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Hyperthermic intraperitoneal chemotherapy (HIPEC) significantly improved overall survival and reduced recurrence rates in both prophylactic and therapeutic settings for peritoneal carcinomatosis of gastric origin. This systematic review and meta-analysis of randomized trials highlights the efficacy of HIPEC as a safe and effective tool for prophylaxis…
Results showed no significant association between stapled or handsewn anastomosis and anastomotic leaks in gastric cancer surgery. This population-based study included 2164 patients in Finland, with 21.8% having handsewn anastomosis and 78.2% having stapled anastomosis. Regardless of the type of gastrectomy, the choice of anastomotic…
Esophageal cancer patients who underwent endoscopic submucosal dissection (ESD) for T1B tumors showed high en-bloc (100%) and R0 (82.3%) resection rates. Only 23.5% experienced tumor recurrence post-ESD, with safer outcomes in patients receiving additional therapies. Larger studies are necessary to confirm the long-term efficacy of…
A novel prognostic marker, the cachexia index (cxi), is associated with disease progression, postoperative mortality, and overall survival in patients with locally advanced oesophagogastric cancer. Patients with low cxi had higher rates of disease progression, worse postoperative mortality, and decreased overall survival compared to those…
Gas-Bloat Syndrome affects 13.3% of patients at 1 year post-Magnetic Sphincter Augmentation, resulting in worse GERD-HRQL scores, medication use, and satisfaction. However, it resolves spontaneously in the majority of cases, leading to quality-of-life improvement. Patients with preoperative bloating, high GERD-HRQL scores, or smaller device size…
Frailty and total or proximal gastrectomy (TG/PG) were found to be independent risk factors for postoperative pneumonia (POP) in patients with gastric cancer undergoing gastrectomy. A simple risk assessment method combining these factors effectively predicted and prepared patients for POP, with a 5.5% incidence rate…
This study validates textbook outcome (TO) as a quality performance indicator (QPI) for esophageal cancer surgery. Postoperative complications, including Clavien-Dindo grade ≥3 complications, and 30-day readmission rate are associated with reduced survival. Updating TO parameters to include severe complications strengthens its association with increased survival,…
A high-performing preoperative nomogram for predicting splenic hilar lymph node metastasis in non-greater curvature advanced proximal gastric cancer was developed. Tumor location, size, Borrmann type, and lymphadenectasis were key predictors. The nomogram showed good performance in both training and validation cohorts, aiding surgeons in making…
The study highlights the importance of assessing the quality of endoscopic submucosal dissection (ESD) not only for curative cases but also for non-curative ones. With unclear management strategies for Ecurac-1 tumors, research primarily focuses on additional surgical procedures for high-risk patients. Exploring management strategies and…
Geriatric patients with locally advanced gastric cancer who underwent laparoscopic gastrectomy had lower overall complication rates, shorter hospital stays, and less blood loss compared to those who underwent open gastrectomy. There was no significant difference in 3-year overall survival between the two groups, suggesting laparoscopic…
