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Study comparing long-term outcomes of patients treated with additional surgery after endoscopic resection versus primary surgery for T1 colorectal cancer found no adverse effects on overall survival rates. The 5-year survival rates were 97.1% in the additional surgery group and 96.0% in the primary surgery…
Delaying adjuvant chemotherapy for more than 6 weeks post colorectal cancer surgery is associated with worse disease-free survival in high-risk stage II and III patients. A study of 5719 individuals revealed a 5-year disease-free survival of 78.0% vs. 73.2% in early vs. late-start groups, respectively.…
A randomized clinical trial compared open retromuscular Sugarbaker and keyhole mesh placements for parastomal hernia repair over 2 years in 150 patients. At the 2-year mark, parastomal hernia recurrence rates were similar between the two groups. There were no significant differences in reoperations, complications, or…
Endoscopic ultrasonography (EUS) is a sensitive method for identifying residual rectal neuroendocrine tumors (NETs) post-resection. EUS detection, with a high sensitivity of 94%, is superior to visual detection. Salvage endoscopic treatment, incorporating EUS, is safe and effective in managing incompletely resected NETs, with no recurrence…
Overlap anastomosis showed superior outcomes compared to functional end-to-end anastomosis in laparoscopic colorectal cancer surgery, with shorter operation and recovery times and lower post-operative complication rates. These findings suggest that overlapping anastomosis can expedite intestinal function recovery without compromising patient quality of life or survival…
Extended pharmacologic prophylaxis after colon cancer surgery is associated with improved overall and cancer-specific survival. Results suggest a potential anti-neoplastic effect from heparin derivatives in preventing post-surgical venous thromboembolism. A large database study of 20,102 patients showed significantly higher survival rates in patients who received…
Preoperative C-reactive protein-to-albumin ratio (CAR) ≥ 0.049 was identified as an independent risk factor for anastomotic leakage (AL) in rectal cancer patients undergoing surgery with intraoperative indocyanine green fluorescence imaging (ICG-FI). CAR could serve as a criterion for early surgical intervention or consideration of interventions…
Success in rectal cancer treatment depends on predicting recurrence risks. Swedish registry data on 9428 patients revealed major impacts on distant recurrence from factors like pt4a, pn2b, tumor deposit, lymph node yield, and tumor level. Pathologic stage and identified risk factors guided different recurrence risks…
Assessment by a multidisciplinary team conference, particularly with a liver surgeon present, was linked to better overall survival in patients with synchronous colorectal liver metastases. Patients residing near a hospital with a hepatobiliary unit were more likely to receive liver surgery and had improved median…
ERAS protocol compliance at a model 4 hospital in Ireland was over 70%, with satisfactory adherence to elements like laparoscopic surgery and nutritional drinks. Areas needing improvement included postoperative antibiotics and preoperative gabapentin documentation. Educating and involving the multidisciplinary team can successfully implement ERAS protocol…
