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Patients with functional esophageal disorders (FED) are more likely to be non-Hispanic Asian, have an underweight BMI, chronic pain, insomnia, and allergic rhinitis. Conversely, patients with an overweight BMI and who use alcohol have a decreased risk for FED. These findings provide valuable information for…
Hybrid oesophagectomy with minimally invasive gastric mobilization and thoracotomy did not result in faster recovery or greater cost-effectiveness compared to open surgery for patients with oesophageal cancer. Physical function and complication rates over the first 3 months post-randomization were similar between the two groups. Surgeons…
Preoperative chemotherapy significantly increased overall survival in patients with liver-limited metastasis from gastric cancer who underwent hepatectomy, compared to upfront surgery. Patients who exhibited a partial response to preoperative chemotherapy had better outcomes than those with stable or progressive disease. The preoperative chemotherapy group also…
Robot-assisted gastrectomy (RAG) outperformed laparoscopic-assisted gastrectomy (LAG) in malnourished gastric cancer patients in terms of achieving a textbook outcome (TO), with higher operative time, lymph nodes harvested, and lower blood loss and hospital stay. RAG was an independent protective factor for TO, leading to better…
General surgery residents in the US have experienced a significant increase in gastric surgery volume from 2009 to 2022, mainly driven by a rise in laparoscopic gastric reduction for morbid obesity. There was also a notable growth in laparoscopic partial gastric resections, repair of gastric…
Comparing robotic and laparoscopic approaches in hiatal hernia repair and Heller myotomy, robotic surgery showed non-significantly shorter hospital stays, fewer conversions to open, and lower morbidity rates for hhr, while hm had significantly fewer esophageal perforations, reinterventions, and a non-significantly shorter stay. Both robotic procedures…
A national cohort study validated the external validity of the MIRO randomized controlled trial in a real-life population within France by comparing postoperative complications in esophageal cancer patients. The hybrid approach was found to be protective against severe respiratory complications, with no significant difference in…
Patients with mucosal esophageal adenocarcinoma and poor differentiation had low rates of metastases after endoscopic resection, even when additional risk factors were present. Metastasis rates were 4.0% for single risk factor patients and 20.0% for those with additional risk factors. Overall death rates were 28.0%…
Esophagectomy is associated with improved 5-year overall survival in locally advanced esophageal adenocarcinoma. Factors like age, race, treatment location, insurance, and tumor size influence esophagectomy use. Non-surgical treatment, government insurance, low income, non-academic centers, comorbidities, and larger tumors increase the risk of all-cause mortality. Esophagectomy…
Robotic surgery in esophagectomy for resectable esophageal cancer offers advantages such as reduced postoperative pain and pulmonary complications. A review of 113 studies shows that outcomes include a weighted mean postoperative pneumonia rate of 11%, anastomotic leak rate of 10%, and a 95% success rate…
