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Development and validation of prognostic models for gastric carcinoma were achieved using data from 1,650 patients post-gastrectomy. The nomogram for node-negative lymphatic metastasis (c-index 0.719) and node-positive metastasis (c-index 0.674) outperformed the AJCC 8th edition TNM staging. Key variables included age, tumor stage, and maximum…
Increased frailty, as measured by the modified 5-item frailty index (mFI-5), significantly predicts adverse postoperative outcomes for gastric cancer patients undergoing gastrectomy. Among 7,438 patients, those with an mFI-5 score of 2 or higher faced a 1.43 times greater risk of overall complications and a…
Higher-level care at hospitals participating in the ACS NSQIP targeted registry significantly improves esophagectomy outcomes. Analysis indicated targeted centers had a lower mortality rate (2% vs. 4%) and failure-to-rescue rate (11% vs. 17%), alongside a greater likelihood of optimal outcomes (62% vs. 58%). Notably, Ivor…
The meta-analysis examined outcomes of proximal gastrectomy versus total gastrectomy in 1154 patients. Results indicated that while proximal gastrectomy had a slightly longer operating time, it yielded better results in hemoglobin levels and reduced need for vitamin B12 supplementation. Early and late-phase complications were comparable…
A study of 891 Chinese patients revealed distinct risk factors for lymph node metastasis (LNM) and prognosis in submucosal early gastric cardiac (SEGCC) versus noncardiac (SEGNCC) carcinomas. Elderly patients and specific tumor characteristics were more prevalent in SEGCC, which correlated with poorer prognoses. Univariate and…
The clinical study revealed that single-vessel transection Roux-en-Y reconstruction following total gastrectomy significantly shortened operation time (162.5 min vs. 178.5 min) and reduced intraoperative bleeding (167.2 ml vs. 207.8 ml) compared to conventional Roux-en-Y reconstruction in patients with proximal gastric cancer. No notable differences were…
Patients undergoing late oral feeding post-esophagectomy had significantly less body weight loss, higher calorie and protein intake, and lower malnutrition rates compared to those with early feeding. Complication rates and hospital stays were similar between the groups, indicating that late oral feeding may improve postoperative…
An AI model effectively evaluates surgical skill in robotic distal gastrectomy (RDG) by accurately recognizing and analyzing instrument usage. Experienced surgeons demonstrated shorter durations using specific instruments during infrapyloric lymphadenectomy compared to non-experienced surgeons. This study showcases the feasibility of using AI for objective skill…
Robot-assisted oesophagectomy shows superior effectiveness in removing crucial lymph nodes near the recurrent laryngeal nerve, compared to video-assisted techniques, resulting in lower rates of nerve injury. In a multicentre trial in Asia, robot-assisted surgery successfully dissected lymph nodes in 88.3% of cases, significantly outperforming video-assisted…
Propensity score-matching analysis of 778 patients showed that additional gastrectomy after endoscopic submucosal dissection (ESD) for early gastric cancer did not significantly impact overall or disease-free survival rates compared to surgery alone. Postoperative complication rates were similar between groups. The findings suggest that additional gastrectomy…
