Surgical repair of rectal prolapse significantly improved patients’ quality of life, with notable enhancements in fecal incontinence severity, pain interference, depressive symptoms, and overall gastrointestinal function. Forty-six participants reported positive changes in health status, pain levels, and mental well-being post-surgery, indicating meaningful improvements in symptom management and daily functioning. Journal Article by Bola R, Guo […]

Post-polypectomy colorectal cancer risk prediction was more accurate with a model including patient age, diabetes diagnosis, and baseline colonoscopy indication and polyp findings compared to a polyp-only model. The comprehensive model demonstrated superior performance in predicting colorectal cancer diagnosis in both the development and validation cohorts, with an area under the curve of 0.71 and […]

High-risk patients undergoing abdominoperineal resection and pelvic exenteration may benefit from immediate flap reconstruction using pedicled gracilis flaps. A total of 101 patients underwent unilateral gracilis flap reconstruction, with 7.9% developing early major complications and 12.9% developing late major complications. Minor complications occurred in 32.7% of patients, mainly minor wound breakdowns. Donor site complications were […]

Immediate mobilization in the post-anesthesia care unit did not increase overall postoperative physical activity after elective colorectal surgery, as indicated by no significant differences in steps taken between the intervention group and standard care group during hospital stay. Other outcomes, including complications and compliance with ERAS protocol, were also similar between groups. Journal Article by […]

Tumor deposits are a strong indicator of poor outcome in stage III colorectal cancers. A new staging system, considering tumor deposits, showed higher predictive values and better patient stratification for oncologic outcome compared to the current system. Tumor deposits were correlated with adverse prognostic indicators, confirming their negative impact on survival regardless of count. Revision […]

Surgeon-led geriatric service and good quality surgery are key in achieving good outcomes in older colorectal cancer surgery patients. A 10-year review of 233 patients aged ≥75 years or frail showed low 30-day mortality (1.7%) and complications (12.0%), with a median length of stay of 7.0 days. Cumulative sum analysis demonstrated sustained improvement in outcomes, […]

Researchers validated Japanese criteria for locally resected pt1 colorectal carcinoma (CRC), assessing long-term outcomes in 4719 patients. Patients without risk factors had a low lymph node metastasis (LNM) incidence (1.8%), contrasting with risk-positive cases in Group B/C (10.3%). Group A, with risk factors, showed higher recurrence (3.4%) than those without (0.1%). Disease-free survival in risk-negative […]

A predictive nomogram was developed to identify patients at risk for a positive circumferential resection margin (CRM) in rectal cancer surgery. Factors associated with positive CRM included tumor grade, lack of neoadjuvant chemotherapy, specific tumor histology, surgical approach, and other tumor characteristics. These findings can be used to predict CRM positivity in the preoperative period, […]