Longer operative time is associated with higher odds of major complications and prolonged postoperative stay in minimally invasive esophagectomy. The relationship between operative time and achieving textbook outcome (TO) is characterized by an inverse U-shaped correlation, with a significant peak at 298 minutes. Prolonged operative time may indicate targets for quality improvement and risk adjustment […]
Category: Upper Gastrointestinal Tract
Hidden Port Site Incision for Robotic Foregut and Hepatopancreatobiliary Operation
Developed to minimize visible scars on the abdomen, the hidden port site incision technique at the pubic hairline offers a cosmetically superior approach for common foregut and hepatopancreatobiliary procedures. This technique maximizes cosmetic outcomes while maintaining clinical efficacy, especially beneficial for patients with poor healing or scarring tendencies. Journal Article by Fefferman ML, Zheng C, […]
Hidden Port Site Incision for Robotic Foregut and Hepatopancreatobiliary Operation
Developed to minimize visible scars on the abdomen, the hidden port site incision technique at the pubic hairline offers a cosmetically superior approach for common foregut and hepatopancreatobiliary procedures. This technique maximizes cosmetic outcomes while maintaining clinical efficacy, especially beneficial for patients with poor healing or scarring tendencies. Journal Article by Fefferman ML, Zheng C, […]
Performance of AI Chatbots in Surgical Decision-making for Gastroesophageal Reflux Disease
Large language model-linked chatbots showed varying accuracy in providing surgical management recommendations for gastroesophageal reflux disease. Google Bard had the highest accuracy, while Copilot and Perplexity had lower performance. Additional training using evidence-based health information is needed to maximize the potential of chatbots in clinical practice. Journal Article by Huo B, Calabrese E (…) Vosburg […]
Robotic gastrectomy versus laparoscopic gastrectomy in overweight patients with gastric cancer
Robotic gastrectomy provided comparable outcomes to laparoscopic gastrectomy in overweight patients with gastric cancer, including similar blood loss, complication rates, postoperative recovery, lymph node dissection, and oncologic outcomes. Both groups had similar initiation of adjuvant chemotherapy, overall survival, and disease-free survival at 3 years. Robotic gastrectomy may be a reliable option for this patient population. […]
More Negative Lymph Nodes Correlate with Better Gastric Cancer Prognosis.
Expanding loco-regional nodes harvesting expected to increase survival in gastric cancer patients. Results from 830 patients undergoing gastrectomy show extended lymphadenectomies lead to better overall survival. Simulation to “offer 26 nodes” reveals no significant impact of stage migration. The number of negative nodes, even in large dissections, emerges as an independent prognostic factor, emphasizing their […]
Optimal Management of Hiatal Hernia
A systematic review and meta-analysis of 45 studies on hiatal hernia management, including data from randomized controlled trials and observational studies, found that the use of mesh was associated with a lower recurrence risk (RR = 0.50, 95% CI 0.28, 0.88). Despite the overall high risk of bias in most studies, this evidence suggests that […]
Performance of AI Chatbots in Surgical Decision-making for Gastroesophageal Reflux Disease
Large language model-linked chatbots showed varying accuracy in providing surgical management recommendations for gastroesophageal reflux disease. Google Bard had the highest accuracy, while Copilot and Perplexity had lower performance. Additional training using evidence-based health information is needed to maximize the potential of chatbots in clinical practice. Journal Article by Huo B, Calabrese E (…) Vosburg […]
Superiority of Neoadjuvant Chemotherapy Over Neoadjuvant Chemoradiotherapy in Esophageal Cancer
Neoadjuvant chemotherapy demonstrates better long-term survival outcomes compared to neoadjuvant chemoradiotherapy. Although the latter may exhibit a higher pathological complete response rate, it does not necessarily translate to improved survival. Additionally, neoadjuvant chemoradiotherapy is associated with higher 30-day mortality and unclear postoperative complications, potentially compromising patients’ quality of life. Journal Article by Csontos A, Fazekas […]
G-Master Training Model Enhances Gastric ESD Skills
A novel gastric endoscopic submucosal dissection (ESD) training model, the G-Master, significantly improved procedural speed for trainees compared to traditional methods. Trainees using the G-Master showed faster skill development, lower perforation rates, and reduced need for expert intervention, highlighting its effectiveness in enhancing ESD skills. The study underscores the value of innovative training models in […]