Late anastomotic leakage is a significant issue in rectal cancer surgery, affecting morbidity and long-term outcomes. Overall anastomotic leakage occurred in 3.2% of patients, with late leakage at 48.3%. 24.1% of late leak cases were diagnosed over a year post-surgery, often following diverting stoma formation. Surgeons should consider enhanced surveillance for patients at higher risk, […]

Exercise significantly improves health-related quality of life (HRQoL) and mental health in colorectal cancer survivors. Overall, exercise showed a notable increase in HRQoL (0.48) and reduced fatigue (-0.44), depression (-0.29), and anxiety (-0.29). Supervised moderate-intensity exercise (3-5.9 METs), 30-60 minutes, 3-4 times weekly, maximizes benefits. Incorporating structured exercise into post-treatment plans can enhance recovery and […]

Open excisional hemorrhoidectomy (OEH) is superior to transanal hemorrhoidal dearterialization (THD) for grade III hemorrhoids despite more postoperative pain. Clinical failure rate was 8% with OEH vs. 61% with THD (p < 0.001). All reoperations (8) occurred in the THD group (p = 0.001). Surgeons should weigh the higher pain and longer recovery of OEH […]

Surgeons must carefully assess the risks and benefits of surgery in octogenarians with colorectal cancer, as comorbidity significantly impacts outcomes. In a study of 400 patients, those aged 80+ had a 40.4% noncancer mortality rate at 5 years, driven by high comorbidity. Octogenarians had higher comorbidity (68.3%) compared to younger patients (22.3%). Overall survival for […]

A new predictive model enhances risk stratification in rectal adenocarcinoma, shifting from subjective MRI assessments to objective measures. Dynamic contrast-enhanced MRI washout and preoperative CEA levels independently predict 3-year disease-free survival. The model outperformed standard MRI assessments, showing AUCs of 0.757-0.819 versus 0.600-0.672. Identifying high-risk patients early means tailored treatments and potentially better outcomes. T/N […]

Tropis is a promising minimally invasive procedure for treating anal fistulas, showing high cure rates without compromising anal function. Initial success rate for anal fistulas is 80% (95% CI: 0.77-0.83). Cure rate for high fistulas is also 80%, with a 73% success rate for second operations. Overall cure rate is 88%, including 88% for fistulas […]

Early surgical intervention may be a vital strategy for managing uncomplicated ileocecal Crohn’s disease. Higher postoperative morbidity was noted in patients operated for complications compared to those with purely inflammatory disease. Delaying surgery increases the risk of recurrence; 10 out of 12 studies showed worse long-term control and greater reliance on corticosteroids and advanced therapies. […]

Implementing a phased active warming protocol significantly reduces intraoperative hypothermia during Da Vinci robot-assisted rectal cancer resections. Hypothermia rates plummeted from 48.6% to 18.1% with active warming (p < 0.001). End-of-surgery core temperatures improved by 0.6°C, reducing postoperative shivering (12.5% vs. 34.7%, p < 0.001). This approach also led to fewer wound infections (4.2% vs. […]

A novel hybrid video-assisted technique with a silk seton shows promising results for managing transsphincteric anal fistulas. Primary healing achieved in 90% of patients within 16 weeks, with a median healing time of just 5 weeks. Recurrence rate at 1-year follow-up is low, at 6.6%, with an overall failure rate of 9.8%. This approach can […]