Efficacy of different surgical treatments for management of anal fistula: a network meta-analysis
ConclusionsThere is insufficient evidence in existing RCTs to recommend one treatment over another regarding their short and long-term efficacy in successfully facilitating healing of both simple and complex anal fistulae. However, LIFT appears to be associated with the least impairment of bowel continence, irrespective of AF classification. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 17, 2023 Category: Surgery Source Type: research

Surgical treatment trends and outcomes for anal fistula: fistulotomy is still accurate and safe. Results from a nationwide observational study
ConclusionsAnal fistulotomy is the most used procedure for AF, especially for simple AF, with a favourable overall balance between healing and continence impairment. Sphincter-sparing or minimally invasive sphincter-sparing techniques resulted in lower rates of healing. In spite of their intended sphincter-sparing design, a certain degree of FI was observed for several of these techniques. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 17, 2023 Category: Surgery Source Type: research

Robotic abdominoperineal resection, posterior vaginectomy and abdomino-lithotomy sacrectomy: technical considerations and case vignette
AbstractWhen working with patients who have locally advanced rectal cancer (LARC) the ability to undertake minimally invasive procedures becomes more challenging but no less important for patient outcomes. We performed a minimally invasive approach to surgery for LARC invading the posterior vagina and sacrum. The patient was a 75-year-old lady who presented with a locally advanced rectal tumour staged T4N2 with invasion into the posterior wall of the vagina and coccyx/distal sacrum. We introduce a robotic abdominoperineal resection, posterior vaginectomy and abdomino-lithotomy sacrectomy using a purely perineal approach wi...
Source: Techniques in Coloproctology - July 15, 2023 Category: Surgery Source Type: research

How large language models including generative pre-trained transformer (GPT) 3 and 4 will impact medicine and surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 15, 2023 Category: Surgery Source Type: research

Technique for treatment of recurrent perianal fistula in Crohn ’s disease using autologous fat
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 10, 2023 Category: Surgery Source Type: research

Complete mesocolic excision versus standard resection for colon cancer: a systematic review and meta-analysis of perioperative safety and an evaluation of the use of a robotic approach
ConclusionsOur study demonstrated improved safety with CME. There was no difference in safety or survival outcomes between robotic and laparoscopic CME. The advantage of a robotic approach may lie in the reduced learning curve and an increased penetration of minimally invasive approach to CME. Further studies are required to explore this.Prospero IDCRD42021287065. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 7, 2023 Category: Surgery Source Type: research

Robotic abdominoperineal resection for T4b rectal cancer using the da  Vinci SP platform
ConclusionsIn this first experience, SP robotic APR appears to be a safe and feasible procedure for locally advanced low rectal cancer. In addition, the invasiveness of the procedure is reduced by means of the SP system, which only requires a single incision in the area designated for colostomy. Prospective studies on a larger number of patients are necessary to confirm the outcomes of this technique compared to other minimally invasive approaches. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 27, 2023 Category: Surgery Source Type: research

Standardization of preoperative stoma site marking and its utility for preventing stoma leakage: a retrospective study of 519 patients who underwent laparoscopic/robotic rectal cancer surgery
ConclusionPreoperative standardized stoma site marking is necessary to achieve reliable marking that is easy to perform. To reduce the risk of stoma leakage, a distance of 60  mm or more between the stoma site marking and the umbilicus is ideal, and surgeons need to contrive ways to keep surgical scars away from the stoma site. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 26, 2023 Category: Surgery Source Type: research

Transanal minimally invasive surgery for rectal anastomotic complications after colorectal surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 26, 2023 Category: Surgery Source Type: research

Standardization of preoperative stoma site marking and its utility for preventing stoma leakage: a retrospective study of 519 patients who underwent laparoscopic/robotic rectal cancer surgery
ConclusionPreoperative standardized stoma site marking is necessary to achieve reliable marking that is easy to perform. To reduce the risk of stoma leakage, a distance of 60  mm or more between the stoma site marking and the umbilicus is ideal, and surgeons need to contrive ways to keep surgical scars away from the stoma site. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 26, 2023 Category: Surgery Source Type: research

Transanal minimally invasive surgery for rectal anastomotic complications after colorectal surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 26, 2023 Category: Surgery Source Type: research

Short- and mid-term results of diode laser treatment in pilonidal sinus disease and the role of endoscopic camera use on outcomes
ConclusionLaser treatment for PSD is a promising approach with the advantages of less postoperative pain, early return to daily life, high patient satisfaction, and acceptable complication and recurrence rates. Nevertheless, further studies are needed to investigate the role of endoscopic camera use in this procedure since its possible advantages could not be clarified. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 25, 2023 Category: Surgery Source Type: research