Preoperative exclusive enteral nutrition (EEN) significantly decreases the risk of skin and soft tissue infections and intra-abdominal septic complications in Crohn’s disease (CD) patients undergoing intestinal surgery, according to a meta-analysis of 14 nonrandomized cohort studies. The relative risk of intra-abdominal septic complications was reduced by 2.1-fold, and the risk of skin and soft tissue […]

The study assessed the feasibility, safety, and clinical utility of a vessel-sparing approach in totally robotic sigmoidectomy for adenocarcinoma. The results showed that the completely vessel-sparing technique was feasible and safe, with a median of 21 examined lymph nodes and zero positive lymph nodes. The operative time was around 240 minutes, and there were no […]

A study evaluated the safety and feasibility of a robotic true D3 lymph node dissection using a superior mesenteric vein taping technique for right colon cancer. The technique allowed for accurate exposure of the ileocolic artery and provided a good view for lymph node dissection. In 14 patients, no significant complications or mortality were observed. […]

Machine learning models were developed utilizing pretreatment magnetic resonance imaging (MRI) radiomics and clinical parameters to predict neoadjuvant chemoradiotherapy response in patients with locally advanced rectal carcinoma. The impact of radiomics dimensionality on predictive performance was assessed. Two models were constructed, revealing moderately advantageous effects of increased dimensionality. These models outperformed the clinical parameter-only model, […]

Selective lateral pelvic lymph node dissection after preoperative chemoradiotherapy has been found to decrease local recurrence in middle/low rectal cancer, providing survival benefits. The study investigated the safety, indications, and survival benefits of this procedure based on preoperative characteristics. Results showed that surgery times were significantly prolonged by preoperative chemoradiotherapy, and poor/mucinous/signet-ring adenocarcinoma and postchemoradiotherapy […]

Patients with rectal cancer exhibiting double negativity for extramural venous invasion (EMVI) detected by both MRI and pathology experienced significantly better prognosis compared to those with positivity in either method. The study, involving 186 patients, establishes the combined evaluation of MRI and pathology-detected EMVI as a valuable prognostic predictor for rectal cancer outcomes, highlighting the […]

The study compared the effectiveness of laparoscopic (L-TAPB) and ultrasound-guided (U-TAPB) transversus abdominis plane block (TAPB) in postoperative pain management for patients undergoing colorectal surgery. Four randomized trials with 359 patients were included. The results showed that L-TAPB was non-inferior to U-TAPB, with no significant difference in opioid consumption at various timepoints post-surgery. There were […]

Researchers identified structural disorders in the ileal pouch-anal anastomosis, recognizing them as potential causes of chronic pelvic pouch complications following surgery. Understanding the critical pitfalls in pouch construction guides treatment decisions for patients exhibiting signs of pouch failure, helping address postoperative surgical complications and improve patient outcomes. Journal Article by Schwartzberg DM, Kayal M and […]

Researchers conducted a mapping exercise to identify opportunities for data dictionary harmonization in colorectal cancer outcome registries. They compared data dictionaries from three major registries and developed a combined comprehensive dataset of 225 fields under seven domains. A common dataset with 38 overlapping fields was also created. The study highlighted areas of commonality and difference […]