Colectomy Metrics, Long-Term Bowel Dysfunction and Leak Detection

STITCHES Daily · Friday, 13 November 2026Today, we look at emergency wound care, rectal leak prevention, and when penetrating kidney injuries may avoid exploration. We also cover robotic Whipple surgery and the outcomes associated with emergency surgery verification.Papers in this episode:0:00 Intro0:26 1. Negative Pressure Wound Therapy for Emergency Laparotomy: A Meta-Analysis With Trial Sequential Analysis.Alharran et al., Arabian Gulf University, Kingdom of Bahrain — The Journal of Surgical Researchhttps://doi.org/10.1016/j.jss.2026.09.0201:10 2. Anastomotic reinforcement suturing compared with preventive stoma after laparoscopic low anterior resection for rectal cancer: a multicenter propensity score-matched study.Wang et al., Qilu Hospital of Shandong University, China — Surgical Endoscopyhttps://doi.org/10.1007/s00464-026-13530-w1:56 3. Are you kidneying me? Exploring management of high-grade penetrating renal trauma.Meyer et al., Emory University School of Medicine, United States — American Journal of Surgeryhttps://doi.org/10.1016/j.amjsurg.2026.1173432:42 4. Robotic (minimally invasive) Whipple: Ready for Primetime or experimental pipedream.May et al., University of Chicago, Chicago, IL, USA — American Journal of Surgeryhttps://doi.org/10.1016/j.amjsurg.2026.1172833:27 5. Improving Quality Through the Emergency General Surgery Verification Program.Hobika et al., American College of Surgeons, Illinois — JAMA Surgeryhttps://doi.org/10.1001/jamasurg.2026.52544:13 OutroThese summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Wednesday, 11 November 2026Today, we look at how colectomy performance changes depending on the metric, and how bowel dysfunction and leak testing shape care after colorectal surgery. We also cover steroids after pancreatic surgery and the support available in surgical education fellowships.Papers in this episode:0:00 Intro0:28 1. Surgeon-Level Value Measurement in Colectomy: Independent Domains of Cost, Efficiency, Conversion, and Outcomes.Dallal et al., Jefferson Health, Pennsylvania — Diseases of the Colon and Rectumhttps://doi.org/10.1097/DCR.00000000000044661:11 2. Long-term (≥ 5 Years) Low Anterior Resection Syndrome and Health Related Quality of Life in Rectal Cancer Patients: A Systematic Review.Civilka et al., Vilnius University, Lithuania — Diseases of the Colon and Rectumhttps://doi.org/10.1097/DCR.00000000000044601:51 3. Intraperitoneal drain biomarkers to detect anastomotic leaks in gastrointestinal surgery: A systematic review and meta-analysis.Lewis et al., The University of Auckland, New Zealand — Surgeryhttps://doi.org/10.1016/j.surg.2026.1107032:35 4. Impact of perioperative corticosteroids on postoperative morbidity after pancreaticoduodenectomy: A systematic review, meta-analysis, and trial sequential analysis.Ricci et al., IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Italy — Surgeryhttps://doi.org/10.1016/j.surg.2026.1107583:19 5. National Cross-Sectional Survey of Surgical Education Fellowships in the US.Silvestri et al., Columbia University, Sathe) — Journal of the American College of Surgeonshttps://doi.org/10.1097/XCS.00000000000022743:57 OutroThese summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Tuesday, 10 November 2026Today, we look at radiation choices in rectal cancer and techniques for ileostomy closure. We also examine gaps in social-needs screening, research after surgical oncology fellowship, and a risk score for perihilar bile duct cancer.Papers in this episode:0:00 Intro0:26 1. Short- Versus Long-Course Radiation in Total Neoadjuvant Therapy for Locally Advanced Rectal Cancer: A Propensity-Matched National Cancer Database Analysis.Szeglin et al., Johns Hopkins University School of Medicine, Maryland — Diseases of the Colon and Rectumhttps://doi.org/10.1097/DCR.00000000000043741:13 2. Comparative effectiveness of modified ileostomy techniques in rectal cancer surgery: A systematic review and network meta-analysis.Wang et al., First Affiliated Hospital of Kunming Medical University, China — Surgeryhttps://doi.org/10.1016/j.surg.2026.1107042:03 3. Barriers to implementing bedside nursing screening for health-related social needs in surgical patients: An explanatory sequential mixed-methods study.Linhares et al., Surgery Service, West Haven, CT — Surgeryhttps://doi.org/10.1016/j.surg.2026.1107432:55 4. An In-depth Bibliometric Study of Complex General Surgical Oncology (CGSO) Fellowship Graduates Within the First 5-year Period of Independent Practice.Zheng et al., Advocate Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20811-03:47 5. An ABC approach for preoperative staging in perihilar cholangiocarcinoma: An international multicenter cohort study.Ten Haaft et al., University of Amsterdam, the Netherlands — Journal of Hepatologyhttps://doi.org/10.1016/j.jhep.2026.07.0134:34 OutroThese summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Monday, 9 November 2026Today, we look at follow-up during watchful waiting for hernia, a new magnetic approach to colon anastomosis, and transplant for combined liver cancer. We also discuss pregnancy loss during surgical training and an endoscopic way to assess fundoplication.Papers in this episode:1. Long-term follow-up in asymptomatic or oligosymptomatic inguinal hernias: watchful or watchless waiting?Valinoti et al., Hospital Alemán of Buenos Aires, Av — Surgical Endoscopyhttps://doi.org/10.1007/s00464-026-13475-02. Magnetic Compression Anastomosis With Immediate Luminal Patency in Colorectal Surgery: First-in-Human Safety and Feasibility Evaluation of a Self-forming Magnet System.Caycedo-Marulanda et al., Orlando Health Colon & Rectal Institute, Florida — Diseases of the Colon and Rectumhttps://doi.org/10.1097/DCR.00000000000043093. Reappraising Liver Transplantation for Combined Hepatocellular-cholangiocarcinoma.Shankar et al., The Institute of Liver Disease and Transplantation, Dr — Annals of Surgeryhttps://doi.org/10.1097/SLA.00000000000071564. Surgeon Perspectives on Pregnancy Loss.Siderides et al., New York-Presbyterian, New York, NY — Annals of Surgeryhttps://doi.org/10.1097/SLA.00000000000072505. Endoscopic Classification of Fundoplication Integrity Predicts Pathologic Reflux: Development and Prospective Validation.Siboni et al., IRCCS Policlinico San Donato, Italy — Annals of Surgeryhttps://doi.org/10.1097/SLA.0000000000007245These summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Friday, 6 November 2026Today, we look at robotic approaches to bile duct stones and liver resection, and the risks surrounding emergency admissions for rectal prolapse. We also hear proposals for global cancer surgery research and how lesbian, gay, bisexual, transgender, and queer applicants assess general surgery programs.Papers in this episode:1. Robot-assisted versus laparoscopic common bile duct exploration: impact of hilar adhesions.Huang et al., Shengli Clinical Medical College of Fujian Medical University, No — Surgical Endoscopyhttps://doi.org/10.1007/s00464-026-13535-52. Short-pitch dividing method for robotic liver resection: a conceptual shift to close-to-open separation from open-to-close crushing.Kawaguchi et al., The University of Tokyo, Japan — Surgical Endoscopyhttps://doi.org/10.1007/s00464-026-13448-33. Impact of Emergent Inpatient Hospital Utilization among Rectal Prolapse Patients: A Nationwide Cohort Analysis.Zeineddine et al., Massachusetts General Hospital, Boston — Diseases of the Colon and Rectumhttps://doi.org/10.1097/DCR.00000000000045194. Series on the Lancet Oncology Commission on Global Cancer Surgery-Action 3: Research.Are et al., University of Nebraska Medical Center, Omaha, NE, USA — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20702-45. Out in the Match: Navigating Identity and Psychological Safety for LGBTQ+ General Surgery Applicants.Xie et al., University of Michigan Hospitals, Ann Arbor, MI — Annals of Surgeryhttps://doi.org/10.1097/SLA.0000000000007244These summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Thursday, 5 November 2026Today, we look at body mass index and outcomes after robotic liver surgery, and blood markers that may help assess pancreatic cancer after chemotherapy. We also cover lymph node dissection in older gastric cancer patients, surgical timing after pulmonary embolism, and combined versus staged surgery for rectal cancer liver metastases.Papers in this episode:1. Body mass index and textbook outcome after robotic liver resection: A multinational cohort study across 30 centers.Li et al., University of Zurich, Switzerland — Surgeryhttps://doi.org/10.1016/j.surg.2026.1107082. Prognostic Impact of the Combined Use of CA19-9 and DUPAN-2 in Initially Unresectable Locally Advanced Pancreatic Adenocarcinoma.Sumiyoshi et al., Hiroshima University, Japan — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20710-43. Extent of Lymph Node Examination in Older Adults with Gastric Adenocarcinoma: Is There a Trade-off Between Survival and Short-Term Outcomes? : Benefit of Lymph Node Yield in Older Adults with Gastric Cancer.Kim et al., Warren Alpert Medical School of Brown University, Providence, RI, USA — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20774-24. Timing of Emergency General Surgery After Acute Pulmonary Embolism.Mehta et al., Center for Advanced Surgical and Interventional Technology, Los Angeles, CA — Journal of the American College of Surgeonshttps://doi.org/10.1097/XCS.00000000000022665. Combined versus staged resection of synchronous rectal cancer liver metastases: national target trial emulation.Marchegiani et al., Université Paris Cité, France — The British Journal of Surgeryhttps://doi.org/10.1093/bjs/znag121These summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Wednesday, 4 November 2026Today, we look at fluorescence imaging to assess blood flow after oesophagectomy, and a simple change to abdominal closure that may prevent hernias. We also cover long-term outcomes with robotic rectal surgery, robotic motion analysis, and a shorter chemotherapy schedule for metastatic colorectal cancer.Papers in this episode:1. Efficacy of indocyanine green (ICG) angiography in reducing postoperative complications in oesophagectomy: systematic review and meta-analysis.Dermanis et al., Glangwilli Hospital, Carmarthen, UK — The British Journal of Surgeryhttps://doi.org/10.1093/bjs/znag1342. Small-bite compared with large-bite closure of midline laparotomy: meta-analysis of short- and long-term outcomes with trial sequential analysis.Emile et al., Cleveland Clinic Florida, Florida, USA — The British Journal of Surgeryhttps://doi.org/10.1093/bjs/znag1313. Long-term oncological outcomes of robotic versus laparoscopic total mesorectal excision for rectal cancer: COLRAR randomized clinical trial.Song et al., Kyungpook National University Chilgok Hospital, Republic of Korea — The British Journal of Surgeryhttps://doi.org/10.1093/bjs/znag1144. Multimodal Prediction in Robotic Surgery: The Incremental Value of Task-Level Kinematic Data.Ballo et al., Lenox Hill Hospital, New York, NY — Annals of Surgeryhttps://doi.org/10.1097/SLA.00000000000072315. 14-day versus 28-day trifluridine-tipiracil plus bevacizumab for refractory metastatic colorectal cancer (PRABITAS): a pragmatic, multicentre, open-label, randomised, phase 3, non-inferiority trial in Japan.Sakakida et al., Aichi Cancer Center Hospital, Japan — Lancet (London, England)https://doi.org/10.1016/S0140-6736(26)01782-4These summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Tuesday, 3 November 2026Today, we look at surgeons’ interest in operating beyond Earth, and the risks of lung complications after emergency abdominal surgery. We also consider changes in surgery research, medicines around liver cancer surgery, and blood-based nutrition scores in gallbladder cancer.Papers in this episode:1. Exploring perspectives and engagement in space surgery: a survey of SAGES members.Guidolin et al., Brigham and Women's Hospital, Boston, MA, USA — Surgical Endoscopyhttps://doi.org/10.1007/s00464-026-13410-32. Postoperative pulmonary complications and the time-varying risk of death after major emergency abdominal surgery: A prospective cohort study.Nærum et al., Copenhagen University Hospital - Herlev and Gentofte, Denmark — Surgeryhttps://doi.org/10.1016/j.surg.2026.1107063. Crossing the zero line: A scientometric analysis of surgery's transition from disruptive to consolidating science.Kuo et al., Duke University, Durham, NC — Surgeryhttps://doi.org/10.1016/j.surg.2026.1107194. The Landmark Series: Perioperative Management of Hepatocellular Carcinoma.Nahi et al., University of Texas Southwestern Medical Center, Dallas, TX, USA — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20690-55. Impact of the Prognostic Nutritional Index on Outcomes in Resectable Gallbladder Cancer.Patkar et al., Tata Memorial Hospital, India — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20703-3These summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Monday, 2 November 2026Today, we look at symptom burden after oesophagectomy and a tissue-preserving approach to pancreatic surgery. We also cover smoking and rectal cancer response, social vulnerability after hernia repair, and patient reports after different mesh placements.Papers in this episode:1. Symptom Structure, Heterogeneity, and Network Features on Postoperative Day 3 After Oesophagectomy: A Multisite, Cross-sectional, Multimethod Analysis.Li et al., Guangzhou Medical University, China — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20727-92. Intraoperative Pancreatoscopy Demonstrates Feasibility of Pancreatic Preservation During Robotic Pancreatoduodenectomy for IPMN in Elderly Patients.Nara et al., University of Colorado School of Medicine, Aurora, CO, USA — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20684-33. Smoking Status and Response to Total Neoadjuvant Therapy for Rectal Cancer: A National Cohort Study.Lee et al., University of Washington, Seattle, WA, USA — Annals of Surgical Oncologyhttps://doi.org/10.1245/s10434-026-20769-z4. Environmental Justice Index and 30-Day Wound Morbidity After Ventral Hernia Repair.Alipouriani et al., Cleveland Clinic Foundation, Cleveland, OH — Journal of the American College of Surgeonshttps://doi.org/10.1097/XCS.00000000000022555. Patient-reported Outcomes According to Mesh Position After Elective Incisional Hernia Repair: A Nationwide Survey- and Register-based Study.Witthøft et al., Copenhagen University Hospital-Herlev and Gentofte, Denmark — Annals of Surgeryhttps://doi.org/10.1097/SLA.0000000000007241These summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.

STITCHES Daily · Friday, 30 October 2026Today, we look at recovery after endoscopic removal, how emergency surgery affects hospital infection comparisons, and two approaches to colon surgery for constipation. We also cover measuring recovery after cancer surgery and evolving treatment options for intrahepatic cholangiocarcinoma.Papers in this episode:1. Enhanced recovery after surgery (ERAS) for endoscopic resection of upper gastrointestinal lesions ≤ 2 cm: a single-center, 1:2 randomized, controlled, non-inferiority trial.Sun et al., General Hospital of Northern Theater Command, China — Surgical Endoscopyhttps://doi.org/10.1007/s00464-026-13383-32. Accounting for urgency: Implications of risk adjustment for surgical site infection after emergency colon surgery at safety net hospitals.Clark et al., University of Washington, Seattle, WA — Surgeryhttps://doi.org/10.1016/j.surg.2026.1106793. Subtotal Colectomy vs Total Colectomy for Slow-Transit Constipation: 1-Year Outcomes of the STOPS Randomized Clinical Trial.Guo et al., Army Medical Center (Daping Hospital), China — JAMA Surgeryhttps://doi.org/10.1001/jamasurg.2026.49324. Days at Home After Gastrointestinal Cancer Surgery as a Patient-Centered Outcome.Ribeiro et al., University of Toronto, Canada — JAMA Surgeryhttps://doi.org/10.1001/jamasurg.2026.48905. Intrahepatic Cholangiocarcinoma: A Review.Tsilimigras et al., The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus — JAMA Surgeryhttps://doi.org/10.1001/jamasurg.2026.4971These summaries do not replace reading the full papers.Subscribe to the STITCHES newsletter: https://stitches.todayMusic: Jazz Piano Restaurant Music by Alex Morgan from PixabayEpisode script generated from the STITCHES Daily selection and read by an AI voice.