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Endoscopic resection of well-differentiated nonampullary duodenal neuroendocrine tumors was safe and effective, with a high rate of en-bloc and R0 resections. Tumors located in the second part of the duodenum, ≥10mm in size, and with muscularis propria invasion were risk factors for non-curative resection. Adverse…
Survival following esophagectomy for esophageal cancer remains stable regardless of post-operative complication severity. A study of 721 patients showed no significant difference in long-term survival rates between those with no complications, minor, or major complications, with overall survival rates staying equivalent at 1, 3, and…
Laparoscopic HIPEC for gastric cancer with peritoneal metastasis is safe and associated with minimal perioperative complications. Approximately one third of patients undergoing initial laparoscopic HIPEC proceeded to cytoreduction and gastrectomy. Preliminary survival data from this study indicate a median overall survival of 11 months from…
Assessment of intraoperative adverse events (IAEs) during robotic radical gastrectomy for gastric cancer revealed that IAEs significantly correlated with postoperative complications and poor long-term prognosis. The presence of IAEs was associated with worse overall and disease-free survival rates compared to patients without IAEs. Utilizing the…
Diagnostic laparoscopy with peritoneal lavage in gastric adenocarcinoma has a high diagnostic yield, with 24.5% of patients having positive findings leading to exclusion from neoadjuvant treatment or surgical resection. Peritoneal metastases were identified in 10.3% of patients, with 12.5% having positive peritoneal cytology without macroscopic…
In patients with unresectable or recurrent esophageal cancer receiving immune checkpoint inhibitors, high waist circumference was associated with favorable progression-free survival and disease control rates. This suggests that body composition, specifically waist circumference, may influence clinical outcomes in esophageal cancer patients undergoing ICI treatment.
Patients with oesophageal squamous cell carcinoma who underwent active surveillance after chemoradiotherapy showed comparable overall survival but better progression-free survival than those who had planned surgery. The two groups had similar overall recurrence rates, with locoregional recurrence more common in the active surveillance group and…
According to the study, laparoscopic gastric ischemic preconditioning (LGIP) may decrease the rate and severity of anastomotic strictures following esophagectomy. Of the patients who underwent LGIP, only 7.1% developed anastomotic strictures compared to 19.9% in the control group. While controlling for confounders, the difference was…
Intraoperative leak testing (IOLT) significantly reduced postoperative anastomotic leakage (PAL) incidence compared to no intraoperative leak testing (NIOLT) in gastric cancer surgery. IOLT was associated with lower rates of anastomotic-related complications and reoperations. These findings suggest that IOLT is a promising tool to improve postoperative…
Researchers analyzed 287 esophageal cancer patients to assess if initial tumor volume on CT scans correlated with histomorphological regression after neoadjuvant therapy. Despite measuring tumor volumes and assessing regression grades, no significant relationship was found. The study concludes that tumor volume does not predict histopathological…
