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Upper Gastrointestinal Tract

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BMC Surg2 May 2024

Root Causes of Mortality After Esophagectomy for Cancer

Root cause analysis of mortality after esophagectomy revealed that more than half of deaths were potentially preventable. Factors such as inappropriate indications, patient characteristics, unexpected intraoperative findings, and delays in diagnosing complications were associated with preventable deaths. Following national guidelines and centralizing care may reduce…

J Gastrointest Surg2 May 2024

Prognostic Value of Preoperative CALLY Index in Gastric Cancer Patients

The preoperative CALLY index is a valuable prognostic marker for gastric cancer patients, correlating with clinicopathological factors, overall and disease-free survival, and postoperative complications. A low preoperative CALLY index was significantly associated with advanced disease stages and independently predicted poorer outcomes. This index shows promise…

HPB & Spleen29 Apr 2024

Hidden Port Site Incision for Robotic Foregut and Hepatopancreatobiliary Operation

Developed to minimize visible scars on the abdomen, the hidden port site incision technique at the pubic hairline offers a cosmetically superior approach for common foregut and hepatopancreatobiliary procedures. This technique maximizes cosmetic outcomes while maintaining clinical efficacy, especially beneficial for patients with poor healing…

HPB & Spleen28 Apr 2024

Hidden Port Site Incision for Robotic Foregut and Hepatopancreatobiliary Operation

Developed to minimize visible scars on the abdomen, the hidden port site incision technique at the pubic hairline offers a cosmetically superior approach for common foregut and hepatopancreatobiliary procedures. This technique maximizes cosmetic outcomes while maintaining clinical efficacy, especially beneficial for patients with poor healing…

Surg Endosc28 Apr 2024

Performance of AI Chatbots in Surgical Decision-making for Gastroesophageal Reflux Disease

Large language model-linked chatbots showed varying accuracy in providing surgical management recommendations for gastroesophageal reflux disease. Google Bard had the highest accuracy, while Copilot and Perplexity had lower performance. Additional training using evidence-based health information is needed to maximize the potential of chatbots in clinical…

Surg Endosc28 Apr 2024

Robotic gastrectomy versus laparoscopic gastrectomy in overweight patients with gastric cancer

Robotic gastrectomy provided comparable outcomes to laparoscopic gastrectomy in overweight patients with gastric cancer, including similar blood loss, complication rates, postoperative recovery, lymph node dissection, and oncologic outcomes. Both groups had similar initiation of adjuvant chemotherapy, overall survival, and disease-free survival at 3 years. Robotic…

Eur J Surg Oncol28 Apr 2024

More Negative Lymph Nodes Correlate with Better Gastric Cancer Prognosis.

Expanding loco-regional nodes harvesting expected to increase survival in gastric cancer patients. Results from 830 patients undergoing gastrectomy show extended lymphadenectomies lead to better overall survival. Simulation to "offer 26 nodes" reveals no significant impact of stage migration. The number of negative nodes, even in…

Surg Endosc27 Apr 2024

Optimal Management of Hiatal Hernia

A systematic review and meta-analysis of 45 studies on hiatal hernia management, including data from randomized controlled trials and observational studies, found that the use of mesh was associated with a lower recurrence risk (RR = 0.50, 95% CI 0.28, 0.88). Despite the overall high…

Surg Endosc26 Apr 2024

Performance of AI Chatbots in Surgical Decision-making for Gastroesophageal Reflux Disease

Large language model-linked chatbots showed varying accuracy in providing surgical management recommendations for gastroesophageal reflux disease. Google Bard had the highest accuracy, while Copilot and Perplexity had lower performance. Additional training using evidence-based health information is needed to maximize the potential of chatbots in clinical…