R Anastomosis, a novel technique for B-II-B anastomosis during laparoscopic distal gastrectomy, was compared to conventional anastomosis in a propensity score matching analysis. The study included 246 patients, with 123 in each group. The R group had significantly reduced anastomotic time, and there were no intraoperative complications, conversions to open surgery, or perioperative mortalities reported […]
Author: STITCHES Newsletter
Efficiency of Retraction Method in Esophagectomy for Squamous Cell Carcinoma
A prospective randomized trial compared two methods of lymphadenectomy along the left recurrent laryngeal nerve (lrln) during minimally invasive esophagectomy in esophageal squamous cell carcinoma patients. The retraction method (rm) was found to be more beneficial, as it reduced surgical duration significantly compared to the suspension method (sm). There were no differences in postoperative complications, […]
Development and Validation of an Interpretable Model for Predicting Multiple Postoperative Complications
Researchers developed and validated a Markov-embedded multilabel model to predict the risks of various postoperative complications among surgical inpatients. The model outperformed other existing models, achieving the highest average area under the receiver operating characteristic curve (AUC) for eight outcomes, including cardiac complications, neurological complications, and mortality. The model identified important preoperative variables, but the […]
Racial Disparities in Surgical Treatment Offer for Neuroendocrine Neoplasms
The study investigated the factors associated with offering surgery for pancreatic and small bowel neuroendocrine neoplasms (pannen and sbnen). Analysis of the surveillance databases revealed that non-white race was associated with decreased odds of surgery offer for sbnen but not pannen. These findings highlight racial/ethnic disparities in the course of treatment, indicating that non-white patients […]
Hand-sewn Gastrojejunal Anastomosis Reduces Delayed Gastric Emptying after Pancreaticoduodenectomy
A retrospective clinical study on 1,077 patients undergoing pancreaticoduodenectomy compared hand-sewn anastomosis to stapled anastomosis in reducing delayed gastric emptying. After propensity score matching, the hand-sewn group demonstrated a significantly lower incidence of delayed gastric emptying and upper gastrointestinal tract bleeding. It also resulted in reduced length of stay and hospitalization expenses. Logistic regression analysis […]
Comparison of Endoscopic Submucosal Dissection and Laparoscopic and Endoscopic Cooperative Surgery for Duodenal Tumors
Endoscopic submucosal dissection (ESD) and laparoscopic and endoscopic cooperative surgery (LECS) were compared in patients with superficial non-ampullary duodenal epithelial tumors. The study found that both ESD and LECS achieved high rates of en bloc and curative resection, with no significant difference between the two techniques. ESD had shorter resection and suturing times. There were […]
Long-term functional disturbances observed in female patients after multivisceral resection for advanced rectal cancers
Female patients who underwent multivisceral resection for rectal cancer experienced long-term functional disturbances, particularly in urinary and sexual functions, according to a cross-sectional study. Out of the 198 patients who had the surgery, 69 were assessed for functional outcomes. The study found that the removal of the uterus and posterior vaginal wall were common procedures, […]
A Comparative Analysis of Surgical Techniques and Outcomes for Internal Hemipelvectomy
Implementing advancements in technology and surgical technique for internal hemipelvectomy procedures can significantly impact patient outcomes. A retrospective study conducted at a single institution examined the experiences of surgeons and the utilization of new techniques and technologies over a 26-year period. The study found that the use of three-dimensional (3D) computer navigation and customized 3D-printed […]
Optimal Follow-up Methods and Intensity after Surgery for Colorectal Liver Metastases
Recurrence after surgery for colorectal liver metastases (CRLM) is common within two years, but there is no established guidance on follow-up methods and intensity. A systematic review of 25 articles involving 9,945 patients revealed wide variation in follow-up methods, with CT as the most common imaging modality and CEA as the most common blood test. […]
Long-Course Chemoradiotherapy Outperforms Short-Course Radiotherapy in Locally Advanced Rectal Cancer
The study compared the oncological outcomes of long-course chemoradiotherapy (LC-CRT) and short-course radiotherapy with delayed surgery (SCRT-delay) in locally advanced rectal cancer (LARC) patients. The results showed that LC-CRT had higher overall survival (OS) rates at 1, 3, and 5 years compared to SCRT-delay. Additionally, LC-CRT group had higher cancer-specific survival (CSS) rates at 1, […]