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Patients with rectal cancer exhibiting double negativity for extramural venous invasion (EMVI) detected by both MRI and pathology experienced significantly better prognosis compared to those with positivity in either method. The study, involving 186 patients, establishes the combined evaluation of MRI and pathology-detected EMVI as…
The study compared the effectiveness of laparoscopic (L-TAPB) and ultrasound-guided (U-TAPB) transversus abdominis plane block (TAPB) in postoperative pain management for patients undergoing colorectal surgery. Four randomized trials with 359 patients were included. The results showed that L-TAPB was non-inferior to U-TAPB, with no significant…
Researchers identified structural disorders in the ileal pouch-anal anastomosis, recognizing them as potential causes of chronic pelvic pouch complications following surgery. Understanding the critical pitfalls in pouch construction guides treatment decisions for patients exhibiting signs of pouch failure, helping address postoperative surgical complications and improve…
A retrospective cohort study compared the long-term outcomes of T1 colorectal cancer (CRC) patients after endoscopic resection (ER) and surgery. The study found that ER can be a comparable treatment option to surgery for T1 CRC patients with deep submucosal invasion (DSI) when other high-risk…
Researchers conducted a mapping exercise to identify opportunities for data dictionary harmonization in colorectal cancer outcome registries. They compared data dictionaries from three major registries and developed a combined comprehensive dataset of 225 fields under seven domains. A common dataset with 38 overlapping fields was…
The impact of neoadjuvant radiation therapy on the outcomes of patients with stage II-III mucinous rectal carcinoma was assessed using data from the national cancer database. After propensity-score matching, it was found that patients who received neoadjuvant radiation therapy had marginal downstaging of the disease,…
Experts from around the world have achieved international consensus on core descriptor sets for rectal prolapse outcomes research. Through a three-round Delphi process, experts agreed on minimum descriptors to consider during clinical care, which were then grouped into core descriptor sets. Key findings included the…
Empiric antibiotic treatment of appendicitis is more likely to be associated with the need for additional antibiotics or procedure within 90 days compared to diverticulitis. Cephalosporin + metronidazole (c + m) was the most commonly used antibiotic regimen for appendicitis, while quinolone + metronidazole was…
Prophylactic clipping may not be necessary to prevent delayed bleeding after colorectal cold snare polypectomy in patients on antithrombotic agents, according to a retrospective study. The rates of delayed bleeding and hematochezia did not significantly differ between patients with and without prophylactic clipping. These findings…
Neoadjuvant treatment (NCRT) may not be necessary for all patients with T3 rectal cancer. This study compared the outcomes of patients with mid-low rectal cancer treated with either surgery alone or NCRT followed by surgery. After analyzing 1,509 patients, the study found that surgery alone…
