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A meta-analysis comparing laparoscopic gastrectomy (LG) versus open gastrectomy (OG) for nonmetastatic T4a gastric cancer patients revealed significantly better disease-free survival (DFS) with LG (p = 0.027) and comparable overall survival (OS). LG also showed reduced hazard of cancer-related death and overall mortality compared to…
Study suggests that surgical resection or multimodal therapy, including surgery, significantly improves overall survival in selected patients with metastatic oesophageal cancer compared to chemotherapy alone. Resection as an independent factor for favourable survival was confirmed, highlighting its feasibility as a treatment option. Prospective randomized studies…
The study analyzed long-term quality of life and nutritional outcomes in patients who underwent stomach-preserving surgery versus standard gastrectomy for early gastric cancer. Findings showed better quality of life scores, higher body mass index, and improved hemoglobin, albumin, and protein levels in the stomach-preserving group…
Researchers analyzed 5606 gastric cancer patients, identifying key risk factors for lymph node metastasis (LNM) in early gastric cancer (EGC). Significant predictors include female gender, lower tumor location, tumor size >2 cm, mixed and undifferentiated histologic types, t1b stage, ulceration, and lymphovascular invasion. A nomogram…
Study establishes a reliable nomogram model with five independent risk factors for gastric cancer liver metastases. The model accurately predicts patient prognosis, showing promising predictive accuracy and clinical benefit for outcome evaluation. Results demonstrate high area under the curve values at 1, 3, and 5…
An innovative technique called overlap self-pulling and latter transection was evaluated in laparoscopic total gastrectomy for esophagojejunostomy. Results showed similar postoperative outcomes compared to the standard technique, but with an increased duration and cost. This method is considered safe and feasible for anastomosis in gastric…
Indocyanine Green (ICG) fluorescence in laparoscopic subtotal gastrectomy for gastric cancer showed a sensitivity of 75.86% in detecting metastatic lymph nodes and 90.7% in identifying them. ICG-guided lymphadenectomy revealed higher fluorescent lymph node numbers in patients with metastases. The method offers high negative predictive value…
Patent blue injection enhances intraoperative thoracic duct visualization during esophagectomy. In a pilot trial, the duct was visualized in 60% of patients, leading to significantly shorter operative times, fewer complications, and shorter hospital stays compared to controls. Although chyle leak rates did not significantly differ,…
Study finds proximal margin length ≥1.2 cm linked to improved outcomes in Siewert II/III adenocarcinoma of esophagogastric junction, lowering risk of disease progression. This offers valuable guidance for surgical decision-making and enhances patient outcomes, particularly for subgroups with specific tumor characteristics. These findings emphasize the…
Anti-reflux mucosectomy (ARMS) effectively reduced reflux episodes and acid exposure in GERD patients unresponsive to PPI treatment. ARMS also decreased transient lower esophageal sphincter relaxations (TLESRs) and reflux symptoms without impacting esophageal distensibility. These findings support ARMS as a viable option for managing PPI-refractory GERD,…
