Comparison of proactive and conventional treatment of anastomotic leakage in rectal cancer surgery: a multicentre retrospective cohort series
ConclusionProactive treatment of AL consisting of EVASC resulted in improved healed and functional anastomosis rates for AL after LAR for rectal cancer, compared to conventional treatment. If EVASC was initiated within the first week after index surgery, a 100% functional anastomosis rate was achievable. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
Intracorporeal or extracorporeal anastomosis after minimally invasive right colectomy: a systematic review and meta-analysis
ConclusionRobotic-assisted right colectomy with intracorporeal anastomosis was associated with shorter length of hospitalization and decreased rate of conversion to open surgery, compared to either laparoscopic or extracorporeal robotic approaches. Prospective studies are needed to better understand the true impact of robotic approach and intracorporeal anastomosis in right colectomy. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
Laparoscopic posterior pelvic exenteration is safe and feasible for locally advanced primary rectal cancer in female patients: a comparative study from China PelvEx collaborative
ConclusionLPPE is safe and feasible for locally advanced rectal cancers and shows lower operative time and blood loss, fewer SSI complications, and better preservation of bladder function without compromising oncological outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
Minimally invasive colectomies can be performed with similar outcomes to open counterparts for colorectal cancer emergencies: a propensity score matching analysis utilizing ACS-NSQIP
ConclusionsThis study demonstrates that MIS was associated with superior postoperative outcomes compared to open surgery without compromising oncological outcomes in patients undergoing emergency colectomy for colon cancer. Within the matched cohort, MIS was associated with lower rates of mortality, pulmonary complications, ileus, and shorter postoperative length of stay. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
Inguinal lymph node metastases from rectal adenocarcinoma: a systematic review
ConclusionIn specific subsets of patients with ILNM, curative-intent treatment regimens are feasible, with oncological outcomes akin to those demonstrated in locally advanced rectal cancers. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
Mixed adenoneuroendocrine carcinoma originating from the appendix and colorectum: a comparative analysis of a large population-based database
ConclusionsTumor location had an important prognostic significance for MANEC. As an uncommon clinical entity, colorectal MANEC had more aggressive biological features and worse prognosis than its appendiceal counterpart. The standard surgical procedure and clinical management strategy for MANEC need to be established. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 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 - November 1, 2023 Category: Surgery Source Type: research
Epidemiology, oncologic results and risk stratification model for metachronous peritoneal metastases after surgery for pT4 colon cancers: results from an observational retrospective multicentre long-term follow-up study
ConclusionsCumulative MPM incidence was 13.6% at 5-year follow-up. The sole presence of a pT4 tumour resulted in high rates of PDF-R at 1-year and 5-year follow-up (98% and 96% respectively). Five additional risk factors different from pT4 status itself were identified as possible MPM indicators during follow-up. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
Does drinking coffee reduce the risk of colorectal cancer? A qualitative umbrella review of systematic reviews
ConclusionThe evidence supporting caffeinated coffee as associated with a reduced risk of CRC is inconsistent. Dose-dependent relation analysis suggests that the protective effect of coffee drinking against CRC is evident with the consumption of five or more cups per day. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
CT-derived measures of muscle quantity and quality predict poorer outcomes from elective colorectal surgery: a UK multicentre retrospective cohort study
ConclusionMeasures of lean muscle quality and quantity, which predict important clinical outcomes, can be quickly and easily taken from routine preoperative imaging in patients being considered for colorectal cancer surgery. As poor muscle mass and quality are again shown to predict poorer clinical outcomes, these should be proactively targeted within prehabilitation, perioperative and rehabilitation phases to minimise negative impact of these pathological states. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 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 - November 1, 2023 Category: Surgery Source Type: research
Complete mesocolic excision for right hemicolectomy: an updated systematic review and meta-analysis
ConclusionMeta-analysis of observational and randomised studies showed that right hemicolectomy with complete mesocolic excision for primary right colon cancer improves oncologic results without increasing morbidity/mortality. These results need to be confirmed by high-quality evidence and randomised trials in selected patients to assess who may benefit from the procedure. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
How do you manage the peritoneal opening during TAMIS procedure?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2023 Category: Surgery Source Type: research
Low anterior resection syndrome and quality of life after intersphincteric resection for rectal cancer: a propensity score-matched study
ConclusionISR leads to increased bowel incontinence rate and increased anal pain, without affecting the grade of low anterior resection syndrome, fecal urgency, and clustering. LAR might be the preferred sphincteric-preserving approach when negative resection margins and a safe anastomosis are guaranteed. Patients should be fully informed about potential functional impairment after sphincter-preservation procedures. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 7, 2023 Category: Surgery Source Type: research
High tie sigmoidectomy syndrome
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 6, 2023 Category: Surgery Source Type: research
