End-to-side ileocolonic anastomosis is a low-risk option that can improve outcomes for Crohn’s disease patients after ileocecectomy. The end-to-side configuration showed lower blood loss and shorter operative times compared to other methods. Multivariable analysis revealed that elective surgery and end-to-side anastomosis correlated with a lower recurrence rate over a 32-month follow-up. This technique is safe […]

Higher BMI significantly raises the risk of converting from minimally invasive to open surgery for colorectal procedures. Laparoscopic surgery rates were 36.4% in Nova Scotia versus 49.3% in the national cohort, with conversion rates of 23.1% and 19.3%, respectively. BMI was a strong predictor of conversion: odds ratio of 2.54 for Nova Scotia and 1.61 […]

Minimally invasive surgery (MIS) shows promise for pT4 colon cancer without compromising long-term oncologic outcomes. In a study of 1,850 patients, those undergoing MIS had 2.4 times fewer major complications compared to open surgery. After 42 months of follow-up, overall recurrence rates were similar for both groups, with better disease-free survival (DFS) and overall survival […]

Robotic rectal resection shows a higher rate of primary postoperative ileus (POI) compared to laparoscopic surgery. Primary POI occurred in 25.4% of robotic patients versus 8.5% in laparoscopic patients (p=0.007). Intraoperative fluid balance was significantly higher in robotic surgery (36.0 vs. 29.2 ml/kg, p=0.0025) along with longer anesthesia time (403 vs. 346 min, p<0.001). Focus […]