keyword
Keywords Surgery, surgical oncology, up...

Surgery, surgical oncology, upper gi,

https://read.qxmd.com/read/38536586/prevalence-of-and-factors-associated-with-financial-toxicity-after-pancreatectomy-and-gastrectomy
#1
JOURNAL ARTICLE
Yuki Hirata, Connie To, Heather Lyu, Grace L Smith, Joyce P Samuel, Hop S Tran Cao, Brian D Badgwell, Matthew H G Katz, Naruhiko Ikoma
BACKGROUND: Financial toxicity (FT) refers to the adverse impact of cancer treatment costs on patients' experiences, potentially leading to poor adherence to treatment and outcomes. However, the prevalence of FT among patients undergoing major upper gastrointestinal cancer operations, as well as factors associated with FT, remain unclear. METHODS: We conducted a cross-sectional study by sending the Comprehensive Score for financial Toxicity (COST) survey and Surgery-Q (a survey specifically developed for this study) to patients who underwent gastrectomy or pancreatectomy for malignant disease at our institution in 2019-2021...
March 27, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38520580/predicting-the-risk-of-morbidity-by-glim-based-nutritional-assessment-and-body-composition-analysis-in-oncologic-abdominal-surgery-in-the-context-of-enhanced-recovery-programs-the-phase-angle-value-in-abdominal-surgery-phavas-study
#2
JOURNAL ARTICLE
Marta Sandini, Luca Gianotti, Salvatore Paiella, Davide P Bernasconi, Linda Roccamatisi, Simone Famularo, Matteo Donadon, Gabriele Di Lucca, Marco Cereda, Edoardo Baccalini, Giovanni Capretti, Gennaro Nappo, Amanda Casirati, Marco Braga, Alessandro Zerbi, Guido Torzilli, Claudio Bassi, Roberto Salvia, Emanuele Cereda, Riccardo Caccialanza
BACKGROUND: Preoperative nutritional status and body structure affect short-term prognosis in patients undergoing major oncologic surgery. Bioimpedance vectorial analysis (BIVA) is a reliable tool to assess body composition. Low BIVA-derived phase angle (PA) indicates a decline of cell membrane integrity and function. The aim was to study the association between perioperative PA variations and postoperative morbidity following major oncologic upper-GI surgery. PATIENTS AND METHODS: Between 2019 and 2022 we prospectively performed BIVA in patients undergoing surgical resection for pancreatic, hepatic, and gastric malignancies on the day before surgery and on postoperative day (POD) 1...
March 23, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38484259/comparative-long-term-outcomes-of-natural-orifice-specimen-extraction-surgery-and-conventional-laparoscopic-colectomy-for-left-sided-colorectal-cancer-a-propensity-score-matched-analysis
#3
JOURNAL ARTICLE
Shu-Zhen Xu, Zhen-Fa Wang, Zhi-Jie Ding, Shi-Feng Zhang, Si-Bo Yuan, Feng Yan, Guo-Yan Liu, Jian-Chun Cai
BACKGROUND: Natural orifice specimen extraction surgery (NOSES) is currently widely used in left-sided colorectal cancer. Some clinical comparative studies have been conducted, providing evidence of its safety and oncological benefits. However, these studies are typically characterized by small sample sizes and short postoperative follow-up periods. Consequently, in this research, the authors adopt the propensity score matching method to undertake a large-scale retrospective comparative study on NOSES colectomy for left-sided colorectal cancer, with the goal of further augmenting the body of evidence-based medical support for NOSES...
March 1, 2024: International Journal of Surgery
https://read.qxmd.com/read/38445600/opinion-uptake-and-current-practice-of-robot-assisted-upper-gastrointestinal-and-oesophagogastric-surgery-in-the-uk-augis-national-survey-results
#4
JOURNAL ARTICLE
P May-Miller, S R Markar, N Blencowe, J A Gossage, A Botros, P H Pucher
INTRODUCTION: The uptake of upper gastrointestinal (GI) robotic surgery in the United Kingdom (UK), and Europe more widely, is expanding rapidly. This study aims to present a current snapshot of the practice and opinions of the upper GI community with reference to robotic surgery, with an emphasis on tertiary cancer (oesophagogastric) resection centres. METHODS: An electronic survey was circulated to the UK upper GI surgical community via national mailing lists, social media and at an open-invitation conference on robotic upper GI surgery in January 2023...
March 6, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38337043/gallstone-formation-and-subsequent-cholecystectomy-after-oncological-gastric-and-esophageal-resection
#5
JOURNAL ARTICLE
Katharina Esswein, Philipp Gehwolf, Heinz Wykypiel, Reinhold Kafka-Ritsch
PURPOSE: Gallstone formation is increased after gastric (GR) or esophageal resection (ER); however, the exact pathophysiology is not fully understood yet. Symptomatic cholecystolithiasis and the need for subsequent cholecystectomy after upper gastrointestinal resection can alter the outcome in oncological patients. There is an ongoing discussion if these patients benefit from a simultaneous prophylactic cholecystectomy. This study aims to analyze the risk of gallstone formation after GR or ER and the perioperative course of a subsequent cholecystectomy...
February 10, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38275104/microbiome-dysbiosis-with-enterococcus-presence-in-the-upper-gastrointestinal-tract-is-a-risk-factor-for-mortality-in-patients-undergoing-surgery-for-pancreatic-cancer
#6
JOURNAL ARTICLE
Christoph K Stein-Thoeringer, Bernhard W Renz, Juliana De Castilhos, Viktor von Ehrlich-Treuenstätt, Ulrich Wirth, Tengis Tschaidse, Felix O Hofmann, Dominik T Koch, Iris Beirith, Steffen Ormanns, Markus O Guba, Martin K Angele, Joachim Andrassy, Hanno Niess, Jan G D'Haese, Jens Werner, Matthias Ilmer
BACKGROUND: Recent retrospective studies suggest a role for distinct microbiota in the perioperative morbidity and mortality of pancreatic head resections. OBJECTIVE: We aimed to prospectively investigate the microbial colonization of critical operative sites of pancreatic head resections to identify microbial stratification factors for surgical and long-term oncologic outcomes. METHODS: Prospective biomarker study applying 16S rRNA sequencing and microbial culturing to samples collected from various sites of the GI tract and surgical sites of patients during pancreatic head resections at a German single high-volume pancreatic center...
January 26, 2024: Annals of Surgery
https://read.qxmd.com/read/38148401/an-international-delphi-consensus-for-surgical-quality-assessment-of-lymphadenectomy-and-anastomosis-in-minimally-invasive-total-gastrectomy-for-gastric-cancer
#7
JOURNAL ARTICLE
Amila Cizmic, Ivan Romic, Andrea Balla, Nicolò Barabino, Gabriele Anania, Gian Luca Baiocchi, Branko Bakula, Carmen Balagué, Felix Berlth, Vasile Bintintan, Umberto Bracale, Jan-Hendrik Egberts, Hans F Fuchs, Suzanne S Gisbertz, Ines Gockel, Peter Grimminger, Richard van Hillegersberg, Noriyuki Inaki, Arul Immanuel, Daniel Korr, Philipp Lingohr, Pietro Mascagni, Nathaniel Melling, Marco Milone, Yoav Mintz, Salvador Morales-Conde, Yusef Moulla, Beat P Müller-Stich, Kiyokazu Nakajima, Magnus Nilsson, Matthias Reeh, Pierpaolo Sileri, Eduardo M Targarona, Yuki Ushimaru, Young-Woo Kim, Sheraz Markar, Felix Nickel, Anuja T Mitra
BACKGROUND: Minimally invasive total gastrectomy (MITG) is a mainstay for curative treatment of patients with gastric cancer. To define and standardize optimal surgical techniques and further improve clinical outcomes through the enhanced MITG surgical quality, there must be consensus on the key technical steps of lymphadenectomy and anastomosis creation, which is currently lacking. This study aimed to determine an expert consensus from an international panel regarding the technical aspects of the performance of MITG for oncological indications using the Delphi method...
December 26, 2023: Surgical Endoscopy
https://read.qxmd.com/read/38145422/textbook-outcome-as-indicator-of-surgical-quality-in-a-single-western-center-results-from-300-consecutive-gastrectomies
#8
JOURNAL ARTICLE
Marco Realis Luc, Stefano de Pascale, Filippo Ascari, Alessandro Michele Bonomi, Emilio Bertani, Chiara Alessandra Cella, Lorenzo Gervaso, Uberto Fumagalli Romario
Textbook outcome (TO) has been proposed as a tool to evaluate surgical quality. Textbook oncological outcome (TOO) adds chemotherapeutic compliance to TO. This study was conducted to analyze the TO and TOO of patients with gastric adenocarcinoma who underwent surgery at our center. Data from a prospective database of patients operated on for gastric adenocarcinoma between September 2018 and September 2022 were analyzed. Postoperative management followed Enhanced Recovery After Surgery guidelines. The Dutch Upper Gastrointestinal Cancer Audit group defined TO as a multidimensional measure (10 items)...
December 25, 2023: Updates in Surgery
https://read.qxmd.com/read/38048446/history-and-evidence-for-state-of-the-art-of-lymphadenectomy-in-esophageal-cancer-surgery
#9
JOURNAL ARTICLE
Nannet Schuring, Mark I van Berge Henegouwen, Suzanne S Gisbertz
The current curative multimodal treatment of advanced esophageal cancers consists of neoadjuvant or perioperative chemo(radio)therapy followed by a radical surgical resection of the primary tumor and a 2- or 3-field lymphadenectomy. One of the most important predictors of long-term survival of esophageal cancer patients is lymph node involvement. The distribution pattern of lymph node metastases in esophageal cancer is unpredictable and depends on the primary tumor location, histology, T-stage and application of neoadjuvant or perioperative treatment...
December 4, 2023: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/37959405/endoscopic-submucosal-dissection-in-the-upper-gastrointestinal-tract-and-the-need-for-rescue-surgery-a-multicenter-analysis
#10
JOURNAL ARTICLE
Philipp Pimingstorfer, Matthias Biebl, Matus Gregus, Franz Kurz, Rainer Schoefl, Andreas Shamiyeh, Georg O Spaun, Alexander Ziachehabi, Reinhold Fuegger
Endoscopic submucosal dissection (ESD) has become the standard treatment for early malignant lesions in the upper gastrointestinal (GI) tract. Its clinical results have been reported to be as good as surgery. The outcomes of rescue surgery after non-curative ESD have been reported to be as good as first-line surgery. The aim of this study was to evaluate the outcomes of ESD in the upper GI tract and the outcomes of rescue surgery after non-curative ESD performed in Linz, Austria, between 2009 and January 2023...
November 6, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37777408/three-staged-minimally-invasive-esophagectomy-with-end-to-end-esophago-gastric-anastomosis-for-thoracic-esophageal-cancers-an-experience-from-a-low-middle-income-country
#11
JOURNAL ARTICLE
Sajida Qureshi, Sumayah Khan, Hira Fatima Waseem, Kashif Shafique, Hira Abdul Jalil, M Saeed Quraishy
BACKGROUND: Esophageal cancer is on a steady rise and carries significant mortality and morbidity. Depending upon the clinical stage at presentation, either chemotherapy, radiotherapy with or without surgical resection is the treatments in practice. Traditionally, open esophagectomy was performed but over time, the importance of minimally invasive esophagectomy has been established. In this study, we aimed to report our data of totally minimally invasive esophagectomies performed for thoracic esophageal cancers in last four years...
September 28, 2023: Asian Journal of Surgery
https://read.qxmd.com/read/37601143/indocyanine-green-fluorescence-guided-surgery-for-gastrointestinal-tumors-a-systematic-review
#12
REVIEW
Carlo Sposito, Marianna Maspero, Paolo Belotti, Nicolò Simonotti, Michele Altomare, Paolo Ciana, Vincenzo Mazzaferro
OBJECTIVE: To conduct a systematic review of the currently available literature on the use of ICG to guide surgical dissection in gastrointestinal (GI) cancer surgery. BACKGROUND: Real-time indocyanine green (ICG) fluorescence-guided surgery has the potential to enhance surgical outcomes by increasing patient-tailored oncological precision. METHODS: MEDLINE, PubMed, EMBASE, and Google Scholar were searched for publications on the use of ICG as a contrast agent in GI cancer surgery until December 2020...
September 2022: Annals of surgery open: perspectives of surgical history, education, and clinical approaches
https://read.qxmd.com/read/37416735/what-is-the-best-reconstruction-procedure-after-esophagectomy-a-meta-analysis-comparing-posterior-mediastinal-and-retrosternal-approaches
#13
REVIEW
Eisuke Booka, Hiroya Takeuchi, Yoshifumi Morita, Yoshihiro Hiramatsu, Hirotoshi Kikuchi
Thoracic esophagectomy is a particularly invasive and complicated surgical procedure, with a reconstruction of the gastrointestinal tract, such as the stomach, jejunum, or colon. The posterior mediastinal, retrosternal, and subcutaneous routes are the three possible esophageal reconstruction routes. Each route has advantages and disadvantages, and the optimal reconstruction route after esophagectomy remains controversial. Additionally, the best anastomotic techniques after esophagectomy in terms of location (Ivor Lewis or McKeown) and suturing (manual or mechanical) are debatable...
July 2023: Annals of Gastroenterological Surgery
https://read.qxmd.com/read/37407044/role-of-intraoperative-processes-of-care-during-major-upper-gastrointestinal-oncological-resection-in-postoperative-outcomes-a-scoping-review-protocol
#14
JOURNAL ARTICLE
Luckshi Rajendran, Alexander Hopkins, Julie Hallet, Rishie Sinha, Jaya Tanwani, Mian-Mian Kao, Antoine Eskander, Victoria Barabash, Christopher Idestrup, Pablo Perez, Angela Jerath
INTRODUCTION: Optimal delivery and organisation of care is critical for surgical outcomes and healthcare systems efficiency. Anaesthesia volumes have been recently associated with improved postoperative recovery outcomes; however, the mechanism is unclear. Understanding the individual processes of care (interventions received by the patient) is important to design effective systems that leverage the volume-outcome association to improve patient care. The primary objective of this scoping review is to systematically map the evidence regarding intraoperative processes of care for upper gastrointestinal cancer surgery...
July 4, 2023: BMJ Open
https://read.qxmd.com/read/37405101/surgical-complications-of-oncological-treatments-a-narrative-review
#15
REVIEW
Valeria Fico, Gaia Altieri, Marta Di Grezia, Valentina Bianchi, Maria Michela Chiarello, Gilda Pepe, Giuseppe Tropeano, Giuseppe Brisinda
Gastrointestinal complications are common in patients undergoing various forms of cancer treatments, including chemotherapy, radiation therapy, and molecular-targeted therapies. Surgical complications of oncologic therapies can occur in the upper gastrointestinal tract, small bowel, colon, and rectum. The mechanisms of action of these therapies are different. Chemotherapy includes cytotoxic drugs, which block the activity of cancer cells by targeting intracellular DNA, RNA, or proteins. Gastrointestinal symptoms are very common during chemotherapy, due to a direct effect on the intestinal mucosa resulting in edema, inflammation, ulceration, and stricture...
June 27, 2023: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37288133/innovation-in-gastrointestinal-surgery-the-evolution-of-minimally-invasive-surgery-a-narrative-review
#16
REVIEW
Josephine Walshaw, Bright Huo, Adam McClean, Samantha Gajos, Jing Yi Kwan, James Tomlinson, Chandra Shekhar Biyani, Safaa Dimashki, Ian Chetter, Marina Yiasemidou
BACKGROUND: Minimally invasive (MI) surgery has revolutionised surgery, becoming the standard of care in many countries around the globe. Observed benefits over traditional open surgery include reduced pain, shorter hospital stay, and decreased recovery time. Gastrointestinal surgery in particular was an early adaptor to both laparoscopic and robotic surgery. Within this review, we provide a comprehensive overview of the evolution of minimally invasive gastrointestinal surgery and a critical outlook on the evidence surrounding its effectiveness and safety...
2023: Frontiers in Surgery
https://read.qxmd.com/read/37278924/radiomic-applications-in-upper-gastrointestinal-cancer-surgery
#17
REVIEW
Joseph P Doyle, Pranav H Patel, Nikoletta Petrou, Joshua Shur, Matthew Orton, Sacheen Kumar, Ricky H Bhogal
INTRODUCTION: Cross-sectional imaging plays an integral role in the management of upper gastrointestinal (UGI) cancer, from initial diagnosis and staging to determining appropriate treatment strategies. Subjective imaging interpretation has known limitations. The field of radiomics has evolved to extract quantitative data from medical imaging and relate these to biological processes. The key concept behind radiomics is that the high-throughput analysis of quantitative imaging features can provide predictive or prognostic information, with the goal of providing individualised care...
June 6, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/37256623/effect-of-perioperative-palliative-care-on-health-related-quality-of-life-among-patients-undergoing-surgery-for-cancer-a-randomized-clinical-trial
#18
JOURNAL ARTICLE
Rebecca A Aslakson, Elizabeth Rickerson, Bridget Fahy, Brittany Waterman, Rachel Siden, Kathryn Colborn, Shelby Smith, Mae Verano, Isaac Lira, Caroline Hollahan, Amn Siddiqi, Kemba Johnson, Shivani Chandrashekaran, Elizabeth Harris, Richard Nudotor, Joshua Baker, Shireen N Heidari, George Poultsides, Alison M Conca-Cheng, Allyson Cook Chapman, Anna Sophia Lessios, Laura M Holdsworth, Jillian Gustin, Aslam Ejaz, Timothy Pawlik, Judi Miller, Arden M Morris, James A Tulsky, Karl Lorenz, Jennifer S Temel, Thomas J Smith, Fabian Johnston
IMPORTANCE: Involvement of palliative care specialists in the care of medical oncology patients has been repeatedly observed to improve patient-reported outcomes, but there is no analogous research in surgical oncology populations. OBJECTIVE: To determine whether surgeon-palliative care team comanagement, compared with surgeon team alone management, improves patient-reported perioperative outcomes among patients pursuing curative-intent surgery for high morbidity and mortality upper gastrointestinal (GI) cancers...
May 1, 2023: JAMA Network Open
https://read.qxmd.com/read/37188039/esophageal-perforation-in-a-76-year-old-man-after-c5-c7-anterior-discectomy-and-anterior-plate-fusion
#19
Lexi Frankel, Amalia D Ardeljan, Gabriela Santizo, Maximiliano Guerra, Ghargi Gharat, Sarmed Alnajar, Divesh Manjani, Andrew Ardeljan, Kazuaki Takabe, Omar M Rashid
Anterior cervical discectomy and fusion (ACDF) is indicated for the treatment of various cervical pathologies, including myelopathy, cervical disc degeneration, and radiculopathy. Esophageal perforation is a rare postsurgical complication of ACDF, although it poses serious and potentially fatal outcomes. Esophageal perforation has been described as the most fatal complication of the gastrointestinal tract as delayed diagnosis can lead to sepsis and death. Diagnosis of this complication is often difficult because it can be masked by various symptoms such as recurrent aspiration pneumonia, fever, dysphagia, and neck pain...
April 2023: World Journal of Oncology
https://read.qxmd.com/read/37173790/comparison-of-the-clinical-and-prognosis-risk-factors-between-endoscopic-resection-and-radical-gastrectomy-for-early-stage-gastric-cancer
#20
JOURNAL ARTICLE
Qianze Dao, Ke Chen, Liang Zhu, Xiaoshan Wang, Mengding Chen, Jian Wang, Zhengguang Wang
AIM: This study aimed to explore the efficacy and safety of endoscopic submucosal dissection/endoscopic mucosal resection (ESD/EMR), laparoscopic-assisted radical gastrectomy (LARG), and open radical gastrectomy (ORG) in early-stage gastric cancer. METHODS: A total of 417 patients with early-stage gastric cancer who were admitted in two hospitals from January 1, 2014 to July 31, 2017 were selected; the patients were divided into the ESD/EMR group (139 cases), LARG group (108 cases), and ORG group (170 cases) according to the operation methods used...
May 12, 2023: World Journal of Surgical Oncology
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