The use of negative pressure wound therapy (NPWT) during intestinal anastomosis has been controversial. A single-center cohort study was conducted to identify risk factors for anastomotic dehiscence in patients who received NPWT therapy. The study found that females, delayed fascial closure, use of vasopressors, and NPWT pressures >110 mmHg were associated with a higher risk […]
Category: Intestine and Lower Gastrointestinal Tract
C-Reactive Protein/Albumin Ratio is an Independent Risk Factor for Recurrence and Survival in Older Patients with Colorectal Cancer
The study investigated prognostic factors in older patients (≥70 years) and younger patients (
Delayed Surgical Resection Reduces Complications and Ostomy Rate, but Increases Length of Stay and Costs in Geriatric Patients with Sigmoid Volvulus
Delaying sigmoid colectomy (>2 days) after decompression in geriatric patients with sigmoid volvulus is linked to reduced cardiac complications and a lower ostomy rate. However, it extends overall hospital length of stay and increases costs, showcasing the nuanced outcomes associated with the timing of surgical intervention. Journal Article by Arnold SC, Rafaqat W (…) Hwabejire […]
The Feasibility of Robotic Surgery for Locally Advanced or Recurrent Rectal Cancer
The systematic review aims to evaluate the safety and feasibility of robotic surgery for locally advanced and recurrent rectal cancer. Researchers will assess perioperative outcomes, oncological clearance rates, and survival and recurrence rates post-robotic beyond total mesorectal excision (TME) surgery. The review will include studies published until December 2023, with a thorough search of the […]
Conversion of Failed J Pouch to Kock Pouch: Indications, Contraindications, and Outcomes
Conversion of the j pouch to a continent ileostomy is a significant surgical procedure aimed at creating a well-functioning reservoir with a high-quality valve mechanism while preserving as much small bowel as possible. This study provides an overview of the indications, contraindications, technical principles, and outcomes of such conversions. It concludes that the conversion of […]
Lack of Representation and Reporting of Racial and Ethnic Minorities in US Colorectal Cancer Surgical Trials
A systematic review and regression analysis of 15 US-based colorectal cancer surgical trials found significant disparities in the representation and reporting of racially and ethnically diverse participants. Out of the included trials, 66.7% did not report race and 73.3% did not describe ethnicity adequately. The pooled proportion of white participants was 81.3%, while black, Asian, […]
Factors Associated with Performing Ileal Pouch-Anal Anastomosis After Total Colectomy for Ulcerative Colitis
Approximately 50.2% of patients who underwent total colectomy for ulcerative colitis in the United States received ileal pouch-anal anastomosis. Younger age, lower comorbidities, elective cases, and laparoscopic approach were associated with a higher likelihood of undergoing this procedure. Socioeconomic status did not influence the decision. These findings highlight the importance of providing restorative surgery as […]
Increased Overall Survival Associated with Achieving Modified Textbook Outcome in Surgery for Colorectal Liver Metastases
Findings from a nationwide analysis revealed that achieving a modified textbook outcome (MTO) after surgery for colorectal liver metastases (CRLM) was associated with better overall survival (OS). Out of 6,525 eligible patients, 81% achieved MTO. Between 2014 and 2018, patients achieving MTO had a 5-year OS of 46.7% compared to 33.7% in non-MTO patients. Not […]
Improved Risk Models for Emergency Bowel Cancer Surgery Using Electronic Health Records
Linked electronic health records were used to develop a risk model for 90-day mortality in patients undergoing emergency colorectal cancer (CRC) surgery. The selected model, which included additional physiological and surgical measures along with patient and tumor characteristics, showed considerably better discrimination compared to the basic model. The inclusion of these measures improved the accuracy […]
Normal CEA Levels Predict Improved Survival in Colorectal Peritoneal Metastases
Normal CEA levels (≤ 2.5 ng/ml) after neoadjuvant chemotherapy (NACT) and cytoreductive surgery with hyperthermic intraperitoneal chemoperfusion (CRS/HIPEC) are associated with better survival in patients with colorectal peritoneal metastases (CRPM). A retrospective study on 253 CRPM patients showed that those with normal CEA levels after NACT had a median overall survival of 45.2 months, compared […]