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Temporal Disparities in Curative-Intent HCC Treatment Utilization

Racial and socioeconomic disparities impact access to curative treatments for hepatocellular carcinoma (HCC). African-American and Hispanic patients had lower odds of receiving ablative therapy and surgical resection compared to whites, while disparities in liver transplantation varied. While trends improved for white and API/other patients, African-American and Hispanic patients showed non-significant changes over time, indicating widening disparities in curative-intent HCC treatment utilization.

Journal Article by Agudile EP, Vega EA (…) Conrad C et 7 al. in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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Effectiveness of Lumen-Apposing Metal Stents for Benign Biliary Strictures

Lumen-apposing metal stents (LAMS) show promising results for treating short benign biliary strictures, with a high technical success rate of 100% and a clinical success rate of 85.7%. Adverse events, including stent migration, were found in 17.1% of patients, and stricture recurrence occurred in 18.5% of cases. LAMS placement appears to be a safe and effective option, especially for patients with caliber disproportion between the stricture and the duct above.

Journal Article by Mutignani M, Capasso M (…) Forti E et 7 al. in Dig Liver Dis

Copyright © 2024 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

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Effectiveness of Infrahepatic Inferior Vena Cava Clamping with Pringle Maneuver in Hepatectomy

Infrahepatic inferior vena cava clamping combined with Pringle maneuver leads to greater reduction in central venous pressure, reduced intraoperative blood loss, and decreased blood transfusion during hepatectomy compared to Pringle maneuver alone. Patients in the combined technique group also experienced shorter hospital stays and lower overall complication rates without affecting operative times. This meta-analysis suggests that utilizing infrahepatic inferior vena cava clamping with Pringle maneuver is beneficial in managing intraoperative bleeding and improving perioperative outcomes in liver resection.

Systematic Review by Patel A, Tan J (…) Satyadas T et 3 al. in Langenbecks Arch Surg

© 2024. The Author(s).

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Effect of Surgical Treatment on Patients with Peritoneal Metastasis from Gastric Adenocarcinoma

Survival analysis of 399 patients with peritoneal metastasis from gastric adenocarcinoma revealed that surgical treatment significantly improves overall survival. Subgroup analysis suggests benefits for patients with certain tumor characteristics and previous chemotherapy. Surgery may be an option to enhance prognosis in specific groups of patients with gastric adenocarcinoma and peritoneal metastasis.

Journal Article by Shen Y, Yu S (…) Xu X et 12 al. in J Gastrointest Oncol

2024 Journal of Gastrointestinal Oncology. All rights reserved.

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Perioperative Inflammatory Indicators Predict Disease-Free Survival in Rectal Cancer

Perioperative inflammatory indicators, including preoperative neutrophil-to-lymphocyte ratio (NLR) and postoperative systemic immune-inflammation index (SII), are crucial for predicting 3-year disease-free survival (DFS) in rectal cancer patients. A nomogram based on TNM stage III and neural invasion effectively stratifies high-risk patients, enabling timely postoperative follow-up and adjuvant treatment. The model demonstrates good discrimination and calibration, highlighting its clinical utility in prognosis assessment and patient management.

Journal Article by Sun J, Zhong X (…) Yang R et 3 al. in J Gastrointest Oncol

2024 Journal of Gastrointestinal Oncology. All rights reserved.

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Robotic Spleen-Preserving Lymph Node Dissection in Gastric Cancer

Robotic spleen-preserving suprapancreatic and splenic hilar lymph node dissection using the preemptive retropancreatic approach in total gastrectomy for gastric cancer proved effective in reducing postoperative pancreatic complications. The novel preemptive retropancreatic technique facilitated a clear operative field and prevented contact with the pancreas during surgery, resulting in a median operating time of 488 min and minimal intraoperative bleeding. This approach shows promise for improving outcomes in total gastrectomy.

Journal Article by Ebihara Y, Kurashima Y, Shichinohe T and Hirano S in Updates Surg

© 2024. Italian Society of Surgery (SIC).

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EndoRobotic Submucosal Dissection for Colorectal Neoplasia

EndoRobotic Submucosal Dissection using the da Vinci SP platform showed a 100% en-bloc resection rate in 28 patients with colorectal neoplasms. There were no intraoperative complications or mortality, with only two minor postoperative complications. Pathology outcomes revealed a mix of benign and malignant lesions, indicating the procedure’s safety and feasibility. Further studies are needed to confirm its advantages over conventional methods.

Journal Article by Alipouriani A, Ozgur I (…) Gorgun E et 3 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Optimal Imaging Modalities for Detecting Gastric Neoplasms

The trial compared the effectiveness of three imaging modalities – third-generation narrowband imaging (3G-NBI), texture and color enhancement imaging (TXI), and high-definition white-light imaging (WLI) – in detecting gastric neoplasms (GNs). Results showed that 3G-NBI outperformed TXI and WLI, with higher GN detection rates and lower rates of missed GNs and increased positive predictive value for GN diagnosis. 3G-NBI is identified as the most promising modality for early detection of gastric neoplasms.

Journal Article by Kadota T, Abe S (…) Yano T et 19 al. in Am J Gastroenterol

Copyright © 2024 by The American College of Gastroenterology.

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Collagen Changes in Distal Anastomotic Margin and Anastomotic Stenosis

Neoadjuvant chemoradiotherapy for rectal cancer can alter collagen structure, increasing the risk of postoperative anastomotic stenosis. A retrospective study with 371 patients revealed that collagen score (CS) is an independent risk factor for anastomotic stenosis. A predictive nomogram based on CS accurately identified individuals at risk for postoperative anastomotic stenosis, with good discrimination and validation results.

Journal Article by Feng M, Wang H (…) Yan J et 7 al. in J Am Coll Surg

Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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Robotic Esophagectomy vs. Conventional Thoracoscopic Esophagectomy for Locally Advanced Esophageal Cancer

Robotic esophagectomy results in shorter postoperative recovery times and lower rates of specific complications compared to conventional thoracoscopic esophagectomy for locally advanced esophageal cancer. Both approaches have similar technical feasibility and oncological outcomes following surgery, with no significant differences in recurrence rates. Robotic esophagectomy may offer patients a faster recovery with comparable long-term results, indicating its potential as a viable alternative in the treatment of advanced esophageal cancer.

Journal Article by Daiko H, Oguma J (…) Fujiwara H et 9 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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