Article
Surgery
Nicolas A. Rotholtz, Mariano Laporte, Mariana Matzner, Francisco Schlottmann, Maximiliano E. Bun
Summary: Relaparoscopy is a safe and feasible approach for managing early postoperative complications, particularly anastomotic leakage after left colectomy. Patients who underwent relaparoscopy had lower rates of severe postoperative complications compared to those who underwent laparotomy.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Oncology
Roberto Tozzi, Gaetano Valenti, Daniele Vinti, Riccardo Garruto Campanile, Massimo Cristaldi, Federico Ferrari
Summary: This study investigated the morbidity of rectosigmoid resection during Visceral-Peritoneal Debulking in patients with ovarian cancer and found no significant difference between the colorectal and gynaecologic oncology teams. These results provide interesting implications for education, finance, and medico-legal aspects.
JOURNAL OF GYNECOLOGIC ONCOLOGY
(2021)
Article
Gastroenterology & Hepatology
Allison N. Martin, Ching-Wei D. Tzeng, Elsa M. Arvide, John M. Skibber, George J. Chang, Yi-Qian Nancy You, Brian K. Bednarski, Abhineet Uppal, Whitney L. Dewhurst, Jenilette V. Cristo, Yun S. Chun, Hop S. Tran Cao, Jean-Nicolas Vauthey, Timothy E. Newhook
Summary: This study aimed to identify factors associated with morbidity after simultaneous resection of colorectal liver metastases (CLM) and primary colorectal cancers (CRC). The results showed that prolonged operative time is independently associated with severe complications. Awareness of cumulative operative time may inform intraoperative decision-making by surgical teams.
Article
Surgery
Marco Catarci, Giacomo Ruffo, Massimo Giuseppe Viola, Felice Pirozzi, Paolo Delrio, Felice Borghi, Gianluca Garulli, Gianandrea Baldazzi, Pierluigi Marini, Giuseppe Sica
Summary: This study revealed significant room for improvement in compliance with several ERAS program items and found no significant association between institutionalization and/or adherence rates to ERAS program with primary endpoints. The outcomes were independently influenced by gender, intra- and postoperative blood transfusions, non-standard resections, and standard anesthesia protocol.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
James Hill
Summary: This study compared the efficacy and safety of endoluminal stenting and emergency surgery for patients with left-sided colonic obstruction caused by carcinoma. The results showed that stenting can reduce stoma formation.
BRITISH JOURNAL OF SURGERY
(2022)
Letter
Gastroenterology & Hepatology
Maria Michela Chiarello, Valentina Bianchi, Pietro Fransvea, Giuseppe Brisinda
Summary: Anastomotic leakage is a serious complication with varying treatment options depending on the patient's symptoms and timing of the leak. There is a recent trend towards more conservative management, considering surgery as a last resort.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Anesthesiology
J. Bedford, P. Martin, S. Crowe, D. Wagstaff, C. Santos, G. Singleton, R. Baumber, C. Vindrola-Padros, R. Vohra, M. Swart, C. M. Oliver, J. Dorey, I Leeman, S. R. Moonesinghe
Summary: This article introduces a case-mix adjustment model for quantifying the risk of postoperative morbidity on postoperative day 7 for a UK population of patients undergoing major colorectal surgery. The model incorporates 12 variables with good calibration and high predictive accuracy, outperforming existing risk models.
Review
Obstetrics & Gynecology
Ezgi Darici, Mohamed Salama, Attila Bokor, Engin Oral, Bernhard Dauser, Gernot Hudelist
Summary: This study conducted a systematic review to assess the possible effects of nerve-sparing segmental resection and conventional bowel resection on postoperative complications for the treatment of colorectal endometriosis. The results indicate that current data are insufficient to determine which technique has an advantage.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2022)
Article
Gastroenterology & Hepatology
Erman Aytac, Selman Sokmen, Melik Kagan Aktas, Tahsin Colak, Bulent Mentes, Emre Balik, Sezai Demirbas, Cihangir Akyol, Ugur Sungurtekin, Mustafa Oncel, Ersin Ozturk, Funda Obuz, Basar Ucaroglu, Sezai Leventoglu, Ismail Hakki Ozerhan, Bilgi Baca, Utku Ozgen, Mustafa Haksal, Volkan Tumay, Ethem Gecim, Dursun Bugra
Summary: The aim of this study was to evaluate the management strategy and postoperative outcomes in patients undergoing surgery for presacral tumours. The study found that longer duration of surgery, poorer physical condition, higher location of the tumour, and combined resections were risk factors associated with postoperative complications. Meticulous planning and intensified perioperative care may improve outcomes in high-risk patients.
COLORECTAL DISEASE
(2023)
Article
Oncology
Jessica F. R. Wagstaff, Michael P. Flood, Helen Mohan, Rosemary D. McBain, Orla McNally, Sameer S. Apte, Jacob McCormick, Glen R. Guerra, Alexander G. Heriot, Satish K. Warrier
Summary: This study aimed to evaluate perioperative complications in patients with and without ovarian metastases (OM) following cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for appendiceal/colorectal cancer. The study found that patients with OM had longer operation duration, higher complete cytoreduction rates, but also higher rates of blood transfusion and stoma.
JOURNAL OF SURGICAL ONCOLOGY
(2023)
Review
Oncology
Maria Michela Chiarello, Pietro Fransvea, Maria Cariati, Neill James Adams, Valentina Bianchi, Giuseppe Brisinda
Summary: Anastomotic leakage is a feared complication in colorectal surgery for oncological disease, with significant impact on surgery outcome and prognosis. Early predictors like C-reactive protein and procalcitonin, along with abdominal-pelvic computed tomography scan for diagnosis are commonly used. Individualized management is recommended based on patient's condition and anastomotic defect size, with non-operative treatment preferred for patients with proximal faecal diversion at the initial operation.
SURGICAL ONCOLOGY-OXFORD
(2022)
Article
Surgery
Alexander H. Seeto, Hajir Nabi, Matthew J. Burstow, Raymond P. Lancashire, Joshua Grundy, Christopher Gillespie, Khuong Nguyen, Sanjeev Naidu, Terence C. Chua
Summary: Emergency colorectal resection is associated with a higher overall complication rate compared to elective surgery, but rates of major complications and mortality are similar between the two groups. Independent predictors for postoperative complications include emergency surgery and an ASA Score of III to IV.
ANZ JOURNAL OF SURGERY
(2023)
Article
Surgery
Giuseppe Portale, Chiara Cipollari, Matteo Zuin, Ylenia Spolverato, Valentino Fiscon
Summary: This study evaluated the occurrence of internal hernia following laparoscopic colorectal resection, finding it to be a rare but severe complication that requires prompt diagnosis and treatment to avoid potential lethal risks.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Public, Environmental & Occupational Health
Soren Rattenborg, Soeren Moeller, Erik Frostberg, Hans B. Rahr
Summary: The purpose of this study was to examine the variation in the prevalence of patient-related risk factors for adverse outcomes of colorectal cancer treatment between hospitals in Denmark. A national cohort of 44,471 CRC patients registered in the Danish Colorectal Cancer Group database from 2009 to 2018 was included. Patient-related risk factors were collected from national Danish registers, and prediction models were used to examine the impact on outcomes and variations between hospitals.
CLINICAL EPIDEMIOLOGY
(2023)
Article
Gastroenterology & Hepatology
Liselotte W. Zwager, Barbara A. J. Bastiaansen, Evelien Dekker, Paul Fockens
Summary: The study demonstrates that the establishment and consultation with a regional expert panel can be a valuable tool for endoscopists to guide and optimize the treatment of complex colorectal polyps and facilitate interhospital referrals within a regional network.
GASTROINTESTINAL ENDOSCOPY
(2022)
