The multicentre cohort study aimed to compare the long-term oncological outcomes between robotic gastrectomy (RG) and laparoscopic gastrectomy (LG) for patients with gastric cancer. The study included a total of 2,055 patients who underwent RG and 4,309 patients who underwent LG. After matching the patients using propensity scores, the study found that RG and LG […]
Category: Upper Gastrointestinal Tract
The Impact of Socioeconomic Deprivation on Access to Guideline-Concordant Treatment in Foregut Cancer
High socioeconomic deprivation, as measured by the area deprivation index (ADI), significantly reduces the likelihood of receiving guideline-concordant treatment (GCT) for foregut cancers. In a retrospective study of 498 patients, 66% received GCT, with lower rates observed in pancreatic, gastric, and hepatobiliary cancers. Factors independently associated with non-receipt of GCT included age ≥75 years, black […]
Higher 30-day surgical complications observed in Asian Americans after esophagectomy
Asian Americans face higher 30-day surgical complications following esophagectomy compared to Caucasians, according to a retrospective analysis of the ACS-NSQIP database. The study found that Asian Americans had a greater likelihood of pulmonary complications, particularly pneumonia, renal dysfunction, including progressive renal insufficiency, and bleeding events. They also had a longer length of stay. These findings […]
Limited peritoneal disease progression in gastric cancer patients: No survival benefit with gastrectomy + cytoreductive surgery and HIPEC
The study aimed to evaluate the impact of gastrectomy with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) on the outcomes of gastric cancer (GC) patients with limited peritoneal disease progression following neoadjuvant chemotherapy (NAC). Results showed that there was no survival benefit among advanced GC patients with peritoneal metastasis (PM) who underwent gastrectomy with […]
Comparable Outcomes of Gastric Bypass and Fundoplication for GERD in Patients with Obesity
A retrospective study compared the outcomes of Roux-en-Y gastric bypass and fundoplication in patients with obesity and gastroesophageal reflux disease (GERD). Ninety-five patients with a BMI ≥35 underwent either procedure. Both groups saw an improvement in GERD symptoms and overall quality of life. There were no significant differences in postoperative reflux symptoms, dysphagia, or overall […]
Procedure-specific Risks of Thrombosis and Bleeding in Abdominal Surgery Vary Significantly
This systematic review and meta-analysis of 285 studies, including over 8 million patients, evaluated the procedure-specific risks of symptomatic venous thromboembolism (VTE) and major bleeding in general abdominal, colorectal, upper gastrointestinal, and hepatopancreatobiliary surgeries. The risk of VTE varied widely among procedures, with VTE rates ranging from
Elective Laparoscopic Hernia Repair Increases Life Expectancy in Asymptomatic Patients
Elective laparoscopic hernia repair (ELHR) is shown to lead to a greater life expectancy compared to watchful waiting (WW) in asymptomatic patients with a paraesophageal hernia (PEH). An updated Markov analysis revealed that ELHR resulted in maximum life-years gained for 40-year-old women and gradually diminished with increasing age. Alternative values in sensitivity analysis had modest […]
Predictive Nomogram for Lymph Node Metastasis in Superficial Esophageal Squamous Cell Carcinoma
Researchers analyzed data from 474 patients with superficial esophageal squamous cell carcinoma (ESCC) to identify lymph node metastasis (LNM) risk factors. For intramucosal cancer, LNM prevalence was 3.29%, increasing to 26.40% for submucosal cancer. Tumor size, invasive depth, differentiation, growth pattern, budding, and lymphovascular invasion correlated significantly with LNM. A nomogram incorporating these factors demonstrated […]
Impact of Patient Transfer on Perforated Peptic Ulcer Disease Outcomes: Prolonged Hospital Stay
A study examined the impact of patient transfer for definitive surgical intervention in cases of perforated peptic ulcer disease (PPUD). The analysis found that transferred patients had a significantly longer length of stay compared to non-transfer patients. The average length of hospital stay for transferred patients was over twice as long, with an average of […]
Efficacy of Nissen Sleeve Gastrectomy in Long-Term Barrett’s Esophagus Regression
Results of a bicentric retrospective study involving 692 patients who underwent Nissen Sleeve Gastrectomy (NSG) demonstrated that NSG led to the healing of known Barrett’s Esophagus (BE) in approximately 64.1% of patients at a 2-year follow-up. The incidence of de novo BE post NSG was found to be nil among the 234 patients who underwent […]