Higher hospital surgical volume correlates with significantly better short- and long-term outcomes after rectal cancer surgery. Patients treated in hospitals with higher surgical volume experienced lower 90-day and 1-year excess postoperative mortality rates and higher 5-year observed survival rates compared to those treated in lower-volume hospitals. Journal Article by van Walle L, Silversmit G (…) […]
Category: Intestine and Lower Gastrointestinal Tract
Outcome of Laparoscopic Peritoneal Lavage for Perforated Diverticulitis
Laparoscopic lavage for non-feculent perforated diverticulitis shows lower mortality, shorter hospital stays, and fewer subsequent surgeries, compared to sigmoid resection. It is a safe alternative for select patients, especially those younger, healthier, and with less previous abdominal surgeries. Laparoscopic lavage offers promising outcomes as a treatment option. Research Support, Non-U.S. Gov’t by Christos K, Filip […]
Benefits of Same-Day Ileostomy Closure Discharge
A retrospective study compared same-day discharge (SDD) ileostomy closure with traditional enhanced recovery pathways (ERP) to assess patient outcomes. Among 375 patients, the 30-day complication rate was significantly lower in the SDD group (14.8%) compared to the standard ERP group (25.7%), driven by a reduced incidence of ileus. Readmission and reoperation rates were similar between […]
Beneficial effects of simultaneous cholecystectomy in CRC patients with asymptomatic gallstones
Simultaneous cholecystectomy during elective colorectal cancer surgery for patients with asymptomatic gallstones reduces long-term biliary complications without increasing postoperative morbidity. Female gender, old age (≥65 years old), and small multiple gallstones are identified as independent risk factors for developing gallstone-related diseases in patients who undergo elective colorectal surgery without simultaneous cholecystectomy. Prophylactic cholecystectomy is recommended […]
Machine Learning Prediction of Liver and Lung Metastasis in Colorectal Cancer
Using a machine learning model, researchers accurately predicted liver and/or lung metastasis in colorectal cancer patients, assisting clinical decision-making. A total of 51,265 patients were analyzed, with 15.3% having distant metastasis. The random forest algorithm showed the best predictive ability with high accuracy, AUC, and AUPR values, validated in an external set, providing a valuable […]
Effect of Age on Survival Prognosis in Patients Undergoing Local vs Radical Excision for Rectal Cancer
Age significantly impacts the survival prognosis of rectal cancer patients after local excision (LE) or radical excision (RE). Younger patients (66 years). However, there was no significant difference in survival outcomes between LE and RE across all age groups. Journal Article by Li J, Wen L (…) Yao X et 4 al. in Updates Surg […]
Effectiveness of Minimum Energy Laser Pilonidotomy in Pilonidal Disease
A new pilonidotomy method using minimal laser energy, known as Minimum Energy Laser Pilonidotomy (MELPi), demonstrated promising initial results for treating pilonidal disease. A retrospective multicenter study of 50 MELPi procedures showed low postoperative pain (median of 2 on a pain scale), low complication rates (4%), and quick return to normal activities (median of 7 […]
Caffeine Consumption and Bowel Recovery After Colorectal Surgery
A meta-analysis of eight studies with 610 patients found that caffeine intake after colorectal surgery significantly reduces time to first bowel movement and time to first solid food intake. The data suggest that postoperative caffeine consumption can be a useful strategy to prevent postoperative ileus. However, time to first flatus, length of hospital stay, and […]
Prognostic Biomarkers in Locally Advanced Rectal Cancer Patients
This study of 245 patients with locally advanced rectal cancer (LARC) found that post-treatment blood markers, such as platelet-to-lymphocyte ratio (PLR), predicted pathological complete response. The neutrophil-to-lymphocyte ratio (NLR) at two treatment timepoints significantly predicted overall survival, while the platelet-neutrophil (PN) index was associated with disease-free survival. In patients with pathological stage II, the PN […]
Validation of Indonesian Hemorrhoidal Disease Symptom Score and Short Health Scale
The Indonesian adaptations of the Hemorrhoidal Disease Symptom Score (HDSS) and the Short Health Scale Hemorrhoidal Disease (SHSHD) have been validated and confirmed as reliable tools for assessing health-related quality of life in Indonesian patients with hemorrhoidal disease. The study included 91 patients (55 males, 36 females). The correlations in the subscale interpretations and the […]