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Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland

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https://www.readbyqxmd.com/read/28710846/robotic-mesocolic-excision-with-top-to-down-no-touch-technique-for-right-colon-cancer
#1
LETTER
Ismail Ahmet Bilgin, Erman Aytac, Ilknur Erenler, Deniz Atasoy, Volkan Ozben, Burcu Akpinarli, Bilgi Baca, Ismail Hamzaoglu, Tayfun Karahasanoglu
Complete mesocolic excision (CME) with high ligation of the vessels is a surgical technique ensuring wide resection of the colonic mesentery and contained lymph nodes.(1) Radical colectomy, using the no-touch technique of Turnbull, was employed.(2)  The concept was for early isolation and division of mesenteric vessels in order to prevent venous spread of tumor cells during removal of the tumor. This educational video describes robotic mesocolic excision with " Top to Down No-Touch" technique" for a right colonic cancer...
July 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28710784/pregnancy-after-laparoscopic-ventral-mesh-rectopexy-implications-and-outcomes
#2
A M Hogan, P Tejedor, I Lindsey, O Jones, R Hompes, K J Gorissen, C Cunningham
AIM: Surgical management of rectal prolapse varies considerably. Most surgeons are reluctant to use ventral mesh rectopexy in young women until they have completed their family. The aim of the present study was to review outcomes of pregnancy following laparoscopic ventral mesh rectopexy (LVMR) from a tertiary referral centre over a 10 year period (2006-2016) and to review the impact on pelvic floor symptoms. METHOD: We undertook a retrospective review of a prospectively compiled database of patients who had undergone laparoscopic ventral rectopexy in a single centre over a 10 years period...
July 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28696522/assessment-of-the-imv-diameter-as-a-surrogate-marker-to-evaluate-response-to-neoadjuvant-chemoradiotherapy-for-locally-advanced-rectal-adenocarcinoma
#3
Catalin V Ivan, Joseph H Mullineux, Ratan Verma, Vikas Shah, Anirban De, Mosheir Elabassy, Arumugam Rajesh, James Andrew Stephenson
AIM: Neoadjuvant chemoradiotherapy for locally advanced rectal cancer aims to downstage prior to definitive management. Repeat imaging assessment of the tumour post-therapy has implications for treatment. Our aim is to assess if the Inferior Mesenteric Vein (IMV) diameter measured on CT can be used as a surrogate marker for evaluation of tumour response to neoadjuvant treatment. METHOD: IMV diameter was assessed in patients with and without locally advanced rectal cancer, pre- and post-radiotherapy to ascertain if IMV diameter is a surrogate marker of tumour response...
July 11, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28688203/assessment-of-colorectal-length-using-the-electromagnetic-capsule-tracking-system-a-comparative-validation-study-in-healthy-subjects
#4
E B Mark, J L Poulsen, A M Haase, J B Frøkjaer, V Schlageter, S M Scott, K Krogh, A M Drewes
AIM: We aimed to determine colorectal length with the 3D-Transit system by describing a 'centerline' of capsule movement and compare it to known anatomy, as determined by magnetic resonance imaging (MRI). Further, we aimed to test the day-to-day variation of colorectal length assessed with the system. METHOD: The 3D-Transit system consists of electromagnetic capsules that can be tracked as they traverse the gastrointestinal tract. 25 healthy subjects were examined with both 3D-Transit and MRI...
July 8, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28685921/prediction-of-outcome-after-curative-surgery-for-colorectal-cancer-preoperative-haemoglobin-crp-and-albumin
#5
Monika Egenvall, Malin Mörner, Anna Martling, Ulf Gunnarsson
AIM: The aim was to evaluate a scoring system using the values of preoperative haemoglobin, C-reactive protein (CRP) and serum albumin to predict colorectal cancer recurrence and survival. METHOD: Data on all curative resections for Stages I-III colorectal cancer performed at a tertiary referral hospital 2007-2010 have been recorded ion the Swedish Colorectal Cancer Registry and were matched to the local databases for laboratory results and blood transfusion. Patients who died within 30 days or during primary hospital admission were excluded...
July 7, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28682454/developing-a-national-colorectal-educational-agenda-a-survey-of-the-acpgbi
#6
N K Francis, N J Curtis, C Weegenaar, P A Boorman, A Brook, G Thorpe, K Keogh, J Grainger, J Davies, J Wheeler, S R Brown, R J Steele, P Dawson
AIM: In order to develop its education agenda, the ACPGBI sought the opinion of its members on current coloproctology training needs. The aims of this study were to canvass multi-disciplinary needs and explore the perceived gaps and barriers to meeting them. METHOD: A learner needs analysis was performed between July 2015 and October 2016. A bespoke electronic survey was sent to 1,453 colorectal health care professionals (ACPGBI membership (1,173), colorectal nurse specialists and allied health professionals (NAHP) (261) and regional chapter-leads (19)) seeking their needs, experiences and barriers to training across the coloproctology disciplines...
July 6, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28682451/outcomes-for-patients-with-apparent-chronic-idiopathic-pelvic-pain-and-associated-pelvic-floor-disorders-undergoing-laparoscopic-ventral-mesh-rectopexy
#7
A Newman, G L Greenslade, K McCarthy, A R Dixon
AIM: To assess the outcomes for patients with chronic idiopathic pelvic pain (CIPP) and associated pelvic floor disorders (PFDs) undergoing laparoscopic ventral mesh rectopexy (LVMR). METHOD: A prospective database identified patients referred from a specialist pain clinic undergoing LVMR. Primary outcomes included numerical rating scale (NRS) for pain, quality of life (QoL), Wexner constipation score, Cleveland Clinic incontinence score (CCIS), bowel and bladder-disturbance visual analogue scale (VAS) pain score and sexual function...
July 6, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28682450/laparoscopic-resection-of-a-tumor-in-the-ischiorectal-fossa-a-video-vignette
#8
LETTER
Ryuma Tokunaga, Takashi Akiyoshi, Yukiharu Hiyoshi, Yosuke Fukunaga, Masashi Ueno
Tumor resection in the ischiorectal fossa is challenging due to poor visibility and proximity to the rectum, bladder, and levator ani muscle. Access to the ischiorectal fossa is limited in the conventional open transabdominal approach [1]. Here, we demonstrate the laparoscopic resection of a large tumor in the ischiorectal fossa fed by the internal pudendal artery. This article is protected by copyright. All rights reserved.
July 6, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28677338/mucinous-adenocarcinoma-arising-in-an-end-ileostomy-video-vignette
#9
LETTER
Rosa M Jiménez Rodríguez, Eduardo Perea Del Pozo, José M Díaz Pavón, Fernando De la Portilla
Tumours of an end ileostomy are rare but have been documented in association with dysplasia, backwash ileitis and chronic irritation due to ileal secretion contaminating the surrounded skin. In some published cases the diagnosis was missed and changes were attributed to pyoderma gangrenosum or simply periostomal skin changes.We present a 65 year-old male, diagnosed with ulcerative colitis, who underwent a total colectomy with end ileostomy in 1970. This article is protected by copyright. All rights reserved...
July 4, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28667688/robotic-right-colectomy-with-complete-mesocolic-excision-bottom-to-up-suprapubic-approach-a-video-vignette
#10
LETTER
Wanda Petz, Dario Ribero, Emilio Bertani, Giampaolo Formisano, Giuseppe Spinoglio, Paolo Pietro Bianchi
Complete Mesocolic Excision (CME) with central vascular ligation has been reported to potentially improve oncological results in right colectomy [1-4]. However, along with the intracorporeal anastomosis, it represents a challenging step of the laparoscopic procedure [2,3,5]. The video describes a novel bottom-to-up suprapubic approach for robotic right colectomy with CME and intracorporeal anastomosis using the DaVinci Xi Surgical System. This article is protected by copyright. All rights reserved.
July 1, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28667687/obstetric-rectovaginal-fistula-should-there-be-a-different-treatment-paradigm
#11
LETTER
M R B Keighley
Twenty-three women with obstetric rectovaginal fistulas were seen between 2010 and 2017 from a database of 116 women with obstetric injuries. This was a first vaginal delivery in 19 (82%), and 15 (65%) required an assisted delivery. The original fistula site was as follows: 9 suprasphincteric (39.1%), 10 transsphincteric (43.5%) and 4 anovulval (17.4%). Fourteen occurred within the first three weeks of delivery, with the remainder one to four months later. (Figure 1). The final assumed diagnosis based on investigation and follow-up was as follows: 13 missed fourth degree tears, 5 inadequate repairs of fourth degree tears, 2 repairs broke down from sepsis and 3 suture penetration of the anorectum during repairs...
July 1, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28667683/pouch-failures-following-ileal-pouch-anal-anastomosis-for-ulcerative-colitis
#12
Anders Mark-Christensen, Rune Erichsen, Søren Brandsborg, Frederik Rønne Pachler, Charlotte Buchard Nørager, Niels Johansen, Jørn Helmut Pachler, Ole Thorlacius-Ussing, Mie Dilling Kjaer, Niels Qvist, Louise Preisler, Jens Hillingsø, Jacob Rosenberg, Søren Laurberg
BACKGROUND: The ileal pouch-anal anastomosis is a procedure offered to patients with ulcerative colitis who opt for restoration of bowel continuity. The aim of this study was to determine the risk of pouch failure and ascertain risk factors associated with failure. METHOD: 1,991 patients with ulcerative colitis operated with ileal pouch-anal anastomosis in Denmark in the period 1980-2013 were included. Pouch failure was defined as excision of the pouch or presence of a stoma un-reversed within one year after its creation...
July 1, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28649796/lymph-node-yield-in-right-colectomies-for-cancer-a-comparison-of-open-laparoscopic-and-robotic-approaches
#13
Maria Widmar, Metin Keskin, Paul Strombom, Pedro Beltran, Oliver S Chow, J Joshua Smith, Garrett M Nash, Jinru Shia, David Russell, Julio Garcia-Aguilar
AIM: Studies have demonstrated a relationship between lymph node (LN) yield and survival after colectomy for cancer. The impact of surgical technique on lymph node yield has not been well explored. METHOD: This is a retrospective study of right colectomies (RC) for cancer at a single institution from 2012-2014. Exclusion criteria were previous colectomy, emergent and palliative operations. All data were collected by chart review. Primary outcomes were LN yield and the lymph node to length of surgical specimen (LN-LSS) ratio...
June 26, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28649762/the-usefulness-of-the-h-pouch-configuration-in-salvage-surgery-for-failed-ileal-pouches
#14
H Hande Aydinli, Colin Peirce, Erman Aytac, Feza Remzi
AIM: Abdominal salvage surgery for a failed ileal pouch-anal anastomosis (IPAA) is safe and feasible in experienced hands. When salvaging an ileal pouch or creating a new J, S or W-pouch may not be feasible, construction of an H-pouch may be the final option. This study reports a single colorectal surgeon's experience on H-pouch anal anastomosis in patients referred with a failed ileal pouch. METHOD: Patients undergoing transabdominal salvage surgery with H-pouch formation for a failed pouch from February 2012 to May 2016 were evaluated...
June 26, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28649755/preoperative-geriatric-assessment-and-tailored-interventions-in-frail-older-patients-with-colorectal-cancer-a-randomised-controlled-trial
#15
Nina Ommundsen, Torgeir B Wyller, Arild Nesbakken, Arne O Bakka, Marit S Jordhøy, Eva Skovlund, Siri Rostoft
BACKGROUND: Colorectal cancer (CRC) is prevalent in the older population, and surgery is the mainstay in curative treatment. A preoperative geriatric assessment (GA) can identify frail older patients at risk for developing postoperative complications. In this randomised controlled trial we wanted to investigate whether tailored interventions based on a preoperative GA could reduce the frequency of postoperative complications in frail patients operated for CRC. METHODS: Patients >65 years scheduled for elective CRC surgery and fulfilling predefined criteria for frailty were randomised to either a preoperative GA followed by a tailored intervention, or care as usual...
June 26, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28649745/robotic-tapp-repair-of-incarcerated-femoral-hernia-with-utilization-of-indocyanine-green-dye-video-vignette
#16
LETTER
Turgut B Cengiz, Afag Aghayeva, Deniz Atasoy, Ipek Sapci, Onur Bayraktar, Bilgi Baca
The importance of femoral hernia is that the emergency presentations are relatively common [1]. Minimally invasive groin herniorrhaphy has better postoperative outcomes compared to open approach [2, 3]. In addition, laparoscopic herniorrhaphy for femoral hernia has lower reoperation rates compared to open [1]. his article is protected by copyright. All rights reserved.
June 26, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28644545/robotic-versus-laparoscopic-rectal-surgery-in-high-risk-patients
#17
Jamil Ahmed, Han Cao, Sofoklis Panteleimonitis, Jim Khan, Amjad Parvaiz
AIM: Laparoscopic rectal surgery is associated with a steep learning curve and high conversion rate despite progress in equipment design and consistent practice. The robotic system has shown the advantage over laparoscopic approach due to stable three-dimensional views, improved dexterity and better ergonomics. These factors make the robotic approach more favourable for rectal surgery. The aim of this study was to compare the perioperative outcomes of laparoscopic and robotic rectal cancer surgery in high-risk patients...
June 23, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28628271/surgical-treatment-of-trans-sphincteric-anal-fistulas-with-the-fat-graft-technique-a-minimally-invasive-procedure
#18
N Stroumza, G Fuzco, J Laporte, R Nail Barthelemy, S Houry, M Atlan
AIM: Anal fistulas are common pathologies with a significant social impact; however their treatment is often complex and the recurrence rate can be significant. Some surgical treatments for fistula are also associated with the risk of sphincter injury. In this technical note, we aim to evaluate the feasibility and efficacy of the Fat GRAFT technique (Fat Grafting in Anal Fistula Treatment) in the treatment of recurrent anal fistulas. METHOD: All patients presenting with recurrent trans-sphincteric anal fistulas over an 18-month period were included...
June 19, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28622448/ileocecal-valve-syndrome-after-surgery-in-adult-patients-myth-or-reality
#19
S Palmisano, M Silvestri, M Troian, P Germani, F Giudici, N de Manzini
AIM: The onset of symptoms after ileocecal valve (ICV) removal may be perceived as an unwanted effect of surgery and induce patients to bring unnecessary litigation against surgeons. The aim of our study is to assess the real impact on the quality of life of patients whose ICV was surgically removed, using three validated questionnaires. METHOD: In patients who had their ICV removed surgically, the Gastrointestinal Quality of life (GIQLI) questionnaire and those used by the European Organization for research and Treatment of Cancer (EORTC) were administered pre and post surgery...
June 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28622435/single-port-laparoscopic-ileocaecal-resection-for-crohn-s-disease-a-multicentre-comparison-with-multi-port-laparoscopy
#20
Michele Carvello, E Joline de Groof, Anthony de Buck van Overstraeten, Matteo Sacchi, Albert M Wolthuis, Christianne J Buskens, André D'Hoore, Willem A Bemelman, Antonino Spinelli
BACKGROUND AND AIMS: Single port (SP) ileocecal resection (ICR) is an established technique but there are no large studies comparing SP and multi-port (MP) laparoscopic surgery in Crohn's disease (CD). The aim of this study was to compare postoperative pain scores and analgesia requirements after SP and MP laparoscopic ICR for CD. METHODS: This was a retrospective study of patients undergoing SP or MP ICR for CD in three tertiary referral centres from February 1999-October 2014...
June 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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