Colorectal cancer (CRC) risk after resection of low- and high-risk adenomas was investigated in a fit-based CRC screening program. The study included 87,248 post-fit+ colonoscopies and found that patients with low-risk adenomas did not have an increased CRC incidence compared to the fit+/colonoscopy negative group. However, patients with high-risk adenomas had a significantly higher CRC […]
Author: STITCHES Newsletter
Short-term Safety of Magnetic Sphincter Augmentation vs Minimally Invasive Fundoplication
This study compared the outcomes of patients undergoing magnetic sphincter augmentation (MSA) or fundoplication for anti-reflux surgery using the ACS-NSQIP registry. A total of 7,882 patients were included, with MSA patients being younger and more often male. Compared to fundoplication, MSA was associated with reduced postoperative complications, fewer readmissions, shorter hospital stays, and shorter operative […]
Robotic Surgery Reduces the Incidence and Severity of Low Anterior Resection Syndrome in Patients with Lower Rectal Cancer
Robotic surgery has been shown to significantly reduce the occurrence and severity of low anterior resection syndrome (LARS) in patients with lower rectal cancer. In a study involving 342 patients, the incidence of major LARS was significantly lower in the robotic surgery group compared to the laparoscopic surgery group at 6, 12, and 18 months […]
Simulation in African Surgical Education: A Critical Need for Training in Low-Middle-Income Countries
Researchers conducted a needs assessment in African surgical education, revealing a critical need for comprehensive surgical training in low-middle-income countries (LMICs). The survey of program directors identified high priority skills such as intracorporeal suturing, laparoscopic camera driving, and medial visceral rotation. Interviews highlighted a desire for laparoscopic surgery and a need for a simulation curriculum […]
Comparative Outcomes and Prognostic Factors in Adrenalectomy for Adrenal Metastasis
Adrenalectomy for adrenal metastasis remains controversial, and the feasibility of laparoscopic adrenalectomy (LA) is under debate. A retrospective review of 141 patients undergoing adrenalectomy compared open adrenalectomy (OA) to LA. For tumors less than 8 cm without adjacent organ resection, LA had shorter operation time, less blood loss, and shorter hospital stay. Positive pathological margin, […]
Liver Resection Outperforms Ablation in Multifocal Hepatocellular Carcinoma
Examining T2 multifocal hepatocellular carcinoma (MHCC), researchers compared liver resection (LR) and tumor ablation (TA) in a cohort of 1225 patients. Despite higher 30-day mortality with LR, 10-year overall survival favored LR over TA (27.5% vs. 14.7%). Stratified analysis revealed significant benefits in patients with negative resection margins, no lymphovascular invasion, and a Charlson-Deyo score […]
Gender Disparities in Family Planning and Career Advancement in General Surgery
The study reveals notable gender disparities in family planning, parental leave, and career advancement among general surgeons. Of the respondents, 26% had utilized fertility services, while 36.4% of men and 100% of women took parental leave during training. A higher percentage of women agreed that their training influenced their decision on having and timing children. […]
Preoperative Sarcopenia Predicts Poor Prognosis in Gastric Cancer
Preoperative sarcopenia is significantly associated with lower overall survival (OS) and relapse-free survival (RFS) in patients with gastric cancer. A retrospective study of 781 gastric cancer patients who underwent radical gastrectomy revealed that preoperative sarcopenia is an independent risk factor for 10-year OS and RFS. Patients with sarcopenia had a higher risk of death and […]
Factors Influencing Outcomes in Laparoscopic Gastrectomy: A Prognostic Link to Survival
A total of 994 out of 1540 patients (64.5%) achieved textbook outcomes (TO) in laparoscopic gastrectomy (LG). Factors independently associated with reduced TO likelihood included older age, higher BMI, higher ASA score, conversion to open surgery, longer operation time, and greater estimated blood loss. Achieving TO in LG was linked to improved 5-year overall survival […]
Surgeon Volume and Outcomes in Adrenal Surgery: Centralization for Higher-Volume Surgeons Recommended
A total of 4464 adrenal surgery patients were analyzed from the United Kingdom Registry of Endocrine and Thyroid Surgery. The study found that increasing surgeon volume is associated with shorter hospital stays and fewer postoperative complications. Surgeons performing a minimum of 12 adrenal operations per year had significantly lower complication rates and shorter hospital stays […]