Researchers conducted a comprehensive analysis using big data to investigate the frequency of hiatus hernia (hh) and its association with esophageal disorders. They reviewed endoscopic reports of over 75,000 patients and found that hh was present in 16.8% of cases, with the majority being small hhs. They also found that hh was significantly associated with […]
Author: STITCHES Newsletter
Structured follow-up after resection for biliary tract cancer improves overall survival
A retrospective multicenter cohort study compared two follow-up strategies for patients after curative resection of biliary tract cancer. The study found that structured follow-up resulted in more patients receiving palliative therapy after recurrence compared to pragmatic follow-up. Additionally, the median overall survival was significantly lower in the pragmatic group. However, patients who actually received chemotherapy […]
Advanced Surgical Treatment of Pancreatic Ductal Adenocarcinoma: Current Challenges and Opportunities
Recent advancements in chemo/radiotherapy have rendered previously inoperable patients with pancreatic ductal adenocarcinoma (PDAC) potentially resectable. This narrative review highlights the current state of surgical treatment for borderline resectable, locally advanced, and synchronous or metachronous oligometastatic PDAC. Neoadjuvant therapy (NAT) is recommended before surgery, although the best response rate is still limited. Methods for selecting […]
Individualized Age Cessation in IPMN Surveillance: A Cost-Effectiveness Analysis
Researchers conducted a simulation study to determine the optimal age to discontinue long-term surveillance of low-risk intraductal papillary mucinous neoplasms (IPMNs). Using a markov model and clinical cohort data, they calculated the cost-effectiveness of continued versus discontinued surveillance at different ages. They found that the optimal age to stop surveillance varied based on sex and […]
Indocyanine Green-Guided Laparoscopic RLPS: Safe and Feasible for Synchronous Liver Metastases
Laparoscopic right posterior sectionectomy (RLPS) with an extrahepatic Glissonian approach and modified hanging maneuver, guided by indocyanine green fluorescence imaging, proves safe and feasible for a patient with mid-rectum adenocarcinoma and synchronous liver metastases. The procedure involves selective clamping, indocyanine green injection, and precise parenchymal transection along a marked plane. Detaching a metastasis from the […]
Laparoscopic Portal Vein Ligation and Embolization Facilitate Safe Second Hepatectomy for Unresectable Colorectal Liver Metastases
Laparoscopic two-stage hepatectomy with portal vein embolization ensures safe completion of surgery for initially unresectable colorectal liver metastases. Three patients received chemotherapy followed by laparoscopic colorectal resection and limited hepatectomies. After right portal vein ligation, laparoscopic portal vein embolization using ethanol facilitated the second hepatectomy. No postoperative complications occurred in six surgeries, suggesting the safety […]
Adjuvant Therapy Trends Post Resection in Pancreatic Cancer
Approximately 25.2% of pancreatic cancer patients who underwent upfront resection did not receive adjuvant therapy (AT), according to a prospective observational study. The main reasons for AT omission were postoperative complications, oncologist’s choice, baseline comorbidities, patient’s choice, and early recurrence. Older age, comorbidities, and postoperative complications were the main factors associated with AT omission. Additionally, […]
Transoral thyroidectomy associated with higher postoperative pain levels compared to conventional thyroidectomy
The study compared postoperative pain levels between transoral and conventional transcervical thyroidectomy. After matching patients based on six covariates, the transoral group had higher pain scores than the conventional group from day 1 to day 6 post-surgery, with no significant difference at 1 month. Among transoral procedures, the endoscopic approach had significantly higher pain scores […]
Nonradiation-guided and Digital Cholangioscopy-assisted Endoscopic Intervention for Cholelithiasis Shows High Efficacy and Safety
This study evaluated the feasibility, efficacy, and safety of a digital cholangioscopy-assisted endoscopic intervention for cholelithiasis. The procedure achieved biliary access in 285 patients with a 100% success rate for exploring the common bile duct, cystic stump, hilar ducts, and secondary radicals. Stone clearance was successful for the majority of patients, including those with difficult-to-treat […]
Chewing Gum before Thyroid Surgery Reduces Postoperative Sore Throat
Chewing 2.8g of gum prior to total thyroidectomy surgery can significantly decrease the incidence of moderate/severe postoperative sore throat within 48 hours after the procedure. This finding was established through a randomized controlled trial involving 148 patients, with the 2.8g gum group demonstrating a lower incidence of postoperative sore throat compared to the control group. […]