Article
Oncology
Alexander B. J. Borgstein, Mark I. van Berge Henegouwen, Wytze Lameris, Wietse J. Eshuis, Suzanne S. Gisbertz
Summary: This study found that staging laparoscopy in gastric cancer patients does not completely avoid surgery, indicating a low sensitivity for detecting metastases or locoregional non-resectability.
Article
Gastroenterology & Hepatology
Jiliang Shen, Xu Feng, Yong Wang
Summary: Surgeons with extensive laparoscopic experience can master robotic distal gastrectomy techniques after some training.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Medicine, General & Internal
Harbi Khalayleh, Young-Woo Kim, Hong Man Yoon, Keun Won Ryu, Myeong-Cherl Kook
Summary: Proximal gastrectomy (PG) may be safely performed for cT1-T2N0/1M0 tumors less than 4.1 cm in diameter located in the upper third of the stomach. cT3N0/1M0-differentiated tumors less than 4.1 cm may also be eligible for PG, while poorly differentiated cT3 tumors and any cT4 or cN2/3 diseases require total gastrectomy.
Article
Oncology
Chang Seok Ko, Jin Ho Jheong, Seong-A. Jeong, Byung Sik Kim, Jeong Hwan Yook, Beom Su Kim, In-Seob Lee, Chung Sik Gong, Na Young Kim, Moon-Won Yoo
Summary: This study compared the surgical and oncological outcomes between gastric cancer patients who underwent liver transplantation and curative gastrectomy, and those who only received curative gastrectomy. The results showed that there were no significant differences in overall complications between the two groups, but the liver transplantation group had longer operative time, higher transfusion frequency, and lower 5-year overall survival rate. This suggests that curative gastrectomy can be a safe treatment for gastric cancer, but further research is needed to identify the reasons for the lower survival rate in gastric cancer patients who underwent liver transplant surgery.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Oncology
Yuki Ito, Takashi Miwa, Mitsuro Kanda, Seiji Ito, Yoshinari Mochizuki, Hitoshi Teramoto, Kiyoshi Ishigure, Toshifumi Murai, Takahiro Asada, Akiharu Ishiyama, Hidenobu Matsushita, Chie Tanaka, Daisuke Kobayashi, Michitaka Fujiwara, Kenta Murotani, Yasuhiro Kodera
Summary: This study aimed to build a risk score for predicting deaths from other causes after gastrectomy in gastric cancer patients. Nine characteristics were identified as risk factors for poor survival, and patients were classified into Low-, Intermediate-, and High-risk groups based on their risk scores. The 5-year survival rates were significantly different among the three risk groups, highlighting the usefulness of this risk score for predicting deaths from other causes after curative gastrectomy.
Article
Surgery
Dai Manaka, Sayuri Konishi, Kiyotaka Kawaguchi, Hideo An, Shinya Hamasu, Machi Yoneda, Masashi Fushitani, Takano Ota, Michina Morioka, Yusuke Okamura, Atsushi Ikeda, Naoya Sasaki, Ryuta Nishitai
Summary: This study introduced a newly designed method for the placement of anvil in laparoscopic esophagojejunostomy during laparoscopic total gastrectomy. The results showed that this method is safe and feasible with favorable survival outcomes based on the analysis of 200 gastric cancer patients who underwent the surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Oncology
Seohee Choi, Jeong Ho Song, Sejin Lee, Minah Cho, Yoo Min Kim, Hyoung-Il Kim, Woo Jin Hyung
Summary: This study evaluated the surgical trends and techniques of robotic gastrectomy and analyzed the surgical outcomes of 2000 consecutive patients with gastric cancer who underwent robotic gastrectomy over 14 years. The results showed that robotic gastrectomy is safe and feasible with acceptable short- and long-term outcomes, and the proportion of robotic gastrectomies and technically demanding procedures have tended to increase over time.
Article
Oncology
Yusuke Takashima, Shuhei Komatsu, Keiji Nishibeppu, Jun Kiuchi, Takuma Ohashi, Hiroki Shimizu, Tomohiro Arita, Yusuke Yamamoto, Hirotaka Konishi, Ryo Morimura, Atsushi Shiozaki, Yoshiaki Kuriu, Hisashi Ikoma, Takeshi Kubota, Hitoshi Fujiwara, Kazuma Okamoto, Eigo Otsuji
Summary: The study suggests that a delay of more than 7 weeks in starting adjuvant chemotherapy after surgery can have a negative impact on the prognosis of gastric cancer patients, while a cumulative S-1 dose exceeding 12,000 mg/m(2) may be a key factor in mitigating this negative effect.
Article
Surgery
Hyung Suk Kim, Jun Ho Lee, Min Gyu Kim
Summary: Gastric cancer perforation is rare and emergency surgery is required. There were no definitive differences in clinical characteristics between gastric cancer and ulcers, with preoperative shock being a key factor. Laparoscopic primary gastrectomy performed by an expert is effective for emergency gastric perforation, but caution should be used when selecting this method without expert availability.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Medicine, General & Internal
Huseyin Alakus, Mustafa Kaya, Hatice Ozer, Hatice Reyhan Egilmez, Kursat Karadayi
Summary: ADAM10 expression may be used as a prognostic marker in gastric adenocarcinoma, but does not show significant association with clinicopathological parameters, indicating a need for a standardized scoring system.
PAKISTAN JOURNAL OF MEDICAL SCIENCES
(2021)
Article
Surgery
Masaru Komatsu, Takahiro Kinoshita, Eigo Akimoto, Mitsumasa Yoshida, Hiromi Nagata, Takumi Habu, Takafumi Okayama, Masahiro Yura
Summary: The purpose of this study was to identify the advantages of robotic gastrectomy (RG) over conventional laparoscopic gastrectomy (LG) for overweight patients. The results showed that RG may reduce the risk of postoperative complications in overweight patients, compared with LG.
Article
Gastroenterology & Hepatology
Han Kwang Yang, Jiafu Ji, Sang Uk Han, Masanori Terashima, Guoxin Li, Hyung Ho Kim, Simon Law, Asim Shabbir, Kyo Young Song, Woo Jin Hyung, Nik Ritza Kosai, Koji Kono, Kazunari Misawa, Hiroshi Yabusaki, Takahiro Kinoshita, Peng Choong Lau, Young Woo Kim, Jaideep Raj Rao, Enders Ng, Takanobu Yamada, Kazuhiro Yoshida, Do Joong Park, Bee Choo Tai, Jimmy Bok Yan So
Summary: This study aimed to evaluate the survival benefit of extensive intraoperative peritoneal lavage (EIPL) in patients with gastric cancer undergoing curative gastrectomy. After various analyses, it was concluded that EIPL and surgery did not have a survival benefit compared with surgery alone, and is not recommended for patients undergoing curative gastrectomy for gastric cancer.
LANCET GASTROENTEROLOGY & HEPATOLOGY
(2021)
Article
Surgery
Javier Osorio, Claudio Lazzara, Victor Admella, Sofia Franci-Leon, Jordi Pujol-Gebelli
Summary: After failed sleeve gastrectomy (SG), revisional duodenal switch (DS) allows for better weight control and resolution of diabetes and hypertension compared to Single-Anastomosis Duodeno-Ileal Bypass (SADI-S), but with higher needs for supplementation.
Article
Gastroenterology & Hepatology
Guowei Kim, Sa-Hong Min, Yongjoon Won, Kanghaeng Lee, Sang Il Youn, Bo Chuan Tan, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim
Summary: The study assessed the impact of frailty on postoperative outcomes in elderly gastric cancer patients undergoing gastrectomy. Frail patients were associated with higher 1-year mortality risk on univariate analysis, but this association was not significant on multivariate analysis. However, when frailty was defined as MFS > 6, there was a significant increase in 1-year mortality risk.
Article
Surgery
Jun Watanabe, Tomihiro Osaki, Tadamasa Ueyama, Makoto Koyama, Masaru Iki, Kanenori Endo, Shigeru Tatebe, Yasuaki Hirooka
Summary: This study retrospectively assessed the impact of skeletal muscle quantity and quality on long-term outcomes in elderly gastric cancer patients, finding severe sarcopenia to be an independent predictor of overall survival and non-cancer-specific survival. The combination of preoperative skeletal muscle quantity and quality can predict survival, especially mortality from non-cancer-related causes.
WORLD JOURNAL OF SURGERY
(2021)
