Elderly patients diagnosed with pancreatic adenocarcinoma are more likely to have had a recent cholecystectomy compared to those without. The rate of cholecystectomy in the year prior to cancer diagnosis was 1.9% for the cancer group, significantly higher than the 0.4% observed in the non-cancer group. Differences between the two groups included a higher age […]
Author: STITCHES Newsletter
No Antibiotics Comparable to Antibiotics in Acute Diverticulitis: Level 1a Meta-Analysis
Researchers conducted a meta-analysis including 5 randomized controlled trials and 1934 patients to compare the use of antibiotics with no antibiotics in the management of acute uncomplicated diverticulitis (AUD). Their findings revealed that there is no significant difference in baseline characteristics, clinical presentation, and adverse health outcomes between AUD patients treated without antibiotics compared to […]
Limited peritoneal disease progression in gastric cancer patients: No survival benefit with gastrectomy + cytoreductive surgery and HIPEC
The study aimed to evaluate the impact of gastrectomy with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) on the outcomes of gastric cancer (GC) patients with limited peritoneal disease progression following neoadjuvant chemotherapy (NAC). Results showed that there was no survival benefit among advanced GC patients with peritoneal metastasis (PM) who underwent gastrectomy with […]
Preoperative QLB-LSAL decreases opioid usage and offers improved analgesia in laparoscopic colorectal surgery
A randomized controlled trial compared the effectiveness of anterior quadratus lumborum block at the lateral supra-arcuate ligament (QLB-LSAL) with lateral quadratus lumborum block (LQLB) for postoperative analgesia in laparoscopic colorectal surgery. The study found that QLB-LSAL reduced postoperative opioid usage, decreased morphine consumption at 24 hours postoperatively, and prolonged the time to the first patient-controlled […]
Early Discharge Reduces Postdischarge Complications in Minimally Invasive Colectomy
A retrospective cohort study analyzed the association between discharge timing and postdischarge complications in patients undergoing uncomplicated elective colectomy. After matching the early discharge group with the delayed discharge group, the study found that early discharge was associated with lower odds of postdischarge complications in laparoscopic and robotic approaches. However, there was no significant difference […]
Development of an MRI-Based Prediction Model for Anti-TNF Treatment Failure in Perianal Crohn’s Disease
A multicenter study developed a prediction model for anti-tumor necrosis factor (TNF) treatment failure in perianal Crohn’s disease. The model, based on clinical and radiologic parameters, accurately predicted the likelihood of treatment failure at 6 months. The model outperformed existing imaging-based perianal fistula activity indices and showed fair discriminatory capacity. Key predictors included age at […]
Comparable Outcomes of Gastric Bypass and Fundoplication for GERD in Patients with Obesity
A retrospective study compared the outcomes of Roux-en-Y gastric bypass and fundoplication in patients with obesity and gastroesophageal reflux disease (GERD). Ninety-five patients with a BMI ≥35 underwent either procedure. Both groups saw an improvement in GERD symptoms and overall quality of life. There were no significant differences in postoperative reflux symptoms, dysphagia, or overall […]
The Impact of Prolonged Operative Time on Surgical Outcomes in Minimally Invasive Colorectal Surgery
Research conducted across multiple colorectal operations and surgical approaches found that prolonged operative time is associated with longer length of stay and increased complications. The study revealed that each additional hour above the median operative time is linked to a 1.08 relative risk of longer length of stay for open operations and a 1.07 relative […]
Development of a Predictive Tool for Hypocalcemia after Total Thyroidectomy
The study aimed to develop a tool to predict the probability of hypocalcemia after total thyroidectomy (TT) by evaluating the percentage decrease in serum parathyroid hormone (PTH) levels in the first 8 hours postoperatively. They prospectively evaluated 97 TT patients, determining the predictors of hypocalcemia requiring calcium supplementation. The results showed that the percentage decrease […]
Frailty Index Successful in Predicting Morbidity in Elective Hernia Repair Patients
Researchers conducted a retrospective analysis using the Modified Frailty Index (MFI) to assess postoperative outcomes in elective hernia repair patients. The study included 14,125 robust patients and 1704 frail patients. Frail patients had higher in-hospital mortality, postoperative morbidity, longer hospital stays, higher healthcare costs, and were less likely to be discharged home. The findings suggest […]