A prospective cohort study assessed the anal defecatory function in ulcerative colitis patients undergoing total proctocolectomy (tpc) followed by ileal pouch-anal anastomosis (ipaa). The study included 20 consecutive patients who were evaluated using high-resolution anorectal manometry. After surgery, the mean number of bowel movements decreased significantly, symptoms of fecal incontinence were eliminated, and the quality […]
Category: Intestine and Lower Gastrointestinal Tract
Minimally Invasive Surgery Shows Promise for Small Intestinal Neuroendocrine Neoplasms
A retrospective study compared minimally invasive (MIS) and open surgery for treating small intestinal neuroendocrine neoplasms. Out of 65 patients, 54% underwent MIS and 46% underwent open surgery. The study found no significant difference in the frequency of successful resections or the number of lymph nodes removed between the two groups. However, a post-operative paralytic […]
Impact of Omitting Additional Surgery on Prognosis of High-Risk T1 Colorectal Cancer
Results from analyzing patients with high-risk T1 colorectal cancer who either received additional surgery or not after local excision (LE) showed that while regional lymph node metastasis was observed in the group that underwent additional surgery, the incidence of oncologic adverse events was significantly lower in the LE-alone group. The difference in 5-year cancer-specific survival […]
Primary tumor sidedness not prognostically relevant in early-stage colorectal cancer
Prognostic relevance of primary tumor sidedness (pts) in early-stage colorectal cancer was investigated by analyzing four randomized controlled trials. The study found that pts had no impact on the risk of recurrence for stage II/III colorectal cancer and that treatment stratification based on pts is unnecessary. However, pts was significantly associated with overall survival after […]
Impact of Prolonged Operative Time on Minimally Invasive Colorectal Surgery Outcomes
Prolonged operative time was found to be associated with longer length of stay and higher probability of complications in minimally invasive colorectal surgery. However, the negative impact of prolonged operative time on outcomes was less pronounced in minimally invasive approaches compared to open surgery. Each additional hour of operative time above the median for a […]
Postoperative Oral Rehydration and Regimented Follow-up Reduce Readmissions After Colorectal Surgery with Ileostomies
A retrospective analysis of a prospective database revealed that postoperative oral rehydration solution and standardized clinic visits significantly decreased readmissions and emergency department visits among patients who underwent new ileostomies after colorectal surgery. The rate of readmission due to dehydration/acute kidney injury decreased from 45.7% to 16.5%, emergency department visits for the same reasons decreased […]
Colorectal cancer survival inequalities linked to area-level deprivation in a country with universal healthcare
This study aimed to identify inequalities in colorectal cancer care in a country with universal healthcare. Results showed that patients living in deprived areas experienced worse survival rates and faced barriers in accessing timely and quality healthcare. The association between area-level deprivation and a longer time from primary care presentation to diagnosis was significant. Socioeconomic […]
High variability in VTE risk across abdominal surgery procedures, impacting thromboprophylaxis decisions
The study conducted systematic reviews and meta-analyses to estimate procedure-specific risks of symptomatic venous thromboembolism (VTE) and major bleeding after various types of abdominal surgery. They found that the risk of VTE varied widely among different procedures, with laparoscopic cholecystectomy having the lowest median risk (
Comparative Analysis of Single-Port Robotic and Single-Incision Laparoscopic Surgery for Colorectal Cancer
The study compared outcomes of single-port robotic (SP) and single-incision laparoscopic surgery (SILS) in colorectal cancer patients. Propensity score-matched cohorts of 50 SP robotic and 50 SILS patients were analyzed. The two platforms had similar operative times, with comparable intraoperative conversion rates but more SILS cases requiring additional ports. Intraoperative complications, total mesorectal excision rates, […]
Muscular Quality, Not Quantity, Determines Outcome in Colorectal Cancer Surgery
A retrospective study of 207 colorectal cancer patients found that muscle quality, rather than quantity, significantly impacts surgical outcomes. The study demonstrated that patients with higher muscle radiation attenuation (MRA), a measure of muscle quality, experienced fewer postoperative complications, shorter hospital stays, and improved survival rates. In contrast, no significant associations were found between the […]