The systematic review of 604 cases revealed that the accessory appendicular artery (AAA) is absent in most cases (83.6%). When present, it commonly originates from the posterior cecal artery (12.4%), followed by the descending branch of the ileocolic artery (2%), and the ileal branch of the ileocolic artery (0.7%). Instances of origin from the anterior […]
Author: STITCHES Newsletter
Geometric Location of Gallbladder Cancer Impacts Oncologic Outcomes
The study analyzed the implications of the geometric location (fundal end vs cystic ductal end) of gallbladder cancer on postoperative outcomes. Researchers compared the oncologic outcomes of 575 patients with gallbladder cancer and found that patients with cancer located on the cystic ductal end had significantly lower rates of recurrence-free survival and overall survival compared […]
Organ-preserving pancreatectomy offers long-term advantages in endocrine and exocrine functions
Studies comparing organ-preserving pancreatectomy procedures have shown that central pancreatectomy (CP) leads to a lower incidence of new-onset or exacerbated diabetes compared to distal pancreatectomy (DP). However, CP is associated with increased morbidities such as pancreatic fistula. Spleen-preserving DP using the Kimura procedure reduces the risk of postoperative gastric varices and splenic infarction, but its […]
Intra-tumoral Cell Neighborhoods Shape PDA Outcomes
Distinct intra-tumoral cell neighborhoods were identified in pancreatic ductal adenocarcinoma (PDA), with variations in immune and tumor cell subsets based on neighboring cells. Tumors from long-term survivors had a higher presence of stromal-associated macrophages, while short-term survivors had more immune-excluded tumor cells. Chemotherapy-treated tumors showed lower quantities of tumor-associated T cells and macrophages, but higher […]
Discontinuous growth pattern is an independent adverse predictor of survival outcomes in esophageal adenocarcinoma.
Discontinuous growth (DG) in esophageal adenocarcinoma (EAC) is associated with adverse clinicopathologic features and worse patient outcomes. DG was found to be an independent adverse predictor of survival outcomes in EAC, even after adjusting for other factors such as tumor size and stage. This multi-institutional study highlights the significance of DG and emphasizes the need […]
Variation in the Definition of ‘Failure to Rescue’ Limits Comparisons in Postoperative Studies
Researchers conducted a systematic review and analyzed 359 studies involving 212,048,069 patients to examine the variation in the definition of ‘failure to rescue’ from postoperative complications. They found that there was a wide range of complications included in the failure to rescue denominator, with a median of 10 complications per study. Studies that included more […]
Endoscopy Training Trends Among General Surgery Residents in the United States
The study analyzed operative case logs of general surgery residents in the United States from 2010 to 2023. It found that the mean overall endoscopy procedures per resident remained stable during this period, with the majority performed by surgeon juniors. Colonoscopy and esophagogastroduodenoscopy were the most common procedures, with a stable volume for colonoscopy and […]
Prealbumin-bilirubin score provides more accurate prognostic predictions for long-term survival after hepatectomy for hepatocellular carcinoma
A multicenter study developed and validated the prealbumin-bilirubin (preALBI) score as an alternative to the widely used albumin-bilirubin (ALBI) score for predicting long-term survival after hepatectomy for hepatocellular carcinoma (HCC). The preALBI score, incorporating serum prealbumin and bilirubin levels, showed superior performance in predicting survival compared to the ALBI score and Child-Pugh grade. Leveraging the […]
Long-term outcomes of endoscopic or surgical resection in T1 colorectal cancer patients
A retrospective cohort study compared the long-term outcomes of T1 colorectal cancer (CRC) patients after endoscopic resection (ER) and surgery. The study found that ER can be a comparable treatment option to surgery for T1 CRC patients with deep submucosal invasion (DSI) when other high-risk factors are absent. The most important long-term prognostic factors for […]
Outcomes of Induction Chemotherapy and Esophagectomy for Advanced Esophageal Cancer
Induction chemotherapy followed by response evaluation and esophagectomy in patients with advanced esophageal cancer showed promising results in terms of survival. A total of 238 patients were treated with taxane/platinum-based chemotherapy, with 64.7% undergoing surgical exploration. Resection was performed in 53.4% of patients, resulting in a median survival of 26.3 months and a 5-year overall […]
