Surgeons and anesthesiologists at an academic medical center completed surveys revealing higher global well-being scores linked to workplace satisfaction and support. Anesthesiologists reported lower satisfaction and control than surgeons. Template analysis identified five intervention areas. Both specialties prioritized patient care, but differed in other priorities. Surgeons’ well-being threats were inefficiencies/delays and workload, while anesthesiologists cited […]
Author: STITCHES Newsletter
Enhancing Surgical Discharge: Addressing Gaps for Better Outcomes
Mapping the surgical discharge process in US hospitals revealed key components and challenges specific to surgical patients. Current care transition models do not address wound care education, pain control, non-home post-discharge locations, and follow-up plans. Challenges include social situations, team communication issues, and post-discharge care coordination. Addressing these components and challenges in care transitions for […]
Metastatic Lymph Nodes and Survival in Esophageal Cancer
Patients with 1 metastatic lymph node had a median overall survival of 49.8 months, while those with 2 metastatic lymph nodes had an overall survival of 33.3 months. Survival was not significantly different between patients with 1 metastatic lymph node in 1 lymph node metastasis station and those with 2 metastatic lymph nodes in the […]
Long-Term Oncologic Outcome Similar Between Proximal Gastrectomy and Total Gastrectomy for Upper-Third AGC and EGJ Cancer
Proximal gastrectomy (PG) and total gastrectomy (TG) for upper-third advanced gastric cancer (AGC) and Siewert type II esophagogastric junction (EGJ) cancers yield similar overall survival rates (61.7% vs. 68.3%) and recurrence-free survival rates (86.7% vs. 83.3%). PG group had eight recurrences, but operation method was not identified as a prognostic factor of tumor recurrence in […]
Stapled Hemorrhoidopexy Plus Ligation Anopexy Improves Long-Term Results
Researchers conducted a randomized trial comparing stapled hemorrhoidopexy alone to stapled hemorrhoidopexy plus ligation anopexy for grade III-IV hemorrhoids. Although short-term outcomes were similar, the combined approach showed significantly better long-term results. After 36 months, the stapled-only group had a 16% recurrence rate, requiring redo surgery, while the combined group had only 5% recurrence with […]
Identification of Predictive Factors for Postoperative Pancreatic Fistula in Distal Pancreatectomy Using Novel Model
Researchers proposed a novel predictive model based on preoperative imaging parameters and stapler handling for postoperative pancreatic fistula (POPF) in distal pancreatectomy. Among 81 patients who underwent the procedure using a linear stapler, 38.2% developed POPF. The model identified computed tomography-measured pancreatic thickness and pancreas-to-muscle signal intensity ratio as significant risk factors. The model also […]
Laparoscopic Roux-en-Y Gastric Bypass Outperforms Sleeve Gastrectomy in Weight Loss and Diabetes Remission
Researchers compared laparoscopic sleeve gastrectomy (LSG) with laparoscopic Roux-en-Y gastric bypass (LRYGB) in treating obesity. The meta-analysis of 20 studies involving 1270 patients showed that LRYGB was superior to LSG in terms of BMI loss at six months and short-term T2DM remission efficacy. However, LSG had less complications and shorter operating times. Therefore, LRYGB is […]
Elevated Fibrinogen-to-Prealbumin Ratio and Glasgow Prognostic Score Predict Poor Survival in Colorectal Cancer Patients Post Laparoscopic Surgery
High preoperative Fibrinogen-to-Prealbumin Ratio (FPR) and Glasgow Prognostic Score (GPS) are independently associated with worse overall survival in colorectal cancer patients after laparoscopic surgery. Combining FPR and GPS provides more accurate prognostic assessment, outperforming single indicators. Patients with elevated FPR and GPS values have a significantly poorer prognosis. Journal Article by Liu B, Qian J […]
Impact of Fine-Needle Aspiration Cytology on Thyroidectomy Extent and Surgical Morbidity in Thyroid Cancer
Results show that fine-needle aspiration cytology results influence surgical planning in thyroid cancer, with intermediate categories leading to more partial thyroidectomies. Inadequate procedures due to inconclusive cytology are encountered in up to 15% of cases. Completion thyroidectomies after initial partial procedure do not significantly increase morbidity. Primary partial thyroidectomy is safer than total thyroidectomy in […]
Preoperative pancreatic radiologic characteristics predict postoperative pancreatic complications
High acinar pancreatic content on preoperative CT scans is associated with increased risk of postpancreatectomy acute pancreatitis and pancreatic fistula formation. A simple radiological score combining pancreatic density, wirsung caliber, and pancreatic thickness predicts patients at higher risk for these complications, with male gender and obesity also contributing to the risk. Understanding these radiologic factors […]