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Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays.…
A multi-institutional observational study compared postoperative quality of life between patients undergoing total or proximal gastrectomy for early gastric cancer. Postoperative weight loss rate over 3 years was lower in the proximal gastrectomy group, showing a trend towards better quality of life, particularly in indigestion…
This study compared the outcomes of patients undergoing magnetic sphincter augmentation (MSA) or fundoplication for anti-reflux surgery using the ACS-NSQIP registry. A total of 7,882 patients were included, with MSA patients being younger and more often male. Compared to fundoplication, MSA was associated with reduced…
Preoperative sarcopenia is significantly associated with lower overall survival (OS) and relapse-free survival (RFS) in patients with gastric cancer. A retrospective study of 781 gastric cancer patients who underwent radical gastrectomy revealed that preoperative sarcopenia is an independent risk factor for 10-year OS and RFS.…
A total of 994 out of 1540 patients (64.5%) achieved textbook outcomes (TO) in laparoscopic gastrectomy (LG). Factors independently associated with reduced TO likelihood included older age, higher BMI, higher ASA score, conversion to open surgery, longer operation time, and greater estimated blood loss. Achieving…
The first clinical experiences of robotic gastrectomy for gastric cancer using the Hinotori surgical robot system were evaluated in a single-institution retrospective study. Twenty-four patients underwent robotic gastrectomy with Hinotori. The results showed that the procedure can be safely performed, with a low postoperative complication…
Research comparing the effect of esophagogastrostomy on the anterior and posterior walls of the gastric conduit in minimally invasive esophagectomy revealed that placing the anastomosis on the anterior wall resulted in a lower rate of delayed gastric emptying. Out of the 439 patients included in…
A comprehensive cohort study of 4,301 patients undergoing antireflux and hiatus hernia surgeries in Australia revealed a 12.6% incidence of intraoperative complications and a 13.3% incidence of postoperative complications. Independent predictors of complications included the Charlson comorbidity index, hernia size, revisional surgery, and baseline anticoagulant…
A validated clinical score, the COuGH RefluX, has been developed to predict the likelihood of gastroesophageal reflux disease (GERD) in patients with chronic laryngeal symptoms. The score, based on cough, overweight/obesity, globus, hiatal hernia, regurgitation, and male sex, accurately stratifies patients as low or high…
A multi-institutional retrospective study investigated the clinical impact of conversion surgery for esophageal cancer with synchronous distant metastasis after induction therapy. Out of the 66 enrolled patients, distant lymph node metastasis occurred in 77%, while distant organ metastasis occurred in 23%. The study found that…
