Meta-analysis comparing robot-assisted and laparoscopic surgery for gastric cancer in patients with high visceral fat area found that robot-assisted procedures had longer operative times but lower major complication rates, including fewer abdominal infections, leaks, and abscesses. No significant differences were observed in hospital stay, blood loss, or lymph node yield. Overall, robot-assisted surgery appears to […]

Early intervention for high output chyle leak after esophagectomy is crucial for improved survival. A retrospective study revealed that patients who received prompt interventional management had similar overall survival to those without leaks. Late intervention and nonoperative management were linked to increased mortality and longer hospital stays compared to early intervention. This highlights the importance […]

Study developed a nomogram to predict magnetic sphincter augmentation (MSA) explantation, using variables like preoperative demeester score, GERD quality of life score, manometry values, and BMI. The scoring tool helps in preoperative patient selection and treatment decisions, aiding in determining the probability of explantation before MSA implantation, with potential benefits for clinical practice. Journal Article […]

Double tract reconstruction after proximal gastrectomy demonstrates improved quality of life and better postoperative BMI maintenance, compared to other reconstruction methods. Results show reduced postoperative reflux symptoms, anxiety, and enhanced swallowing ability in the dtr group. Additionally, double tract reconstruction shows satisfactory anti-reflux effects and potential improvements in patient well-being and nutrition status, presenting a […]

A meta-analysis comparing laparoscopic gastrectomy (LG) versus open gastrectomy (OG) for nonmetastatic T4a gastric cancer patients revealed significantly better disease-free survival (DFS) with LG (p = 0.027) and comparable overall survival (OS). LG also showed reduced hazard of cancer-related death and overall mortality compared to OG. Additionally, LG was associated with less blood loss, faster […]

Study suggests that surgical resection or multimodal therapy, including surgery, significantly improves overall survival in selected patients with metastatic oesophageal cancer compared to chemotherapy alone. Resection as an independent factor for favourable survival was confirmed, highlighting its feasibility as a treatment option. Prospective randomized studies are needed to validate these findings and establish reliable selection […]

The study analyzed long-term quality of life and nutritional outcomes in patients who underwent stomach-preserving surgery versus standard gastrectomy for early gastric cancer. Findings showed better quality of life scores, higher body mass index, and improved hemoglobin, albumin, and protein levels in the stomach-preserving group postoperatively. Stomach-preserving surgery after sentinel node evaluation demonstrated superior outcomes, […]

Researchers analyzed 5606 gastric cancer patients, identifying key risk factors for lymph node metastasis (LNM) in early gastric cancer (EGC). Significant predictors include female gender, lower tumor location, tumor size >2 cm, mixed and undifferentiated histologic types, t1b stage, ulceration, and lymphovascular invasion. A nomogram was developed to preoperatively predict LNM risk in EGC, aiding […]

An innovative technique called overlap self-pulling and latter transection was evaluated in laparoscopic total gastrectomy for esophagojejunostomy. Results showed similar postoperative outcomes compared to the standard technique, but with an increased duration and cost. This method is considered safe and feasible for anastomosis in gastric cancer patients undergoing laparoscopic total gastrectomy. Journal Article by Wang […]