A retrospective study compared the laparoscopic transabdominal preperitoneal (TAPP) technique with the open technique for emergency groin hernia repair. The TAPP group had younger patients with less severe clinical scenarios, while the open group had a higher incidence of bowel herniation and required more bowel resections. The TAPP group had shorter hospital stays and fewer […]
Author: STITCHES Newsletter
Feasibility and Safety of Vessel-Sparing Robotic Sigmoidectomy for Adenocarcinoma
The study assessed the feasibility, safety, and clinical utility of a vessel-sparing approach in totally robotic sigmoidectomy for adenocarcinoma. The results showed that the completely vessel-sparing technique was feasible and safe, with a median of 21 examined lymph nodes and zero positive lymph nodes. The operative time was around 240 minutes, and there were no […]
Effect of Intraoperative Music on Surgeon Stress
Researchers conducted a pilot study to determine the impact of background music on stress levels in surgeons during operations. The study involved five primary operators performing 74 elective surgeries while listening to selected music or working in a non-music environment. The protocol was well-tolerated, with no cases being abandoned. However, the presence of intraoperative music […]
Long-term Consequences of Necrotising Pancreatitis: Burden of Recurrent Disease, Interventions, and Insufficiency
The long-term consequences of necrotising pancreatitis, including complications, interventions, and quality of life, were assessed in a follow-up study of 373 patients. Results showed that 26% of patients were readmitted for recurrent pancreatitis, 13% received endoscopic or percutaneous drainage, and 8% underwent pancreatic necrosectomy or surgery. Endocrine and exocrine insufficiency developed less frequently in patients […]
Improved Localization and Complete Resection in Pancreatic Hypoglycemia Using Intraoperative Segmental Pancreatic Occlusion and Insulin Assay
Combining intraoperative segmental pancreatic occlusion and insulin assays significantly enhances the localization and complete resection of hypersecretory pancreatic tissues in patients with pancreatic hypoglycemia. A retrospective analysis of 11 cases showed that the insulin assay, performed 30 minutes post-resection, accurately located target tissues and achieved a complete resection rate of 100%. Intraoperative blood glucose monitoring, […]
Portal Vein Resection in Pancreatic Neuroendocrine Neoplasms
Portal vein resection in surgery for pancreatic neuroendocrine neoplasms was analyzed in this study. Among 666 patients, 8% underwent portal vein resection. Postoperative complications were comparable to standard resection, with a low 90-day mortality rate. Radical resection resulted in excellent 5-year overall and disease-specific survival rates. This study provides valuable data on the perioperative and […]
Robotic True D3 Lymph Node Dissection with Superior Mesenteric Vein-Taping Technique for Advanced Right Colon Cancer
A study evaluated the safety and feasibility of a robotic true D3 lymph node dissection using a superior mesenteric vein taping technique for right colon cancer. The technique allowed for accurate exposure of the ileocolic artery and provided a good view for lymph node dissection. In 14 patients, no significant complications or mortality were observed. […]
Predictors of Persistent Pain after Extracorporeal Shockwave Lithotripsy for Chronic Pancreatitis
The study aimed to identify the predictors of persistent pain in patients with chronic calcific pancreatitis following extracorporeal shockwave lithotripsy (ESWL). A total of 640 patients were assessed, and 68% experienced pain relief after ESWL while 32% had persistent pain. Predictors of persistent pain included alcohol and tobacco consumption, longer duration of symptoms, dilated main […]
Low Frequency of Early Robotic Surgery Training Found in Surgical and Surgical Subspecialty Residency
Findings from a study on early implementation of robotic training in surgical and surgical subspecialty residencies show that only 9.4% of participants had any formal robotic surgery training prior to the training session, with just 19% reporting robotic operative experience. A standardized introduction of multidisciplinary robotic surgery training is needed in medical school and early […]
The Geriatric Nutritional Risk Index is a Prognostic Indicator in Intrahepatic Cholangiocarcinoma Patients undergoing Hepatectomy
In a retrospective cohort study of 123 patients with intrahepatic cholangiocarcinoma (ICC) who underwent curative surgery, researchers investigated the prognostic value of the Geriatric Nutritional Risk Index (GNRI). Patients with low GNRI scores had significantly poorer outcomes in terms of recurrence-free survival (RFS) and overall survival (OS) compared to those with high GNRI scores. Lymph […]