitation Reduces Complications in Colorectal Surgery
Multimodal prehabilitation significantly enhances outcomes for colorectal cancer patients undergoing surgery by lowering complications and improving recovery. Multimodal prehabilitation cut postoperative complications by 53% (odds ratio: 0.47). It also shortened hospital stays by an average of 1.17 days. This integrated approach improves physical function, shown by a 27-meter increase in the 6-minute walk test pre-surgery, […]
Improved Survival Rates for Surgical Gastric Cancer Patients
Conditional relative survival after gastric cancer surgery shows promising results, suggesting better outcomes than previously thought. Five-year conditional relative survival (CRS) rose from 87.2% at one year to 95.4% at five years post-surgery. Stage III patients saw significant improvement, with CRS increasing from 53.2% at one year to 85.2% at five years. Surgery remains a […]
Predicting Postoperative Leakage in Gastrectomy with AI
This study shows that deep learning can predict leakage during laparoscopic gastrectomy for gastric cancer, improving surgical outcomes. Leakage rates were 1.3% at the duodenal stump and 4.3% at the esophagojejunal anastomoses. The ResNet18 model achieved a recall of 84.7% for stump leakage and 80% for anastomosis leakage when trained on high-quality, single-image datasets with […]
Structured Robotic Surgery Training Improves Outcomes in Cancer Patients
A structured training program significantly enhances surgical performance for robotic procedures. 16 experienced surgeons trained in a four-stage curriculum, with only 8 achieving full certification. Robotic procedures resulted in less blood loss (266.2 ml vs. 598.2 ml) despite longer operative times (304.9 min vs. 259.1 min). No difference in lymph node yield or complication rates […]
Prehabilitation Cuts Postoperative Risks in GI Surgery
Multimodal prehabilitation significantly reduces mortality and readmission rates in high-risk gastrointestinal surgery patients. Participants had 30-day mortality at 32% of expected rates and readmission at 93% of expected rates. Baseline dyspnea (47% in nonideal outcomes) and disseminated cancer are key risk factors linked to higher 30-day readmissions. Surgeons should closely evaluate patients with dyspnea, as […]
Minimally Invasive Surgery Cuts Complications in Small Bowel Tumors
Minimally invasive surgery for small bowel neuroendocrine tumors shows significant benefits over open resection. MIS resulted in 54% lower odds of postoperative complications. Patients had shorter hospital stays (4 vs. 6 days) and fewer infections: skin/soft tissue (2.1% vs. 6.8%), urinary tract (0.5% vs. 2.4%), sepsis (0.2% vs. 1.2%). This approach enhances short-term outcomes and […]
ICG imaging elevates surgical outcomes in gastric cancer
Indocyanine green (ICG) guidance improves lymphadenectomy in gastric cancer post-neoadjuvant chemotherapy. ICG increased lymph node retrieval by an average of nearly 9 nodes. Patients with ICG guidance were 2.3 times more likely to retrieve 30 or more nodes compared to conventional methods. ICG use showed no increase in complications, supporting its safe application in surgical […]
Cold Snare Biopsy Improves CRC Diagnosis Without Risks
Cold snare biopsy (CSB) significantly boosts diagnostic accuracy for suspected colorectal cancer compared to cold forceps biopsy (CFB), without increasing complication rates. CSB achieved 100% diagnostic consistency; CFB was 90.5%. Clinical outcomes were similar: bleeding rates were 3.9% for CSB vs. 4.6% for CFB. Surgeons should consider CSB as the preferred method for obtaining biopsies […]
New Imaging and Treatment Strategies in Rectal Cancer
Surgeons need to adapt to evolving diagnostic and treatment protocols for rectal cancer to enhance patient outcomes. Mortality rates from rectal cancer are declining, driven by improved screening and staging. Neoadjuvant radiochemotherapy can allow less invasive surgery for patients with non-advanced disease. Incorporating imaging advancements can aid in personalized treatment strategies. Abdominopelvic MRI and transrectal […]