Article
Gastroenterology & Hepatology
Hong-min Ahn, Gyung Mo Son, In Young Lee, Sang-Ho Park, Nam Su Kim, Kwang-Ryul Baek
Summary: This study aimed to evaluate the extrinsic effects of conditional factors affecting quantitative parameters in ICG angiography, and to establish the optimization through in vitro experiments and a prospective observational study. The study found that various conditional factors such as camera distance, fluorescence emission source, and ICG mode significantly influenced the quantitative parameters of ICG angiography. Standardized protocols, such as using ICG specific modes with a constant distance of 4-5 cm, were recommended to provide optimized fluorescence images.
COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
Boaz Loberman, Eviatar Kuhnreich, Ibrahim Matter, Gideon Sroka
Summary: Iatrogenic colon perforation (ICP) is a severe complication of colonoscopy, and its treatment options include endoscopic repair, conservative therapy, and surgery. The treatment decision is based on various factors, such as the timing, setting, type and location of the perforation, and the patient's clinical status. This study analyzed the clinical presentation, therapeutic approach, and short-term outcomes of patients with ICP at Bnai-Zion Medical Center.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2023)
Review
Medicine, General & Internal
Constantine Halkias, Athanasios Zoikas, Zoe Garoufalia, Michalis K. Konstantinidis, Argyrios Ioannidis, Steven Wexner
Summary: Re-operative laparoscopic colorectal surgery is a safe procedure when performed by experienced surgeons, with low complication rates and relatively uncommon conversions to open surgery.
JOURNAL OF CLINICAL MEDICINE
(2021)
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
Gastroenterology & Hepatology
Kenta Iguchi, Nobuhiro Sugano, Atsuhiko Sugiyama, Kentaro Saito, Yosuke Atsumi, Keisuke Kazama, Masakatsu Numata, Hiroyuki Mushiake, Tsutomu Sato, Yasushi Rino
Summary: This study introduces a novel minimally invasive surgical technique, called the 'moving the left colon' technique, for mid-transverse colon cancer (MTC). By mobilizing the splenic flexure, safer dissection can be achieved. Combining this technique with intracorporeal anastomosis allows for a safe and easy anastomosis. The results demonstrate that this technique can be performed safely and may help standardize minimally invasive surgery for MTC.
COLORECTAL DISEASE
(2023)
Article
Biochemistry & Molecular Biology
Luis Enrique Olmedilla Arnal, Oscar Diaz Cambronero, Guido Mazzinari, Jose Maria Perez Pena, Jaime Zorrilla Ortuzar, Marcos Rodriguez Martin, Maria Vila J. Montanes, Marcus Schultz, Lucas Rovira, Maria Pilar Argente Navarro
Summary: High intra-abdominal pressure during laparoscopic surgery is associated with reduced splanchnic blood flow. This study found that an individualized low-pneumoperitoneum-pressure strategy may prevent a reduction in liver perfusion.
Article
Oncology
Shengyu Zhang, Qiang Wang, Yunlu Feng, Guannan Zhang, Yang Chen, Weiyang Zheng, Xi Wu, Aiming Yang
Summary: This retrospective cohort study compared the localization accuracy of two commonly used endoscopic marker strategies (endoscopic clip plus abdominal plain film and endoscopic tattooing). The results showed that endoscopic tattooing had higher localization accuracy compared to the clip group. The tattooing strategy, clip strategy, and colonic lesion location were predictors of successful endoscopic localization.
FRONTIERS IN ONCOLOGY
(2022)
Article
Surgery
Laura Esposito, Marco E. Allaix, Bianca Galosi, Lorenzo Cinti, Alberto Arezzo, Carlo Alberto Ammirati, Mario Morino
Summary: Elective laparoscopic resection (LR) for locally advanced colon cancer (LACC) is feasible and safe, with tumor size and location being potential factors affecting conversion to open resection. However, conversion to open resection due to bulky tumors or tumor location does not necessarily lead to increased postoperative morbidity or adverse oncologic outcomes for patients.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Kenta Iguchi, Masakatsu Numata, Manabu Shiozawa, Keisuke Kazama, Sho Sawazaki, Yusuke Katayama, Koji Numata, Sumito Sato, Akio Higuchi, Nobuhiro Sugano, Hiroyuki Mushiake, Yasushi Rino
Summary: This study compared the surgical outcomes of laparoscopic extended right hemicolectomy and laparoscopic transverse colectomy for mid-transverse colon cancer. The results showed that the two procedures had similar long-term outcomes, but laparoscopic extended right hemicolectomy had a higher complication rate. Therefore, laparoscopic transverse colectomy may be recommended for patients with mid-transverse colon cancer.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2022)
Article
Multidisciplinary Sciences
Chun-Yu Lin, Yi-Chun Liu, Ming-Cheng Chen, Feng-Fan Chiang
Summary: This study analyzed the learning curve and surgical outcome of robotic assisted colorectal surgery with ERAS program. The results showed that robotic surgery with ERAS program resulted in faster recovery and lower complication rates compared to laparoscopy.
SCIENTIFIC REPORTS
(2022)
Article
Surgery
Dieter Hahnloser, Djana Rrupa, Fabian Grass
Summary: The study presents the first experience in colorectal surgery using a new on-demand robotics platform, combining the precision of robotics with the efficiency of standard laparoscopy. The robotic platform was utilized for tasks requiring high precision and dexterity, while standard laparoscopy was used for other steps, allowing rapid switching between the two by the surgeon within seconds.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Dieter Hahnloser, Djana Rrupa, Fabian Grass
Summary: This study presents the world's first experience in colorectal surgery with a new open platform of on-demand robotics. The platform combines robotic technology with standard laparoscopy, providing improved precision and control in colorectal procedures.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Gastroenterology & Hepatology
Alexandre Loktionov
Summary: Little was known about mammalian colon mucus until the beginning of the 21st century. Since then, significant progress has been made in understanding its structure and functions. The integrity of colon mucus is crucial for preventing bacterial contact with the mucosal epithelium and maintaining gut homeostasis. Impairments in colon mucus can lead to barrier deterioration, bacterial access to the epithelium, and subsequent inflammation and disorders. Recent studies have linked the formation of bacterial biofilms within colon mucus to inflammation and cancer. Though there are still gaps in our knowledge, the importance of colon mucus in the pathogenesis of major colorectal diseases is recognized.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Surgery
Leonardo C. Duraes, Scott R. Steele, Michael A. Valente, Tareq Abdelaziz, Tara M. Connelly, Hermann Kessler
Summary: This study aimed to compare short and long-term outcomes of laparoscopic surgery and open surgery in patients with T4a and T4b colon cancer. The results showed that laparoscopic surgery had similar oncologic outcomes as open surgery in T4a cases, but for T4b cases, the conversion rate was high and open surgery may be preferable.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Medicine, General & Internal
Manfredi Tesauro, Andrea M. Guida, Leandro Siragusa, Bruno Sensi, Vittoria Bellato, Nicola Di Daniele, Andrea Divizia, Marzia Franceschilli, Giuseppe S. Sica
Summary: This study aimed to evaluate the impact of preoperative immunonutrition on in-hospital length of stay in patients undergoing laparoscopic colorectal cancer resection under an ERAS program. The results showed that preoperative immunonutrition was associated with significantly shorter length of stay. No significant differences were observed in secondary outcomes.
JOURNAL OF CLINICAL MEDICINE
(2021)