Simultaneous laparoscopic complete mesocolic excision and liver metastasectomy for colorectal liver metastasis in difficult segments
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 1, 2023 Category: Surgery Source Type: research

Evaluating the risk factors for the development of benign disorders of defaecation: a surgical perspective
ConclusionsSeveral risk factors for chronic constipation and faecal incontinence were selected by Delphi approach. These factors will feed forward into Bayesian models of disease prediction that combine data and expert knowledge. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 27, 2023 Category: Surgery Source Type: research

Revisiting the need for the use of GPT in surgery and medicine
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 27, 2023 Category: Surgery Source Type: research

Evaluating the risk factors for the development of benign disorders of defaecation: a surgical perspective
ConclusionsSeveral risk factors for chronic constipation and faecal incontinence were selected by Delphi approach. These factors will feed forward into Bayesian models of disease prediction that combine data and expert knowledge. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 27, 2023 Category: Surgery Source Type: research

Revisiting the need for the use of GPT in surgery and medicine
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 27, 2023 Category: Surgery Source Type: research

Inflammatory biomarker signatures in post-surgical drain fluid may detect anastomotic leaks within 48  hours of colorectal resection
ConclusionsThis pilot study demonstrates that a simple immune signature in surgical drain fluid could accurately diagnose an anastomotic leak at 48  h postoperatively using instrumentation that is already widely available in hospital clinical laboratories. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 24, 2023 Category: Surgery Source Type: research

Diagnostic accuracy of magnifying chromoendoscopy in the assessment of tumor invasion depth in early colorectal cancer: a systematic review and meta-analysis
ConclusionMCE can differentiate CRC lesions with SMm from lesions without submucosal massive invasion (polyp, adenoma, dysplasia, intramucosal cancer, SMs) with high accuracy and it can guide assessment of invasion depth of SMm in T1 early CRCs to help us select the most appropriate treatment. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 20, 2023 Category: Surgery Source Type: research

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

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