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Upper Gastrointestinal Tract

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Ann Surg22 Aug 2024

Intraoperative ICG-guided Lymphography Reduces Chyle Leak Incidence

Indocyanine-green (ICG)-guided lymphography during minimally invasive esophagectomy significantly decreased the incidence of postoperative chyle leak from 11.8% to 4.6% (p=0.026). Additionally, it was linked to a shorter median hospital stay of 9 days compared to 13 days in patients without ICG guidance (p=0.006). Although chyle…

Surg Endosc22 Aug 2024

Implementing a critical view reduces recurrence in hernia repairs

A novel critical view approach in paraesophageal hernia repair yielded significant outcomes. Patients experiencing this technique had a recurrence rate of 9.7% versus 20% for standard repair (p < 0.01) and reoperation rates of 0.5% compared to 10% (p < 0.001). Adjusted outcomes also indicated…

Surg Endosc21 Aug 2024

Intracorporeal triangular anastomosis enhances robotic gastrectomy safety

The study evaluated the intracorporeal triangular anastomotic technique (INTACT) in robotic distal gastrectomy (RDG) with Billroth I reconstruction, involving 81 patients aged 31 to 91 years. Results showed median blood loss was 0 ml, and postoperative stays averaged 8 days. Importantly, there were no incidences…

J Gastrointest Surg20 Aug 2024

Gastric stimulator improves outcomes after pyloroplasty failure.

Patients undergoing pyloroplasty for gastroparesis showed significant symptom improvement, with a GCSI score reduction from 3.5 to 2.7 at 18.7 months. However, 28.8% required gastric stimulation due to inadequate recovery. Patients who needed adjunct stimulation were younger and had higher baseline GCSI scores. Following gastric…

Hernia20 Aug 2024

European Hernia Society Classification Aids Surgical Planning for Parastomal Hernias

The study validates the European Hernia Society classification for parastomal hernias (PH) by analyzing 160 cases at a single center. It demonstrates that this classification effectively categorizes PH, essential for surgical planning and anticipating complications. Findings reveal a high incidence of complex type III and…

Ann Surg Oncol18 Aug 2024

Gastrectomy achieves long-term survival in advanced pseudomyxoma cases.

Analysis of 120 gastrectomies for appendiceal pseudomyxoma peritonei (PMP) over 20 years revealed a median survival of 104 months and a 10-year overall survival rate of 47%. While complications were observed in 32% of cases, 90-day mortality was low at 1.75%. Outcomes improved over decades,…

Hernia18 Aug 2024

Interval conservative management is safe for incarcerated paraesophageal hernias.

Adopting an initial conservative management strategy for clinically stable patients with incarcerated paraesophageal hernias allows 66% to resolve their conditions without urgent surgery. Among the 35 patients studied, one experienced unplanned readmission before planned interval repair. Complication rates remained similar between those who underwent conservative…

J Coll Physicians Surg Pak17 Aug 2024

Total Mesogastric Excision Shows Promising Short-Term Outcomes

A study examining total mesogastric excision (TME) for gastric cancer found that it results in significantly lower mean blood loss and a higher number of metastatic lymph nodes compared to standard D2 lymphadenectomy. With 37 patients involved, initial findings suggest TME offers advantages in peroperative…

Ann Surg16 Aug 2024

Neoadjuvant treatment improves survival in esophageal cancer patients

A retrospective analysis involving 645 patients with cT2 staged adenocarcinomas indicated that neoadjuvant treatment followed by surgery (nat/s) yields significantly better overall survival compared to primary surgery (ps). Median overall survival was 114.0 months for nat/s versus 51.0 months for ps in the cT2cnany cohort.…