Adding a force feedback function to robotic surgical systems significantly reduced the maximal force applied to the robotic forceps while maintaining the quality of suturing. The force feedback function did not affect the objectively assessed suturing score but slightly shortened the task accomplishment time in younger surgeons. This suggests that robots with force feedback can […]
Author: STITCHES Newsletter
Implementation of ERAS Protocols in Colorectal Surgery Yields Positive Outcomes
Despite advancements in surgical and anesthetic care, the implementation of Enhanced Recovery After Surgery (ERAS) protocols in colorectal surgery still provides benefits. This single-center study compared patients undergoing elective colorectal surgery under an ERAS program to those receiving standard care and found that ERAS led to a reduction in non-surgical complications, shorter length of stay, […]
Metachronous Para-aortic Lymphadenectomy in Colorectal Cancer: Surgical Management Improves Survival
The systematic review focused on the outcomes of metachronous para-aortic lymphadenectomy in colorectal cancer treatment. Surgical resection of metachronous para-aortic lymph node metastasis (m-palnm) was found to be the preferred management strategy in 64% of patients. Patients who underwent surgical management experienced longer disease-free survival and overall survival rates. However, the evidence available is limited, […]
Frailty and Healthcare Utilization Before and After Major Surgery
A study analyzed healthcare utilization patterns before and after major surgery and their association with pre-operative frailty. The results showed that frail patients had worse post-operative outcomes and higher costs during the surgical period. Four distinct utilization trajectories were identified, with a subgroup of patients experiencing a transition from low to high healthcare utilization after […]
Comparison of Robotic and Laparoscopic Pancreatoduodenectomy: Perioperative Advantage of Robotic Surgery and Similar Oncological Outcomes
Robotic pancreatoduodenectomy (RPD) was compared to laparoscopic pancreatoduodenectomy (LPD) in terms of operative and oncologic outcomes in a multicenter study involving 2,255 patients. After propensity score matching, 1,006 patients were included in each group. RPD had shorter operative time, lower blood transfusion and conversion rates, and higher vascular reconstruction rate compared to LPD. No significant […]
High Mortality and Morbidity Rates in Patients at High Risk for Postoperative Pancreatic Fistula
Researchers analyzed nationwide outcomes after pancreatoduodenectomy in patients at very high risk for postoperative pancreatic fistula (POPF). The study found a 4.1% in-hospital mortality rate and observed major morbidity in 45.9% of patients. POPF occurred in 30% of patients, leading to increased major morbidity and mortality rates. Prophylactic total pancreatectomy (TP) was performed in only […]
Development of Prediction Models for Major Morbidity and Endocrine Dysfunction after Central Pancreatectomy
A retrospective multicenter study aimed to develop prediction models for major morbidity and endocrine dysfunction following central pancreatectomy (CP). The study included 838 patients from 51 centers in 19 countries. The risk model for major morbidity identified male sex, age, BMI, and ASA score ≥3 as significant factors. The risk model for endocrine dysfunction revealed […]
Sterile Gloves Are Not Superior to Nonsterile Gloves for Wound and Laceration Repair
This systematic review and meta-analysis compared the use of sterile and nonsterile gloves for wound and laceration repair. The analysis found no significant difference in the rates of infection or wound healing between the two types of gloves. These results suggest that nonsterile gloves are equally effective in preventing complications during wound and laceration repair, […]
Supraclavicular Lymph Node Metastases in Esophageal Squamous Cell Carcinoma: Limited Impact on OS After Three-Field Dissection
The study aimed to determine the impact of clinically suspicious and pathologically confirmed supraclavicular lymph node (SCN) metastasis on survival outcomes in esophageal squamous cell carcinoma (ESCC) patients who underwent esophagectomy with three-field lymph node dissection. Analysis of 611 patients revealed that the presence of SCN metastasis did not significantly affect overall survival, regardless of […]
Sacral Neuromodulation Shows Promise in Relieving Symptoms of Low Anterior Resection Syndrome
Sacral neuromodulation may be effective in relieving symptoms of low anterior resection syndrome after rectal cancer surgery, according to the SANLARS randomized clinical trial. The trial involved 46 patients, of whom 78% experienced a ≥50% reduction in symptoms after testing. During the crossover phase, all patients showed a reduction in symptoms, with better results when […]