Review
Gastroenterology & Hepatology
C. La Raja, C. Foppa, A. Maroli, C. Kontovounisios, N. Ben David, M. Carvello, A. Spinelli
Summary: DCAA shows a significant decrease in pelvic sepsis compared to ICAA, but there is no significant difference in postoperative complications and risk of definitive stoma between the two approaches. Further studies focusing on oncologic and functional outcomes are needed.
TECHNIQUES IN COLOPROCTOLOGY
(2022)
Article
Surgery
Nynke G. Greijdanus, Kiedo Wienholts, Sander Ubels, Kevin Talboom, Gerjon Hannink, Albert Wolthuis, Francisco B. de Lacy, Jeremie H. Lefevre, Michael Solomon, Matteo Frasson, Nicolas Rotholtz, Quentin Denost, Rodrigo O. Perez, Tsuyoshi Konishi, Yves Panis, Martin Rutegard, Roel Hompes, Camiel Rosman, Frans van Workum, Pieter J. Tanis, Johannes H. W. de Wilt
Summary: The study developed a prediction model for 1-year stoma-free survival in rectal cancer patients with anastomotic leakage. The model, consisting of 18 clinically relevant factors, showed good discrimination and calibration, providing guidance for patient counseling and future treatment strategies analysis.
Review
Gastroenterology & Hepatology
Rachael Elizabeth Clifford, Hayley Fowler, Nicola Manu, Dale Vimalachandran
Summary: Benign anastomotic strictures following colorectal surgical resection are a common but under-reported complication, affecting up to 30% of patients and significantly impacting their quality of life. Endoscopic techniques, such as balloon dilatation and stenting, show varying success rates in avoiding the need for surgical reintervention, with challenges including the need for repeated treatments and stent migration. Further research is needed to explore novel therapies for improving quality of life in these patients.
COLORECTAL DISEASE
(2021)
Article
Surgery
E. Barzola, A. Kajmolli, M. Gachabayov, R. Bergamaschi
Summary: This technical note describes a surgical technique for the management of radiation-induced rectovaginal fistula with associated rectal stricture. The technique aims to minimize disease recurrence by avoiding radiated tissue and has shown favorable outcomes in one patient with gynecological carcinoma.
UPDATES IN SURGERY
(2023)
Article
Surgery
Kevin Talboom, Nynke G. Greijdanus, Cyriel Y. Ponsioen, Pieter J. Tanis, Wilhelmus A. Bemelman, Roel Hompes
Summary: Early initiation of EVASC for anastomotic leakage after rectal cancer resection yields high rates of healed and functional anastomosis. EVASC shows increasing success with the implementation of highly selective diversion and early diagnosis of the leak.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Yanjiong He, Zuolin Zhou, Xiaoyan Huang, Qi Guan, Qiyuan Qin, Miaomiao Zhu, Huaiming Wang, Qinghua Zhong, Daici Chen, Hui Wang, Lekun Fang, Tenghui Ma
Summary: This study describes a modified surgical procedure for treating patients with chronic radiation proctopathy (CRP) and reports its preliminary efficacy and safety in treating late complications. The laparoscopic PE-Bacon surgery shows a low morbidity rate and a high symptom remission rate.
FRONTIERS IN SURGERY
(2022)
Article
Gastroenterology & Hepatology
Frans van Workum, Kevin Talboom, Gerjon Hannink, Albert Wolthuis, Borja F. de Lacy, Jeremie H. Lefevre, Michael Solomon, Matteo Frasson, Nicolas Rotholtz, Quentin Denost, Rodrigo Oliva Perez, Tsuyoshi Konishi, Yves Panis, Camiel Rosman, Roel Hompes, Pieter J. Tanis, Johannes H. W. de Wilt
Summary: This study aims to investigate the factors contributing to the severity of anastomotic leakage after low anterior resection for rectal cancer, create a severity score, and evaluate the effects of different treatment approaches on outcome parameters. The international multicentre retrospective cohort study, TENTACLE-Rectum, will provide valuable evidence-based recommendations for improving outcomes in patients with severe treatment-related morbidity.
COLORECTAL DISEASE
(2021)
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
Surgery
Zhao-liang Yu, Xuan-hui Liu, Hua-shan Liu, Jia Ke, Yi-feng Zou, Wu-teng Cao, Jian Xiao, Zhi-yang Zhou, Ping Lan, Xiao-jian Wu, Xian-rui Wu
Summary: The study evaluated the impact of pelvic dimensions on the risk of anastomotic leak in rectal cancer patients. The results showed that pelvic inlet and intertuberous distance were independent predictors for postoperative anastomotic leak. The incorporation of pelvic dimensions with other factors in the nomogram may provide a clinical tool for predicting anastomotic leak.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Yi-Chang Chen, Yuan-Yao Tsai, Tao-Wei Ke, Abe Fingerhut, William Tzu-Liang Chen
Summary: This study retrospectively analyzed the charts of patients who had colorectal anastomotic leakage after laparoscopic low anterior resection. The findings suggested that combined laparoscopic lavage/drainage and transanal endoluminal repair were effective in the management of anastomotic leakage and were associated with a lower morbidity rate, especially in reducing intraabdominal infections.
Article
Medicine, General & Internal
Dongai Jin, Li Chen
Summary: CRP is a reliable predictor of anastomotic leakage after laparoscopic transabdominal rectal resection surgery, with higher levels from postoperative days 4 to 7 indicating the need for a more careful patient evaluation.
Article
Surgery
Osman Serhat Guner, Latif Volkan Tumay
Summary: The study compared the standard one-stage coloanal anastomosis technique plus diverting ileostomy with the Turnbull-Cutait technique in terms of early post-operative morbidity, finding no significant differences in complication rates and severity within 30 days post-operation.
ANZ JOURNAL OF SURGERY
(2021)
Article
Medicine, Research & Experimental
Xiang-nan Yu, Lu-ming Xu, Ya-wen Bin, Ye Yuan, Shao-bo Tian, Bo Cai, Kai-xiong Tao, Lin Wang, Guo-bin Wang, Zheng Wang
Summary: This study retrospectively analyzed data of rectal cancer patients undergoing anterior resection and found that being male and having T3-T4 stage were independent risk factors for anastomotic leakage (AL). Additionally, defunctioning stoma (DS) was found to reduce the occurrence of symptomatic AL.
CURRENT MEDICAL SCIENCE
(2022)
Article
Surgery
Xuhua Hu, Peiyuan Guo, Ning Zhang, Ganlin Guo, Baokun Li, Youqiang Liu, Jian Niu, Guiying Wang
Summary: This study aimed to identify risk factors for anastomotic stricture following rectal cancer surgery and generate an effective prediction model. The results showed that LCA preservation, protective stoma, anastomotic leakage, and anastomotic distance were independent risk factors for anastomotic stricture. The predictive model derived from this study exhibited high accuracy in predicting anastomotic stricture.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Oncology
Kyoko Nishikimi, Shinichi Tate, Ayumu Matsuoka, Satoyo Otsuka, Makio Shozu
Summary: This study focused on minimizing the number of anastomoses, restoring intestinal continuity, and avoiding stoma creation in 295 patients with stage III/IV ovarian cancer undergoing low anterior rectal resection (LAR). Various techniques were used for tension-free anastomosis when the remaining colon could not reach the rectal stump after left hemicolectomy with LAR, showing that colorectal anastomosis is feasible for patients with extended colonic resection, leading to low rates of anastomotic leakage and stoma creation.
