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 […]
Category: Upper Gastrointestinal Tract
Impacts of Upper Gastrointestinal Surgery Volume on Gastric Cancer Outcomes
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 […]
Long-Segment Barrett’s Esophagus Adenocarcinoma Shows Worse Outcomes than Short-Segment
Long-segment BEA patients exhibit distinct clinicopathological features and worse treatment outcomes compared to short-segment BEA patients. Long-segment cases are associated with specific characteristics such as flat type morphology, left wall location, and higher rates of synchronous lesions. Additionally, long-segment BEA requires longer resection durations, has lower rates of submucosal invasion, negative margins, and complete resections, […]
Effectiveness of Upper Gastrointestinal ESD with Ultrathin Endoscope
Upper gastrointestinal endoscopic submucosal dissection (ESD) using an ultrathin endoscope boasts high en bloc resection rates, particularly in challenging locations like the esophagus, stomach, and duodenum. This retrospective study of 13 patients with 14 lesions reveals a 100% en bloc resection rate and a 92.9% en bloc complete resection rate. With minimal adverse events, ESD […]
Enhancing Surgical Performance in Robotic Gastrectomy for Gastric Cancer Patients
Optimizing surgical performance in robotic gastrectomy for gastric cancer patients led to improved short-term outcomes. The study established a learning curve for robotic gastrectomy and evaluated its impact by analyzing data from 527 patients. With phase advancement, postoperative complication rates decreased, more lymph nodes were retrieved, and textbook outcome attainment improved. These findings support the […]
Quality of Life in Esophageal Cancer Patients
Quality of Life (QoL) significantly impacts mortality risk in patients with esophageal cancer. A systematic review and meta-analysis found that overall QoL, as well as physical, emotional, role, cognitive, and social QoL, were all associated with mortality risk. Subgroup analyses by timing of QoL assessment and types of treatment further supported these findings. Regular QoL […]
Factors Influencing Postoperative Cough in Esophageal Cancer Patients
Study reveals that postoperative cough in esophageal cancer patients varied over time, affected by factors like cancer stage, surgical duration, and positioning. Scores post-surgery were consistently lower, emphasizing the need for targeted interventions to manage cough and improve patient outcomes. Results suggest the importance of individualized care strategies in the post-esophagectomy period to address specific […]
Open Surgery with Lateral Neck Approach in Cases of Foreign Body Impaction Penetrating the Neck through the Esophagus
Open surgery with a lateral neck approach proved to be a safe and effective treatment for foreign body impaction penetrating the neck through the esophagus. Tenderness in the pre-cervical site was a useful screening sign, and timely surgical intervention, along with appropriate post-operative care, led to successful outcomes in all 15 cases analyzed. The therapeutic […]
Effect of Surgical Treatment on Patients with Peritoneal Metastasis from Gastric Adenocarcinoma
Survival analysis of 399 patients with peritoneal metastasis from gastric adenocarcinoma revealed that surgical treatment significantly improves overall survival. Subgroup analysis suggests benefits for patients with certain tumor characteristics and previous chemotherapy. Surgery may be an option to enhance prognosis in specific groups of patients with gastric adenocarcinoma and peritoneal metastasis. Journal Article by Shen […]
Robotic Spleen-Preserving Lymph Node Dissection in Gastric Cancer
Robotic spleen-preserving suprapancreatic and splenic hilar lymph node dissection using the preemptive retropancreatic approach in total gastrectomy for gastric cancer proved effective in reducing postoperative pancreatic complications. The novel preemptive retropancreatic technique facilitated a clear operative field and prevented contact with the pancreas during surgery, resulting in a median operating time of 488 min and […]