Central lymph node metastasis (CLNM) in frozen sections accurately predicted neck lateral lymph node metastasis (NLLNM) in patients with papillary thyroid carcinoma (PTC). Furthermore, risk factors for NLLNM metastasis were identified, including maximum metastatic diameter, total number, and ratio of metastatic lymph nodes (LNs). Based on these findings, patients with PTC with >5 CLNMs, 2-5 […]
Author: STITCHES Newsletter
High Rate of Misdiagnosis of Suspected Cancer Found in Pancreatoduodenectomy Patients Over Three Decades
Researchers investigated the misdiagnosis of suspected cancer among patients undergoing pancreatoduodenectomy (PD) over a 30-year period. They found that diagnostic errors resulted in PD being mistakenly performed for benign disease. Of the 1,812 patients who underwent PD for suspected malignancy, 97 (5.2%) were ultimately diagnosed with a benign condition. The study also highlighted the challenges […]
Lymph Node Dissection on Intrahepatic Cholangiocarcinoma: Potential Benefit only for Clinically Node-Negative Patients
According to a systematic review and meta-analysis, researchers found that lymph node dissection (LND) did not significantly impact overall survival, disease-free survival, or risk of major complications in patients with intrahepatic cholangiocarcinoma (ICC). However, for clinically node-negative patients, LND was associated with improved overall survival and a trend towards improved disease-free survival compared to no […]
Internal Traction-Assisted Suspended Closure: A Simple and Reliable Technique for Large GI Defect Closure
Researchers evaluated a new endoscopic closure technique, “internal traction-assisted suspended closure,” for large full-thickness defects after endoscopic resection. The pilot study included eight patients, all of whom were successfully treated with the technique without serious adverse events. The median length and width of the defects were 3.25 cm and 2.8 cm, respectively. The median closing […]
Higher rates of unplanned surgery, longer hospital stays, and increased costs among people experiencing homelessness who undergo surgery for malignancy
People experiencing homelessness (PEH) who undergo surgery for malignancy face significant barriers to access care and experience poorer outcomes compared to housed patients. This retrospective cohort study of 67,034 patients in three US states found that PEH more frequently underwent unplanned surgery (65.3% vs 23.7%) and had longer hospital stays (67.7% longer) compared to housed […]
Near-Infrared Fluorescence Identification of Thoracic Duct: Feasible and Safe in Various Patient Populations
The study evaluated the efficacy and safety of near-infrared fluorescence identification of the thoracic duct during left lateral neck dissection. Results showed that near-infrared fluorescence visualization successfully identified the thoracic duct in a higher percentage of patients compared to ambient light. The procedure was feasible and safe, even in patients with prior neck surgery or […]
Perioperative Oral Care Management Reduces Surgical Site Infections after Pancreaticoduodenectomy
A retrospective multicenter analysis involving 503 patients who underwent pancreaticoduodenectomy revealed that perioperative oral care management significantly reduces the incidence of organ/space surgical site infections. Patients who received oral care management had a lower rate of complications compared to those who did not. The study also identified hypertension and lack of perioperative oral management as […]
58.2% of Distal Pancreatectomies Achieve Textbook Outcomes
The study aimed to determine the textbook outcome in distal pancreatectomy by analyzing a multicenter database. The specific definition of textbook outcome included factors such as hospital stay, complications, mortality, readmission, and absence of pancreatic fistula. Among the 450 patients included, 58.2% achieved textbook outcomes. Prolonged hospital stay was the most common factor associated with […]
Quantitative Indocyanine Green Metrics Reliable for Intestinal Margin Acceptance in Colorectal Surgery
A study conducted at a tertiary academic center investigated the correlation between quantitative indocyanine green metrics and subjective indocyanine green perfusion assessment in determining the acceptance or rejection of anastomotic margins. The study included 89 perfusion assessments in 156 intestinal segments. The results showed that higher maximum fluorescence intensity and earlier time to maximum fluorescence […]
Prognosis of Laparoscopic Hepatectomy for BCLC Stage 0/A HCC with Clinically Significant Portal Hypertension
Patients with BCLC stage 0/A hepatocellular carcinoma (HCC) and clinically significant portal hypertension (CSPH) who underwent laparoscopic hepatectomy had worse overall and recurrence-free survival rates compared to those without CSPH. However, CSPH patients treated laparoscopically had better short- and long-term prognoses than those treated with open surgery. This study highlights the importance of careful patient […]