Surgical outcomes for colon cancer patients show significant variance based on facility type. Analysis of 125,935 patients revealed that those treated in academic/research programs (ARP) experienced the best median overall survival of 129 months, contrasting sharply with 103.7 months for community cancer programs (CCP). Additionally, ARP demonstrated lower readmission and mortality rates compared to other […]
Category: Intestine and Lower Gastrointestinal Tract
Robotic surgery outperforms laparoscopic technique for extended mesorectal excision
A comprehensive meta-analysis reveals that robotic-assisted extended mesorectal excision (r-etme) demonstrates lower recurrence rates and fewer hospital admission days compared to laparoscopic-assisted extended mesorectal excision (l-etme). Although operative times were longer for robotic surgery, urinary complications were also more significant in the laparoscopic group. Overall, the findings support the potential advantages of robotic techniques in […]
Sarcopenia worsens postoperative inflammation and long-term survival in CRC patients
A study involving 215 colorectal cancer patients highlighted that those with sarcopenia exhibited significantly higher preoperative inflammation markers, impacting their postoperative outcomes. Key indicators, including the immune-inflammation index and systemic inflammatory response index, demonstrated remarkable predictive capabilities for postoperative complications, with area under the curve values of 0.938 and 0.877 respectively. The findings indicate that […]
Robotic purse-string technique improves outcomes in colorectal surgery
A novel robotic purse-string suture technique applied during intracorporeal anastomosis showed promising results for rectal and sigmoid colon cancer surgeries. In a matched cohort analysis of 46 patients, those who underwent the purse-string method exhibited significantly reduced blood loss and shorter operative times compared to the traditional anvil fixation approach. Importantly, there were no significant […]
Frailty significantly worsens outcomes in elderly patients with diverticulitis
A nationwide analysis revealed that 53.3% of elderly patients hospitalized with acute colonic diverticulitis were frail. In a matched cohort study, frail patients faced higher mortality rates, extended hospital stays, and increased median inpatient costs. They also experienced more complications, including sepsis, acute kidney injuries, and the need for intensive care compared to non-frail patients. […]
Antibiotic use affects colorectal cancer recurrence risk.
Outpatient antibiotic intake post-surgery negatively impacts the three-year disease-free survival (DFS) in colorectal cancer patients. Among 35,496 individuals, 79% received antibiotics, with specific classes such as cephalosporins and quinolones linked to increased risk of recurrence. The effects varied based on tumor location and disease stage, indicating that antibiotics may modulate post-surgical outcomes and contribute to […]
Improved outcomes in rectal cancer surgery with TME techniques
Total mesorectal excision (TME) has significantly advanced rectal cancer surgery, reducing local recurrence and boosting patient survival. Essential techniques focus on thorough mesorectum resection along embryologic planes, underscoring the importance of anatomical insights including critical fascial layers and pelvic autonomic nerves. A step-by-step dissection strategy ensures effective excision while preserving nerve function. In Korea, TME’s […]
Extended pharmacologic prophylaxis improves survival after colon cancer surgery
Findings from a large database study reveal that extended pharmacologic prophylaxis for venous thromboembolism after colon cancer surgery is associated with enhanced overall and cancer-specific survival. Among 20,102 patients analyzed, those receiving prophylaxis demonstrated significantly improved survival rates, with adjusted hazard ratios of 0.66 and 0.56 for overall and cancer-specific survival, respectively. These results highlight […]
Deep learning enhances ureter identification in laparoscopic surgery
A novel deep learning model, Ureternet, has demonstrated promising results in real-time ureter identification during laparoscopic colorectal surgery. Using a convolutional neural network-based approach, researchers achieved precision, recall, and dice coefficients of approximately 0.712, 0.722, and 0.716, respectively, on test data. The model operates swiftly, processing images in an average of 71 milliseconds. By potentially […]
Modified stapled anastomosis significantly reduces leakage risk
A systematic review of 2537 patients across 12 studies revealed that modified stapled colorectal anastomosis significantly lowers the risk of anastomotic leaks by 62% compared to conventional methods. Additionally, overall postoperative morbidity and major morbidity rates were also significantly reduced, indicating that modifications to the double-stapling technique improve short-term outcomes in minimally invasive surgery. Limitations […]