Article
Medicine, General & Internal
Candan cetinkaya-Hosgoer, Philippa Seika, Jonas Raakow, Dino Kroell, Eva Maria Dobrindt, Max Magnus Maurer, Friederike Martin, Ramin Raul Ossami Saidy, Peter Thuss-Patience, Johann Pratschke, Matthias Biebl, Christian Denecke, H. Christian Weber
Summary: This study examined the impact of surgical outcomes on long-term survival in gastric cancer patients. The achievement of textbook outcome (TO) was found to be significantly associated with improved long-term survival. Factors such as surgical approach and incomplete neoadjuvant chemotherapy influenced the attainment of TO. The findings highlight the importance of surgical quality improvement for long-term survival in gastric cancer patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Jun-Yu Chen, Guang-Tan Lin, Qi-Yue Chen, Qing Zhong, Zhi-Yu Liu, Si-Jin Que, Jia-Bin Wang, Jian-Xian Lin, Jun Lu, Long-Long Cao, Mi Lin, Ru-Hong Tu, Ze-Ning Huang, Ju-Li Lin, Hua-Long Zheng, Jian-Wei Xie, Ping Li, Chang-Ming Huang, Chao-Hui Zheng
Summary: This study analyzed the impact of textbook outcome (TO) on the long-term prognosis and adjuvant chemotherapy (AC) compliance in patients with gastric cancer (GC). The results showed that patients who achieved TO had better survival rates and received more adjuvant chemotherapy cycles. Factors such as age, surgical approach, and pathological stage were found to influence the achievement of TO.
Article
Oncology
Cas de Jongh, Lianne Triemstra, Arjen van der Veen, Lodewijk AA. Brosens, Grard AP. Nieuwenhuijzen, Jan HMB. Stoot, Wobbe O. de Steur, Jelle P. Ruurda, Richard van Hillegersberg
Summary: This study assessed the quality of gastric cancer surgery using a photo-scoring method and implemented quality control measures during the LOGICA trial. The results showed that high radicality and nodal yield were indicators of good quality D2-gastrectomy. However, the photo-scoring method used in the study needs further improvement.
Article
Oncology
Marianna Maspero, Carlo Sposito, Antonio Benedetti, Matteo Virdis, Maria Di Bartolomeo, Massimo Milione, Vincenzo Mazzaferro
Summary: The adequacy of surgical resection margins to JGCA guidelines leads to improved survival outcomes and allows for a more organ-preserving approach than Western guidelines.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Oncology
Seohee Choi, Jeong Ho Song, Sejin Lee, Minah Cho, Yoo Min Kim, Woo Jin Hyung, Hyoung-Il Kim
Summary: In obese patients with gastric cancer, robotic gastrectomy with D2 lymphadenectomy showed comparable short-term results and better long-term outcomes compared to open or laparoscopic techniques.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Multidisciplinary Sciences
Chul Kyu Roh, Soomin Lee, Sang-Yong Son, Hoon Hur, Sang-Uk Han
Summary: The study compared textbook outcome and survival rates between robotic total gastrectomy (RTG) and laparoscopic total gastrectomy (LTG) for gastric cancer, finding that both procedures showed similar outcomes in terms of textbook outcomes and survival after propensity score matching analysis.
SCIENTIFIC REPORTS
(2021)
Article
Oncology
Song Liu, Qiongyuan Hu, Peng Song, Liang Tao, Shichao Ai, Ji Miao, Feng Wang, Xing Kang, Xiaofei Shen, Feng Sun, Xuefeng Xia, Meng Wang, Xiaofeng Lu, Wenxian Guan
Summary: Low BMI and distal gastrectomy are independent risk factors for Petersen's hernia. Timely surgical intervention is associated with better bowel viability and improved outcomes in patients.
FRONTIERS IN ONCOLOGY
(2021)
Article
Oncology
Sang Soo Eom, Sin Hye Park, Bang Wool Eom, Hong Man Yoon, Young-Woo Kim, Keun Won Ryu
Summary: This study aimed to compare the outcomes of laparoscopic total gastrectomy (LTG) with open total gastrectomy (OTG). There was no significant difference in short-term outcomes between the two groups, and the 3-year disease-free survival and 5-year overall survival rates were also similar. Thus, LTG could be an alternative to OTG.
Article
Oncology
Arjen van der Veen, Hylke J. F. Brenkman, Maarten F. J. Seesing, Leonie Haverkamp, Misha D. P. Luyer, Grard A. P. Nieuwenhuijzen, Jan H. M. B. Stoot, Juul J. W. Tegels, Bas P. L. Wijnhoven, Sjoerd M. Lagarde, Wobbe O. de Steur, Henk H. Hartgrink, Ewout A. Kouwenhoven, Eelco B. Wassenaar, Werner A. Draaisma, Suzanne S. Gisbertz, Donald L. van der Peet, Anne M. May, Jelle P. Ruurda, Richard van Hillegersberg
Summary: In a multicenter randomized trial conducted in the Netherlands, laparoscopic gastrectomy did not show a significant advantage over open gastrectomy in terms of hospital stay, postoperative complications, and oncological outcomes for Western patients with predominantly advanced gastric cancer undergoing multimodality treatment. Both procedures demonstrated similar results in postoperative complications and oncological efficacy.
JOURNAL OF CLINICAL ONCOLOGY
(2021)
Article
Oncology
Mariagiulia Dal Cero, Marta Roman, Luis Grande, Concepcion Yarnoz, Fernando Estremiana, Amaia Gantxegi, Clara Codony, Yanina Gobbini, Elisenda Garsot, Dulce Momblan, Marta Gonzalez-Duaigues, Alexis Luna, Noelia Perez, Aurora Aldeano, Sonia Fernandez, Carles Olona, Judit Hermoso, Laura Pulido, Juan Jose Sanchez-Cano, Merce Guell, David Salazar, Marta Gimeno, Manuel Pera
Summary: This study assessed the incidence of textbook outcome (TO) among patients undergoing curative gastric cancer resection and found an achievement rate of 41.1%. Age, comorbidity index, neoadjuvant treatment, multivisceral resection, and hospital type were associated with the achievement of TO. TO was associated with patient survival.
Article
Engineering, Biomedical
Yuhao Zhai, Zhen Chen, Zhi Zheng, Xi Wang, Xiaosheng Yan, Xiaoye Liu, Jie Yin, Jinqiao Wang, Jun Zhang
Summary: This study aimed to develop an artificial intelligence model for automatic surgical phase recognition in laparoscopic gastric cancer surgery. The model, based on convolutional neural networks and temporal relational transformers, accurately predicted the surgical phases using visual and temporal relationships.
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
(2023)
Review
Oncology
Yoshihiro Hiramatsu, Hirotoshi Kikuchi, Hiroya Takeuchi
Summary: Function-preserving gastrectomy, such as proximal gastrectomy and pylorus-preserving gastrectomy, have been widely accepted as methods to improve quality of life for patients with early gastric cancer (EGC). The development of personalized, minimized gastrectomy with sentinel node navigation surgery is expected to provide an ideal treatment option.
Review
Medicine, General & Internal
Daisuke Nishizaki, Riki Ganeko, Nobuaki Hoshino, Koya Hida, Kazutaka Obama, Toshi A. Furukawa, Yoshiharu Sakai, Norio Watanabe
Summary: This study aimed to evaluate the health-related quality of life and safety outcomes of Roux-en-Y and Billroth-I reconstructions after distal gastrectomy for gastric cancer. The findings indicate little to no difference in health-related quality of life and uncertainty in the incidence of anastomotic leakage between Roux-en-Y and Billroth-I reconstructions. Roux-en-Y reconstruction may reduce bile reflux and Billroth-I reconstruction may shorten postoperative hospital stay and reduce overall morbidity.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Gastroenterology & Hepatology
Yuki Hirata, Annamaria Agnes, Elsa M. Arvide, Kristen A. Robinson, Connie To, Heather L. Griffith, Madison D. LaRose, Kathryn M. Munder, Paul Mansfield, Brian D. Badgwell, Naruhiko Ikoma
Summary: This study aimed to compare the benefits of open gastrectomy (OG) and robotic gastrectomy (RG) in gastric cancer patients. The results showed that RG had longer surgery time, smaller blood loss volume, shorter recovery time compared to OG, but there was no significant difference in postoperative complication rates between the two groups. Overall, RG was found to be a safe option for gastric cancer patients.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Gastroenterology & Hepatology
Ulysses Ribeiro, Andre Roncon Dias, Marcus Fernando Kodama Pertille Ramos, Osmar Kenji Yagi, Rodrigo Jose Oliveira, Marina Alessandra Pereira, Ricardo Zugaib Abdalla, Bruno Zilberstein, Sergio Carlos Nahas, Ivan Cecconello
Summary: The study compared the short-term surgical outcomes of robotic gastrectomy (RG) and open gastrectomy (OG). The researchers found that RG can significantly reduce operative bleeding, although it has a longer surgical time compared to OG. The short-term complications, length of hospital stay, and readmissions in 30 days were equivalent between the two groups.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Review
Surgery
David D. Q. Zhang, Jess Sussman, Fahima Dossa, Naheed Jivraj, Karim Ladha, Sav Brar, David Urbach, Andrea C. Tricco, Duminda N. Wijeysundera, Hance A. Clarke, Nancy N. Baxter
Article
Anesthesiology
Akash Goel, Brandon McGuinness, Naheed K. Jivraj, Duminda N. Wijeysundera, Murray A. Mittleman, Brian T. Bateman, Hance Clarke, Lakshmi P. Kotra, Karim S. Ladha
Article
Oncology
Jordan Levy, Vaibhav Gupta, Elmira Amirazodi, Catherine Allen-Ayodabo, Naheed Jivraj, Yunni Jeong, Laura E. Davis, Alyson L. Mahar, Charles De Mestral, Olli Saarela, Natalie Coburn, Jordan Levy, Vaibhav Gupta, Elmira Amirazodi, Catherine Allen-Ayodabo, Naheed Jivraj, Yunni Jeong, Laura E. Davis, James R. Connor, Eugene Hseih, Jolie Ringash, Rinku Sutradhar, Biniam Kidane, Gail E. Darling, Alyson L. Mahar, Natalie G. Coburn
Article
Anesthesiology
Naheed K. Jivraj, Damon C. Scales, Tara Gomes, Jennifer Bethell, Andrea Hill, Ruxandra Pinto, Duminda N. Wijeysundera, Hannah Wunsch
BRITISH JOURNAL OF ANAESTHESIA
(2020)
Article
Anesthesiology
Naheed K. Jivraj, Faizal Raghavji, Jennifer Bethell, Duminda N. Wijeysundera, Karim S. Ladha, Brian T. Bateman, Mark D. Neuman, Hannah Wunsch
Article
Emergency Medicine
Naheed K. Jivraj, Lilia Kaustov, Kennedy Ning Hao, Rachel Strauss, Jeannie Callum, Homer Tien, Asim Q. Alam
CANADIAN JOURNAL OF EMERGENCY MEDICINE
(2020)
Article
Urology & Nephrology
D. C. Cheung, L. J. Martin, N. K. Jivraj, H. Clarke, T. Gomes, D. N. Wijeysundera, C. Diong, M. Nayan, O. Saarela, S. M. H. Alibhai, M. Komisarenko, N. E. Fleshner, G. S. Kulkarni, A. Finelli
Summary: This study aimed to compare the likelihood of early and prolonged post-operative opioid use in patients undergoing minimally invasive surgery (MIS) versus open surgery for nephrectomy. The results showed that patients who received open surgery had a higher likelihood of early opioid use compared to those who received MIS. However, the overall rate of prolonged opioid use was low and was not significantly associated with the type of surgery.
Article
Anesthesiology
Naheed K. Jivraj, Karim Ladha, Akash Goel, Andrea Hill, Duminda N. Wijeysundera, Brian T. Bateman, Hannah Wunsch
Summary: The proportion of patients filling an opioid prescription postoperatively remained stable during the study period, but the total morphine milligram equivalent (MME) dose decreased after 2016. Opioid prescribing remained significantly higher than available recommendations, especially for low pain procedures.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2022)
Article
Anesthesiology
Naheed K. Jivraj, Karim S. Ladha, Akash Goel, Andrea Hill, Duminda N. Wijeysundera, Brian T. Bateman, Mark Neuman, Hannah Wunsch
Summary: The objective of this study was to assess changes in prescriptions filled for nonopioid analgesics for older postoperative patients in the immediate postdischarge period. The study found an increase in the number of patients who filled a nonopioid analgesic prescription during the study period. Additionally, the percentage of patients with new filled prescriptions for nonopioid analgesics within 7 days of discharge also increased.
Review
Medicine, General & Internal
Sara Keshavjee, Naheed K. Jivraj, Ambika Tejpal, Michael C. Sklar
Summary: Optimizing oxygenation strategies for hypoxaemic respiratory failure is crucial in acute care, as it is a common cause for admission. Different methods, from non-invasive masks to high flow nasal cannulae, have pros and cons for this diverse patient group. Non-invasive ventilation is gaining attention, especially due to its effectiveness during the COVID-19 pandemic. Individualized oxygenation strategies should be determined, and non-invasive approaches may be given more emphasis with new evidence. As non-invasive ventilation becomes more commonly used, validating new methods to monitor patient response and guide escalation strategy will be important.
BRITISH JOURNAL OF HOSPITAL MEDICINE
(2023)
Article
Substance Abuse
Karim S. Ladha, Duminda N. Wijeysundera, Hannah Wunsch, Hance Clarke, Calvin Diep, Naheed K. Jivraj, Diana Martins, Hannah Chung, Karanpreet Bath, Tara Gomes
Summary: The study aimed to assess the relationship between neighborhood-level opioid prescription rates and opioid-related mortality among individuals without an opioid prescription. The results showed no significant association between the total volume of opioid prescriptions dispensed in a dissemination area and opioid-related mortality. However, in subgroup analyses, prescription opioids were positively associated with prescription opioid-related mortality, while an increased total volume of opioids dispensed was inversely associated with nonprescription opioid mortality.
JOURNAL OF STUDIES ON ALCOHOL AND DRUGS
(2023)
Article
Medicine, General & Internal
Naheed K. Jivraj, Andrea D. Hill, Meng-Shiou Shieh, May Hua, Hayley B. Gershengorn, Paloma Ferrando-Vivas, David Harrison, Kathy Rowan, Peter K. Lindenauer, Hannah Wunsch
Summary: This study examined the per capita rates of invasive mechanical ventilation (IMV) in three high-income countries and found that the rate of IMV in the US was four times higher than in England and twice that in Canada in 2018. The study highlights the need for further research on the differences between populations.
JAMA INTERNAL MEDICINE
(2023)
Article
Infectious Diseases
Bijan Teja, Nafeesa Alibhai, Gordon D. Rubenfeld, Linda R. Taggart, Naheed Jivraj, Sameer A. Hirji, Brian P. O'Gara, Shahzad Shaefi
Summary: The study revealed that the combination of extreme leukocytosis and diarrhea is strongly predictive of Clostridioides difficile infection in critically ill patients. Among those with CDI, diarrhea, and extreme leukocytosis, mortality rate was shown to be relatively high. Therefore, empiric treatment for CDI should be considered in unstable critically ill patients with the mentioned symptoms, along with treatment for other potential sources of sepsis.
INFECTIOUS DISEASE REPORTS
(2021)
Article
Medicine, General & Internal
Nafeesa Alibhai, Sameer Hirji, Naheed Jivraj, Bijan Teja
UNIVERSITY OF TORONTO MEDICAL JOURNAL
(2019)