Single-incision robotic colorectal surgery with the da  Vinci SP® surgical system: initial results of 50 cases
ConclusionsThis study demonstrated the surgical and oncological safety and feasibility of dVSP, which may be a novel surgical platform for colorectal surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 27, 2023 Category: Surgery Source Type: research

Impact of chemotherapy on surgical outcomes in ileostomy reversal: a propensity score matching study from a single centre
ConclusionPatients with oral or intravenous chemotherapy can safely have ileostomy closure with an adequate time delay from chemotherapy. When patients use bevacizumab, major complications related to ileostomy closure should still be cautioned. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 27, 2023 Category: Surgery Source Type: research

Less is more? Stoma prolapse repair by linear stapler
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 27, 2023 Category: Surgery Source Type: research

Clinical characteristics of phenotypes of fecal incontinence
ConclusionDifferentiating into phenotypes of FI can be clinically meaningful. The patient history  and clinical judgement of the consulting specialist, rather than the physical characteristics, seem to be decisive in the categorization. Additional diagnostic testing can be helpful in complicated cases, but should not be used routinely. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 26, 2023 Category: Surgery Source Type: research

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