This study validates textbook outcome (TO) as a quality performance indicator (QPI) for esophageal cancer surgery. Postoperative complications, including Clavien-Dindo grade ≥3 complications, and 30-day readmission rate are associated with reduced survival. Updating TO parameters to include severe complications strengthens its association with increased survival, suggesting the need for a more precise QPI definition in […]
Category: Upper Gastrointestinal Tract
Development of a Nomogram for Preoperative Estimation of Splenic Hilar Lymph Node Metastasis
A high-performing preoperative nomogram for predicting splenic hilar lymph node metastasis in non-greater curvature advanced proximal gastric cancer was developed. Tumor location, size, Borrmann type, and lymphadenectasis were key predictors. The nomogram showed good performance in both training and validation cohorts, aiding surgeons in making informed clinical decisions and leading to improved patient outcomes. Journal […]
Optimizing Treatment and Expanding Indications in Non-Curative Endoscopic Submucosal Dissection
The study highlights the importance of assessing the quality of endoscopic submucosal dissection (ESD) not only for curative cases but also for non-curative ones. With unclear management strategies for Ecurac-1 tumors, research primarily focuses on additional surgical procedures for high-risk patients. Exploring management strategies and follow-up outcomes for non-curative cases and the use of molecular […]
Laparoscopic Gastrectomy in Super-Geriatric Gastric Cancer
Geriatric patients with locally advanced gastric cancer who underwent laparoscopic gastrectomy had lower overall complication rates, shorter hospital stays, and less blood loss compared to those who underwent open gastrectomy. There was no significant difference in 3-year overall survival between the two groups, suggesting laparoscopic gastrectomy may offer similar or better surgical and oncological outcomes […]
Impact of Operative Approach on Recurrence and Survival in Esophageal Cancer
Minimally invasive esophagectomy (TMIE) was associated with improved disease-free survival (DFS) postoperatively compared to open esophagectomy (OE), while both TMIE and hybrid minimally invasive esophagectomy (HMIE) were linked to enhanced overall survival (OS). TMIE showed increased rates of R0 resection and nodal yield, suggesting improved surgical quality. This European multicenter study suggests TMIE as a […]
Reinforcing Hiatal Hernia Repair to Reduce Recurrence Rates
Revision procedures for recurrent hiatal hernia revealed that most recurrences occurred in the left-anterior quadrant of the hiatus. Posterior recurrences were also notable. Both anterior and posterior hiatal reinforcement may be necessary to decrease recurrence rates. A randomized controlled trial using a circular, bio-absorbable mesh is underway to validate this hypothesis. Review by Geerts JH, […]
Adjuvant Chemotherapy Improves Survival in Esophageal Cancer Patients with Residual Disease
Adjuvant chemotherapy significantly increases long-term survival rates in patients with residual esophageal squamous cell carcinoma after neoadjuvant chemotherapy and surgery. Pathological lymph node status and adjuvant therapy were identified as independent prognostic factors. Adjuvant chemotherapy is especially beneficial for patients with nodal metastases. Journal Article by Lu H, Liu JF (…) Wang Y et 2 […]
Comparing Oncological Outcomes of Robotic Versus Laparoscopic Gastrectomy for Gastric Cancer
Robotic gastrectomy shows comparable 3-year disease-free survival and overall survival rates to laparoscopic gastrectomy in patients with gastric cancer. Sensitivity analysis also demonstrates similar outcomes in advanced cases. Robotic gastrectomy is associated with less blood loss, lower conversion rate, and shorter hospital stays, making it a safe approach for resectable gastric cancer cases. Journal Article […]
Early Intervention for High Output Chyle Leak Improves Survival Following Esophagectomy
Patients with high output chyle leaks post-esophagectomy benefited from early intervention, showing improved overall survival and shorter hospital stays. Non-operative and late interventional management were associated with increased mortality compared to prompt intervention. Early intervention reversed prognostic implications and led to outcomes similar to patients without chyle leaks. Journal Article by Deboever N, Correa AM […]
Predicting Postoperative Outcomes in Perforated Peptic Ulcers: Charlson’s Index Versus PULP Score
Comparing Charlson’s Weighted Index of Comorbidity (WIC) and other predictive scores in patients with perforated peptic ulcers revealed WIC’s valuable predictability for mortality. Both WIC and the Peptic Ulcer Perforation (PULP) score effectively predicted high comprehensive complication index (CCI) in these patients. Factors such as age, sex, comorbidities, and ASA score >2 were associated with […]