A study examining anastomotic doughnuts from 102 patients found that minimal width of the oral and aboral doughnuts notably correlated with anastomotic leakage (AL) rates, which were 15.7%. The oral and aboral minimal widths were significantly lower in AL cases compared to non-Leakage cases. In fact, the minimal width of the esophageal doughnut emerged as […]

A national survey revealed that 96% of oesophagogastric cancer centers support prehabilitation as standard care, yet only 75% currently offer it. The majority of respondents advocate for its initiation at diagnosis, highlighting its role in enhancing quality of life, physical fitness, and reducing surgical complications. Despite these benefits, access to clinical psychologists remains limited, with […]

A large retrospective analysis revealed that minimally invasive surgery (laparoscopic and robotic) for distal gastric cancer results in significantly lower 30-day readmission rates, mortality, and enhanced overall survival compared to open gastrectomy. While robotic techniques yielded superior lymph node yields and shortened hospital stays, the benefits for proximal and gastroesophageal junction tumors were less pronounced. […]

Neoadjuvant chemotherapy combining a PD-1 inhibitor, apatinib, S-1, and oxaliplatin demonstrates significant efficacy for locally advanced gastric cancer (LAGC). In a study involving 130 patients, clinical complete response was achieved in 4.6%, with a total response rate of 71.5%. Notably, 96.1% underwent R0 resection, while 21.6% attained pathological complete response. The treatment was deemed safe, […]

Elevated postoperative lactate levels significantly predict anastomotic leakage (AL) following minimally invasive esophagectomy, with an occurrence rate of 8.9% among evaluated patients. Analysis revealed that lactate measured on postoperative day 2 serves as a strong independent predictor of AL, showcasing an odds ratio of 11.9. Patients with higher lactate not only experienced severe AL more […]

In a study involving 548 gastric cancer patients undergoing radical gastrectomy, stair climbing test (SCT) proved to be a superior predictor of postoperative complications and survival outcomes compared to gait speed test (GST). Low SCT performance correlated significantly with increased complications and longer recovery times, while GST did not show similar predictive validity. Combining SCT […]

Laparoscopic fundoplication significantly improves esophageal motility in patients with gastroesophageal reflux disease (GERD), irrespective of their initial motility status. A study involving 124 patients found that successful fundoplication was associated with normalization of motility, with 103 achieving good outcomes. All procedures were performed laparoscopically without postoperative mortality in the first 90 days. These findings suggest […]

A new surgical technique for subtotal esophagectomy effectively reduced anastomotic leakage (AL) rates. Researchers compared outcomes between a conventional group and a modified procedure group. AL decreased from 16.9% to 2.8% (p=0.002), with further analysis showing 14% in the conventional group versus 0% in the test group (p=0.006). Key factors contributing to AL included the […]