Robotic colorectal surgery (RCS) significantly accelerates bowel function recovery and reduces major complications compared to laparoscopic colorectal surgery (LCS). In a meta-analysis of 1,731 patients, RCS showed a 0.62-day improvement in bowel function, a 30% decrease in major complications, and a lower conversion rate to open surgery. Although RCS required 22.7 additional minutes of operative […]
Category: Intestine and Lower Gastrointestinal Tract
Enhanced Instructions Boost Bowel Prep in Hospitalized Patients
Enhanced instructions (EIs) significantly improve bowel preparation (BP) for hospitalized patients undergoing colonoscopy, achieving a Boston Bowel Preparation Scale (BBPS) ≥6 in 76% of cases compared to 60.5% with regular instructions (RIs). This systematic review and meta-analysis of 1,070 patients across six trials demonstrated that EIs, which incorporate clearer guidance and visual aids, lead to […]
Outpatient Stoma Closure: Feasible and Effective Care
Outpatient stoma closure proves safe and efficient for 130 patients, with 90% discharged the same day. The procedure, primarily for loop ileostomies, demonstrates a median operative time of 48 minutes and a low severe morbidity rate of just 3%. Postoperative complications led to a 16% readmission rate, often linked to direct wound closure and steroid […]
Long-term Ileal Pouch Surgery Yields Strong Quality of Life
Patients undergoing ileal pouch anal anastomosis (IPAA) report favorable long-term outcomes, with 83% experiencing fewer than seven daily bowel movements and 70% having fewer than two at night. Analysis of 125 patients reveals a median St. Mark’s incontinence score of 5.3, indicating good functional results, and a Cleveland Global Quality of Life score of 18.4, […]
Robotic Surgery Outshines Laparoscopy in Colorectal Resections
Robotic assistance during high anterior resections significantly reduces intra-operative blood loss, shortens surgery time, accelerates gastrointestinal recovery, and leads to fewer complications compared to laparoscopic techniques. Patients benefitted from earlier hospital discharge, while oncological outcomes remained comparable. This study offers contemporary insights from a well-established robotic surgery practice, underlining the clinical advantages that robotic systems […]
Completion of two-stage hepatectomy improves survival outcomes for patients
In a retrospective analysis involving 183 colorectal liver metastasis patients, 69% completed two-stage hepatectomy (tsh), achieving a median overall survival of 65.3 months compared to just 20.6 months for those who failed to complete it. The study identified key prognostic factors linking successful resections to lower rates of extrahepatic disease, tumor size over 5 cm, […]
Both surgical approaches yield similar safety for colon cancer
A comparative analysis of the inferior approach (IA) versus medial approach (MA) in right-sided colon cancer surgery revealed no significant differences in postoperative complications or mortality between the two methods. In a study of 528 cases, safety was maintained across both approaches, with IA resulting in a significantly shorter hospital stay. Overall, both IA and […]
Lower vitamin D and albumin levels predict surgical complications
Preoperative nutritional markers, specifically albumin and vitamin D, significantly forecast postoperative complications in colorectal surgery. Lower levels of both markers were associated with increased risk, with albumin demonstrating a strong predictive value (p=0.044). The optimal thresholds for intervention were determined as 14.4 ng/ml for vitamin D and 3.6 g/dl for albumin. These findings underscore the […]
Long-term transanal irrigation significantly improves outcomes in LARS patients
In a comprehensive multicenter study involving 159 patients, long-term transanal irrigation (TAI) demonstrated substantial benefits for those suffering from low anterior resection syndrome (LARS). Satisfaction and quality of life improved markedly, with major LARS cases dropping from 84.8% to 16.5% over 24 months. Additionally, symptom frequency decreased dramatically from 4.3 to 0.5 events per patient. […]
Autonomic nerve preservation improves outcomes in rectal cancer surgery
A novel technique for autonomic nerve network preservation during robotic-assisted total mesorectal excision shows promising results. In a study of 141 patients, the approach effectively maintained nerve integrity and minimized surgical trauma, contributing to reduced postoperative urinary and sexual dysfunction. Enhanced dissection techniques leveraging da Vinci’s magnification capabilities facilitated this precision. No conversions to traditional […]