Article
Multidisciplinary Sciences
Jung Kyong Shin, Hee Cheol Kim, Woo Yong Lee, Seong Hyeon Yun, Yong Beom Cho, Jung Wook Huh, Yoon Ah Park
Summary: Intersphincteric resection (ISR) for low-lying rectal cancer aims to avoid abdominoperineal resection (APR). This study compared open and minimally invasive ISR, finding similar 5-year disease-free survival rates. Minimally invasive ISR showed advantages in postoperative outcomes like reduced surgical site infection and shorter hospital stay.
SCIENTIFIC REPORTS
(2021)
Article
Surgery
Lawrence Lee, Maude Trepanier, Julien Renaud, Sender Liberman, Patrick Charlebois, Barry Stein, Gerald M. Fried, Julio Fiore Jr, Liane S. Feldman
Summary: The study found that a significant proportion of patients prefer abdominoperineal resection over sphincter preservation for treating low rectal cancer, mainly due to concerns about anorectal dysfunction associated with sphincter preservation.
Article
Surgery
Cheng-Le Zhuang, Feng-Min Zhang, Zheng Wang, Xun Jiang, Feng Wang, Zhong-Chen Liu
Summary: Precision functional sphincter-preserving surgery (PPS) was used to precisely resect rectal tumors and preserve sphincter function in patients with ultralow rectal cancer, with the aid of independently developed devices. This approach improved surgical efficiency, reduced costs, lowered the need for prophylactic stoma, and avoided abdominal surgical incisions.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Fatemeh Shahabi, Ala Orafaie, Majid Ansari, Zahra Gholami Moallem, Ali Mehri, Maryam Hejri Moghadam, Reza Roshanravan, Abbas Abdollahi, Mahboobeh Rasouli
Summary: This study retrospectively analyzed the outcomes of natural orifice specimen extraction (NOSE) and transabdominal specimen extraction (TASE) in colorectal surgery in three hospitals in east Iran. The study found that although both procedures had similar overall and recurrence-free survival rates, NOSE had higher rates of locoregional recurrence, incontinency, and involvement of close distal margins, while TASE had a higher rate of obstructed defecation syndrome. Therefore, NOSE could be considered as a second choice for lower rectal adenocarcinoma patients due to its higher rates of complications.
Article
Oncology
Serge Evrard, Carine Bellera, Gregoire Desolneux, Coralie Cantarel, Emilie Toulza, Jean-Luc Faucheron, Michel Rivoire, Aurelien Dupre, Jean-Yves Mabrut, Laurent Bresler, Frederic Marchal, Damien Bouriez, Eric Rullier
Summary: The two multicenter single-arm phase II trials showed that delayed colo-anal anastomosis (DCAA) has low rates of anastomotic leakage requiring a diverting ileostomy and acceptable long-term functional results.
Article
Gastroenterology & Hepatology
Barry Maguire, Cillian Clancy, Tara M. Connelly, Brian J. Mehigan, Paul McCormick, Donato F. Altomare, Martijn Pieter Gosselink, John O. Larkin
Summary: In low rectal cancers without sphincter involvement, coloanal anastomosis (CAA) can be chosen as an alternative to abdominoperineal excision (APR) to avoid permanent stoma and maintain better quality of life outcomes. This study analyzed comparative data on quality of life outcomes for patients undergoing CAA versus APR and found that CAA was associated with higher physical functioning and body image scores, while APR was associated with increased male sexual problems. Patients who had an APR reported more fatigue, dyspnea, and appetite loss, while those who had a CAA reported higher scores for constipation and diarrhea.
COLORECTAL DISEASE
(2022)
Article
Surgery
JianWei Wang, Xun Ye, Qin Zhou, ChengCai Xu, YiQun Fan, Na Luan, XiaoLing Zhu
Summary: This study introduced a personal technique, called parachute-like intussuscept pull-through anastomosis, to address the issues of anal functional disorder and anastomosis-related complications in low rectal cancer surgery. The results showed that this method can relatively reduce surgical complications, minimize the impact on anal function, and obviate the need for colostomy creation.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Oncology
Khaled M. Madbouly, Sameh Hany Emile, Abd Allah Gamal
Summary: This study compared the outcomes of transanal total mesorectal excision (TaTME) with immediate coloanal anastomosis and protective ileostomy (TaTME-IA) versus Turnbull-Cutait delayed coloanal anastomosis (TaTME-TC). The results showed no significant difference in anastomotic complications, continence, local recurrence, and quality of life between the two groups. The study suggests that delayed coloanal anastomosis is a safe option that can avoid stoma-related complications.
JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Surgery
J. Kalvach, O. Ryska, J. Martinek, T. Hucl, J. Pazin, J. Hadac, O. Foltan, H. Kristianova, J. Ptacnik, J. Juhasova, M. Ryska, S. Juhas
Summary: In this randomized experimental study, two different methods of trans-anal anastomotic repair were evaluated on a model of anastomotic leak in male pigs. The results showed that both TAMIS and ENDO techniques were effective in early repair of dehiscent colorectal anastomosis with high healing rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Dan Melka, Elsa Leiritz, Camelia Labiad, Marc Blondeau, Alice Frontali, Massimo Giacca, Marie Monsinjon, Yves Panis
Summary: Delayed pull-through coloanal anastomosis (DCAA) without a temporary stoma may represent a safe alternative to the current recommended side-to-end manual coloanal anastomosis (CAA) with a temporary ileostomy for low rectal cancer, offering a significantly lower rate of anastomotic leakage and absence of potential complications associated with a temporary stoma.
COLORECTAL DISEASE
(2022)
Article
Surgery
Francesco Bianco, Paola Incollingo, Armando Falato, Silvia De Franciscis, Andrea Belli, Fabio Carbone, Gaetano Gallo, Mario Fusco, Giovanni Maria Romano
Summary: The study of delayed coloanal anastomosis using the SHiP procedure showed no major complications in the short term, but long-term complications included anastomotic stenosis. Functional results revealed that most patients had some degree of rectal dysfunction.
UPDATES IN SURGERY
(2021)
Article
Gastroenterology & Hepatology
Hongfeng Pan, Zeyi Zhao, Yu Deng, Zhifang Zheng, Ying Huang, Pan Chi, Shenghui Huang
Summary: This study compared the oncological and functional outcomes of two different bowel reconstruction procedures (TCP or SCAA) following ISR for low rectal cancer. The results showed that TCP was a safe technique that may decrease bowel dysfunction compared with SCAA 2 years after ileostomy closure.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Gastroenterology & Hepatology
Beatriz D. S. Rodrigues, Francielle P. Rodrigues, Kelly C. L. R. Buzatti, Renato G. Campanati, Magda M. Profeta da Luz, Rodrigo Gomes da Silva, Antonio Lacerda-Filho
Summary: This study aims to evaluate the functional and quality-of-life outcomes in patients with low anterior resection syndrome after transanal irrigation using a colostomy irrigation system. The results showed that after a 12-month treatment, most patients experienced significant improvement in their syndrome and quality of life.
DISEASES OF THE COLON & RECTUM
(2022)
Article
Surgery
Stephan Robitaille, Michael F. Maalouf, Ruxandra Penta, Temitope Grace Joshua, A. Sender Liberman, Julio F. Fiore Jr, Liane S. Feldman, Lawrence Lee
Summary: This study aimed to evaluate the impact of colostomy versus restorative proctectomy on the quality of life after rectal cancer surgery. The results showed that colostomy had a more detrimental effect on patients' quality of life, and the severity of bowel dysfunction was also an important factor to consider.
Article
Gastroenterology & Hepatology
Hiroya Enomoto, Masaaki Ito, Takeshi Sasaki, Yuji Nishizawa, Yuichiro Tsukada, Koji Ikeda, Hiro Hasegawa
Summary: This study evaluated anastomotic complications in patients who underwent transanal total mesorectal excision for low rectal cancer, and found that stapled anastomosis with reinforced handsewn sutures resulted in fewer complications compared to coloanal handsewn anastomosis.
DISEASES OF THE COLON & RECTUM
(2022)