Article
Gastroenterology & Hepatology
Wei Zhou, Lian Xia, Zian Wang, Gaoyang Cao, Li Chen, Engeng Chen, Wei Zhang, Zhangfa Song
Summary: Transanal minimally invasive surgery is a safe and effective treatment for rectal anastomotic stenosis, especially for severe fibrotic stenosis or complete obstruction.
DISEASES OF THE COLON & RECTUM
(2022)
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
Shigeoki Hayashi, Tadatoshi Takayama, Masahito Ikarashi, Ken Hagiwara, Yoritaka Matsuno, Takeki Suzuki
Summary: TAMIS is a safe and feasible procedure for small rNET, with short surgical duration and few postoperative complications. Further studies are needed to fully understand the advantages, disadvantages, and indications of TAMIS for rNET.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Matthew Albert, Leticia Delgado-Herrera, Jennifer Paruch, Pauline Gerritsen-van Schieveen, Tomoyoshi Kishimoto, Shin Takusagawa, Na Cai, John Fengler, Jeffrey Raizer
Summary: In this study, researchers successfully achieved ureter visualization using a near-infrared fluorescence imaging technique, providing assistance for laparoscopic colorectal surgery. The drug pudexacianinium showed good efficacy at doses of 1.0 and 3.0 mg, and its safety and tolerability were confirmed.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Oncology
Kirsten Jorgensen, Alexander Melamed, Chi-Fang Wu, Roni Nitecki, Rene Pareja, Anna Fagotti, John O. Schorge, Pedro T. Ramirez, Jose Alejandro Rauh -Hain
Summary: This study aimed to assess the outcomes of interval debulking surgery (IDS) after neoadjuvant chemotherapy via minimally invasive surgery (MIS) compared with laparotomy in patients with advanced epithelial ovarian cancer. The study found that patients who underwent IDS with MIS had similar overall survival and decreased morbidity compared with those who underwent laparotomy.
GYNECOLOGIC ONCOLOGY
(2023)
Article
Medicine, General & Internal
Zheng Long-zhi, Zu Bin, Huang Jian-xin, Lin Wei
Summary: This paper introduces the surgical procedure of terminal ileum suspension in the radical resection for low rectal cancer patients and evaluates its clinical application. The results demonstrate that terminal ileum suspension is a safe and effective surgical method, achieving ideal clinical effect and reducing complications.
PAKISTAN JOURNAL OF MEDICAL SCIENCES
(2022)
Review
Oncology
Sarah S. Al Ghamdi, Ira Leeds, Sandy Fang, Saowanee Ngamruengphong
Summary: Rectal cancer, accounting for one-third of colorectal cancer cases annually, can be prevented through early screening and appropriate management. Advances in diagnostic and therapeutic strategies have contributed to improved patient outcomes. This review summarizes the available minimally invasive endoscopic and surgical management options for rectal neoplasia.
Article
Oncology
Julio Garcia-Aguilar, Sujata Patil, Marc J. Gollub, Jin K. Kim, Jonathan B. Yuval, Hannah M. Thompson, Floris S. Verheij, Dana M. Omer, Meghan Lee, Richard F. Dunne, Jorge Marcet, Peter Cataldo, Blase Polite, Daniel O. Herzig, David Liska, Samuel Oommen, Charles M. Friel, Charles Ternent, Andrew L. Coveler, Steven Hunt, Anita Gregory, Madhulika G. Varma, Brian L. Bello, Joseph C. Carmichael, John Krauss, Ana Gleisner, Philip B. Paty, Martin R. Weiser, Garrett M. Nash, Emmanouil Pappou, Jose G. Guillem, Larissa Temple, Iris H. Wei, Maria Widmar, Sabrina Lin, Neil H. Segal, Andrea Cercek, Rona Yaeger, J. Joshua Smith, Karyn A. Goodman, Abraham J. Wu, Leonard B. Saltz
Summary: This study demonstrates that organ preservation is achievable in patients with locally advanced rectal cancer treated with total neoadjuvant therapy, without a decrease in survival.
JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Medicine, General & Internal
Tzu-Chun Chen, Jin-Tung Liang
Summary: This study aimed to compare the advantages of robotic vs. laparoscopic surgery for rectal cancer patients after neoadjuvant chemoradiotherapy. The results showed that robotic surgery had similar technical safety and oncologic efficacy as laparoscopic surgery, making it an acceptable option for patients requiring minimally invasive surgery.
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
(2022)
Article
Oncology
Wei Feng, Bin Yu, Zhenya Zhang, Juan Li, Yuxiang Wang
Summary: Total neoadjuvant therapy (TNT) may increase chemotherapy compliance and pathological complete response (pCR) rates, improve success rate, and enhance survival in locally advanced rectal cancer (LARC) patients.
ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Surgery
Stavros A. Antoniou, Bright Huo, Alexander A. Tzanis, Ourania Koutsiouroumpa, Dimitrios Mavridis, Andrea Balla, Suzanne Dore, Andreas M. Kaiser, Eleni Koraki, Lisa Massey, Gianluca Pellino, Mina Psichogiou, Adele E. Sayers, Neil J. Smart, Patricia Sylla, Sarah Tschudin-Sutter, John C. Woodfield, Francesco Maria Carrano, Monica Ortenzi, Salvador Morales-Conde
Summary: This study developed evidence-informed clinical practice recommendations on bowel preparation before minimally invasive colorectal surgery through evidence synthesis and stakeholder input. The recommendations suggest the use of oral antibiotics alone or mechanical bowel preparation (MBP) plus oral antibiotics, depending on the specific procedure. Strong recommendation is given for MBP plus oral antibiotics when there is an intention to localize the lesion intraoperatively.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Jung Kyong Shin, Hee Cheol Kim, Woo Yong Lee, Seong Hyeon Yun, Yong Beom Cho, Jung Wook Huh, Yoon Ah Park
Summary: The study compared the oncologic outcomes of patients with low rectal cancer undergoing APR and ISR after neoadjuvant chemoradiotherapy. The results showed that ISR and APR have similar oncologic outcomes in terms of clinical stage and tumor distance from anal verge, indicating that either surgery option can be considered for patients with advanced low rectal cancer following nCRT.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Sofieke J. D. Temmink, Koen C. M. J. Peeters, Renu R. Bahadoer, Elma Meershoek-Klein Kranenbarg, Annet G. H. Roodvoets, Jarno Melenhorst, Jacobus W. A. Burger, Albert Wolthuis, Andrew G. Renehan, Nuno L. Figueiredo, Oriol Pares, Anna Martling, Rodrigo O. Perez, Geerard L. Beets, Cornelis J. H. van de Velde, Per J. Nilsson
Summary: This study analyzed patients from the International Watch & Wait Database and found that oncological outcomes for patients with a cCR at later reassessment are similar to those of patients with a cCR at first reassessment.
BRITISH JOURNAL OF SURGERY
(2023)
Article
Biochemistry & Molecular Biology
Hyuk-Jun Chung, Jun-Gi Kim, Hyung-Jin Kim, Hyeon-Min Cho, Bong-Hyeon Kye
Summary: This study validated the long-term oncologic outcomes for very low rectal cancer over the past 20 years and found that laparoscopic procedures are effective options for patients with very low rectal cancer. It also showed that laparoscopic surgeries for very low rectal cancer, including LAR, LATA, and APR, could be good surgical options for selective patients. The study highlighted the importance of CRM involvement as a significant factor for disease-free survival and overall survival in patients with very low rectal cancer.
Article
Oncology
Francesco Marchegiani, Valeria Palatucci, Giulia Capelli, Mario Guerrieri, Claudio Belluco, Daniela Rega, Emilio Morpurgo, Claudio Coco, Angelo Restivo, Silvia De Franciscis, Carlo Aschele, Alessandro Perin, Michele Bonomo, Andrea Muratore, Antonino Spinelli, Salvatore Ramuscello, Francesca Bergamo, Giampaolo Montesi, Gaya Spolverato, Paola Del Bianco, Maria Antonietta Gambacorta, Paolo Delrio, Salvatore Pucciarelli
Summary: The short-term outcomes of rectum-preservation for locally advanced rectal cancer patients achieving major clinical response or complete clinical response after neoadjuvant therapy were reported in the study. Transanal local excision for patients achieving cCR or mCR is safe, with an increased cCR rate seen when there is a 12-week interval from chemoradiotherapy completion to LE. Performing LE after achieving cCR reduces the risk of ypT >.
ANNALS OF SURGICAL ONCOLOGY
(2022)