A significant trend toward minimally invasive esophagectomy (mie) and robotic-assisted minimally invasive esophagectomy (ramie) between 2010 and 2019 has been observed, with open esophagectomies (oe) declining by 52%. Mie utilization rose by 49% and ramie by 704%. Both mie and ramie demonstrated lower 30-day and 90-day mortality rates compared to oe, and higher five-year survival […]
Category: Upper Gastrointestinal Tract
High visceral fat area predicts intraoperative adverse events
A post hoc analysis involving 490 gastric cancer patients reveals that high preoperative visceral fat area (VFA) significantly increases the risk of intraoperative adverse events (IAEs) during laparoscopic gastrectomy. Specifically, IAEs occurred in 29% of the high VFA group, compared to 12% in the low VFA group. High VFA was identified as an independent risk […]
Deep learning model predicts early recurrence in gastric cancer
A new deep learning model utilizing multiphase CT images effectively predicts early recurrence in patients with locally advanced gastric cancer (LAGC). The model, integrated with clinical factors, demonstrated superior performance (AUC: 0.891) compared to previous models. Significant associations were found between higher prediction scores and tumor proliferation pathways, such as WNT and MYC signaling, as […]
Hiatal sling technique reduces liver injury in surgeries
The hiatal sling liver retraction technique has shown promising results in bariatric and upper gastrointestinal surgeries, significantly reducing liver enzyme elevation compared to the traditional Nathanson retractor. Among 1,874 surgeries, only two cases experienced difficulties, with no liver injuries or adverse effects reported. This technique offers adequate exposure while minimizing insults to the liver, enhancing […]
Advanced MRI strategies improve diagnostic accuracy in gastric cancer
Multiparametric MRI (mpmri) demonstrated superior diagnostic accuracy for restaging locally advanced gastric cancer after neoadjuvant therapy, with significant inter-reader agreement noted. The accuracy for T restaging reached 0.586 for mpmri, outperforming other imaging methods. Importantly, mpmri achieved an area under the curve of 0.879 for distinguishing patients with good responses to neoadjuvant treatment, highlighting its […]
Robotic-assisted minimally invasive esophagectomy achieves high success rate
A thorough analysis of 150 robotic-assisted minimally invasive esophagectomies reveals an impressive 90% textbook outcome rate. Conducted at a single cancer center, the study involved predominantly clinical stage T3 tumors, with 85% receiving neoadjuvant therapy. Postoperative complications included a low rate of anastomotic leaks and 30-day mortality of 0.7%. These findings underscore the effectiveness of […]
Retro-cut technique reduces postoperative complications after esophagectomy
A comparative study of cis-cut and retro-cut techniques for gastric tube fabrication in esophageal reconstruction revealed significantly lower rates of postoperative anastomotic leakage (3.9% vs 16.7%) and stricture (15% vs 28.6%) in the retro-cut group. Logistic regression identified the cis-cut method as an independent risk factor for anastomotic leakage, with an odds ratio of 3.390. […]
Innovative endoscopic techniques improve treatment for upper GI submucosal tumors
Advances in endoscopic techniques for treating upper gastrointestinal submucosal tumors (SMTs) are promising, with innovations enhancing diagnosis and therapeutic options. The study evaluates diverse endoscopic strategies and their efficacy, indicating they are minimally invasive and expedite recovery compared to traditional surgery. Despite these advancements, concerns regarding patient safety and comprehensive efficacy remain. By summarizing recent […]
Endoscopic gastrojejunostomy shows benefits over surgical options
Findings indicate that endoscopic gastrojejunostomy (EGJ) is associated with fewer peri-procedural complications compared to surgical gastrojejunostomy (SGJ) for patients with malignant gastric outlet obstruction. Data from over 20,000 hospitalizations from 2016 to 2020 revealed that EGJ resulted in lower rates of respiratory failure, blood transfusions, and peritonitis, alongside reduced hospitalization costs and shorter stays. The […]
New survival model offers real-time predictions for gastric cancer
A dynamic survival prediction model for gastric neuroendocrine carcinoma (GNEC) was developed using machine learning and conditional survival (CS) analysis. Data from 654 patients were split into training and validation sets. The CS model demonstrated improved 5-year survival probabilities, rising from 48% at diagnosis to 94% after four years. Key prognostic factors—age, tumor grade, stage, […]