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Induction immunochemotherapy leads to higher conversion surgery rates and improved overall survival compared to induction chemotherapy in patients with initially unresectable esophageal squamous cell carcinoma. The immunochemotherapy cohort exhibited a notably superior conversion rate and higher pathological complete response rates, resulting in significantly better overall…
Meta-analysis identifies that sigmoid esophagus, type of achalasia, and prior treatments impact the success of peroral endoscopic myotomy (POEM) for achalasia. Specifically, type I and III achalasia, sigmoid esophagus, and past heller myotomy or balloon dilation correlate with higher failure rates. Conversely, type II achalasia…
A comprehensive preoperative assessment and support program for elderly gastric cancer patients significantly reduces blood loss, serious complications, and postoperative hospital stay compared to standard care. Tailored support for sarcopenia patients contributes to improved outcomes, highlighting the importance of personalized preoperative care in enhancing surgical…
High overall volume of upper gastrointestinal surgeries at hospitals, despite lower gastrectomy volume for cancer, leads to similar postoperative outcomes to high gastrectomy volume centers. Equivalence in 5-year survival rates between hospitals with mixed and high gastrectomy operation volumes across all disease stages. Findings suggest…
Long-segment BEA patients exhibit distinct clinicopathological features and worse treatment outcomes compared to short-segment BEA patients. Long-segment cases are associated with specific characteristics such as flat type morphology, left wall location, and higher rates of synchronous lesions. Additionally, long-segment BEA requires longer resection durations, has…
Upper gastrointestinal endoscopic submucosal dissection (ESD) using an ultrathin endoscope boasts high en bloc resection rates, particularly in challenging locations like the esophagus, stomach, and duodenum. This retrospective study of 13 patients with 14 lesions reveals a 100% en bloc resection rate and a 92.9%…
Optimizing surgical performance in robotic gastrectomy for gastric cancer patients led to improved short-term outcomes. The study established a learning curve for robotic gastrectomy and evaluated its impact by analyzing data from 527 patients. With phase advancement, postoperative complication rates decreased, more lymph nodes were…
Quality of Life (QoL) significantly impacts mortality risk in patients with esophageal cancer. A systematic review and meta-analysis found that overall QoL, as well as physical, emotional, role, cognitive, and social QoL, were all associated with mortality risk. Subgroup analyses by timing of QoL assessment…
Study reveals that postoperative cough in esophageal cancer patients varied over time, affected by factors like cancer stage, surgical duration, and positioning. Scores post-surgery were consistently lower, emphasizing the need for targeted interventions to manage cough and improve patient outcomes. Results suggest the importance of…
Open surgery with a lateral neck approach proved to be a safe and effective treatment for foreign body impaction penetrating the neck through the esophagus. Tenderness in the pre-cervical site was a useful screening sign, and timely surgical intervention, along with appropriate post-operative care, led…
