Postoperative complications raise long-term cardiovascular risk after gastrectomy.
21.4% of patients experienced complications within 30 days, leading to a cardiovascular disease (CVD) incidence rate of 12.1 per 1,000 person-years, compared to 7.0 per 1,000 in those without complications.
Complications elevate the risk of CVD by 63%, especially pulmonary issues linked closely to heart failure.
Surgeons should implement rigorous cardiovascular monitoring for patients with postoperative complications to mitigate long-term risks.
An enhanced-recovery pathway after endoscopic removal of small upper gastrointestinal lesions shortened hospital stays without increasing complications.
In nine comparative studies of minimally invasive esophagectomy for esophageal cancer, uniportal VATS was associated with less pneumonia and a shorter stay than multiportal VATS—but the evidence is not strong enough to establish a preferred approach.
