The systematic review aims to evaluate the safety and feasibility of robotic surgery for locally advanced and recurrent rectal cancer. Researchers will assess perioperative outcomes, oncological clearance rates, and survival and recurrence rates post-robotic beyond total mesorectal excision (TME) surgery. The review will include studies published until December 2023, with a thorough search of the […]
Author: STITCHES Newsletter
The Manual Layered Insertion Method Shows Promise in Reducing Anastomotic Leakage in Esophagectomy
A retrospective analysis evaluated the effectiveness of the manual layered insertion anastomosis technique in reducing anastomotic leakage post-esophagectomy. The study included 56 patients who underwent this technique, all receiving minimally invasive esophagectomy. With no reported anastomotic leakages, the technique showed potential in reducing complications such as anastomotic stenosis and gastric acid reflux. The method’s efficacy […]
Functional Decline Common Among Critically Ill Surgical Patients
Approximately 36.5% of critically ill surgical patients experience functional decline after admission to the intensive care unit (ICU). The study, which analyzed data from over 52,000 surgical patients across 236 hospitals, revealed that patients undergoing pulmonary, musculoskeletal, neurological, gastrointestinal, and skin and soft tissue surgeries had increased odds of functional decline. Age, gender, comorbidities, and […]
Laparoscopic Left Hepatectomy Achieves Comparable Results to Open Surgery for Intrahepatic Cholangiocarcinoma
A 66-year-old male with stage II intrahepatic cholangiocarcinoma underwent a 240-minute laparoscopic left hepatectomy using a no-touch en bloc technique and lymphadenectomy skeletonization. The patient was discharged after 6 days without complications and received postoperative gemcitabine and cisplatin treatment. After 14 months of follow-up, there was no recurrence. This study demonstrates that skilled surgeons can […]
Conversion of Failed J Pouch to Kock Pouch: Indications, Contraindications, and Outcomes
Conversion of the j pouch to a continent ileostomy is a significant surgical procedure aimed at creating a well-functioning reservoir with a high-quality valve mechanism while preserving as much small bowel as possible. This study provides an overview of the indications, contraindications, technical principles, and outcomes of such conversions. It concludes that the conversion of […]
Lack of Representation and Reporting of Racial and Ethnic Minorities in US Colorectal Cancer Surgical Trials
A systematic review and regression analysis of 15 US-based colorectal cancer surgical trials found significant disparities in the representation and reporting of racially and ethnically diverse participants. Out of the included trials, 66.7% did not report race and 73.3% did not describe ethnicity adequately. The pooled proportion of white participants was 81.3%, while black, Asian, […]
Factors Associated with Performing Ileal Pouch-Anal Anastomosis After Total Colectomy for Ulcerative Colitis
Approximately 50.2% of patients who underwent total colectomy for ulcerative colitis in the United States received ileal pouch-anal anastomosis. Younger age, lower comorbidities, elective cases, and laparoscopic approach were associated with a higher likelihood of undergoing this procedure. Socioeconomic status did not influence the decision. These findings highlight the importance of providing restorative surgery as […]
Prognostic Significance of the Comprehensive Complication Index in Gastric Cardia Adenocarcinoma
The Comprehensive Complication Index (CCI) showed a stronger positive association than the Clavien-Dindo Classification (CDC) with short-term postoperative complications in patients with gastric cardia adenocarcinoma. The CCI demonstrated superior correlation strength for hospital length of stay, duration of ICU stay, time to return to normal activities, and total hospitalization cost. These findings suggest that the […]
Increased Overall Survival Associated with Achieving Modified Textbook Outcome in Surgery for Colorectal Liver Metastases
Findings from a nationwide analysis revealed that achieving a modified textbook outcome (MTO) after surgery for colorectal liver metastases (CRLM) was associated with better overall survival (OS). Out of 6,525 eligible patients, 81% achieved MTO. Between 2014 and 2018, patients achieving MTO had a 5-year OS of 46.7% compared to 33.7% in non-MTO patients. Not […]
Implications of precursor lesions and early cancerous changes in the gallbladder and bile ducts
The study explores terminology, classification, and significance of dysplasia and early carcinoma in the gallbladder and bile ducts. Most precursor lesions and early cancerous changes are clinically undetectable. Low-grade dysplasia is challenging to define and lacks clinical significance, but additional sampling is required to exclude significant lesions. High-grade dysplasia (carcinoma in situ) necessitates complete sampling […]