Enhanced recovery protocols are falling short for low socioeconomic and minority patients, highlighting critical gaps in care. Low socioeconomic status (SES) linked to a 4-day median length of stay vs. 3 days for high SES (p < 0.001). Low SES associated with 2.46 times higher odds of infection and 1.50 times higher odds of overall […]

Patient-led, home-based follow-up significantly reduces hospital visits for colorectal cancer survivors without compromising quality of life. In the as-treated analysis, patient-led follow-up decreased hospital contacts by 38%. No significant differences were found in quality of life or psychological distress between patient-led and standard follow-up groups. This approach can ease the burden on healthcare systems while […]

Low vs. high ligation of the inferior mesenteric artery during rectal cancer surgery shows no significant difference in anastomotic leakage rates. Anastomotic leakage occurred in 4.9% (low ligation) vs. 6.0% (high ligation); no significant difference (p=0.68). 30-day postoperative morbidity was 14.0% for low ligation vs. 22.0% for high ligation (p=0.08). Surgeons can choose either ligation […]

Organ preservation methods, like watch and wait, show high feasibility and safety in rectal cancer treatment. 26% of patients opted for organ preservation, predominantly through watch and wait (78%). 2-year overall survival rates exceeded 95% across all treatment strategies. No significant differences in oncologic outcomes between watch and wait and local excision were observed. Surgeons […]

For selected patients with stage II or III rectal cancer, a direct-to-surgery approach led to favorable 2-year oncologic outcomes. Local recurrence rate was just 1% among patients undergoing low anterior resection. Disease-free survival was 85%, and overall survival reached 99%. Surprisingly, only 8% of patients required post-operative radiation therapy. Preoperative MRI overstaged 51% of patients […]

End-to-side ileocolonic anastomosis is a low-risk option that can improve outcomes for Crohn’s disease patients after ileocecectomy. The end-to-side configuration showed lower blood loss and shorter operative times compared to other methods. Multivariable analysis revealed that elective surgery and end-to-side anastomosis correlated with a lower recurrence rate over a 32-month follow-up. This technique is safe […]

Higher BMI significantly raises the risk of converting from minimally invasive to open surgery for colorectal procedures. Laparoscopic surgery rates were 36.4% in Nova Scotia versus 49.3% in the national cohort, with conversion rates of 23.1% and 19.3%, respectively. BMI was a strong predictor of conversion: odds ratio of 2.54 for Nova Scotia and 1.61 […]

Minimally invasive surgery (MIS) shows promise for pT4 colon cancer without compromising long-term oncologic outcomes. In a study of 1,850 patients, those undergoing MIS had 2.4 times fewer major complications compared to open surgery. After 42 months of follow-up, overall recurrence rates were similar for both groups, with better disease-free survival (DFS) and overall survival […]

Robotic rectal resection shows a higher rate of primary postoperative ileus (POI) compared to laparoscopic surgery. Primary POI occurred in 25.4% of robotic patients versus 8.5% in laparoscopic patients (p=0.007). Intraoperative fluid balance was significantly higher in robotic surgery (36.0 vs. 29.2 ml/kg, p=0.0025) along with longer anesthesia time (403 vs. 346 min, p<0.001). Focus […]