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 […]

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 […]