Researchers in southwestern China developed a predictive tool called a nomogram to help identify patients with hepatocellular carcinoma (HCC) who are at risk of experiencing moderate-to-severe complications after hepatectomy surgery. The nomogram uses six variables, including diabetes and the extent of liver resection, to estimate the risk of postoperative complications in HCC patients. This tool […]
Author: STITCHES Newsletter
Metabolic Surgery Boosts Natural Conception Rates in Obese Women with Polycystic Ovary Syndrome
A retrospective study conducted in Shanghai, China, investigated the impact of metabolic surgery on natural conception rates in women with infertility, obesity, and polycystic ovary syndrome (PCOS). After metabolic surgery, 64.8% of patients achieved natural pregnancies, while 35.2% remained unable to conceive naturally. Notably, women with a preoperative body mass index (BMI) under 27.0 kg/m² […]
New Calculator Predicts Success of Bariatric Surgery in Comorbidity Remission
The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) developed a public tool, the Bariatric Surgical Risk/Benefit Calculator, to evaluate short-term surgery risks and long-term benefits for prospective adult bariatric surgery patients. This study assessed the calculator’s performance in predicting 1-year remission of comorbidities. The results indicate that the calculator effectively predicts comorbidity […]
Tracking Antibody Levels Key for Post-Surgery Follow-up in Hepatic Alveolar Echinococcosis
Researchers conducted a retrospective study with 88 patients who underwent liver resection for hepatic alveolar echinococcosis. They found that monitoring anti-recEm18 antibody levels was a valuable tool for post-surgical surveillance. Specifically, patients with elevated preoperative anti-recEm18 values can rely on this marker to confirm the success of curative surgery at the 12-month follow-up, enabling effective […]
Conventional Hot-Snare Resection Preferred Over Hybrid Technique for Papillary Lesions
Researchers investigated a hybrid hot-snare plus cold-snare resection (HR) technique compared to conventional hot-snare resection (CR) for managing laterally spreading papillary adenomas (LSL-P) in the papilla. HR showed higher rates of recurrent or residual adenoma (RRA) compared to CR (58.8% vs. 29.8%), with an odds ratio of 3.6 times higher for recurrence. While both methods […]
Metal Stents Outshine Plastic Stents in Biliary Drainage for Perihilar Cholangiocarcinoma
A retrospective international study compared the effectiveness of self-expanding metal stents (SEMs) to plastic stents for preoperative biliary drainage in resectable perihilar cholangiocarcinoma (PCCA). Among 474 patients who received stents, SEMs showed significantly lower rates of stent failure and cholangitis. Both stenting methods led to comparable surgical outcomes, but SEMs excelled in preventing stent dysfunction. […]
KRAS Mutation in Colon Cancer Linked to Poorer 2-Year Survival
In a study on non-metastatic colon cancer patients, researchers explored conditional overall survival (COS) considering laterality, microsatellite instability (MSI), and KRAS mutation status. Among 4,838 patients, those with mutated KRAS experienced worse COS, implying a more aggressive disease course, with a higher risk of death 2 years post-diagnosis. While laterality and MSI status didn’t significantly […]
Social Determinants of Health Impact Acute Care Surgery Outcomes
This study investigated the influence of social determinants of health on the outcomes of patients needing emergency general surgery or trauma care. The research used patient data from 2017 to 2020 in California and looked at the impact of social determinants of health codes related to socioeconomic and psychosocial factors. The findings showed that patients […]
Emotional Intelligence Mitigates Burnout in Medical and Surgical Residents
A 3-year study investigated the connection between emotional intelligence and burnout in medical and surgical residents. The research, conducted at a Michigan hospital, revealed a significant rise in burnout levels during the first year of residency. Emotional exhaustion increased by 44% but later decreased by 23% in the third year. Both medical and surgical residents […]
North American Center Achieves Global Benchmark for Laparoscopic Liver Resections
A single-center study evaluated laparoscopic liver resections at Toronto General Hospital to compare their performance with established global benchmarks. Out of 178 cases analyzed, 25% qualified as low-risk cases. For these low-risk cases, the postoperative major morbidity and 90-day mortality rates after different types of liver resections were all at 0%. High-risk cases post-2017 had […]