Dis Esophagus13 Feb 2024
Age should not be a contraindication to esophagectomy for cancer treatment, according to the results of an international multicenter retrospective analysis. The study included 575 patients who underwent esophagectomy between 2007 and 2016 and found that postoperative mortality increased with age, from 2% in younger…
World J Surg Oncol13 Feb 2024
The systematic review and meta-analysis found that machine learning-based models have greater performance in the identification of early gastric cancer (EGC) compared to non-specialist clinicians. The sensitivity, specificity, and summary receiver operating characteristic (SROC) of the machine learning models were higher than those of non-specialist…
Eur J Surg Oncol12 Feb 2024
Male sex and Roux-en-Y reconstruction were identified as independent risk factors for abdominal surgical infectious complications (ASIC) after distal gastrectomy for gastric cancer. A post-hoc analysis of a randomized controlled trial (JCOG0912) found that male patients had a 2.364 times higher risk of developing ASIC,…
Upper Gastrointestinal Tract12 Feb 2024
Researchers conducted a retrospective study to compare the outcomes and safety of different chemotherapy regimens as perioperative treatment in elderly patients with resectable gastric cancer. They found that the Flot and DCF regimens were associated with longer overall survival compared to other regimens, with Flot…
Ann Surg11 Feb 2024
Researchers conducted a study to examine the influence of a randomized controlled trial (RCT) on the practice and outcomes of laparoscopic gastrectomy in the Netherlands. The RCT included 10 Dutch centers and compared laparoscopic to open gastrectomy. Data analysis showed that there was no significant…
Int J Surg10 Feb 2024
Researchers conducted a cohort study involving 4688 patients with esophageal cancer to develop an optimized postsurgery follow-up strategy. By using recursive partition analysis and a random survival forest, patients were stratified into four groups based on pathological features, with surveillance strategies developed for each group.…
Int J Surg10 Feb 2024
The study aimed to compare the incidence of bile reflux, quality of life (QOL), and nutritional status among different reconstruction methods after laparoscopic distal gastrectomy. The results showed that Roux-en-Y reconstruction had the lowest incidence of bile reflux, followed by Billroth II with Braun anastomosis,…
Int J Surg10 Feb 2024
R Anastomosis, a novel technique for B-II-B anastomosis during laparoscopic distal gastrectomy, was compared to conventional anastomosis in a propensity score matching analysis. The study included 246 patients, with 123 in each group. The R group had significantly reduced anastomotic time, and there were no…
Int J Surg10 Feb 2024
A prospective randomized trial compared two methods of lymphadenectomy along the left recurrent laryngeal nerve (lrln) during minimally invasive esophagectomy in esophageal squamous cell carcinoma patients. The retraction method (rm) was found to be more beneficial, as it reduced surgical duration significantly compared to the…
Surg Endosc9 Feb 2024
Endoscopic submucosal dissection (ESD) and laparoscopic and endoscopic cooperative surgery (LECS) were compared in patients with superficial non-ampullary duodenal epithelial tumors. The study found that both ESD and LECS achieved high rates of en bloc and curative resection, with no significant difference between the two…