The study aimed to compare the incidence of bile reflux, quality of life (QOL), and nutritional status among different reconstruction methods after laparoscopic distal gastrectomy. The results showed that Roux-en-Y reconstruction had the lowest incidence of bile reflux, followed by Billroth II with Braun anastomosis, and then Billroth II. Billroth II with Braun anastomosis was […]
Category: Upper Gastrointestinal Tract
R Anastomosis is a Safe and Effective Technique for B-II-B Anastomosis During Laparoscopic Gastrectomy
R Anastomosis, a novel technique for B-II-B anastomosis during laparoscopic distal gastrectomy, was compared to conventional anastomosis in a propensity score matching analysis. The study included 246 patients, with 123 in each group. The R group had significantly reduced anastomotic time, and there were no intraoperative complications, conversions to open surgery, or perioperative mortalities reported […]
Efficiency of Retraction Method in Esophagectomy for Squamous Cell Carcinoma
A prospective randomized trial compared two methods of lymphadenectomy along the left recurrent laryngeal nerve (lrln) during minimally invasive esophagectomy in esophageal squamous cell carcinoma patients. The retraction method (rm) was found to be more beneficial, as it reduced surgical duration significantly compared to the suspension method (sm). There were no differences in postoperative complications, […]
Comparison of Endoscopic Submucosal Dissection and Laparoscopic and Endoscopic Cooperative Surgery for Duodenal Tumors
Endoscopic submucosal dissection (ESD) and laparoscopic and endoscopic cooperative surgery (LECS) were compared in patients with superficial non-ampullary duodenal epithelial tumors. The study found that both ESD and LECS achieved high rates of en bloc and curative resection, with no significant difference between the two techniques. ESD had shorter resection and suturing times. There were […]
Big Data Analysis Reveals Hiatus Hernia’s Link to Esophageal Disorders
Researchers conducted a comprehensive analysis using big data to investigate the frequency of hiatus hernia (hh) and its association with esophageal disorders. They reviewed endoscopic reports of over 75,000 patients and found that hh was present in 16.8% of cases, with the majority being small hhs. They also found that hh was significantly associated with […]
Optimal Time-to-Surgery Recommendations Based on Tumor Shrinkage for Resectable Esophageal Cancer
A retrospective study analyzed the outcomes of patients with resectable locally advanced esophageal squamous cell carcinoma (LA-ESCC) who underwent neoadjuvant chemoradiotherapy. Researchers found that tumor shrinkage rate is an independent prognostic factor for progression-free survival (PFS). For patients who responded to treatment, extending the time-to-surgery (TTS) improved overall survival (OS) and PFS. The optimal cutoff […]
The Manual Layered Insertion Method Shows Promise in Reducing Anastomotic Leakage in Esophagectomy
A retrospective analysis evaluated the effectiveness of the manual layered insertion anastomosis technique in reducing anastomotic leakage post-esophagectomy. The study included 56 patients who underwent this technique, all receiving minimally invasive esophagectomy. With no reported anastomotic leakages, the technique showed potential in reducing complications such as anastomotic stenosis and gastric acid reflux. The method’s efficacy […]
Prognostic Significance of the Comprehensive Complication Index in Gastric Cardia Adenocarcinoma
The Comprehensive Complication Index (CCI) showed a stronger positive association than the Clavien-Dindo Classification (CDC) with short-term postoperative complications in patients with gastric cardia adenocarcinoma. The CCI demonstrated superior correlation strength for hospital length of stay, duration of ICU stay, time to return to normal activities, and total hospitalization cost. These findings suggest that the […]
SMG: A Novel Muscle Parameter Predicts Prognosis in Resectable Gastric Cancer
The study included 717 patients and found that the new muscle parameter, SMG, obtained by multiplying the skeletal muscle index (SMI) and skeletal muscle radiation attenuation (SMRA), can predict the prognosis of patients with gastric cancer. The findings showed that SMG can effectively predict both short-term outcome and long-term prognosis, suggesting its potential as a […]
Effectiveness of Laparoscopic Sentinel Node Navigation Surgery for Stomach Preservation in Early Gastric Cancer: 5-Year Results
Analysis of the SENORITA trial comparing laparoscopic standard gastrectomy (LSG) and laparoscopic sentinel node navigation surgery (LSNNS) for early gastric cancer (EGC) found that there was no significant difference in the 5-year disease-free survival (DFS), overall survival (OS), or disease-specific survival (DSS) between the two groups. Although gastric cancer-related events were more common in the […]