Ann Surg Oncol15 Feb 2024
Elevated levels of CA 19-9, a tumor marker, were found to be associated with decreased progression-free survival (PFS) in patients with colorectal peritoneal metastases (CRPM) treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC). The study, which included 279 patients, showed that patients with elevated…
Ann Surg Oncol15 Feb 2024
The study compared long-term oncologic outcomes of robotic and laparoscopic surgeries in rectal cancer patients who underwent neoadjuvant chemoradiotherapy (NCRT) followed by radical resection. After propensity score matching, the robotic group demonstrated higher 5-year disease-free survival and local recurrence-free survival rates compared to the laparoscopic…
World J Gastroenterol14 Feb 2024
Researchers conducted a retrospective study on colorectal liver metastases (CRLM) patients to compare different models of diffusion-weighted imaging (DWI) in predicting hepatic lymph node metastases (LNM). They found that a nomogram incorporating pre-treatment distributed diffusion coefficient (DDC) and the short axis of the largest lymph…
Dis Colon Rectum14 Feb 2024
Researchers conducted a pilot study to assess the severity of Low Anterior Resection Syndrome (LARS) following intersphincteric resection for ultralow rectal cancer. They used an exploratory instrument based on the Delphi consensus, which identified eight symptoms and eight consequences as the highest priorities for defining…
Surg Endosc14 Feb 2024
Results from a multicenter randomized controlled trial in China showed that the KangDuo surgical robot (KD-SR-01) is a viable option for colorectal cancer surgery. The study found that the short-term outcomes of surgery using the KD-SR-01 system were comparable to those achieved with the da…
World J Surg14 Feb 2024
Researchers conducted a prospective observational study to develop a predictive risk model for the recurrence of acute diverticulitis (AD) after the first episode. They analyzed data from 368 patients with AD who had a good response to treatment and found that colonic perforation in the…
J Am Coll Surg13 Feb 2024
Among 31 patients who underwent optimal resection for metastatic colorectal cancer (mCRC), circulating tumor DNA (ctDNA) was detected in 83.4% of those who experienced postoperative recurrence, while remaining undetectable in those without recurrence. ctDNA was detected earlier than clinical diagnosis by a median of nine…
Tech Coloproctol12 Feb 2024
A systematic review and meta-analysis assessed the efficacy of liposomal bupivacaine (LB) compared to conventional anesthetic or placebo in hemorrhoidectomy patients. The analysis included three randomized clinical trials involving 338 patients. LB demonstrated a significant reduction in pain scores at 72 hours post-surgery compared to…
Ann Surg10 Feb 2024
The study aimed to compare long-term survival outcomes in patients undergoing robot-assisted surgery (RAS) or laparoscopic surgery (LAS) for colon cancer. The analysis included 7565 patients, out of which 6905 (91%) underwent LAS and 660 (9%) underwent RAS. The findings revealed that LAS patients had…
Ann Surg Oncol9 Feb 2024
The study investigated the factors associated with offering surgery for pancreatic and small bowel neuroendocrine neoplasms (pannen and sbnen). Analysis of the surveillance databases revealed that non-white race was associated with decreased odds of surgery offer for sbnen but not pannen. These findings highlight racial/ethnic…