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Rectal cancer patients who undergo surgical resection with or without a temporary stoma were compared in terms of long-term functional outcomes. The study, conducted at seven Dutch hospitals with 656 patients, found that those with a temporary ileostomy experienced less constipation but more fecal incontinence…
Underwater endoscopic mucosal resection (UEMR) demonstrated higher rates of vertical resectability compared to cold snare polypectomy (CSP) for small duodenal tumors. However, CSP had shorter procedure times and fewer bleeding events. UEMR should be chosen for lesions that cannot be definitively diagnosed as mucosal low-grade…
Low patient activation (pa) negatively affects postoperative outcomes, but its impact on digital health interventions is unclear. This study assessed the influence of patient activation on the effectiveness of a digital health application for remote post-discharge follow-up in patients undergoing elective colectomy. The analysis included…
The clinical effectiveness of preoperative 18F-FDG PET/CT in predicting pathological tumor grade in patients with pseudomyxoma peritonei (PMP) originating from the appendix was evaluated in this retrospective cohort study. The study found that high-grade PMP patients had a significantly higher median standardized uptake value (SUVmax)…
The study aimed to assess the impact of a standardized protocol on interpretation consistency of indocyanine green fluorescence angiography (ICGFA) in colorectal surgery. Experienced and junior surgeons completed a questionnaire and interpreted nine ICGFA videos. Results showed good transection level concordance across all videos and…
Validation of the international tumor budding consensus conference (itbcc) method for assessing tumor budding in colorectal cancer (CRC) revealed that normalization overcorrects tumor budding counts, resulting in the downgrading of many borderline cases. Despite this, tumor budding counts in a 0.95 mm2 field remained clinically…
Local excision may be a reasonable approach for patients with low-risk histopathology and clinical stage T2N0M0 rectal adenocarcinoma, as it showed similar overall survival rates compared to radical resection. However, radical resection provided a significant survival advantage for patients with high-risk histology.
A quality improvement study investigated the impact of reducing postoperative laboratory testing after colorectal surgery. The intervention group showed a 33% reduction in labs per hospital stay, 26% reduction in labs per day, and a 49% increase in lab-free days. There were no differences in…
Researchers achieved national consensus on the optimal and standardized technique for minimally invasive right hemicolectomy (MIrh) in colon cancer. The study involved formulating consensus statements and conducting three rounds of the Delphi technique with 76 colorectal surgeons. The development and validation of a video-based competency…
The study assessed the association between food insecurity and surgical outcomes in colorectal cancer patients. It found that high levels of food insecurity were linked to higher odds of nonelective surgery, 90-day readmission, extended length-of-stay, and complications. Patients with high food insecurity also had decreased…
