Rectal cancer patients who underwent Hartmann’s procedure were significantly older, had more comorbidities, and were more likely to have the procedure preoperatively due to comorbidities or oncological reasons. In 23% of cases, the decision to perform Hartmann’s procedure was made intraoperatively, mainly due to anastomotic difficulties and oncological reasons. Factors increasing the risk of intraoperative […]
Category: Intestine and Lower Gastrointestinal Tract
Understanding Patient Decision-Making for Colectomy in Recurrent Diverticulitis
Patients’ perspectives on colectomy for recurrent diverticulitis were explored through focus groups. A conceptual framework was developed to capture major themes identified in the qualitative data. The study found that the decision to pursue colectomy is highly preference sensitive, influenced by patients’ beliefs about surgery, psychosocial context, and moderating factors. These factors included clinical history, […]
Embracing Minimally Invasive Coloproctology: Navigating the Future
The field of coloproctology is witnessing a paradigm shift towards less invasive treatments due to remarkable advancements in medical care. This shift is particularly notable in gastroenterology, specifically in colorectal surgery. Both benign and malignant colorectal conditions are now being treated with more conservative and less invasive approaches. The study highlights the avoidance of radical […]
Transanal Total Mesorectal Excision (TaTME) Shows High Local Recurrence-Free Survival in Rectal Cancer Patients
Researchers analyzed local recurrence and disease-free survival in patients treated with transanal total mesorectal excision (TaTME) for rectal cancer. The study included 279 patients treated at a high-volume tertiary center in Vancouver, Canada. The results showed that the local recurrence rate was 4.7%, and the estimated 2-year local recurrence-free survival was 95.0% with 94.5% at […]
Predicting Surgical Complications in Colonic Neoplasia Patients Using Machine Learning
A study investigated the utility of machine learning algorithms in predicting complications for patients undergoing colectomy for colonic neoplasia. The three machine learning models successfully identified patients who developed complications, with the neural network scoring highest in predicting anastomotic leak, prolonged length of stay, and inpatient mortality. Although differences in model performance were largely insignificant, […]
Preoperative CA 19-9 predicts disease progression in colorectal peritoneal metastases treated with CRS/HIPEC
Elevated levels of CA 19-9, a tumor marker, were found to be associated with decreased progression-free survival (PFS) in patients with colorectal peritoneal metastases (CRPM) treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC). The study, which included 279 patients, showed that patients with elevated CA 19-9 had a much worse PFS rate compared to […]
Robotic Surgery Improves Oncologic Outcomes in Rectal Cancer Patients with Unfavorable Characteristics After Neoadjuvant Chemoradiotherapy
The study compared long-term oncologic outcomes of robotic and laparoscopic surgeries in rectal cancer patients who underwent neoadjuvant chemoradiotherapy (NCRT) followed by radical resection. After propensity score matching, the robotic group demonstrated higher 5-year disease-free survival and local recurrence-free survival rates compared to the laparoscopic group. The advantage of the robotic approach was particularly evident […]
Nomogram Enhances Prediction of Hepatic Lymph Node Metastases in Colorectal Liver Metastases Patients
Researchers conducted a retrospective study on colorectal liver metastases (CRLM) patients to compare different models of diffusion-weighted imaging (DWI) in predicting hepatic lymph node metastases (LNM). They found that a nomogram incorporating pre-treatment distributed diffusion coefficient (DDC) and the short axis of the largest lymph node after treatment had excellent performance in distinguishing between benign […]
Pilot Study Identifies Top Priorities for Assessing Low Anterior Resection Syndrome
Researchers conducted a pilot study to assess the severity of Low Anterior Resection Syndrome (LARS) following intersphincteric resection for ultralow rectal cancer. They used an exploratory instrument based on the Delphi consensus, which identified eight symptoms and eight consequences as the highest priorities for defining LARS. The study found that “emptying difficulties” and “dissatisfaction with […]
Robot-assisted KangDuo surgical robot found comparable to da Vinci Xi system for colorectal cancer surgery
Results from a multicenter randomized controlled trial in China showed that the KangDuo surgical robot (KD-SR-01) is a viable option for colorectal cancer surgery. The study found that the short-term outcomes of surgery using the KD-SR-01 system were comparable to those achieved with the da Vinci Xi robotic system. No significant differences were observed in […]