Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays. Findings under early endoscopy also identified gastric graft ischemia as […]
Author: STITCHES Newsletter
Defining Major Abdominal Surgery: A Scoping Review
This scoping review aimed to determine the terminology used to describe major abdominal surgical procedures. Content analysis of 312 included articles revealed 4 main categories, with operation-related factors being predominant. Gastrointestinal resection was the most frequently coded reference. Based on these findings, major abdominal surgery was defined as an intra-peritoneal operation involving luminal or solid […]
High Success Rate of Laparoscopic Curative Surgical Treatment for Common Bile Duct Stones
Curative laparoscopic surgical treatment for symptomatic common bile duct stones showed a 93.1% success rate, with low immediate postoperative morbidity (24.4%) and reintervention rate (5.3%). Mortality rates were zero and 0.4% at immediate and 6-week postoperative, respectively, with an average length of stay of 11.3 days. Factors contributing to procedure failure included early postoperative complications […]
Improved Quality of Life and Weight Loss in Patients Undergoing Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass
Studies on 196 participants reveal that converting sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB) significantly improves quality of life (QoL). Following conversion, there’s a notable reduction in gastroesophageal reflux disease (GERD) symptoms, proton pump inhibitor (PPI) use, and positive outcomes in excess weight loss (EWL). However, the limited number of studies and varied QoL […]
Predictive Nomogram for Positive CRM in Rectal Cancer Surgery
A predictive nomogram was developed to identify patients at risk for a positive circumferential resection margin (CRM) in rectal cancer surgery. Factors associated with positive CRM included tumor grade, lack of neoadjuvant chemotherapy, specific tumor histology, surgical approach, and other tumor characteristics. These findings can be used to predict CRM positivity in the preoperative period, […]
HIPEC in Appendiceal Adenocarcinoma After Perforated Appendicitis: Encouraging 5-Year Survival
Among patients diagnosed with appendiceal adenocarcinoma after acute perforated appendicitis, half may have peritoneal metastasis. Prophylactic cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in cases without identified metastasis during CRS may lead to an encouraging rate of disease-free survival at 5 years, with a recurrence rate of 12.5% and 100% overall survival. Surgical complications […]
Comparison of laparoscopic liver resection outcomes in centers with and without liver transplant programs
Centers with liver transplant programs in France perform more difficult laparoscopic liver resections for hepatocellular carcinoma in cirrhotic patients compared to centers without transplant programs. Despite this complexity, both types of centers showed comparable safety and quality of care in terms of postoperative severe morbidity and mortality rates, demonstrating that all centers can achieve good […]
Induction Chemotherapy Leads to Increased Pathologic Downstaging in Locally Advanced Rectal Cancer Patients treated with Total Neoadjuvant Therapy
Increased utilization of induction chemotherapy in total neoadjuvant therapy for locally advanced rectal cancer led to higher pathologic downstaging rates compared to consolidation chemotherapy. From 2006 to 2017, 46.7% of patients experienced downstaging, with induction chemotherapy resulting in a higher rate of pathologic downstaging (58% vs. 44.7%). These findings suggest that induction chemotherapy may be […]
Standardized Perioperative Fluid Management in Colorectal Surgery
Perioperative fluid management in colorectal surgery is discussed within enhanced recovery after surgery (ERAS) pathways. The review highlights the lack of standardized definitions for restrictive or liberal fluid regimens, with challenges related to patient selection. Goal-directed fluid therapy is suggested for more complex cases. Critical thresholds for total intravenous fluids and weight gain are identified, […]
Repeat Resection for Recurrent Intrahepatic Cholangiocarcinoma Can Lead to Improved Survival
Repeat resection for recurrent intrahepatic cholangiocarcinoma in select patients can lead to improved survival compared to locoregional or palliative therapy alone. A 3-year post-recurrence survival rate of 47% was observed in surgically treated patients. Independent predictors of post-recurrence death included time to recurrence, site of recurrence, macrovascular invasion, and size of recurrence. Repeat resection was […]