Outcomes of gracilis muscle interposition for rectourethral fistulas caused by treatment of prostate cancer
ConclusionsAlthough the initial success rate of GMI was approximately 53%, it increased to 81% after additional procedures. Complications after GMI were mostly minor, with wound complications being the most common. Perianal wound dehiscence was significantly associated with failure of healing of RUF after GMI. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 17, 2023 Category: Surgery Source Type: research

Predicting the prognosis of lower rectal cancer using preoperative magnetic resonance imaging with artificial intelligence
ConclusionsWe developed a prognostic model using AI and preoperative MRI images of patients with lower rectal cancer who had not undergone preoperative treatment, and the model could be useful in comparison with pathological classification. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 17, 2023 Category: Surgery Source Type: research

Endoscopic differential diagnosis of three common anorectal neoplastic lesions
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 16, 2023 Category: Surgery Source Type: research

Patient experiences of left-sided colorectal resection by robotic, conventional laparoscopic and open approaches: a qualitative study
ConclusionsPatients generally have a positive view of RS and technical innovation in surgery. Concerns mostly centred around failure of technology. Many patients felt unprepared for significant factors in their perioperative experience. Surgeons and healthcare providers should be prepared to address patients ’ perceptions and expectations of colorectal surgery preoperatively. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 15, 2023 Category: Surgery Source Type: research

Impact of imaging magnification on colorectal surgery: a matched analysis of a single tertiary center
ConclusionsThe 4K imaging system represents a technological advance providing better surgical outcomes, such as the minimization of intraoperative blood loss and postoperative morbidity. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 14, 2023 Category: Surgery Source Type: research

Robotic sacrocolpopexy plus ventral rectopexy as combined treatment for multicompartment pelvic organ prolapse using the new Hugo RAS system
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 14, 2023 Category: Surgery Source Type: research

Predictive modelling for high-risk stage II colon cancer using auto-artificial intelligence
ConclusionsWe developed a new predictive model that could predict recurrent high-risk stage II CC with high probability using auto-AI Prediction One software. Patients with  ≥ 2 of the aforementioned factors are considered to have high risks for recurrent stage II CC and may benefit from adjuvant chemotherapy. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

Operative blood loss adversely affects short and long-term outcomes after colorectal cancer surgery: results of a systematic review and meta-analysis
ConclusionsIncreased operative blood loss may adversely impact short term and long-term postoperative outcomes. Measures should be taken to minimize operative blood loss during colorectal cancer surgery. Due to the uncertainty of evidence identified, further research, with standardised methodology, is required on this important subject. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

A prospective, randomized assessment of a novel, local antibiotic releasing platform for the prevention of superficial and deep surgical site infections
ConclusionsD-PLEX100 application leads to a statistically significant reduction in superficial and deep surgical site infections in this colorectal clinical model without any associated increase in adverse events. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

Effect of neuromuscular reversal with neostigmine/glycopyrrolate versus sugammadex on postoperative ileus following colorectal surgery
ConclusionsPatients who received sugammadex had a reduced time to achieving first stool and GI-2. Neostigmine use, bowel anastomoses and postoperative opioid use were associated with delayed time to achieving GI-2. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

An internal pilot study of a novel rectal mucocellular sampling device to allow next-generation sequencing for colorectal disease
ConclusionsOur internal pilot study demonstrated that the OriCol™ sampling device can capture rectal mucus from unprepared bowel in subjects who could undergo a digital rectal examination. The technique could be applied irrespective of age, frailty, or co-morbidity. Completion of the study to 800 patients and analysis of NGS data for colorectal cancer mutations will now proceed. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

The “Hands” teaching method applied to the anatomy of the superior mesenteric artery related to right hemicolectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

The “Hands” teaching method applied to the anatomy of the inferior mesenteric artery related to rectal cancer surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

Long-term outcomes of indocyanine green fluorescence imaging-guided laparoscopic lateral pelvic lymph node dissection for clinical stage  II/III middle-lower rectal cancer: a propensity score-matched cohort study
ConclusionsThis study revealed that laparoscopic LPLND combined with ICG-FI was able to decrease the LLR rate. It appears that ICG-FI could contribute to improving the quality of laparoscopic LPLND and strengthening local control of the lateral pelvis.Trials RegistrationThis study was registered with the Japanese Clinical Trials Registry as UMIN000041372 (http://www.umin.ac.jp/ctr/index.htm). (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2023 Category: Surgery Source Type: research

Initial experience with the transanal approach for lateral pelvic lymph node dissection in rectal cancer
ConclusionsTaLPLND appeared to be beneficial from an oncological point of view because it was close to the upstream lymphatic drainage from the tumor. The short-term outcomes of this initial experience indicate that this novel approach is feasible. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 9, 2023 Category: Surgery Source Type: research