Among 2170 patients undergoing laparoscopic hiatal hernia repair with follow-up, objective recurrence rates were 20.8% with suture repair, 20.6% with absorbable mesh, 13.7% with non-absorbable mesh, and 0% with partially absorbable mesh. Despite initial favor for non-absorbable mesh in the mid-term, all mesh types showed similar long-term recurrence rates (≥48 months). Mesh type did not […]
Category: Upper Gastrointestinal Tract
Early-onset adenocarcinoma of esophagogastric junction shows significantly better postoperative survival compared to late-onset adenocarcinoma
Results from a population-based study comparing early-onset and late-onset adenocarcinoma of esophagogastric junction demonstrated significantly better overall and cancer-specific survival in early-onset cases. Kaplan-Meier curves, multivariate Cox regression analyses, propensity score matching, and competing risk models all consistently showed a more favorable prognosis in early-onset adenocarcinoma patients. Journal Article by Chen L, Jin T (…) […]
Surgery Prevails in Second Primary Esophageal Cancer
Survival benefit of surgery for second primary esophageal cancer following gastrointestinal cancer is significant. Surgery, year of diagnosis, regional lymph node surgery scope, tumor differentiation grade, SEER historic stage, and triple therapy are independent prognostic factors. In a cohort study of 582 patients, surgery significantly improved survival outcomes compared to no surgery or chemoradiotherapy. These […]
Does Fundoplication at the Time of Paraesophageal Hernia Repair Reduce Postoperative Reflux?
Patients who underwent paraesophageal hernia repair without fundoplication did not report different rates of postoperative symptoms compared to those who did. The study found that fundoplication at the time of hernia repair may not reduce postoperative reflux, despite being a standard practice for sliding-type hiatal hernias. This suggests that the additional procedure may not be […]
Early Endoscopy Safely Predicts Anastomotic Leakage After Esophagectomy
Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays. Findings under early endoscopy also identified gastric graft ischemia as […]
Comparing Postoperative Quality of Life: Proximal vs. Total Gastrectomy
A multi-institutional observational study compared postoperative quality of life between patients undergoing total or proximal gastrectomy for early gastric cancer. Postoperative weight loss rate over 3 years was lower in the proximal gastrectomy group, showing a trend towards better quality of life, particularly in indigestion symptoms. No significant differences were found between the groups using […]
Short-term Safety of Magnetic Sphincter Augmentation vs Minimally Invasive Fundoplication
This study compared the outcomes of patients undergoing magnetic sphincter augmentation (MSA) or fundoplication for anti-reflux surgery using the ACS-NSQIP registry. A total of 7,882 patients were included, with MSA patients being younger and more often male. Compared to fundoplication, MSA was associated with reduced postoperative complications, fewer readmissions, shorter hospital stays, and shorter operative […]
Preoperative Sarcopenia Predicts Poor Prognosis in Gastric Cancer
Preoperative sarcopenia is significantly associated with lower overall survival (OS) and relapse-free survival (RFS) in patients with gastric cancer. A retrospective study of 781 gastric cancer patients who underwent radical gastrectomy revealed that preoperative sarcopenia is an independent risk factor for 10-year OS and RFS. Patients with sarcopenia had a higher risk of death and […]
Factors Influencing Outcomes in Laparoscopic Gastrectomy: A Prognostic Link to Survival
A total of 994 out of 1540 patients (64.5%) achieved textbook outcomes (TO) in laparoscopic gastrectomy (LG). Factors independently associated with reduced TO likelihood included older age, higher BMI, higher ASA score, conversion to open surgery, longer operation time, and greater estimated blood loss. Achieving TO in LG was linked to improved 5-year overall survival […]
Robotic Gastrectomy Using the Hinotori Surgical Robot System: Feasibility and Safety for Gastric Cancer
The first clinical experiences of robotic gastrectomy for gastric cancer using the Hinotori surgical robot system were evaluated in a single-institution retrospective study. Twenty-four patients underwent robotic gastrectomy with Hinotori. The results showed that the procedure can be safely performed, with a low postoperative complication rate within 30 days after surgery. The study also reported […]