Robotic versus laparoscopic left colectomy with complete mesocolic excision for left-sided colon cancer: a multicentre study with propensity score matching analysis
ConclusionsCompared to laparoscopic surgery, RLC with CME for left-sided colon cancer was found to be associated with higher numbers of lymph nodes harvested and similar postoperative complications and long-term survival outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 25, 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 - March 18, 2023 Category: Surgery Source Type: research

Simultaneous laparoscopic complete mesocolic excision and liver metastasectomy for colorectal liver metastasis in difficult segments
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 18, 2023 Category: Surgery Source Type: research

Fissurectomy versus lateral internal sphincterotomy in the treatment of chronic anal fissures: no advantages in terms of post-operative incontinence
ConclusionsLateral internal sphincterotomy is confirmed as the preferred technique in term of healing rate. Fissurectomy did not offer a lower rate of de novo post-operative incontinence, but resulted in lower Vaizey scores in patients in whom this occurred. Satisfaction was lower in patients suffering a de novo post-operative incontinence after lateral internal sphincterotomy. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 16, 2023 Category: Surgery Source Type: research

Biological therapy prior to repeat ileocolic resection in Crohn ’s disease can reduce the postoperative complication rate
ConclusionsPatients treated with biologic therapy for CD who underwent repeat ileocolic resection had fewer postoperative complications. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 12, 2023 Category: Surgery Source Type: research

The incidence of malignancy in the residual rectum of IBD patients after colectomy: a systematic review and meta-analysis
ConclusionsThe overall risk of malignancy was estimated to be 1.3%, which is lower than previously reported. There is a need for clear and standardised screening guidance for this group of patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 12, 2023 Category: Surgery Source Type: research

Magnifying chromoendoscopy is a reliable method in the selection of rectal neoplasms for local excision
ConclusionMagnifying chromoendoscopy is reliable for predicting invasion depth in early rectal neoplasms and selecting patients for local excision. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 12, 2023 Category: Surgery Source Type: research

The H-anastomosis: a novel single-stapled solution to severe luminal size mismatch in stricturing small bowel Crohn ’s disease
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 10, 2023 Category: Surgery Source Type: research

Functional outcomes after transanal total mesorectal excision (TaTME): a random forest analysis to predict patients ’ outcomes
ConclusionOne-quarter of the patients developed major LARS after TaTME. An algorithm based on clinical/operative variables, such as age, operative time, and time to stoma reversal, was developed to identify categories at risk for LARS symptoms. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 5, 2023 Category: Surgery Source Type: research

Outcomes of rectal prolapse surgery in patients with benign joint hypermobility syndrome
ConclusionsPatients with BJHS presenting for rectal prolapse surgery were younger and are more likely to require further surgery for rectal prolapse recurrence than those without the condition. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 4, 2023 Category: Surgery Source Type: research

Local anaesthetic for pain post rubber band ligation of haemorrhoids: a prospective, single-blinded randomised controlled trial
ConclusionsLA to the haemorrhoid pedicle post RBL may significantly reduce early post procedure pain without any increased risk of adverse effects. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 1, 2023 Category: Surgery Source Type: research

An exceptional anal tumor
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 24, 2023 Category: Surgery Source Type: research

Deep remission improves the quality of life of patients with Crohn ’s disease and anoperineal fistula treated with darvadstrocel: results of a French pilot study
ConclusionsThis study confirms reported efficacy data for the injection of MSC for complex anal fistulas in Crohn ’s disease. It also shows a positive impact on the quality of life of patients, particularly those for whom a combined clinical–radiological response was achieved. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 22, 2023 Category: Surgery Source Type: research

Artificial intelligence in colorectal surgery: an AI-powered systematic review
AbstractArtificial intelligence (AI) has the potential to revolutionize surgery in the coming years. Still, it is essential to clarify what the meaningful current applications are and what can be reasonably expected. This AI-powered review assessed the role of AI in colorectal surgery. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-compliant systematic search of PubMed, Embase, Scopus, Cochrane Library databases, and gray literature was conducted on all available articles on AI in colorectal surgery (from January 1 1997 to March 1 2021), aiming to define the perioperative applications of AI. ...
Source: Techniques in Coloproctology - February 21, 2023 Category: Surgery Source Type: research

Technical modifications for cost optimization in robot-assisted ventral mesh rectopexy: an initial experience
ConclusionsConsidering our preliminary results, robot-assisted ventral mesh rectopexy with appropriate technical modifications can be cost-effective and safe. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 18, 2023 Category: Surgery Source Type: research