Suicidal ideation and suicide rates among U.S. surgeons highlight an urgent need for mental health interventions. Pooled prevalence of suicidal ideation in surgeons is 6%, varying by specialty; orthopaedic surgeons face the highest risk at 13%. The overall suicide rate stands at 5%, necessitating awareness among surgical communities. Attending surgeons experience greater suicidal thoughts (11%) […]

Neoadjuvant therapy now hinges on the FLOT regimen for resectable gastroesophageal junction adenocarcinoma, significantly impacting surgical outcomes. The FLOT regimen shows improved overall survival and pathologic complete response rates compared to ECF. Neoadjuvant chemoradiotherapy boosts local control but has limited effect on distant recurrence. Surgeons should prioritize FLOT to enhance patient outcomes and consider immunotherapy […]

Preoperative nutritional risk influences treatment tolerance and survival in resectable esophageal squamous cell carcinoma (ESCC). Higher nutritional risk correlates with decreased surgical completion rates: 97.1% for low risk vs. 76.7% for high risk (p < 0.001). High-risk patients face almost double the severe postoperative complications (38.2% vs. 18.0%; p < 0.001) and poorer overall survival […]

Multimodal prehabilitation significantly reduces postoperative complications in esophago-gastric cancer surgery, highlighting its importance in surgical care. Respiratory complications fell from 43.8% to 20.9% with prehabilitation (p=0.010). Cardiac issues decreased from 22.3% to 7.0% (p=0.037), and hepatic and renal complications were eliminated in the prehabilitation cohort. Integrating prehabilitation can improve patient selection and optimize outcomes. Hospital […]

Higher lymph node yield after neoadjuvant chemoimmunotherapy improves disease-free survival in esophageal squamous cell carcinoma, guiding surgical practices. Patients with no residual disease (ypt0-2n0) saw improved survival with 20-30 lymph nodes; benefits plateau beyond this range. In cases with residual disease (ypn1-3), higher yields correlated with longer disease-free survival. Improving lymph node dissection may serve […]

Laparoscopic-assisted total gastrectomy for resectable gastric cancer yields favorable long-term survival rates. Five-year overall survival is 62.5%, with a recurrence-free survival rate of 60.3%. Recurrence occurs in 40% of patients, primarily as distant metastases (61.4%). Understanding early and late recurrence, with a critical 12-month cutoff, can refine postoperative follow-up. An early recurrence prediction model outperforms […]

Surgeons should scrutinize YouTube content on esophageal cancer as video reliability is inconsistent, impacting patient education. Out of 78 analyzed videos, those from public institutions had the highest quality scores, significantly better than patient experience videos (p < 0.001). Viewer engagement levels showed no correlation with video quality; popularity doesn’t guarantee reliable information. Surgeons might […]

In a study of 2,388 patients, those with BMI ≥35 had similar symptom improvement (GERD-HRQL scores: 10.7 vs. 10.1) and satisfaction rates (81.6% vs. 83.3%) post-operation compared to non-obese patients. Five-year anatomic integrity (75.8% vs. 78.2%) and revision rates (4.5% vs. 5.3%) were also comparable. However, obese patients had lower rates of pH normalization in […]