Article
Medicine, General & Internal
Anna D'Amore, Pietro Anoldo, Michele Manigrasso, Giovanni Aprea, Giovanni Domenico De Palma, Marco Milone
Summary: This study analyzed the safety of using cyanoacrylate to seal colorectal anastomosis in humans. Among 103 patients, there was only one case of anastomotic leakage. This study provides important evidence for further evaluation of the effectiveness of cyanoacrylate in preventing anastomotic leakage.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Liliana Mereu, Francesca Dalpra, Valeria Berlanda, Riccardo Pertile, Daniela Coser, Basilio Pecorino, Maria Gabriella D'Agate, Francesco Ciarleglio, Alberto Brolese, Saverio Tateo
Summary: This study evaluated the incidence, risk factors, and utility of drainage and stoma in patients undergoing intestinal surgery for ovarian cancer. The results showed that rectosigmoid resection for ovarian cancer is a standardized procedure with comparable results for anastomotic leakage (AL), and risk factors for AL are discretely homogeneous. The use of stomas and/or drains, however, was not standardized according to the literature. Therefore, further exploration is needed to verify the preventive role of protective stoma and/or intra-abdominal drains in selected and standardized situations.
Article
Oncology
Wei Gao, Xiaoyu Wang, Yuanjian Fang, Yuan Hong, Wei Yan, Sheng Zhang, Chenguang Li
Summary: This study aimed to investigate the relationship between pneumocephalus on non-contrast CT (NCCT) and post-operative cerebrospinal fluid leakage (p-CFL) after endoscopic transsphenoidal sellar and suprasellar tumor surgeries. The results showed that the occurrence of p-CFL was associated with intra-operative CFL, longer operation time, first-day pneumocephalus on NCCT, and the volume change of pneumocephalus between two NCCT measurements. The study also found that the volume change of pneumocephalus had a better predicting value for p-CFL than the first-day pneumocephalus.
FRONTIERS IN ONCOLOGY
(2022)
Article
Gastroenterology & Hepatology
Vera E. M. Grupa, Hidde M. Kroon, Izel Ozmen, Sergei Bedrikovetski, Nagendra N. Dudi-Venkata, Ronald A. Hunter, Tarik Sammour
Summary: This study investigated the use of defunctioning stomas after rectal cancer surgery in Australia and New Zealand, finding that most patients received a defunctioning stoma. While the stoma did not prevent anastomotic leakage, it was associated with a lower reoperation rate. Patients with a defunctioning stoma experienced higher postoperative ileus rates and longer hospital stays.
COLORECTAL DISEASE
(2021)
Article
Surgery
Marius Kryzauskas, Augustinas Bausys, Audrius Dulskas, Ugne Imbrasaite, Donatas Danys, Valdemaras Jotautas, Eugenijus Stratilatovas, Kestutis Strupas, Eligijus Poskus, Tomas Poskus
Summary: This study investigated a novel comprehensive intraoperative colorectal anastomosis testing technique to detect the failure of the anastomosis construction and reduce the risk of postoperative leakage. Trimodal testing can identify anastomoses with initial technical failure and reduce the leakage rate through reinforcement or diversion. However, the incidence of anastomotic leakage remains high even in technically well-performed anastomoses.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Medicine, General & Internal
Francesco Fiz, Guido Costa, Nicolo Gennaro, Ludovico la Bella, Alexandra Boichuk, Martina Sollini, Letterio S. Politi, Luca Balzarini, Guido Torzilli, Arturo Chiti, Luca Vigano
Summary: The study found that contrast enhancement can impact the radiomic textural features of colorectal liver metastases and peritumoral tissue, but has minimal effect on the liver parenchyma. Different volumes of interest show varying changes in textural features before and after contrast administration, indicating a gradient distribution.
Article
Medicine, General & Internal
Feng Zhang, Song Qiao, Ning Yao, Chunqiao Li, Marie-Christin Weber, Benedict Jefferies, Helmut Friess, Stefan Reischl, Philipp-Alexander Neumann
Summary: This study investigated the quantitative analysis of anastomotic ring morphology as an early prognostic marker and compared it to established inflammatory markers. The results indicated that the minimal height of the anastomotic rings can serve as a good predictor of anastomotic leakage, while the neutrophil-to-lymphocyte ratio (NLR) at postoperative day 5 was superior to C-reactive protein (CRP) in predicting anastomotic leakage.
Review
Surgery
Sameh Hany Emile, Samer Hani Barsom, Ahmed Hossam Elfallal, Steven D. Wexner
Summary: This review article provides an overview of the double-stapled technique for colorectal anastomosis, including its outcomes, risk factors for anastomotic leak, and modifications. The median anastomotic leak rate after double-stapled technique was found to be less than 8%, but there was a wide range from less than 1% to approximately 25%. Low tumor location and multiple stapler firings were identified as common predictors of anastomotic leak. Various modifications of the double-stapled technique were described to reduce the incidence of anastomotic leak.
Article
Surgery
M. Baeza-Murcia, G. Valero-Navarro, E. Pellicer-Franco, V Soria-Aledo, M. Mengual-Ballester, J. A. Garcia-Marin, L. Betoret-Benavente, J. L. Aguayo-Albasini
Summary: A bundle consisting of mechanical bowel preparation, oral and intravenous antibiotics, inflammatory markers, and early diagnosis algorithm significantly reduces postoperative complications, particularly anastomotic leak, in colorectal surgery.
FRONTIERS IN SURGERY
(2023)
Article
Veterinary Sciences
Michaela Gumpenberger, Silvana Schmidt-Ukaj, Stephan Handschuh
Summary: This study focuses on the techniques and interpretation of radiography, computed tomography, and sonography in visually displaying various organs within the mantle cavity of Giant African land snails (GALS).
FRONTIERS IN VETERINARY SCIENCE
(2023)
Article
Surgery
Alexandra Nassar, Alexandre Challine, Lauren O'Connell, Thibault Voron, Najim Chafai, Clotilde Debove, Yann Parc, Jeremie H. Lefevre
Summary: The study assessed factors associated with maintaining a functional anastomosis in patients with anastomotic leakage (AL). After analyzing consecutive patients with AL after colorectal or coloanal anastomosis, it was found that 60.9% of patients had a functional anastomosis without a stoma after one year of surgery. Diabetes, neoadjuvant chemoradiotherapy, and Grade B or C leak significantly increased the risk of anastomotic failure at one year. The type of initial treatment and different types of anastomosis also influenced the risk of anastomotic failure.
Article
Gastroenterology & Hepatology
Pauline Leourier, Alexandra Pellegrin, Jean-Marc Regimbeau, Charles Sabbagh
Summary: Early CT has a certain accuracy in diagnosing anastomotic leakage in the early postoperative period, but it is not perfect.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2023)
Article
Medicine, General & Internal
Salvatore Annunziata, Nathalie Testart, Katharina Auf Der Springe, Marco Cuzzocrea, Marie Nicod Lalonde, Niklaus Schaefer, John O. Prior, Valentina Garibotto, Giorgio Treglia
Summary: This study conducted an international survey on PET/ceCT imaging worldwide and found that PET/ceCT imaging is widely used globally, but its usage is influenced by local factors.
FRONTIERS IN MEDICINE
(2023)
Article
Biochemistry & Molecular Biology
Gyung Mo Son, Armann M. Nazir, Mi Sook Yun, In Young Lee, Sun Bin Im, Jae Yeong Kwak, Sang-Ho Park, Kwang-Ryul Baek, Ines Gockel
Summary: This study aimed to establish the safe values for quantitative perfusion parameters in laparoscopic colorectal surgery. By comparing tissue oxygenation levels from HSI images, the researchers found that T-1/2MAX ≤ 10 s, T-MAX ≤ 30 s, slope ≥ 5, and NIR perfusion index ≥ 50 were associated with colon tissue oxygenation levels higher than 60%. The diagnostic values of T-1/2MAX, T-MAX, and perfusion TR showed high sensitivity values (≥ 97%), indicating their ability to correctly identify cases with acceptable tissue oxygenation.
Review
Genetics & Heredity
Paolo Spinnato, Elena Pedrini, Miriana Rosaria Petrera, Paola Zarantonello, Giovanni Trisolino, Luca Sangiorgi, Maria Carpenzano, Amandine Crombe, Cecilia Tetta
Summary: Osteopetrosis is a rare group of skeletal diseases characterized by increased bone density, with different genetic mutations leading to various clinical symptoms and inheritance patterns. Radiological features play a key role in diagnosis and assessment of disease severity.
Article
Surgery
Sanne-Marije Hazen, Tania Sluckin, Geerard Beets, Roel Hompes, Pieter Tanis, Miranda Kusters
Summary: There is significant variation among Dutch colorectal surgeons in the assessment and treatment of lateral lymph nodes in rectal cancer patients, highlighting the need for further research and international guidelines.
ACTA CHIRURGICA BELGICA
(2023)
Review
Gastroenterology & Hepatology
Floris P. J. den Hartog, Sarah van Egmond, Marijn M. Poelman, Anand G. Menon, Gert-Jan Kleinrensink, Johan F. Lange, Pieter J. Tanis, Eva B. Deerenberg
Summary: The aim of this study was to determine the pooled incidence of incisional hernia (IH) for each type of extraction site and compare the rates of IH after midline, nonmidline, and Pfannenstiel extraction.
COLORECTAL DISEASE
(2023)
Article
Gastroenterology & Hepatology
Andrea Balla, Federica Saraceno, Marika Rullo, Salvador Morales-Conde, Eduardo M. Targarona Soler, Salomone Di Saverio, Mario Guerrieri, Pasquale Lepiane, Nicola Di Lorenzo, Michel Adamina, Isaias Alarcon, Alberto Arezzo, Jesus Bollo Rodriguez, Luigi Boni, Sebastiano Biondo, Francesco Maria Carrano, Manish Chand, John T. Jenkins, Justin Davies, Salvadora Delgado Rivilla, Paolo Delrio, Ugo Elmore, Eloy Espin-Basany, Alessandro Fichera, Blas Flor Lorente, Nader Francis, Marcos Gomez Ruiz, Dieter Hahnloser, Eugenio Licardie, Carmen Martinez, Monica Ortenzi, Yves Panis, Carlos Pastor Idoate, Alessandro M. Paganini, Miguel Pera, Roberto Perinotti, Daniel A. Popowich, Timothy Rockall, Riccardo Rosati, Alberto Sartori, Daniele Scoglio, Mostafa Shalaby, Vicente Simo Fernandez, Neil J. Smart, Antonino Spinelli, Patricia Sylla, Pieter J. Tanis, Javier Valdes-Hernandez, Steven D. Wexner, Pierpaolo Sileri
Summary: This qualitative study investigated the decision-making process of surgeons regarding protective ileostomy creation after rectal cancer surgery. The results showed that 76% of surgeons supported the creation of ileostomy. When making the decision, 88% of surgeons considered risk factors. Emotions influenced the decision-making process in 22% of cases, and personal experiences influenced it in 49% of cases. The most frequently considered risk factors were the distance between the anus and the tumor (96%), neoadjuvant chemoradiotherapy (88%), positive intraoperative leak test (65%), blood loss (37%), and immunosuppression therapy (35%).
COLORECTAL DISEASE
(2023)
Article
Oncology
Bobby Zamaray, J. V. Veld, T. A. Burghgraef, R. Brohet, H. L. van Westreenen, J. E. van Hooft, P. D. Siersema, P. J. Tanis, E. C. J. Consten
Summary: This retrospective multicentre cohort study aimed to identify risk factors for a permanent stoma (PS) in patients with left-sided obstructive colon cancer (LSOCC) and develop pre- and postoperative prediction models. The results showed that 37% of LSOCC patients had a PS, and 53% of those with a stoma directly after resection had a PS due to non-reversal. Both baseline characteristics and treatment strategies determine the risk of a PS in LSOCC patients. The developed predictive models will help physicians understand the role of individual variables in the risk of a PS and inform patients about the probability of a PS.
Correction
Surgery
Anouk. M. L. H. Emmen, B. Goergec, M. J. W. Zwart, F. Daams, J. Erdmann, S. Festen, D. J. Gouma, T. M. van Gulik, J. van Hilst, G. Kazemier, S. Lof, S. I. Sussenbach, P. J. Tanis, B. M. Zonderhuis, O. R. Busch, R. J. Swijnenburg, M. G. Besselink
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Jasper Paul Sijberden, Antonino Spinelli, Alessandro Ferrero, Manish Chand, Steven Wexner, Marc G. Besselink, Ibrahim Dagher, Giuseppe Zimmitti, Burak Gorgec, Antonio de Lacy, Mayank Roy, Pieter Tanis, Carlo Tonti, Mohammed Abu Hilal
Summary: This study aimed to assess the attitudes of surgeons involved in the treatment of synchronous colorectal liver metastases (sCRLM). The study found that there were differences in clinical practices and viewpoints on the management of sCRLM among surgeons from different specialties and continents. However, there was consensus on a growing role for minimally invasive surgery (MIS) and a need for evidence-based input.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Alexander A. J. Grueter, Annabel S. S. Van Lieshout, Stefan E. E. van Oostendorp, Sofie P. G. Henckens, Johannes C. F. Ket, Suzanne S. S. Gisbertz, Boudewijn R. R. Toorenvliet, Pieter J. J. Tanis, Hendrik J. J. Bonjer, Jurriaan B. B. Tuynman
Summary: This systematic review provides a comprehensive overview of video-based objective surgical quality assessment (SQA) tools in laparoscopic procedures. The findings suggest that validated SQA tools enable objective assessment of surgical performance and are associated with clinical outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
K. Talboom, N. G. Greijdanus, N. Brinkman, R. D. Blok, S. X. Roodbeen, C. Y. Ponsioen, P. J. Tanis, W. A. Bemelman, C. Cunningham, F. B. de Lacy, Roel Hompes
Summary: This study aimed to compare different treatment strategies for anastomotic leakage (AL) after low anterior resection (LAR) and found that endoscopic vacuum-assisted surgical closure (EVASC) resulted in improved rates of healed and functional anastomosis compared to conventional treatment. Early initiation of EVASC within the first week after surgery achieved a 100% functional anastomosis rate.
TECHNIQUES IN COLOPROCTOLOGY
(2023)
Article
Gastroenterology & Hepatology
Alexander A. J. T. Grueter, Usha E. Coblijn, Boudewijn Toorenvliet, Pieter L. Tanis, Jurriaan Tuynman
Summary: The purpose of this study is to identify surgical variations, determine the optimal and standardized minimally invasive right hemicolectomy, and train and implement this technique nationally to improve patient outcomes. The study aims to standardize and improve the surgical quality of MIRH for patients with right-sided colon cancer at a national level.
TECHNIQUES IN COLOPROCTOLOGY
(2023)
Article
Surgery
Pepijn Krielen, Lisa P. A. Kranenburg, Martijn W. J. D. Stommel, Nicole J. Bouvy, Pieter J. Tanis, Jorn Willemsen, Jorne Migchelbrink, Rick de Ree, Esther M. G. Bormans, Harry van Goor, Richard P. G. ten Broek, ASBO Snapshot Study Grp Background
Summary: This study aimed to provide insight into the current management of adhesive small bowel obstruction (ASBO) and its associated outcomes. The findings suggest that oral water-soluble contrast and early surgical intervention can lead to shorter hospital stays and reduced complications. These results may support the standardization of ASBO treatment.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Oncology
Daan R. Loke, H. Petra Kok, Roxan F. C. P. A. Helderman, Nicolaas A. P. Franken, Arlene L. Oei, Jurriaan B. Tuynman, Remko Zweije, Jan Sijbrands, Pieter J. Tanis, Johannes Crezee
Summary: In this study, a 3D-printed anatomically correct phantom of a female peritoneum was used to validate the thermal module of a treatment planning software. The software, based on OpenFoam, helps understand and map thermal heterogeneities during Hyperthermic IntraPeritoneal Chemotherapy (HIPEC) treatments. The experimental data compared well with simulated temperature distributions, indicating the accuracy of the software.
FRONTIERS IN ONCOLOGY
(2023)
Article
Oncology
Roxan F. C. P. A. Helderman, Bella Bokan, Gregor G. W. van Bochove, Hans M. Rodermond, Elsy Thijssen, Wouter Marchal, Arezo Torang, Daan R. Loke, Nicolaas A. P. Franken, H. Petra Kok, Pieter J. Tanis, Johannes Crezee, Arlene L. Oei
Summary: In patients with limited peritoneal metastasis from colorectal cancer, cytoreductive surgery followed by hyperthermic intraperitoneal chemotherapy is a potentially curative treatment option. This study investigated the impact of treatment temperature and duration on the effectiveness of oxaliplatin and mitomycin C in preclinical models, and found that higher temperatures and longer treatment durations resulted in improved efficacy and reduced toxicity.
FRONTIERS IN ONCOLOGY
(2023)
Article
Surgery
Jan M. van Rees, Myrtle F. Krul, Niels F. M. Kok, Dirk J. Grunhagen, E. N. D. Kok, Pieter M. H. Nierop, Klaas Havenga, Harm Rutten, Jacobus W. A. Burger, Johannes H. W. de Wilt, Jeroen Hagendoorn, Femke P. Peters, Johannes Buijsen, Pieter J. Tanis, Cornelis Verhoef, Koert F. D. Kuhlmann
BRITISH JOURNAL OF SURGERY
(2023)
Article
Oncology
Saskia I. Kreisel, Sarah Sharabiany, Joost Rothbarth, Roel Hompes, Gijsbert D. Musters, Pieter J. Tanis
Summary: This study found that the development of perineal hernia after abdominoperineal resection significantly worsens the quality of life in various domains.
Article
Radiology, Nuclear Medicine & Medical Imaging
Tania C. Sluckin, Sanne-Marije J. A. Hazen, Karin Horsthuis, Doenja M. J. Lambregts, Regina G. H. Beets-Tan, Pieter J. Tanis, Miranda Kusters
Summary: This study aimed to evaluate the variation in measurements and anatomical classifications of lateral lymph nodes (LLNs) before and after training. The results showed that after training, there was an improvement in the correct identification of anatomical location and a reduction in the deviation of short-axis measurements. The conclusion of this study is that adequate training is crucial for the accurate evaluation of LLNs.
EUROPEAN RADIOLOGY
(2023)