Patients undergoing laparoscopic omentum-preserving gastrectomy had shorter hospital stays, lower postoperative morbidity, and more lymph nodes extracted compared to open surgery. There was no significant difference in 5-year survival rates between the groups. Omental preservation did not increase the risk of peritoneal dissemination or intestinal obstruction. The study recommends laparoscopic omentum-preserving gastrectomy for patients with […]
Category: Upper Gastrointestinal Tract
Equal Safety Outcomes of Intracorporeal Mechanical Gastrogastrostomy in Laparoscopic Gastric Cancer Surgery
Equal incidences of anastomosis-related complications between intracorporeal mechanical gastrogastrostomy (img) and extracorporeal hand-sewing gastrogastrostomy (ehg) were found in laparoscopic pylorus-preserving gastrectomy for middle gastric cancer. In addition, img had a lower wound infection rate. These results support the safety and feasibility of img in this patient population. Journal Article by Harada H, Eto K (…) […]
Development of nomogram for Survival Prediction in Gastric Cancer Patients with Liver Metastasis
A nomogram was developed to predict overall survival and cancer-specific survival in patients with gastric cancer and liver metastasis, showing satisfactory performance. Factors influencing survival included age, chemotherapy, grade, metastasis sites, and treatment received. The nomogram can assist clinicians in planning follow-up and rehabilitation strategies for better outcomes and provide support to high-risk patient groups. […]
Factors Predicting Complications After Oesophagectomy
This study, analyzing over 2000 oesophagectomies across multiple countries, identifies predictors of anastomotic leak (AL) and conduit necrosis (CN). While AL remains challenging to predict using preoperative factors, a risk-scoring model for CN shows promise, with factors like BMI, performance status, myocardial infarction history, and smoking status contributing to its prediction. This model offers a […]
Role of High-Resolution Manometry in Antireflux Surgery: The Padova Consensus
High-resolution manometry (HRM) plays a crucial role in the diagnostic assessment of foregut symptoms before and after antireflux surgery (ARS). A collaborative initiative by surgeons and gastroenterologists developed a postoperative classification for interpreting HRM findings, providing key insights into patient management post-ARS. Journal Article by Salvador R, Pandolfino JE (…) Yadlapati R et 13 al. […]
Site-specific features of gastric neuroendocrine neoplasms
Gastric neuroendocrine neoplasms (GNENs) exhibit unique characteristics based on their type. Incidence is rising, with GNENs including carcinomas and tumors. Different types require distinct approaches, with type III often needing locoregional and systemic treatments. Treatment data is limited, but insights from other neuroendocrine tumors are used. Enhanced understanding of molecular and clinical aspects is crucial […]
Geriatric Nutritional Risk Index in Esophageal Squamous Cell Carcinoma
Geriatric Nutritional Risk Index (GNRI) is independently associated with postoperative complications, pathological complete response prediction, and prognostication in neoadjuvant immunotherapy-treated esophageal squamous cell carcinoma. Higher GNRI correlates with increased pathological complete response rates, decreased severe morbidity, and improved 3-year overall and disease-free survival. GNRI, utilizing nutrition-related indicators, serves as a valuable tool for risk assessment […]
Understanding Upper Gastrointestinal and Hepatopancreaticobiliary Surgery in New Zealand
New Zealand is a low-volume center for upper gastrointestinal surgery, with most complex procedures concentrated in national cancer centers. There is evidence of regionalization, where larger centers perform procedures more frequently. Palliative procedures are more widely performed, but indigenous Māori are less likely to be treated in designated cancer centers. The challenge lies in optimizing […]
Hyperthermic Intraperitoneal Chemotherapy Improves Survival in Gastric Cancer Patients
Hyperthermic intraperitoneal chemotherapy (HIPEC) significantly improved overall survival and reduced recurrence rates in both prophylactic and therapeutic settings for peritoneal carcinomatosis of gastric origin. This systematic review and meta-analysis of randomized trials highlights the efficacy of HIPEC as a safe and effective tool for prophylaxis and a promising resource for treatment, emphasizing the need for […]
Comparison of Stapled vs Handsewn Anastomosis and Anastomotic Leaks in Gastric Cancer Surgery
Results showed no significant association between stapled or handsewn anastomosis and anastomotic leaks in gastric cancer surgery. This population-based study included 2164 patients in Finland, with 21.8% having handsewn anastomosis and 78.2% having stapled anastomosis. Regardless of the type of gastrectomy, the choice of anastomotic technique did not impact the occurrence of leaks. Journal Article […]