Low Cachexia Index (CXI) is a strong indicator of poorer survival in esophageal cancer patients undergoing surgery. Patients with low CXI had significantly worse overall survival (OS) and disease-free survival (DFS) compared to those with high CXI (both p < 0.001). Low CXI is also linked to older age, more severe comorbidities, and advanced tumor […]

Prehabilitation focusing on nutrition and fitness can significantly influence postoperative recovery in esophageal cancer patients. Higher preoperative BMI linked to more overall complications (p = .029). Better exercise capacity and muscle function correlated with fewer pulmonary complications (p < .045) and improved functional capacity (p < .032). Addressing fatigue preoperatively is crucial, as it relates […]

Using smaller circular staplers in esophagojejunostomy does not harm patients’ quality of life post-surgery. No differences were found in quality-of-life scores between patients using small vs. large staplers. Anastomotic lumen diameter had no impact on quality-of-life outcomes. Surgeons can confidently select smaller staplers when anatomical constraints arise without compromising patient recovery. Findings challenge the notion […]

Prioritizing lymphadenectomy and specific surgical approaches improves outcomes in patients with adenocarcinoma of the esophagogastric junction. In a study of 2,044 patients, neoadjuvant therapy lowered lymph node metastasis rates overall. Total gastrectomy resulted in fewer complications (14.8%) compared to proximal gastrectomy (21.0%; p=0.001). Laparoscopic approaches facilitated faster recovery without increasing complications (16.5% vs 17.3%). High […]

Patients’ preoperative dental status does not influence 5-year survival after esophageal cancer surgery. No significant link found between remaining teeth and all-cause mortality at 5 years. Hazard ratios showed no statistical significance across quintiles and deciles of remaining teeth. Dentists’ focus on preserving teeth may not affect surgical outcomes in this population. Journal Article by […]

A multimodal prehabilitation program improves outcomes for older patients with frailty undergoing radical gastrectomy. Complications dropped significantly in the prehabilitation group (17.2% vs 28.7%; p=0.01). Minor complications were halved (10.7% vs 20.2%; p=0.01), and medical complications also decreased (8.3% vs 16.9%; p=0.02). Patients in the prehabilitation group improved their functional capacity before surgery with an […]

Active surveillance after neoadjuvant chemoradiotherapy provides similar survival to surgery while significantly enhancing quality of life for patients with locally advanced oesophageal cancer. Active surveillance patients reported significantly better scores for dysphagia, dyspnoea, fatigue, and physical functioning at 6 months (Cohen’s d of -1.09, -0.63, -0.70, and 0.77, all p ≤ 0.001). Dysphagia improvements were […]

Intrathoracic side-overlap esophagogastrostomy (SOE) shows promise as a viable alternative to circular stapled (CSE) technique in esophagectomy for Siewert type I/II adenocarcinoma. SOE leads to significantly lower postoperative pain scores: 3.49 vs. 4.04 on day one (p=0.002). Severe gastroesophageal reflux is lower with SOE (14.5%) compared to CSE (34.0%) (p=0.019). Dysphagia symptoms are reduced with […]

Robot-assisted minimally invasive esophagectomy (RAMIE) shows lower nerve injury rates compared to conventional minimally invasive esophagectomy (MIE) for esophageal cancer. RAMIE had an operative time of 629 minutes vs. 574 minutes for MIE (p < 0.01). Incidence of recurrent laryngeal nerve (RLN) palsy was 22% with RAMIE vs. 34% with MIE (p = 0.02). Both […]