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Robotic splenic flexure mobilization during left-sided colon and rectal resections can be challenging, often requiring tedious re-docking and patient repositioning. Researchers introduce a single docking crossed-arm technique to facilitate splenic flexure takedown, eliminating arm collision and improving intraoperative flow. This technique significantly reduces operative time…
Robotic tumor-specific mesorectal resection using a rolling division technique resulted in successful outcomes for rectal cancer patients, with low complication rates, minimal blood loss, and no surgical mortality in the short term. This study reports on the feasibility and reliability of robot-assisted laparoscopic anterior resection,…
Colorectal cancer patients at stage pT4b exhibit varied prognoses based on invaded organs following multivisceral resection. Those with digestive or genitourinary system invasion show significantly better survival outcomes compared to gynecological system invasion. Age and type of organs invaded are key prognostic factors. Stratifying patients…
Fluorescence imaging with indocyanine green in emergency settings showed promising results for assessing bowel perfusion, with statistically significant findings supporting its feasibility and safety. The meta-analysis, including six studies, demonstrated comparable outcomes to traditional assessment methods. Further high-quality studies are warranted to validate the utility…
Surgeons' perception of anastomotic perfusion and integrity during left-sided colorectal resections significantly affects anastomotic leakage (AL) rates and related morbidity. The use of indocyanine green fluorescent angiography (ICG-FA) and air-leak test (ALT) did not mitigate the higher risk in the subgroup where both tests were…
Colorectal surgeons developed a nomogram model to predict technical challenges in performing laparoscopic sphincter-preserving radical resection for rectal cancer. Parameters such as surgical approach, intraoperative preventive ostomy, sacrococcygeal distance, and pelvic inlet diameter were identified as independent risk factors for operative difficulty. Understanding these predictive…
Rectal cancer patients undergoing lateral pelvic node dissection post preoperative chemoradiotherapy face high long-term complication rates, with lymphocele and anastomotic leakage as common issues. Half of them experience asymptomatic lymphoceles, mostly resolving spontaneously, while pelvic node metastases and number of nodes harvested correlate with long-term…
Hyperthermic intraperitoneal chemotherapy (HIPEC) combined with cytoreductive surgery shows potential in preventing peritoneal metastases in high-risk colorectal cancer. Recent randomized controlled trials, including Hipect4, demonstrate improved locoregional disease control with HIPEC, without an increase in complications. Despite negative results in trials like Prophylochip and Colopec,…
Study identifies preoperative factors like clinical lymph node metastasis and PET/CT status as key predictors of lateral lymph node metastasis in rectal cancer. The presence of middle rectal artery significantly correlates with pathological lymph node metastasis, particularly in the internal iliac region. Combination of clinical…
Colorectal signet-ring cell carcinoma (CSRCC) is a rare entity with poor prognosis, often diagnosed at advanced stages. Studies show an incidence of 0.1%-2.4%, associated with lower survival rates than other adenocarcinomas. Surgical intervention is challenging, and exploratory laparoscopy is advised to assess peritoneal metastases. Tailored…
