A retrospective analysis of over 52,000 patients revealed that robotic and laparoscopic surgeries significantly outperformed open surgery in achieving treatment goals (74.5% and 72.9% vs. 47.8%, p < 0.001) across all body mass index (BMI) categories. Robotic surgery also resulted in lower major morbidity rates compared to open surgery. Notably, rectal cancer patients with class […]
Category: Intestine and Lower Gastrointestinal Tract
Intersphincteric resection with rectal eversion improves anal preservation
A novel surgical technique for low rectal cancer, intersphincteric resection combined with rectal eversion and total extra-abdominal resection (ISrer), shows promise in enhancing anal preservation rates without raising postoperative complications. In a study involving 74 patients, ISrer achieved a 94.3% anal preservation rate compared to 71.8% for conventional laparoscopic ISR, while maintaining a 100% R0 […]
Delayed treatment linked to age and insurance status in CRC patients
Analysis of over 3,100 patients revealed that 35.3% experienced delays in colorectal cancer (CRC) treatment. Key predictors included older age, with those aged 80 and above having an 81% higher likelihood of delay, as well as being on Medicaid or uninsured, which increased the odds by 54%. Additionally, patients with rectal tumors were three times […]
Reinforcement sutures significantly lower risk of anastomotic leakage.
A meta-analysis found that using reinforcement sutures during double-stapling anastomosis in rectal cancer surgery effectively reduced the incidence of anastomotic leakage (AL) and reoperation rates. The analysis included one randomized controlled trial and eight observational studies, yielding an odds ratio of 0.29 for AL, indicating a substantial decrease in risk. Although promising, the findings underscore […]
New tool predicts perforation risks during endoscopic submucosal dissection
A novel predictive model for perforation risk during endoscopic submucosal dissection (ESD) has been developed and validated by researchers. In a study involving 1,051 patients, significant predictors included the first 100 procedures, lesion size over 35 mm, and extended operative time. The model demonstrated satisfactory validation performance with an area under the curve of 0.7078 […]
Gastrografin use shortens surgery time and hospital stay
Use of gastrografin for adhesive small bowel obstruction has significantly improved clinical outcomes. A study analyzed over 20,000 patients, revealing a reduction in time to the operating room, from an average of 2.63 days pre-gastrografin to 2.33 days post-gastrografin. Additionally, hospital length of stay decreased from 10.51 days to 6.09 days. Notably, the number of […]
Previous abdominal surgery impacts minimally invasive colorectal cancer resection.
A meta-analysis of 12 studies involving 11,528 colorectal cancer patients found that those with previous abdominal surgeries faced a higher likelihood of conversion to open surgery during minimally invasive procedures, with an odds ratio of 1.57. The prolonged recovery to the first flatus and increased risk of ileus after surgery were also noted. However, major […]
Neoadjuvant therapy advances improve rectal cancer treatment outcomes
Advances in treatment for locally advanced rectal cancer emphasize personalized, risk-adapted strategies that enhance oncologic control while preserving functionality. These methodologies allow for tailored approaches based on individual risk factors. Total neoadjuvant therapy is becoming the standard for advanced cases, improving systemic control and compliance. Notably, response-based adaptations enable some patients to skip radiation or […]
High Efficiency Operating Rooms Enhance Surgical Performance and Reduce Costs
A high-efficiency (HE) operating room model significantly improved surgical efficiency in benign anorectal surgery, completing 6.9 cases per day compared to 5.2 cases in traditional settings. The HE model reduced average surgical time by 13 minutes and decreased overall costs by approximately $368 per case. Patient outcomes remained consistent across both models, suggesting that implementing […]
AI model enhances diagnostic accuracy in colorectal cancer
A novel AI model named Coffee was developed to classify histopathological growth patterns in colorectal liver metastases, achieving impressive predictive performance with AUC values up to 1.000 in prospective cohorts. Desmoplastic tumors were linked to improved overall and progression-free survival compared to non-desmoplastic tumors. Additionally, AI-assisted pathology increased diagnostic accuracy to 94.7% for junior pathologists […]