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A study of 16,921 cases of nonelective sigmoidectomy for acute complicated diverticulitis revealed a rising trend in the use of primary anastomosis with diverting loop ileostomy, from 5.3% in 2012 to 8.4% in 2020. Compared to Hartmann's procedure, primary anastomosis with diverting loop ileostomy was…
A novel patient-calibrated quantitative ICGFA method was developed to recommend optimal bowel transection sites during surgery, showing 85% agreement with baseline perfusion. The software successfully identified expert surgical transection sites in almost all cases, reducing the risk of anastomotic complications. High-resolution augmented reality heatmaps were…
Clinical practice guidelines for rectal cancer vary in reporting quality, with unique weaknesses in basic information, evidence, recommendations, and review processes. Common themes include limited financial discussion and lack of transparency. Even with variability, current guidelines meet most checklist elements, highlighting the importance of high-quality…
The study identified independent predictors of failure in non-operative treatment for patients with diverticular abscesses, highlighting the significant role of Hinchey classification, tobacco smoking, and abscess characteristics. Percutaneous drainage did not impact treatment success in larger abscesses. This underscores the need for targeted interventions in…
Surgeons exhibited high accuracy in identifying radiological sarcopenia in patients with colorectal cancer, with substantial agreement with radiologists. Results showed strong correlations and favorable sensitivity and specificity levels for both junior and senior surgeons, particularly when using a simplistic criterion. The study suggests that the…
Patients with a higher number of healthy teeth had a better response to preoperative chemoradiotherapy (CRT) for rectal cancer, as indicated by higher rates of disease downstaging and complete response. A study of 30 patients showed that those with ≥15 teeth had better outcomes, with…
Conditional survival analysis for stage III T3-T4 colon cancer identified several risk factors for reduced one-year postoperative conditional survival (COS) and conditional cancer-specific survival (CCSS), including age, PT stage, PN stage, and chemotherapy receipt. This SEER database study of 18,190 patients developed predictive nomograms with…
Experts from the European Society of Endocrine Surgeons provide evidence-based recommendations for surgery in advanced small bowel neuroendocrine tumours, addressing key controversial topics such as primary tumour resection, cytoreduction, lymph node clearance, and management of unknown primary tumours. The recommendations, based on a systematic literature…
A nationwide study with 433 patients undergoing ileocolonic resection, including 155 with Kono-S anastomosis, found no significant reduction in endoscopic recurrence compared to conventional side-to-side anastomosis. In a 1:2 propensity score-matched comparison, endoscopic recurrence (≥i2) occurred in 47.5% of patients with Kono-S and 44.3% with…
High-frequency electric welding technology for intestinal end-to-end anastomosis shows promise. In vitro and in vivo experiments revealed that a compression pressure of 250 kpa, voltage of 60 V, and 15-second duration resulted in the highest anastomotic strength with minimal thermal damage. Experimental pigs showed no…
