Publications by authors named "YaYan Fu"

Sarcopenia is more common in elderly individuals and is often associated with functional limitations, which can affect postoperative clinical efficacy and mortality rates in cancer surgery. Yet, the precise effects of sarcopenia on individuals receiving robotic colorectal cancer surgery (RCRC) remain insufficiently explored. Our objective was to evaluate the value of preoperative skeletal muscle status on patients receiving RCRC about postoperative complications and long-term prognosis.

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Purpose: The aim of the study is to identify risk factors for the prognosis and survival of synchronous colorectal cancer and to create and validate a functional Nomogram for predicting cancer-specific survival in patients with synchronous colorectal cancer.

Methods: Synchronous colorectal cancers cases were retrieved from the Surveillance, Epidemiology, and End Results database retrospectively, then they were randomly divided into training (n = 3371) and internal validation (n = 1440) sets, and a set of 100 patients from our group was used as external validation. Risk factors for synchronous colorectal cancer were determined using univariate and multivariate Cox regression analyses, and two Nomograms were established to forecast the overall survival and cancer-specific survival, respectively.

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Background: Gastric cancer can lead to excessive catabolism in patients. After undergoing gastric surgery, patients may experience additional unintended weight loss, resulting in severe malnutrition and potentially cachexia.

Methods: We selected and incorporated patients from two centers.

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Background: Following surgery for Gastrointestinal (GI) perforation, there is an increased occurrence of Surgical Site Infections (SSI). The beneficial effect of employing delayed primary skin closure (DPC) on severely contaminated incisions subsequent to surgery for GI perforation remains unverified.

Objective: To systematically evaluate the advantages of the DPC management in surgery for GI perforation.

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Article Synopsis
  • * A study involving 1,590 patients showed that low ligation (LL) surgery resulted in faster bowel recovery and fewer complications compared to high ligation (HL), with LL also showing better outcomes in certain postoperative metrics.
  • * Robotic surgery (Rob-LL) had a longer operative time but resulted in less blood loss and more lymph nodes retrieved when compared to laparoscopic low ligation (Lap-LL), suggesting that robotic techniques may enhance recovery benefits in rectal cancer surgeries.
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Background: Laparoscopic sleeve gastrectomy (LSG) has emerged as the predominant metabolic bariatric surgery. With a growing number of studies evaluating the feasibility of robotic sleeve gastrectomy (RSG), it becomes imperative to ascertain whether the outcomes of both techniques are comparable. This study endeavors to synthesize existing evidence and juxtapose the surgical outcomes of LSG and RSG.

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  • The study compares the cranial-caudal-medial approach (CCMA) and the medial-lateral approach (MLA) for laparoscopic right hemicolectomy in treating right-sided colon cancer.
  • Findings show that patients using CCMA had shorter surgery times, less blood loss, and more lymph nodes harvested compared to those using MLA.
  • The long-term survival rates were similar for both groups, indicating that CCMA is a safe and effective surgical method.
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  • The study compared the clinical effectiveness and patient quality of life between two surgical techniques, B-IIB (Billroth-II with Braun anastomosis) and B-II (Billroth-II anastomosis), in patients undergoing laparoscopic surgery for gastric cancer.
  • Data from 158 patients over a span of 6 years showed that those who had the B-IIB procedure had significantly shorter post-operative hospital stays and quicker recovery times compared to the B-II group.
  • Additionally, the B-IIB group exhibited fewer complications, less weight loss after surgery, and improved scores on post-surgery quality of life assessments related to symptoms like esophageal reflux and dyspepsia.
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Robot-assisted laparoscopic anterior resection is a novel technique. However, evidence in the literature regarding the advantages of robot-assisted laparoscopic surgery (RLS) is insufficient. The aim of this study was to compare the outcomes of RLS versus conventional laparoscopic surgery (CLS) for the treatment of sigmoid colon cancer.

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Objective: This study introduced the modified Q-type purse-string suture duodenal stump embedding method, a convenient way to strengthen the duodenum, and compared it to the conventional one to assess its efficacy and safety.

Methods: This retrospective analysis examined 612 patients who received laparoscopic gastrectomy for gastric Cancer at a single center. The patients were divided into Not Reinforced Group (n = 205) and Reinforced Group (n = 407) according to the surgical approach to the duodenal stump.

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Early gastric cancer (EGC) refers to malignant tumor lesions that are limited to the mucosa and submucosa layers, regardless of the presence of lymph node metastasis. Typically, EGC has a low rate of perigastric lymph node metastasis, and long-term survival outcomes are good after radical surgical treatment. The primary objective of surgical treatment for EGC is to achieve functional preservation while ensuring a radical cure.

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Although minimally invasive surgery (MIS), such as robotic and laparoscopic procedures, is sometimes a better option than open surgery for patients with rectal cancer, it can present challenges for some elderly or frail patients who have a higher risk of chronic illnesses and poor surgical tolerance. On the basis of several pathophysiological characteristics, the patients were grouped according to their age. The time nodes, which are 65 and 80 years old, can clarify the goal of the study and offer some therapeutic benefit.

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Article Synopsis
  • Intersphincteric resection (ISR) using robotics (R-ISR) is being studied as an effective method for preserving the anal sphincter in patients with early ultra-low rectal cancer, despite potential issues with anal dysfunction after surgery.
  • A retrospective analysis compared outcomes from 68 patients undergoing R-ISR to 68 matched patients who had laparoscopic ISR (L-ISR), focusing on factors like surgical time, bleeding, complications, and long-term anal function.
  • Results showed that R-ISR had longer operative times but resulted in less bleeding, fewer conversions to more invasive surgery, better anal function scores after a year, and similar overall safety and cancer outcomes compared to L-ISR.
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  • This study compared two surgical techniques (intracorporeal vs. extracorporeal) used in left hemicolectomy to see which is more effective.
  • The analysis reviewed data from 7 studies, looking at various outcomes such as surgery time and recovery rates.
  • Results showed that the intracorporeal method led to shorter incisions, fewer complications, faster recovery times, and shorter hospital stays compared to the extracorporeal method.
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