Intestine and Lower Gastrointestinal Tract5 Sep 2024
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…
Hernia2 Sep 2024
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…
Eur J Surg Oncol1 Sep 2024
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…
Hernia1 Sep 2024
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…
BMC Surg1 Sep 2024
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…
Intestine and Lower Gastrointestinal Tract31 Aug 2024
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…
Am J Gastroenterol30 Aug 2024
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…
Surg Endosc30 Aug 2024
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,…
J Am Coll Surg29 Aug 2024
In a study involving 72 patients with high anal fistula, cutting of the intersphincteric space (cois) significantly reduced wound healing time to 35.75 days compared to 55.69 days for cutting seton (cs) (p
J Surg Oncol28 Aug 2024
The study demonstrated that circulating tumor DNA (ctDNA) methylation analysis is a valuable prognostic tool for long-term outcomes in stage IV colorectal cancer. Patients with high levels of CHFR-rmv experienced significantly worse recurrence-free survival compared to those with low levels (p = 0.001), establishing CHFR-rmv…