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Neoadjuvant immunotherapy for non-metastatic, mismatch repair deficient colon cancer showed high rates of pathologic complete responses in locally advanced cases. Among 8 included studies, complete resections were achieved in 98-100% of cases, with 50-91% showing ypt0n0 pathology post-treatment. Safety profiles were generally favorable, with mostly…
Weekday surgeries for colorectal cancer patients showed no significant difference in mortality rates but were associated with slightly longer operative times and increased blood loss for colon cancer patients. Rectal cancer patients operated on Fridays had lower respiratory issues but higher rates of complications and…
Surgeons found that outcomes of elective colectomies, proctectomies, and urgent colectomies were better when performed by colorectal surgeons (CRS) compared to general surgeons (GS). CRS had lower complication and mortality rates in all procedures analyzed. Hospitals lacking CRS may benefit from recruiting these specialists to…
Lumen apposing metal stents (LAMS) appear to be as effective as endoscopic balloon dilation (EBD) for treating benign colorectal anastomotic strictures (BCAS), with a potential for requiring fewer procedures and being safer. Twenty-nine patients were involved, showing no significant differences in outcomes between LAMS and…
Functional disorders in the ileal-anal pouch present a spectrum of symptoms, some expected and others related to surgical complications. Studies have attempted to define and measure normal pouch function, but few have addressed pouch physiology. The confusion surrounding pouch function highlights the need for a…
Participation of ESQS-certified physicians was associated with lower risk of both indicated and technical conversion to laparotomy for rectal cancer patients undergoing laparoscopic surgery. Other factors influencing conversion included tumor diameter, combined resection of adjacent organs, and institution type. Referral to specialized centers, especially for…
Post-operative colorectal venous thromboembolism rates were 1.75%, with 53% of patients undergoing urgent/emergent surgeries and 60% receiving blood transfusions. Only 30% had high Caprini scores, while 66% had low preoperative albumin levels. The study highlights the importance of considering urgent surgeries, low albumin levels, and…
Researchers conducted a study in Taiwan to assess the risk of recurrent small bowel obstruction (SBO) after non-operative management in patients with a history of intra-abdominal surgery. They developed a scoring system, the Small Bowel Obstruction Recurrence Score (SBORS), which successfully predicted 6-month recurrence of…
Empty pelvis syndrome (EPS) following pelvic exenteration is poorly defined, leading to inconsistent reporting. This study established a core outcome set and descriptor set for EPS through a consensus process involving healthcare professionals and patients. The study identified seven core outcomes (e.g., bowel obstruction, chronic…
Findings from a nationwide population-based study revealed that patients diagnosed in hipec centers had better odds of undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) and improved survival rates before 2016. However, after national efforts to increase awareness and improve referral networks, these differences were…
