Review
Health Care Sciences & Services
Simona Giuratrabocchetta, Giampaolo Formisano, Adelona Salaj, Enrico Opocher, Luca Ferraro, Francesco Toti, Paolo Pietro Bianchi
Summary: Minimally invasive treatment of rectal cancer with Total Mesorectal Excision is complex and challenging, with robotic surgery offering advantages in dexterity but cost and benefits still need further evaluation.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Surgery
Leonardo Solaini, Federico Perna, Davide Cavaliere, Carla Vaccaro, Andrea Avanzolini, Alessandro Cucchetti, Andrea Coratti, Giorgio Ercolani
Summary: The study aimed to estimate the potential impact of robotic surgery on patients with rectal cancer compared to laparoscopic surgery. Results showed a potential 6.1% reduction in conversion rate if all procedures were done robotically, with no significant differences in other post-operative variables.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2021)
Article
Oncology
Pietro Achilli, Tyler S. Radtke, Jenna K. Lovely, Kevin T. Behm, Kellie L. Mathis, Scott R. Kelley, Amit Merchea, Dorin T. Colibaseanu, David W. Larson
Summary: Threatened or involved mesorectal fascia and T3 tumors with greater than 5 mm extension were identified as preoperative predictors of pathological CRM involvement, according to a retrospective study on robotic rectal cancer surgery outcomes. The predictive model based on preoperative radiological features showed good discrimination and could estimate the risk of CRM positivity for each patient.
Review
Medicine, General & Internal
Rossella Reddavid, Silvia Sofia, Lucia Puca, Jacopo Moro, Simona Ceraolo, Rosa Jimenez-Rodriguez, Maurizio Degiuli
Summary: This meta-analysis examined the feasibility and safety of robotic surgery for elderly patients (>70 years old) undergoing curative treatment for rectal cancer. The study found that elderly patients can undergo robotic resection with similar surgical quality and outcomes as young patients, without increasing postoperative mortality and morbidity. Therefore, robotic surgery is a viable option for elderly patients with rectal cancer.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Oncology
Elena Belloni, Edoardo Maria Muttillo, Salomone Di Saverio, Marcello Gasparrini, Antonio Brescia, Giuseppe Nigri
Summary: Surgery is the primary treatment for rectal cancer, with robotic surgery and indocyanine green fluorescence improving surgical outcomes and reducing complications, while verifying perfusion during surgery can decrease the risk of complications and prevent delays in further treatments.
Article
Oncology
Bo Tang, Xiong Lei, Junhua Ai, Zhixiang Huang, Jun Shi, Taiyuan Li
Summary: Robotic surgery for rectal cancer was found to be comparable to laparoscopic surgery in terms of postoperative complications within 30 days, based on the results of this meta-analysis.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Surgery
Jacopo Crippa, Fabian Grass, Eric J. Dozois, Kellie L. Mathis, Amit Merchea, Dorin T. Colibaseanu, Scott R. Kelley, David W. Larson
Summary: The study showed that robotic rectal cancer surgery had better short-term outcomes compared to laparoscopic surgery, with lower overall complications rate and shorter length of stay. Robotic surgery was found to be the most protective factor for reducing complications and was the only independent protective factor for prolonged length of stay.
Article
Surgery
Yusuke Yamaoka, Akio Shiomi, Hiroyasu Kagawa, Hitoshi Hino, Shoichi Manabe, Shunichiro Kato, Marie Hanaoka
Summary: This retrospective cohort study of 122 patients undergoing robotic surgery for cT4 rectal cancer showed favorable short- and long-term outcomes, with improved survival rates and reduced risks of postoperative complications and local recurrence. Robotic surgery is considered to be an effective approach for treating cT4 rectal cancer.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Health Care Sciences & Services
Giampaolo Formisano, Luca Ferraro, Adelona Salaj, Simona Giuratrabocchetta, Andrea Pisani Ceretti, Enrico Opocher, Paolo Pietro Bianchi
Summary: Rectal prolapse is commonly treated with surgery, with laparoscopic abdominal procedures and robotic surgery emerging as main treatment modalities in recent years. Robotic surgery offers enhanced dexterity and potential advantages in reducing complication rates and shortening hospital stay, although further long-term data validation is needed.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Surgery
J. L. B. Buan, W. Z. So, X. C. Lim, C. S. Chong
Summary: TaTME had shorter operating time but higher readmission rate compared with RLAR. However, it demonstrated superior margins and improved treatment outcomes, especially for locally advanced tumors.
Review
Oncology
Ge Liu, Shoujia Zhang, Yan Zhang, Xiaoqing Fu, Xinlu Liu
Summary: Robotic surgery is an emerging technique for the treatment of rectal cancer, which can overcome the technical drawbacks of conventional laparoscopic approaches, improving surgical outcomes. However, there is still a lack of evidence regarding its oncological safety and clinical effectiveness.
CURRENT TREATMENT OPTIONS IN ONCOLOGY
(2022)
Article
Surgery
Gyoung Tae Noh, Myunghyun Han, Hyuk Hur, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim, Byung Soh Min
Summary: This study showed that laparoscopic surgical experience had limited impact on the learning curve of robotic rectal cancer surgery, which was greater than previously reported curves.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Jiahao Pan, Bo Wang, Zhen Feng, Zhiwei Sun, Cong Xia, Qianshi Zhang, Shuangyi Ren
Summary: This study compared robotic-assisted total mesorectal excision (R-TME) with traditional laparoscopic total mesorectal excision (L-TME) in patients with difficult anatomical conditions. The results showed that R-TME can reduce the diverting ileostomy rate and relieve postoperative pain without a longer procedure time but at a higher cost. The 2-year oncologic outcomes were similar between the two groups.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Gastroenterology & Hepatology
Jonathan B. Yuval, Hannah M. Thompson, Megan Fiasconaro, Sujata Patil, Iris H. Wei, Emmanouil P. Pappou, J. Joshua Smith, Jose G. Guillem, Garrett M. Nash, Martin R. Weiser, Philip B. Paty, Julio Garcia-Aguilar, Maria Widmar
Summary: This study evaluates the relationship between tumor and anatomical features with operative difficulty in robotic low anterior resection. The results suggest that factors such as gender, body mass index, neoadjuvant radiotherapy, tumor height, sacral height, and mesorectal area are associated with longer operating time.
COLORECTAL DISEASE
(2022)
Review
Oncology
Qing Yao, Qian-Nan Sun, Jun Ren, Liu-Hua Wang, Dao-Rong Wang
Summary: This meta-analysis compared the safety and efficacy of robotic and laparoscopic surgery in mid-low rectal cancer. The results showed that compared to laparoscopic surgery, robotic surgery had superior outcomes in terms of estimated blood loss, number of lymph nodes dissected, time to first flatus, time to first fluid diet, hospital stay, conversion, and urinary retention, although it required more operation time.
JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
(2023)
Article
Surgery
Han-Gil Kim, Ho Seung Kim, Seung Yoon Yang, Yoon Dae Han, Min Soo Cho, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim
Summary: The study aimed to evaluate the risk factors and prognostic impact of early recurrence in locally advanced rectal cancer patients who received preoperative chemoradiotherapy followed by total mesorectal excision. Results showed that tumor regression grade and positive ypN stage were independent predictors of early recurrence in patients with early recurrence after pCRT followed by TME.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Oncology
Seo-Hyeon Hwang, Dong-Woo Kang, Mi-Kyung Lee, Ji Yong Byeon, Hanui Park, Dong-Hyuk Park, Kyung-Chul Kim, Seung-Tae Lee, Sang Hui Chu, Nam Kyu Kim, Justin Y. Jeon
Summary: This study aimed to explore genome-wide DNA methylation changes after 6-week exercise training in colorectal cancer survivors. Results showed significant methylation changes in 756 CpG sites in the exercise group, linked to biological processes such as immune response and transcription. These findings suggest that exercise intervention may have positive effects on epigenetic markers in colorectal cancer survivors.
ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Surgery
Gyoung Tae Noh, Myunghyun Han, Hyuk Hur, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim, Byung Soh Min
Summary: This study showed that laparoscopic surgical experience had limited impact on the learning curve of robotic rectal cancer surgery, which was greater than previously reported curves.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Fozan Sauri, Ahmad Sakr, Ho Seung Kim, Mohammed Alessa, Radwan Torky, Eman Zakarneh, Seung Yoon Yang, Nam Kyu Kim
Summary: This study investigated the relationship between the timing of protective ileostomy closure and post-closure complication rates. It found no significant association between the duration of ileostomy closure and the rate of complications. While intestinal obstruction was more common in the late closure group, early closure group had a higher incidence of surgical site infections.
ASIAN JOURNAL OF SURGERY
(2021)
Editorial Material
Gastroenterology & Hepatology
SungUk Bae, Nam Kyu Kim
DISEASES OF THE COLON & RECTUM
(2021)
Article
Surgery
Ho Seung Kim, Han-Gil Kim, Seung Yoon Yang, Yoon Dae Han, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim, Min Soo Cho
Summary: This study retrospectively analyzed the medical records of patients who underwent surgery for appendiceal mucocele between 2010 and 2018, comparing the perioperative and short-term outcomes of single-incision laparoscopic surgery (SILS) and conventional laparoscopic surgery (CLS), as well as evaluating the oncological safety of SILS. The results showed that SILS for appendiceal mucocele is feasible and safe perioperatively and in the short-term, with favorable oncological outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Oncology
Fozan Sauri, Min Soo Cho, Nam Kyu Kim
SURGICAL ONCOLOGY-OXFORD
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Yeun-Yoon Kim, Nieun Seo, Kang Young Lee, Nam Kyu Kim, Joon Seok Lim
Summary: This study found that CECT may be useful in predicting clinically significant anastomotic leakage after colorectal cancer surgery, especially in excluding CSAL. For patients with anastomotic mural defect, perianastomotic air, or ischemic colitis, WSCE may be recommended to exclude CSAL.
ABDOMINAL RADIOLOGY
(2021)
Editorial Material
Gastroenterology & Hepatology
Cristopher Varela, Manar Mohammed Nassr, Nam-Kyu Kim
DISEASES OF THE COLON & RECTUM
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jaeseung Shin, Nieun Seo, Song-Ee Baek, Nak-Hoon Son, Joon Seok Lim, Nam Kyu Kim, Woong Sub Koom, Sungwon Kim
Summary: This study evaluated radiomics models based on T2-weighted imaging and diffusion-weighted MRI for predicting pCR after nCRT in LARC and compared their performance with visual assessment by radiologists. The results showed that the MRI-based radiomics model had better classification performance than experienced radiologists for diagnosing pathologic complete response in patients with locally advanced rectal cancer after neoadjuvant chemoradiotherapy.
Article
Gastroenterology & Hepatology
Cristopher Varela, Manar Nassr, Azharuddin Razak, Nam Kyu Kim
Summary: Hand-sewn anastomosis is a crucial skill for surgeons, especially in complex surgical circumstances. Our step-by-step procedure for hand-sewn double-layered anastomosis provides a tension-free, well-perfused, and sealed anastomosis that allows gastrointestinal continuity and reduces complications.
ANNALS OF COLOPROCTOLOGY
(2022)
Article
Gastroenterology & Hepatology
Jihee Min, Ki-yong An, Hyuna Park, Wonhee Cho, Hye Jeong Jung, Sang Hui Chu, Minsoo Cho, Seung Yoon Yang, Justin Y. Jeon, Nam Kyu Kim
Summary: This study aimed to investigate the effects of postoperative exercise on the recovery of colorectal cancer patients. The results indicated that patients in the postoperative exercise group had shorter hospital stay, greater readiness for discharge, and increased muscle mass. Therefore, postoperative inpatient exercise may facilitate faster recovery and discharge after colorectal cancer surgery.
BMC GASTROENTEROLOGY
(2023)
Article
Multidisciplinary Sciences
Chinock Cheong, Jeonghyun Kang, Byung Soh Min, Nam Kyu Kim, Joong Bae Ahn, Kang Young Lee
Summary: This study investigated the impact of neoadjuvant imatinib on rectal GIST. The results showed that imatinib treatment can reduce tumor size, increase resectability, and help preserve the sphincter. The neoadjuvant group had a higher rate of levator ani muscle displacement and larger radiologic tumor size compared to the control group. However, there was no significant difference between the two groups in terms of postoperative complications, hospital stay, local recurrence, and disease-free survival.
Article
Medicine, General & Internal
Cristopher Varela, Manar Nassr, Nam Kyu Kim
Summary: Controversial surgical anatomical landmarks in the deep pelvis can be visualized and identified using current technologies. Performing the gate approach technique during deep lateral dissection for total mesorectal excision facilitates visualization of the pelvic neurovascular structures following simple dissection steps to preserve the pelvic autonomic nerves and avoid accidental vascular injuries.
YONSEI MEDICAL JOURNAL
(2022)
Article
Gastroenterology & Hepatology
Binh Van Pham, Jae Hyun Kang, Huynh Huu Phan, Min Soo Cho, Nam Kyu Kim
Summary: Malignant melanoma of the anorectum is a rare and poor-prognosis disorder. We report two female patients who had received previous surgeries before visiting our center after being diagnosed with this condition.
ANNALS OF COLOPROCTOLOGY
(2021)
