Propensity score analysis of 424 patients who underwent liver resection for high difficulty hepatocellular carcinoma compared laparoscopic (LLR) and open approaches. LLR had significantly fewer severe complications (3% vs. 10.8%) and shorter hospital stays (6 days vs. 8 days). Long-term outcomes, including tumor recurrence rate, 5-year overall survival rate, and 5-year recurrence-free survival rate, were […]
Author: STITCHES Newsletter
Weight Loss, Not BMI Alone, Predicts Wound Complication Risk in Obese Hernia Patients
A retrospective study analyzed 182 obese patients who underwent open transversus abdominis release (TAR) for complex ventral hernias. Among these patients, those with a BMI greater than 40 did not show significant differences in surgical site occurrences and infections compared to those with a lower BMI. However, patients who achieved at least a 3% preoperative […]
Correlation between main and minor lesions of synchronous multiple gastric neoplasms
Researchers analyzed data from patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD) to assess the correlation between main and minor lesions of synchronous multiple gastric neoplasms (SMGNs). Among the 1013 post-ESD cases examined, 95 cases had SMGN. The study revealed a similarity in pathological type (rs = 0.37) and a positive correlation in […]
Intestinal Autotransplantation Results in Prolonged Survival for Locally Advanced or Recurrent Colon Cancer Involving SMA
Intestinal autotransplantation (iatx) combined with extended resections of multiple organs, including the superior mesenteric artery (SMA), was performed on 10 patients with locally advanced or recurrent colon cancer invading the SMA. The study found that iatx, either alone or in combination with pancreaticoduodenectomy, is a safe procedure and is associated with a 68% recurrence-free survival […]
The Impact of Fatigue on Surgical Performance
Researchers conducted a systematic review to evaluate the effect of fatigue on surgical outcomes. Out of 7,251 studies, 134 were included in the analysis, comprising over 1.6 million surgeries. Simulator studies showed that fatigue led to a deterioration in surgical outcomes in 46% of cases, while real-life studies reported a deterioration in 35.5% of cases. […]
Percutaneous Creation of Gastrointestinal Anastomosis via Lumen-Apposing Metallic Stents for Gallbladder Drainage
Researchers discuss the emerging frontier of percutaneous cholecysto-enteric anastomoses for internal drainage of the gallbladder, focusing on the percutaneous delivery and deployment of lumen-apposing metallic stents. The study highlights the efficacy and safety of using these stents for creating gastrointestinal anastomosis, providing a less invasive option for gallbladder drainage compared to traditional surgical procedures. Journal […]
Medical Students’ Perceptions on Family Planning Influence Specialty Choice
Medical students in a qualitative study revealed four main perceptions that impact their choice of medical specialty: (1) there is no ideal time for family building within a medical career, (2) family planning is a taboo topic, (3) surgical specialties provide less support for family building, and (4) residents with children are seen as a […]
Enhancing R0 Resection in Anorectal Cancers: A Posterior-First, 2-Stage Approach
Using a posterior-first, 2-stage approach, researchers achieved consistent R0 resection of locally advanced primary and recurrent anorectal cancers involving the deep pelvic sidewall. All 10 patients in the study achieved R0 resection, although nine experienced complications, including gluteal wound issues. Four patients developed metastatic disease during follow-up, highlighting the importance of close monitoring. Overall, the […]
Enhanced Recovery Programs and Colorectal Surgery Outcomes: reduces Racial Disparities in Complications, but not in Length of Stay
The study aimed to determine the impact of enhanced recovery programs on social vulnerability and race-related disparities in colorectal surgery outcomes. The researchers found no significant association between social vulnerability and length of stay, complications, or readmissions in either the enhanced recovery or non-enhanced recovery groups. Black race was associated with increased length of stay […]
Conversion Risks in Laparoscopic Resection for Intrahepatic Cholangiocarcinoma: Vessel Proximity and Prior Surgery
Patients with intrahepatic cholangiocarcinoma (ICC) who required conversion from laparoscopic to open surgery were studied to determine the risk factors and outcomes associated with this conversion. Tumor proximity to major vessels and previous upper abdominal surgery were identified as independent predictors of unplanned conversions. Surgical conversions resulted in longer operative times, increased blood loss, higher […]