Category: Intestine and Lower Gastrointestinal Tract

Outcome Discrepancy in Elderly Patients with Right and Left-Sided Colorectal Cancer

Among elderly colorectal cancer patients, right-sided colon cancers (RCCs) demonstrated better long-term outcomes compared to left-sided colorectal cancers (LCCs). RCCs were more prevalent in female patients with renal comorbidities and a history of abdominal surgery. They were larger, invaded more deeply, and had unique histological characteristics. Patients with RCCs had significantly longer cancer-specific survival and […]

Robotic CME Effective for Right Colon Cancer

Feasibility and efficacy of robotic complete mesocolic excision (CME) with intracorporeal anastomosis for right colon cancer were analyzed in 110 patients. Results show a median operative time of 184 minutes, minimal blood loss, and low complication rates. Conversions were minimal, with acceptable postoperative outcomes. Robotic CME with central vessels ligation appears safe and effective for […]

3D Laparoscopy Shows Superior Therapeutic Effects in Colorectal Cancer Treatment

3D laparoscopy demonstrates significant improvement in intraoperative blood loss, faster postoperative recovery, shorter operation time, and hospital stay compared to conventional 2D laparoscopy for radical rectal cancer surgery. However, no clear advantage was observed for radical colon cancer surgery. Additionally, 3D laparoscopy increases the number of dissected lymph nodes in radical colon cancer cases but […]

Effective Total Neoadjuvant Therapy Protocols for Locally Advanced Rectal Cancer

Long-course chemoradiotherapy with consolidation chemotherapy, short-course radiotherapy with consolidation chemotherapy, and induction chemotherapy with long-course chemoradiotherapy outperform standard treatment for locally advanced rectal cancer, improving pathological complete response rates. These findings support their recognition as first-line treatments, offering good tolerability and optimal postoperative outcomes. Meta-Analysis by Turri G, Ostuzzi G (…) Pedrazzani C et 7 […]

Distinct Tertiary Lymphoid Patterns in Colorectal Cancer

Deciphering heterogeneous tertiary lymphoid structures (TLS) patterns in colorectal cancer revealed three clusters with different prognostic implications. High metabolic activity and stromal pathways linked to worse outcomes, while immune activation pathways indicated improved prognosis and better response to immunotherapy. A new TLScore based on 9 core genes showed potential for guiding treatment decisions, highlighting the […]

Dependent functional status as a risk factor for 30-day mortality after colectomy

Dependent functional status significantly increases the risks of mortality, pulmonary complications, sepsis, extended postoperative NPO/NGT use, non-home discharge, 30-day readmission, and longer hospital stays post-colectomy for volvulus. Identifying DFS as an independent risk factor emphasizes its impact on postoperative outcomes, enabling tailored preoperative assessments and care strategies for these at-risk patients. Journal Article by Li […]

Decreasing Superficial and Deep Infections in Colorectal Surgery

A noticeable decline in rates of superficial and deep incisional infections has been observed from 2013 to 2020 in colorectal surgery, attributed to increased use of minimally invasive techniques. However, organ space infections have shown an upward trend during the same period. Adoption of minimally invasive approaches has significantly lowered the odds of surgical site […]

Synoptic Operative Report for Rectal Prolapse

International expert consensus on operative descriptors for rectal prolapse surgery was achieved through a Delphi process. A synoptic operative report was developed, including 16 key descriptors with over 70% consensus. This standardized reporting aims to enhance clinical communication, quality measures, and research in pelvic floor disorders. The survey involved 176 surgeons across different regions, establishing […]

Gender Impact on Survival in Small Intestinal Stromal Tumors

Male patients with small intestinal stromal tumors (SISTs) have a higher risk of mortality compared to females. Females exhibit superior overall survival and cancer-specific survival rates than males. Surgical intervention significantly improves survival outcomes in both genders. Gender, along with age, grade, TNM stage, surgery, and mitotic rate, serves as a predictive indicator for survival […]