In the quest for optimal gastric cancer surgery, a study of 11,173 patients in the US compared robotic and laparoscopic gastrectomy. The analysis revealed that robotic gastrectomy (RG) outshone laparoscopic gastrectomy (LG) in terms of adequate lymphadenectomy, negative margins, shorter hospital stay, lower mortality, and superior 5-year overall survival. Propensity score matching affirmed RG’s superiority […]
Category: Upper Gastrointestinal Tract
Missed Opportunities: Esophageal Adenocarcinoma Patients with Prior Colonoscopies Lack Timely Esophagogastroduodenoscopy
In the era of widespread colonoscopy, many patients later diagnosed with esophageal adenocarcinoma (EA) had prior screening colonoscopies, presenting missed opportunities for earlier detection. Among 221 referred patients, 49% had prior colonoscopies, yet only 18% had an esophagogastroduodenoscopy (EGD) before EA diagnosis. Most displayed gastroesophageal reflux disease symptoms or acid medication use during screening colonoscopy. […]
Similar Outcomes in Esophageal Cancer with Different Neoadjuvant Therapies
Comparing neoadjuvant radiochemotherapy protocols for resectable esophageal cancer, this study finds no significant differences in postoperative mortality, complications, or toxicity. Both PF-based and CROSS protocols demonstrate effectiveness and safety, with squamous cell carcinoma and favorable tumor grading independently predicting a higher pathological complete response rate. The battle of protocols concludes with similar outcomes, providing valuable […]
Unlocking Hope for Neuroendocrine Carcinomas: Spheroid Screening Points to DNA Repair Inhibitors
In the quest for effective gastroenteropancreatic neuroendocrine carcinoma treatments, researchers unleashed patient-derived tumor spheroids. A dazzling 16 compounds, notably tyrosyl-DNA phosphodiesterase 1 inhibitors, emerged as fierce warriors against over 75% of these rare tumors. Cytarabine, a standout from the bunch, synergized with standard drugs, intensifying the battle against cancer cells. These findings spotlight a promising […]
Safe and Feasible: Single-Incision Laparoscopy for Early Gastric Cancer Compared to Multiport Approach
In exploring single-incision laparoscopic gastrectomy for early gastric cancer, researchers found it safe and feasible compared to multiport laparoscopy. Analyzing cases from 2013 to 2021, the single-incision approach showed similar operation times and length of stay. Complication rates were comparable, supporting the cautious adoption of this method. Journal Article by Lee S, Suh YS (…) […]
Enhanced Lymph Node Retrieval: Two-Port Robotic Gastrectomy Outperforms Conventional Laparoscopy in Gastric Cancer
In a nonrandomized trial comparing robotic gastrectomy with fluorescence guidance and a two-port system (IRG) to conventional laparoscopic gastrectomy (CLG) for early gastric cancer, researchers found that IRG yielded more retrieved lymph nodes (42.1 vs. 35.1). The study suggests that the integrated robotic approach enhances lymphadenectomy and offers better perioperative outcomes, including shorter hospital stays […]
Esophageal Cancer Staging: Inaccuracy Impacts Attainment of Optimal Oncologic Outcomes
In clinical staging for early-stage esophageal cancer, 41.2% of patients experienced upstaging upon final pathology. Tumor size, histology, and delayed esophagectomy (>30 days) were linked to upstaging risk. The rate of achieving optimal oncologic outcomes dropped from 43.8% (reliable clinical staging) to 22.5% (considering upstaging). The study underscores the impact of inaccuracies in clinical staging […]
Robotic Gastrectomy Takes the Crown: Boosting Textbook Oncologic Outcomes in Gastric Cancer Surgery
In the realm of gastric cancer surgery, a study flexes the stats on surgical approaches. Analyzing 21,015 patients, the research spotlights robotic gastrectomy (RG) as the champ, significantly elevating the likelihood of achieving Textbook Oncologic Outcome (TOO). Minimally invasive gastrectomy (MIG) emerges as a key player, linked to better lymph node evaluation, shorter hospital stays, […]
Navigating the Robot: RAMIG Practices and Outcomes Unveiled Globally
Researchers explored the global landscape of robot-assisted minimally invasive gastrectomy (RAMIG) for gastric cancer in a 2020-2023 registry spanning 25 centers. In 759 cases, RAMIG showcased varying techniques and excellent outcomes. Anastomotic leakage rates after total and distal gastrectomy reflected high surgical quality. The study sets a RAMIG quality standard, offering an international reference for […]
Screening Saves: Total Colonoscopy’s Crucial Role in Gastric Cancer Patients
In a study of 796 preoperative gastric cancer patients, 5.4% had synchronous colorectal cancer (SCRC). Endoscopic treatments were successful, and all SCRC patients underwent curative treatment, with no attributed deaths. Cumulative mortality rates showed 12.6% for gastric cancer-related deaths but none for SCRC. Screening total colonoscopy proved effective, suggesting its vital role. Cost-effectiveness analysis revealed […]