This study compared the outcomes of patients undergoing magnetic sphincter augmentation (MSA) or fundoplication for anti-reflux surgery using the ACS-NSQIP registry. A total of 7,882 patients were included, with MSA patients being younger and more often male. Compared to fundoplication, MSA was associated with reduced postoperative complications, fewer readmissions, shorter hospital stays, and shorter operative […]

Preoperative sarcopenia is significantly associated with lower overall survival (OS) and relapse-free survival (RFS) in patients with gastric cancer. A retrospective study of 781 gastric cancer patients who underwent radical gastrectomy revealed that preoperative sarcopenia is an independent risk factor for 10-year OS and RFS. Patients with sarcopenia had a higher risk of death and […]

A total of 994 out of 1540 patients (64.5%) achieved textbook outcomes (TO) in laparoscopic gastrectomy (LG). Factors independently associated with reduced TO likelihood included older age, higher BMI, higher ASA score, conversion to open surgery, longer operation time, and greater estimated blood loss. Achieving TO in LG was linked to improved 5-year overall survival […]

The first clinical experiences of robotic gastrectomy for gastric cancer using the Hinotori surgical robot system were evaluated in a single-institution retrospective study. Twenty-four patients underwent robotic gastrectomy with Hinotori. The results showed that the procedure can be safely performed, with a low postoperative complication rate within 30 days after surgery. The study also reported […]

Research comparing the effect of esophagogastrostomy on the anterior and posterior walls of the gastric conduit in minimally invasive esophagectomy revealed that placing the anastomosis on the anterior wall resulted in a lower rate of delayed gastric emptying. Out of the 439 patients included in the study, those with anterior wall anastomosis experienced fewer complications, […]

A validated clinical score, the COuGH RefluX, has been developed to predict the likelihood of gastroesophageal reflux disease (GERD) in patients with chronic laryngeal symptoms. The score, based on cough, overweight/obesity, globus, hiatal hernia, regurgitation, and male sex, accurately stratifies patients as low or high likelihood of GERD. With a sensitivity of 79% and specificity […]

A multi-institutional retrospective study investigated the clinical impact of conversion surgery for esophageal cancer with synchronous distant metastasis after induction therapy. Out of the 66 enrolled patients, distant lymph node metastasis occurred in 77%, while distant organ metastasis occurred in 23%. The study found that conversion surgery after chemotherapy or chemoradiotherapy is feasible and may […]

Age should not be a contraindication to esophagectomy for cancer treatment, according to the results of an international multicenter retrospective analysis. The study included 575 patients who underwent esophagectomy between 2007 and 2016 and found that postoperative mortality increased with age, from 2% in younger patients to 4.8% in older patients. However, disease-free and disease-related […]