Category: Intestine and Lower Gastrointestinal Tract

Discharge planning significantly improves outcomes for colostomy patients

A discharge planning approach combined with an “internet home ostomy care platform” markedly enhanced self-management, quality of life, and satisfaction in patients post-rectal cancer surgery. Key improvements included significantly higher scores in self-management abilities and reduced complication rates at multiple follow-up points compared to the control group. The study underscores the importance of structured discharge […]

Humanistic care improves recovery after colorectal cancer surgery.

Humanistic care in operating room nursing significantly enhances recovery and satisfaction for colorectal cancer patients. A study involving 120 patients revealed that those receiving humanistic care experienced lower systolic/diastolic blood pressure and heart rate during anesthesia emergence. They also had reduced serum stress indicators and shorter recovery times, alongside fewer complications. Additionally, the research group […]

Surgical mesh reduces parastomal hernia risk effectively and safely.

Findings from 19 systematic reviews indicate that using surgical mesh significantly lowers the risk of both clinically and radiologically detected parastomal hernias. The pooled hazards ratio for clinically detected hernias was 0.33, while it was 0.55 for radiologically detected hernias. Additionally, mesh use was associated with a reduced need for surgical repair (hazards ratio 0.46), […]

3D virtual modelling enhances safety in laparoscopic colon surgery

Validation of 3D virtual modelling (3DVM) demonstrated a 96% accuracy for identifying arteriovenous variations in laparoscopic complete mesocolic excision with central vascular ligation (CMECVL) among 26 patients. Compared to 49 standard mesocolic excision controls, CMECVL showed no intraoperative complications and similar 30-day morbidity rates, although intraoperative times were longer initially. Aimed at improving surgical safety, […]

Sugarbaker technique shows lower recurrence in parastomal hernia repair

Findings from a retrospective analysis of 81 patients reveal a 25.9% recurrence rate and a 16.0% complication rate for large parastomal hernia repairs using lap-re-do techniques. Notably, the lap-re-do Sugarbaker technique demonstrated a significantly lower recurrence rate of 12.2% compared to 40% for the Keyhole technique. Complication and reoperation rates were also more favorable with […]

Robotic-assisted NOSE offers superior outcomes in colorectal surgery

This meta-analysis compared robotic-assisted natural orifice specimen extraction (NOSE) with traditional robotic transabdominal wall specimen retrieval (TWSR) in colorectal cancer surgeries involving 717 patients. Findings revealed that the NOSE technique resulted in significantly lower overall postoperative complications (OR 0.55; p=0.01) and indicated its safety and effectiveness as an alternative to TWSR. Enhanced recovery metrics were […]

Colorectal cancer imposes significant economic burdens on society.

A systematic review of 37 studies highlights that colorectal cancer incurs substantial direct and indirect costs, primarily driven by direct medical expenses such as hospitalization, surgery, and chemotherapy. Face significant financial impacts are experienced by families, the health system, and broader society. The findings advocate for preventive measures and lifestyle modifications to alleviate this economic […]

Transrectal drainage tubes effectively reduce postendoscopic submucosal dissection complications

A multicenter randomized controlled trial evaluated the efficacy of transrectal drainage tubes (TDTS) in preventing postendoscopic submucosal dissection (PECS) in 224 patients. The results showed a significantly lower incidence of PECS in the TDT group (6.25%) compared to the non-TDT group (17.86%), with a relative risk of 0.350 (p = 0.008). Subgroup analyses indicated that […]

Pancreas-guided technique enhances laparoscopic colon surgery efficiency

The pancreas-guided splenic flexure mobilization technique demonstrated significant benefits during laparoscopic left hemicolectomy compared to the classic approach. The mean surgical duration and intraoperative blood loss were notably lower in the pancreas-guided group (p < 0.01). Additionally, no retro-pancreatic space penetrations occurred in this group, contrasting with 4.3% in the classic group (p < 0.05). […]