keyword
https://read.qxmd.com/read/38520491/research-progress-of-robot-and-laparoscope-in-postoperative-complications-of-rectal-cancer
#1
REVIEW
Jiming Lian, Jinbiao Li, Cong Liu, BaoDong Luan, Yanmin Miao
Rectal cancer is one of the most common malignant tumours worldwide, and it is also one of the major diseases that seriously threatens human life and health. At present, the main treatment for rectal cancer is still surgical treatment. The surgical methods have been rapidly developed from the previous open surgery to the current minimally invasive surgery. At present, there are two main minimally invasive surgeries: robotic surgery and laparoscopic surgery. Due to the particularity of rectal cancer surgery, more and more studies have shown that robotic rectal cancer surgery has more advantages than laparoscopic rectal cancer surgery...
March 23, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38476336/fournier-s-gangrene-due-to-rectal-cancer-a-case-report
#2
Sen Hou, Baosen Cheng, Kai Shen, Zhidong Gao, Fan Liu, Yingjiang Ye
Fournier's gangrene (FG) is an extremely rare necrotizing fasciitis that is insidious, rapidly spreading and life-threatening. FGs due to rectal cancer occur rarely and there is a lack of clinical reference. In the present study, a severe FG due to rectal cancer perforation was described and the features of this rare disease were summarized with a literature review. A 57-year-old man was admitted because of rectal cancer-induced FG. The patient was misdiagnosed with extensive perianal abscess until the intraoperative biopsy confirmed that rectal cancer was the culprit...
April 2024: Molecular and Clinical Oncology
https://read.qxmd.com/read/38448866/sciatica-caused-by-spinal-epidural-abscess-as-the-initial-clinical-presentation-of-colon-cancer-a-rare-case-report-and-review-of-literature
#3
JOURNAL ARTICLE
Kuan-Yu Lu, Wei-En Tung, Chang-Jung Chiang, Yueh-Ying Hsieh, Chia-Hsien Chen, Mei-Hui Lee, Min-Hsuan Yen, Po-Wen Lu, Lien-Chen Wu
BACKGROUND: Colorectal cancer is one of the most frequently diagnosed forms of cancer, and it is associated with several common symptoms and signs such as rectal bleeding, altered bowel habits, abdominal pain, anemia, and unintentional weight loss. Sciatica, a debilitating condition in which the patient experiences paresthesia and pain in the dermatome of associated lumbosacral nerve roots or sciatic nerve distribution, is not considered one of these. Here we present a case of colorectal cancer manifesting symptoms of sciatica alone...
March 6, 2024: BMC Infectious Diseases
https://read.qxmd.com/read/38303359/-a-case-of-radical-resection-after-neoadjuvant-chemotherapy-for-rectal-cancer-with-pelvic-abscess
#4
JOURNAL ARTICLE
Mao Osaki, Yusuke Takahashi, Shinji Tokuyama, Kenji Kawai, Yuki Matsui, Reishi Toshiyama, Masaaki Yamamoto, Kenji Sakai, Atsushi Takeno, Kunihito Gotoh, Michihiko Miyazaki, Koji Takami, Motohiro Hirao, Takeshi Kato
A 66-year-old man with a history of frequent diarrhea was diagnosed with rectal cancer with obstruction and a pelvic abscess. Following a transverse colostomy, he was referred to our hospital. The initial diagnosis was rectal cancer(cT4a N1bM0, cStage Ⅲb)and a pelvic abscess due to tumor perforation. To address this condition, we performed neoadjuvant chemotherapy using a combination of 5-fluorouracil, Leucovorin, oxaliplatin, and irinotecan(FOLFOXIRI). Following 6 courses of FOLFOXIRI, the abscess disappeared and no signs of tumor progression and distant metastases were detected...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38174165/robotic-sigmoidectomy-with-natural-orifice-specimen-extraction-a-single-center-experience
#5
JOURNAL ARTICLE
Naved Salim, Camryn Daidone, Leslie Smith, Ahsan Raza
Background Natural orifice specimen extraction (NOSE) involves the removal of specimens through a naturally occurring orifice, such as the anus, rather than trans-abdominal extraction. NOSE procedures have been shown to significantly reduce postoperative complications and improve healing.  Objective The purpose of this case series is to report the outcomes of 27 patients undergoing sigmoidectomies through natural orifice specimen extraction. Materials and methods We carefully recorded demographic data on age and BMI, as well as operative data on surgical indication, and length of stay...
December 2023: Curēus
https://read.qxmd.com/read/38146336/perineal-abscess-following-spaceoar-insertion
#6
Umair Azhar, Justin Lin, Rahman Sayed, Zaki Masoud, Aroosa Zamarud, Ravinder Kaler
This case report discusses a 64-year-old male who presented with a perineal abscess following the insertion of the SpaceOAR hydrogel, highlighting a rare but potentially serious complication of the hydrogel. Hydrogel spacers have become integral in prostate cancer radiotherapy by reducing rectal toxicity. Ensuring proper technique, prophylactic antibiotics, and vigilant post-insertion monitoring are crucial for averting complications. This case underscores the significance of early diagnosis and management in preventing severe consequences and emphasizes the need for a high index of clinical suspicion when patients present with post-insertion symptoms...
December 2023: Curēus
https://read.qxmd.com/read/38138179/pneumorrhachis-secondary-to-a-locally-advanced-rectal-cancer-with-pre-sacral-abscess-case-report-and-review
#7
Razvan Diaconescu, Dorel Popovici, Cristi Tarta, Alexandru Isaic, Dan Costachescu, Bogdan Totolici
The occurrence of pneumorrhachis (PR), defined as the presence of air within the spinal canal, presents a complex clinical picture with diverse etiological factors. We report an exceedingly rare case of PR arising from locally advanced rectal cancer accompanied by a pre-sacral abscess. This report aims to enhance awareness and understanding of rare causes of PR within the medical community, particularly among surgeons engaged in emergency procedures. The patient survived the acute phase of the disease through multiple surgical interventions and admission to the intensive care unit, but succumbed to cardiovascular complications three weeks later...
November 25, 2023: Medicina
https://read.qxmd.com/read/38113563/avoiding-stoma-creation-due-to-super-morbid-obesity-a-report-of-two-surgical-cases-of-colorectal-cancer
#8
Naoto Fujimoto, Takayuki Ogino, Norikatsu Miyoshi, Mamoru Uemura, Yuichiro Doki, Hidetoshi Eguchi
INTRODUCTION: A stoma is commonly created in patients with a high risk of anastomotic leakage. However, patients with obesity have a higher incidence of stoma-related complications, and the decision to create a stoma should be carefully considered. We report two cases of patients with colorectal cancer and super-morbid obesity wherein stoma creation was avoided. PRESENTATION OF CASES: Case 1 involved a 52-year-old male patient with a body mass index (BMI) of 41...
December 17, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38091419/transanal-total-mesorectal-excision-and-fluorescence-ureteral-navigation-for-en-bloc-resection-of-rectal-cancer-with-pelvic-abscess
#9
JOURNAL ARTICLE
Shunjin Ryu, Keisuke Goto, Takahiro Kitagawa, Atsushi Nagashima, Takehiro Kobayashi, Junichi Shimada, Ryusuke Ito, Yukio Nakabayashi
No abstract text is available yet for this article.
January 1, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38040294/comparison-of-urinary-diversion-in-patients-with-prostatic-fistula-to-those-with-localized-radiation-injury-after-radiotherapy-for-the-treatment-of-prostate-cancer
#10
JOURNAL ARTICLE
Jeremy B Myers, Beatriz S Hernandez, Benjamin McCormick, Joemy Ramsay, John D Kriesel, Kevin J Hebert, Kiarad Fendereski
OBJECTIVES: To compare characteristics and outcomes in patients who had radiotherapy (RT) for prostate cancer (PCa) and underwent urinary diversion (UD) due to prostatic fistula (Fistula) vs. localized radiation injury (Localized). METHODS: This study was a retrospective single-institution study. Exclusion criteria included: follow-up < 3 months, large pelvic tumor, and surgery for cancer control. The Fistula group included fistulization outside of the urinary tract (rectal, soft tissue, thigh, pubic symphysis, and extensive necrosis surrounding the prostate)...
November 29, 2023: Urology
https://read.qxmd.com/read/37909970/high-level-sacral-bone-resection-for-locally-recurrent-rectal-cancer
#11
JOURNAL ARTICLE
Nobuo Takiguchi, Mamoru Uemura, Masatoshi Kitakaze, Masakatsu Paku, Mitsunobu Takeda, Yuki Sekido, Tsuyoshi Hata, Atsushi Hamabe, Takayuki Ogino, Norikatsu Miyoshi, Mitsuyoshi Tei, Yoshinori Kagawa, Hirofumi Yamamoto, Yuichiro Doki, Hidetoshi Eguchi
BACKGROUND/AIM: Locally recurrent rectal cancer (LRRC) involving the upper sacrum is generally considered a contraindication for curative surgery. In the surgical management of LRRC, sacrectomy is frequently performed to secure clear resection margins. Nonetheless, the indications for high sacrectomy remain controversial due to potential postoperative complications, questions about radicality, and the increased complexity of the operation. Furthermore, comprehensive studies addressing this issue are notably absent...
November 2023: Anticancer Research
https://read.qxmd.com/read/37808570/a-case-of-bladder-and-pelvic-dead-space-inflammation-successfully-treated-with-endoscopic-ultrasound-drainage
#12
Kazuhiro Hiyama, Izumi Kirino, Yasuo Fukui
KEY CLINICAL MESSAGE: Interventional endoscopic ultrasound (EUS) is effective not only for biopsy, but also for abscess drainage. We report the first use of EUS to drain inflammation of the bladder and pelvic dead space through the ileal conduit. EUS-guided drainage is effective in treating postoperative abscesses and should be employed more routinely. ABSTRACT: The patient was a 77-year-old man with a vesicoureteral fistula. An ileal conduit was placed after abdominoperineal resection and partial bladder resection for local, postoperative recurrence of rectal cancer...
October 2023: Clinical Case Reports
https://read.qxmd.com/read/37689578/efficacy-of-endoscopic-ultrasound-guided-pelvic-abscess-drainage-for-pelvic-abscesses-a-case-series-study
#13
JOURNAL ARTICLE
Koichi Soga, Akinobu Sai, Hiroaki Kitae
BACKGROUND AND STUDY AIM: This is a retrospective study to evaluate the safety and efficacy of endoscopic ultrasound-guided pelvic abscess drainage (EUS-PAD) in a single hospital setting. PATIENTS AND METHODS: The referral criteria for EUS-PAD included patients with a pelvic abscess (PA) that was amenable for the procedure. A total of 14 patients with PA treated with EUS-PAD were included in this study. The mean patient age was 57.4 years, and male-to-female ratio was 7:7...
September 7, 2023: Arab Journal of Gastroenterology: the Official Publication of the Pan-Arab Association of Gastroenterology
https://read.qxmd.com/read/37606697/short-and-mid-term-outcomes-of-abdominoperineal-resection-with-perineal-mesh-insertion-a-single-centre-experience
#14
JOURNAL ARTICLE
Ahmed Gendia, Masood Rehman, Cindy W Lin, Kamran Malik, Khalil Khalil, Ugo Ihedioha, Peter Kang, John Evans, Jamil Ahmed
PURPOSE: Abdominoperineal resection (APR) remains a key procedure for the treatment of low rectal/anorectal cancers. However, perineal wound closure remains challenging, particularly in extralevator abdominoperineal resection (ELAPR) due to gapped tissue planes. Different approaches have been attempted to improve perineal wound repair. The aim of this study is to report our 6-year experience in perineal wound closure utilising biological mesh. METHODS: We conducted a retrospective study using data from our prospectively maintained database, including patients who underwent APR with perineal mesh closure between 2016 and 2021...
August 22, 2023: International Journal of Colorectal Disease
https://read.qxmd.com/read/37587570/the-hands-teaching-methods-applied-to-the-anatomy-related-to-anorectal-surgery
#15
JOURNAL ARTICLE
Xing Huang
AIM: The knowledge of the regional anatomy could assist us in performing various operations very well. However, mastering the regional anatomy very well is often a challenge, especially for a young surgeon. METHOD: "Hands" teaching methods (using gesture to simulate anatomical structure) is a simple, impressive and interesting teaching method in medical education. Our goal is to find some simple gestures that could mimic some important anatomical structures in current anorectal surgery...
October 2023: Colorectal Disease
https://read.qxmd.com/read/37540020/laparoscopic-oblique-rectus-abdominis-myocutaneous-flap-harvest-for-perineal-reconstruction-after-abdominoperineal-resection
#16
JOURNAL ARTICLE
Stefanie Devriendt, Laura Van Praet, Gabriele Bislenghi, André J L D'Hoore, Albert M Wolthuis
BACKGROUND: Treatment of perineal defects after abdominoperineal resection or salvage surgery for either locally advanced rectal cancer or anal carcinoma can be challenging. Myocutaneous flap reconstruction has proven to reduce perineal morbidity and abscess formation in the pelvis; however, it is associated with significant donor-site morbidity. To our knowledge, this is the first report of a laparoscopic oblique rectus abdominis myocutaneous flap harvesting for perineal reconstruction...
November 1, 2023: Diseases of the Colon and Rectum
https://read.qxmd.com/read/37442862/incidence-and-risk-factors-of-blowout-within-90%C3%A2-days-after-a-primary-hartmann-s-procedure-a-retrospective-cohort-study
#17
JOURNAL ARTICLE
Josefine Secher, Rogini Balachandran, Lene Hjerrild Iversen
PURPOSE: The literature reports a varying occurrence (3-33%) of blowout of the rectal remnant after Hartmann's procedure, and there is a lack of multivariate analyses on potential risk factors for blowout following Hartmann's procedure. We aimed to estimate the incidence of blowout within 90 days after a primary Hartmann's procedure and to identify potential risk factors for blowout through multivariate analysis. METHODS: A retrospective cohort study was conducted at the Department of Surgery, Aarhus University Hospital, a Danish primary and tertiary hospital...
July 14, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/37385865/rectal-stump-leakage-a-neglected-complication-after-hartmann-s-procedure-for-colorectal-cancer
#18
JOURNAL ARTICLE
Xing Huang, Zhigang Xiao, Zhongcheng Huang
BACKGROUND: Hartmann's procedure is widely used in large bowel obstruction caused by colorectal cancer. However, rectal stump leakage, one of its serious complications, has not been well investigated in the literature. METHODS: Patients with colorectal cancer who underwent Hartmann's procedure between January 2015 and January 2022 were retrospectively assessed. Rectal stump leakage was diagnosed based on the clinical symptoms, nature of drainage fluid, and computed tomography characteristics...
September 2023: Surgery
https://read.qxmd.com/read/37370110/preserving-or-peeling-the-inferior-mesenteric-arterial-sheath-during-laparoscopic-rectal-cancer-surgery-a-prospective-study-of-surgical-outcomes
#19
RANDOMIZED CONTROLLED TRIAL
Qian Li, Ye Wang, Jia-Wei Wang, Long Qian, Song Wang, Ting-Ting Cao, Ya-Bin Xia, Xiao-Xu Huang, Li Xu
BACKGROUND: We mainly evaluated whether preserving the inferior mesenteric artery (IMA) sheath to dissecting IMA root lymph nodes (also called No.253 lymph nodes) would benefit patients in terms of comparable lymph-node yield removed during operation and postoperative complications in laparoscopic radical resection of rectal cancer. METHODS: This is a prospective study included 141 rectal cancer patients who received laparoscopic radical resection during September 2018 to December 2020...
June 27, 2023: BMC Surgery
https://read.qxmd.com/read/37329610/successful-resection-of-rectal-cancer-and-perirectal-abscess-following-systemic-chemotherapy-and-chemoradiotherapy-a-case-report
#20
Takuya Yano, Kanyu Nakano, Masanori Yoshimitsu, Hitoshi Idani, Masazumi Okajima
INTRODUCTION AND IMPORTANCE: Perirectal abscesses are uncommon in colorectal cancer. Although abscess infection should be controlled before colorectal cancer treatment, abscess formation makes surgical resection and preoperative treatment difficult. There is currently no established treatment for colorectal cancer with perirectal abscesses. Here, we present a case of rectal cancer with a perirectal abscess that was resected after systemic chemotherapy followed by chemoradiotherapy. CASE PRESENTATION: A 73-year-old man presented to the outpatient clinic with complaints of weight loss and general malaise...
June 15, 2023: International Journal of Surgery Case Reports
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