Comparing modified Billroth-II with hinged anti-peristaltic afferent loop and Roux-en-Y reconstruction after distal gastrectomy for gastric cancer, the former showed superior outcomes in terms of operating time, postoperative hospital stays, and time to semi-solid diet tolerance. However, both methods had similar functional outcomes. The study suggests that Billroth-II could be a favorable alternative to Roux-en-Y […]

Patients with locally advanced esophageal adenocarcinoma who received neoadjuvant immunotherapy (io) combined with chemotherapy showed similar perioperative outcomes compared to those who received neoadjuvant chemotherapy alone. Rates of overall and major complications, anastomotic leak, respiratory complications, hospital stay length, and mortality were comparable between the two groups. The addition of immunotherapy did not significantly alter […]

Patients with functional esophageal disorders (FED) are more likely to be non-Hispanic Asian, have an underweight BMI, chronic pain, insomnia, and allergic rhinitis. Conversely, patients with an overweight BMI and who use alcohol have a decreased risk for FED. These findings provide valuable information for clinicians to identify and screen patients with reflux symptoms for […]

Hybrid oesophagectomy with minimally invasive gastric mobilization and thoracotomy did not result in faster recovery or greater cost-effectiveness compared to open surgery for patients with oesophageal cancer. Physical function and complication rates over the first 3 months post-randomization were similar between the two groups. Surgeons can continue to use their preferred approach without changing practice, […]

Robot-assisted gastrectomy (RAG) outperformed laparoscopic-assisted gastrectomy (LAG) in malnourished gastric cancer patients in terms of achieving a textbook outcome (TO), with higher operative time, lymph nodes harvested, and lower blood loss and hospital stay. RAG was an independent protective factor for TO, leading to better adjuvant chemotherapy compliance, faster nutritional recovery, and increased malnutrition reversal […]

General surgery residents in the US have experienced a significant increase in gastric surgery volume from 2009 to 2022, mainly driven by a rise in laparoscopic gastric reduction for morbid obesity. There was also a notable growth in laparoscopic partial gastric resections, repair of gastric perforation, and “other major stomach procedures,” while open gastrostomy, open […]

Comparing robotic and laparoscopic approaches in hiatal hernia repair and Heller myotomy, robotic surgery showed non-significantly shorter hospital stays, fewer conversions to open, and lower morbidity rates for hhr, while hm had significantly fewer esophageal perforations, reinterventions, and a non-significantly shorter stay. Both robotic procedures had longer operative times. Safety profiles and perioperative outcomes were […]