Outcomes of open vs laparoscopic vs robotic vs transanal total mesorectal excision (TME) for rectal cancer: a network meta-analysis
ConclusionsIn selected patients eligible for a RCT, RoTME achieved improved distal resection margin distance and a shorter length of hospital stay. No other differences were observed in oncological or recovery parameters between (OpTME), laparoscopic (LapTME), robotic (RoTME), or trans-anal TME (TaTME). However, the overall quality of evidence across all outcomes was deemed low. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2023 Category: Surgery Source Type: research

Inflammation-based prognostic scores in geriatric patients with rectal cancer
ConclusionsThe mGPS and CAR can predict severe postoperative complications and early mortality. mGPS, and CAR have a powerful prognostic value and the potential clinical usefulness to predict decreased overall survival in both geriatric and non-geriatric rectal cancer patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2023 Category: Surgery Source Type: research

A systematic review and meta-analysis of the use of methylene blue to improve the lymph node harvest in rectal cancer surgery
ConclusionDespite a small number of patients, this meta-analysis confirms improved lymph node harvest in surgical specimens stained with methylene blue compared with unstained specimens. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2023 Category: Surgery Source Type: research

Laparoscopic transverse colectomy with complete mobilization of right-sided mesocolon and ileocecum preservation for mid-transverse colon cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2023 Category: Surgery Source Type: research

A two-team approach for the complete resection of a bulky gastrointestinal stromal tumor on the anterior wall of the lower rectum after neoadjuvant treatment
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2023 Category: Surgery Source Type: research

Full robotic total colectomy with a suprapubic approach: technical points
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2023 Category: Surgery Source Type: research

Endoscopic differential diagnosis of three common anorectal neoplastic lesions
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2023 Category: Surgery Source Type: research

Segmental and extended resections provide comparable survival for clinically node-negative splenic flexure cancer: a propensity score-matched analysis of the National Cancer Database
ConclusionsWhile segmental and extended resections were associated with similar OS for clinically node-negative SFT, there might be a survival benefit for extended resection in patients with clinical evidence of lymph node involvement. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 18, 2023 Category: Surgery Source Type: research

Sacral neuromodulation for refractory ulcerative colitis: safety and efficacy in a prospective observational series of eight patients
ConclusionSNM application is safe in patients suffering from refractory UC. Effects on disease activity were mainly observed after 16  weeks. Larger prospective studies are mandatory, but SNM could be a way to reinforce medical therapy and reduce the use of immunosuppressive drugs. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 12, 2023 Category: Surgery Source Type: research

Functional outcomes after transanal ileal pouch –anal anastomosis for ulcerative colitis: narrative review of the current literature
AbstractThe transanal approach to ileal pouch –anal anastomosis (Ta-IPAA) for ulcerative colitis was introduced in 2015 and has since been shown to be a safe and feasible technique, although the impact of this approach on patient function remains unclear. A systematic literature review was performed to identify studies exploring functional ou tcomes and quality of life after Ta-IPAA. Seven papers were identified, which all demonstrated satisfactory functional outcomes after Ta-IPAA as measured by tools such as Cleveland Global Quality of Life (CGQOL), Oresland Score (OS), Pouch Functional Score (PFS), and Inflammatory Bo...
Source: Techniques in Coloproctology - April 11, 2023 Category: Surgery Source Type: research

Interobserver agreement on landmark and flexure identification in colon capsule endoscopy
ConclusionOverall interobserver agreement on all four landmarks from CCE was poor. Measures are needed to improve landmark identification in CCE investigations. Artificial intelligence could be a possible solution to this problem. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 10, 2023 Category: Surgery Source Type: research

Complete obstruction after colorectal anastomosis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 10, 2023 Category: Surgery Source Type: research