In a cohort of 836 rectal cancer patients, 24.8% developed parastomal hernias (PSH) within 85 months following abdominoperineal resection. Key risk factors included female sex, age over 60, and a BMI of 24 or higher. The study also introduces a nomogram for predicting PSH risk, enabling clinicians to personalize prevention strategies such as stoma positioning […]
Category: Intestine and Lower Gastrointestinal Tract
Robotic Techniques Slash Recovery Times in Colorectal Surgery
Patients undergoing robotic natural orifice transluminal extraction colectomy (r-notec) and robotic no-incision colectomy (r-nic) experienced significantly shorter hospital stays compared to traditional robotic colectomy. The r-notec/r-nic group averaged just 2.0 days in the hospital versus 3.4 days for conventional patients. Both methods maintained comparable safety profiles, with lower complication rates and reduced opioid use. These […]
Neoadjuvant Chemotherapy Alone Lowers Surgical Risks in Rectal Cancer
Neoadjuvant chemotherapy without radiation significantly reduces anastomotic leaks, diverting ostomy use, and ostomy non-reversal in locally advanced rectal cancer patients. In a meta-analysis of four randomized controlled trials, chemotherapy was found equivalent or non-inferior to chemoradiation for oncologic outcomes. However, critical surgical outcomes remain inadequately reported, highlighting a need for standardized assessment in future studies. […]
High Adherence to Enhanced Recovery Pathway Cuts Mortality in Colorectal Cancer Surgery
Patients adhering to an enhanced recovery pathway (ERP) during colorectal cancer surgery saw a 31% reduction in overall mortality compared to those with low adherence. In a study involving 2,865 patients, those in the highest adherence quartile (≥80.8%) experienced a significant drop in death risk, underscoring the importance of robust ERP implementation for improved survival […]
Short-course antibiotics cut liver infection risk in combined surgeries
Postoperative antibiotic prophylaxis (ppa) significantly lowers the incidence of liver-specific surgical site infections (liver-ssi) in patients undergoing simultaneous liver and colorectal resections. In a cohort of 250 patients, those receiving ppa experienced a liver-ssi rate of 11% versus 29.3% in the control group (p
IBD Patients Face Higher Clot Risk After Colorectal Cancer Surgery
Patients with inflammatory bowel disease (IBD) undergoing colorectal cancer surgery face a significantly elevated risk of venous thromboembolism (VTE) compared with those without IBD. The analysis highlights VTE as a critical postoperative complication in this population, underscoring the need for heightened vigilance and tailored thromboprophylaxis strategies. Surgeons should recognize IBD as an independent risk factor […]
AI-Assisted Detection System Elevates Polyp Identification During Colonoscopies
A real-time AI-driven polyp detection system significantly improved detection rates in a multicenter trial. The system achieved a polyp detection rate of 67.18% compared to 56.92% in the control group. It particularly excelled at identifying smaller polyps (5 mm), enhancing both sensitivity and specificity. Results indicate that this technology not only increases efficiency in colorectal […]
CRS Plus HIPEC Outperforms CRS Alone in Quality of Life for Cancer Patients
Patients with colorectal cancer receiving cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy (CRS plus HIPEC) experience significantly improved quality of life (QoL) compared to those undergoing CRS alone. Results indicate a notable minimal clinically important difference (MCID) favoring the HIPEC group, with improvement often evident within three months. Deterioration in MCID correlates with factors such as […]
Advanced dynamic models improve survival predictions in colorectal cancer liver metastases
Dynamic prognostic models for colorectal cancer with liver metastases significantly enhance survival predictions by integrating longitudinal laboratory markers. In a cohort of 976 patients, the most effective model outperformed static approaches, achieving area under the curve (AUC) values of 0.850 for five-year progression-free survival and 0.849 for overall survival. A web-based tool has been developed […]
Real-time lymphatic mapping could redefine colon cancer surgery margins
A phase II trial aims to assess the effectiveness of indocyanine green (ICG) fluorescence-guided lymph node mapping in determining bowel resection margins for patients with colon cancer. By tailoring lymph node dissection based on individual anatomy, the approach seeks to balance extensive dissection and potential complications while optimizing oncological outcomes. If sensitivity exceeds 96% after […]