Indocyanine Green (ICG) fluorescence in laparoscopic subtotal gastrectomy for gastric cancer showed a sensitivity of 75.86% in detecting metastatic lymph nodes and 90.7% in identifying them. ICG-guided lymphadenectomy revealed higher fluorescent lymph node numbers in patients with metastases. The method offers high negative predictive value and clear visualization of the lymphatic system, indicating effectiveness in […]

Patent blue injection enhances intraoperative thoracic duct visualization during esophagectomy. In a pilot trial, the duct was visualized in 60% of patients, leading to significantly shorter operative times, fewer complications, and shorter hospital stays compared to controls. Although chyle leak rates did not significantly differ, this simple method shows promise for improving surgical outcomes in […]

Study finds proximal margin length ≥1.2 cm linked to improved outcomes in Siewert II/III adenocarcinoma of esophagogastric junction, lowering risk of disease progression. This offers valuable guidance for surgical decision-making and enhances patient outcomes, particularly for subgroups with specific tumor characteristics. These findings emphasize the importance of optimal proximal margin length in surgical approaches for […]

Anti-reflux mucosectomy (ARMS) effectively reduced reflux episodes and acid exposure in GERD patients unresponsive to PPI treatment. ARMS also decreased transient lower esophageal sphincter relaxations (TLESRs) and reflux symptoms without impacting esophageal distensibility. These findings support ARMS as a viable option for managing PPI-refractory GERD, suggesting a potential mechanism through the reduction of TLESRs. Clinical […]

Induction immunochemotherapy leads to higher conversion surgery rates and improved overall survival compared to induction chemotherapy in patients with initially unresectable esophageal squamous cell carcinoma. The immunochemotherapy cohort exhibited a notably superior conversion rate and higher pathological complete response rates, resulting in significantly better overall survival outcomes. This study suggests that immunochemotherapy alongside conversion surgery […]

A comprehensive preoperative assessment and support program for elderly gastric cancer patients significantly reduces blood loss, serious complications, and postoperative hospital stay compared to standard care. Tailored support for sarcopenia patients contributes to improved outcomes, highlighting the importance of personalized preoperative care in enhancing surgical safety and reducing complication rates in this demographic. Journal Article […]

High overall volume of upper gastrointestinal surgeries at hospitals, despite lower gastrectomy volume for cancer, leads to similar postoperative outcomes to high gastrectomy volume centers. Equivalence in 5-year survival rates between hospitals with mixed and high gastrectomy operation volumes across all disease stages. Findings suggest high-volume upper gastrointestinal surgery centers provide comparable outcomes and enhance […]