Robotic gastrectomy (RG) demonstrated higher overall survival, lower postoperative complications, faster recovery, and other advantages compared to laparoscopic gastrectomy (LG) in gastric cancer patients. While mortality and disease-free survival were similar between the two techniques, RG offered better outcomes in specific scenarios like intracorporeal reconstruction and certain stages of cancer. These findings support the use […]
Category: Upper Gastrointestinal Tract
Endoscopic Resection Clinical Algorithm
Malignancies in the upper gastrointestinal tract can be effectively treated through endoscopic resection at an early stage. Key factors influencing successful resection include thorough pre-resection assessment, precise delineation of margins, and selection of appropriate resection techniques. This review outlines clinical algorithms for the endoscopic resection of esophageal squamous cell carcinoma, Barrett’s neoplasia, and gastric neoplasia, […]
Low-cost Elastic Organ Retractor for Bariatric Surgery
In minimally invasive upper gastrointestinal and bariatric surgery, a trocar-less elastic intra-corporeal retractor (icr) was developed and proven effective in liver retraction. The icr is safe, inexpensive, and easily reproducible, reducing risks of bleeding, infection, and liver injury associated with conventional methods. It offers quick application and repositioning, enhancing surgical precision and safety in around […]
Enhanced Gastric Cancer Staging Using New N Classification System
This study developed and validated a new lymph nodal staging system for pt3-4n0-2m0 gastric cancer patients. The new classification, based on examined lymph nodes and lymph node ratio, outperformed the current system in prognostic prediction accuracy. The improved staging method emerged as an independent prognostic indicator, providing enhanced survival analysis for patients. Surgeons are encouraged […]
Proton-Based Therapy Equivalent to Surgery for Esophageal Cell Carcinoma
A multi-center study in Japan found that proton-based definitive chemoradiotherapy (p-crt) showed equivalent 3-year overall survival (OS) compared to neoadjuvant chemotherapy followed by esophagectomy (nac-s) in esophageal squamous cell carcinoma patients. While the p-crt group had inferior progression-free survival (PFS), there was better survival in cases of progression, particularly among those with ct1-2 and cstage […]
Nomogram predicts survival in esophageal squamous cell cancer
A nomogram incorporating radiomics and dosiomics features, along with clinical factors, was developed to predict overall survival in esophageal squamous cell carcinoma (ESCC) patients undergoing definitive chemoradiotherapy. Dosiomics features outperformed radiomics features in predicting survival outcomes. The combined model exhibited significant differences in overall survival between high- and low-risk groups, highlighting its potential for personalized […]
French Intergrup Clinical Practice Guidelines for Ampullary Tumors
French intergroup guidelines provide recommendations for accurate diagnosis, treatment, and follow-up of ampullary tumors based on expert opinions and recent literature review. Emphasizing multidisciplinary approach, guidelines suggest endoscopic papillectomy or surgical papillectomy for adenoma, and pancreaticoduodenectomy for carcinoma. Adjuvant monochemotherapy or polychemotherapy is recommended for aggressive tumors. Long-term follow-up is crucial for 5 years. Guidelines […]
Fast-track recovery shortens hospital stay after surgery for perforated peptic ulcer
Fast-track recovery post-surgery for perforated peptic ulcer significantly shortened hospital stays without raising postoperative complication risks. A meta-analysis of six trials and 356 patients saw quicker recovery with fewer infections and pulmonary issues in the fast-track group. Overall, fast-track management in this context proved safe and effective, offering a promising approach to improve patient outcomes […]
Reduced Late Complications After Minimally Invasive Total Gastrectomy
Improved standardized procedures in minimally invasive total gastrectomy led to significantly lower late overall complications in patients with gastric cancer. Late intestinal complications decreased notably, with fewer patients requiring reoperation. The 3-year cumulative incidence rate of late complications was significantly lower post-standardization. This study underscores the importance of tailored procedures in reducing risks and enhancing […]
Benefits of ERAS Protocol in Esophagectomy for Cancer Patients
Comparing outcomes between Enhanced Recovery After Surgery (ERAS) protocol and conventional care in esophagectomy, ERAS patients had fewer complications, shorter hospital stay, and better quality of life scores up to 3 months post-surgery. ERAS group outperformed in functional and symptom domains, showing advantages in dysphagia, speech difficulties, and eating. Optimal technique for cervical anastomosis is […]