keyword
https://read.qxmd.com/read/38475933/surgical-and-survival-outcomes-of-early-onset-colorectal-cancer-patients-a-single-centre-descriptive-australian-study
#1
JOURNAL ARTICLE
Celine Garrett, Daniel Steffens, Michael Solomon, Cherry Koh
BACKGROUND: Early-onset colorectal cancer (EOCRC) incidence is increasing in Australia. However, no Australian studies have reported on EOCRC patients' surgical management and survival patterns. METHODS: A retrospective study of 111 EOCRC patients treated at the Royal Prince Alfred Hospital (RPAH), Sydney, Australia between January 2013 and December 2021 was performed. RPAH is a quaternary referral centre for pelvic exenteration (PE) and cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC)...
March 12, 2024: ANZ Journal of Surgery
https://read.qxmd.com/read/38472547/incidence-of-low-anterior-resection-syndrome-and-its-association-with-the-quality-of-life-in-patients-with-lower-rectal-tumors
#2
JOURNAL ARTICLE
Yuko Homma, Toshiki Mimura, Koji Koinuma, Hisanaga Horie, Naohiro Sata
PURPOSE: Low anterior resection syndrome (LARS) causes devastating symptoms and impairs the quality of life (QOL). This study investigated the incidence and risk factors of LARS and their association with the QOL in patients with lower rectal tumors. METHODS: Patients who underwent anus-preserving surgery for lower rectal tumors between 2014 and 2019 and who had anal defecation between 2020 and 2021 were surveyed. The LARS score measured severity, and the QOL was evaluated using the Japanese version of the Fecal Incontinence Quality-of-Life Scale (JFIQL)...
March 12, 2024: Surgery Today
https://read.qxmd.com/read/38463367/to-explore-the-pathogenesis-of-anterior-resection-syndrome-by-magnetic-resonance-imaging-rectal-defecography
#3
JOURNAL ARTICLE
Ling-Hou Meng, Xian-Wei Mo, Bing-Yu Yang, Hai-Quan Qin, Qing-Zhou Song, Xin-Xin He, Qiang Li, Zheng Wang, Chang-Lin Mo, Guo-Hai Yang
BACKGROUND: Over 90% of rectal cancer patients develop low anterior resection syndrome (LARS) after sphincter-preserving resection. The current globally recognized evaluation method has many drawbacks and its subjectivity is too strong, which hinders the research and treatment of LARS. AIM: To evaluate the anorectal function after colorectal cancer surgery by quantifying the index of magnetic resonance imaging (MRI) defecography, and pathogenesis of LARS. METHODS: We evaluated 34 patients using the standard LARS score, and a new LARS evaluation index was established using the dynamic images of MRI defecography to verify the LARS score...
February 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38459211/impact-of-the-endoscopic-surgical-skill-qualification-system-on-conversion-to-laparotomy-after-low-anterior-resection-for-rectal-cancer-in-japan-a-secondary-analysis-of-the-enssure-study
#4
JOURNAL ARTICLE
Koki Goto, Jun Watanabe, Toshiya Nagasaki, Mamoru Uemura, Heita Ozawa, Yohei Kurose, Tomonori Akagi, Nobuki Ichikawa, Hiroaki Iijima, Masafumi Inomata, Akinobu Taketomi, Takeshi Naitoh
BACKGROUND AND AIMS: Conversion to laparotomy is among the serious intraoperative complications and carries an increased risk of postoperative complications. In this cohort study, we investigated whether or not the Endoscopic Surgical Skill Qualification System (ESSQS) affects the conversion rate among patients undergoing laparoscopic surgery for rectal cancer. METHODS: We performed a retrospective secondary analysis of data collected from patients undergoing laparoscopic surgery for cStage II and III rectal cancer from 2014 to 2016 across 56 institutions affiliated with the Japan Society of Laparoscopic Colorectal Surgery...
March 8, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38449404/-a-case-of-late-recurrence-of-gastric-cancer-over-ten-years-post-gastrectomy
#5
JOURNAL ARTICLE
Hiroshi Tsuchihashi, Satoru Okumura, Sho Toyoda, Genya Hamano, Kansuke Yamamoto, Ken Yuu, Masao Ogawa, Masayasu Kawasaki
A 72-year-old woman underwent a low anterior resection of the rectum and a total hysterectomy with a bilateral salpingo- oophorectomy simultaneously for rectal and ovarian cancer, respectively. The pathological diagnosis was a moderately differentiated adenocarcinoma of the rectum with some poorly differentiated components signet-ring cell components. A mucinous adenocarcinoma, with similar characteristics as that in the rectum, was found in the ovary. Intraoperative findings revealed no direct invasion between the rectum and ovaries, with no peritoneal dissemination...
February 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38442886/-watch-and-wait-for-rectal-cancer
#6
JOURNAL ARTICLE
Carolin Kastner, Michael Meir, Sven Flemming, Joachim Reibetanz, Christoph Thomas Germer, Armin Wiegering
About one third of all colorectal carcinomas (CRC) are localised in the rectum. As part of a multimodal therapy concept, neoadjuvant therapy achieves downstaging of the tumour in 50-60% of cases and a so-called complete clinical response (cCR), defined as clinically (and radiologically) undetectable residual tumour after completion of neoadjuvant therapy, in 10-30% of cases.In view of the perioperative morbidity and mortality associated with radical rectal resection, including the occurrence of a symptom complex known as low anterior resection syndrome (LARS) and the need for deviation, at least temporarily, the question of the risk-benefit balance of organ resection in the presence of cCR has been raised...
February 2024: Zentralblatt Für Chirurgie
https://read.qxmd.com/read/38426539/long-term-change-of-low-anterior-resection-syndrome-in-survivors-of-rectal-cancer-longitudinal-follow-up-of-a-randomized-controlled-trial
#7
JOURNAL ARTICLE
Siqi He, Jinquan Zhang, Runxian Wang, Li Li, Weipeng Sun, Jianping Wang, Yanhong Deng, Weiwen Liang, Ruoxu Dou
BACKGROUND: Postoperative bowel dysfunction, also known low anterior resection syndrome, is common in rectal cancer survivors and significantly impacts quality of life. Although long-term longitudinal follow-up is lacking, improvement of the syndrome is commonly believed to happen only within the first two years. OBJECTIVE: This study aims to depict the longitudinal evolvement of low anterior resection syndrome beyond 3 years and explores factors associated with the change...
March 1, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38414217/robot-assisted-laparoscopic-surgery-for-rectal-cancer-in-a-patient-with-a-horseshoe-kidney-a-case-report
#8
Ryohei Shoji, Fuminori Teraishi, Yuki Matsumi, Hajime Kashima, Toshiyoshi Fujiwara
A 52-year-old, Japanese man presented to the hospital with a complaint of anal bleeding, and detailed examination resulted in a diagnosis of locally advanced rectal cancer. The patient underwent total neoadjuvant therapy followed by short-course radiation therapy and consolidation chemotherapy, which provided a partial response. After preoperative contrast-enhanced computed tomography showed a horseshoe kidney, robot-assisted, precise, laparoscopic, low anterior resection with D3 dissection and ileostomy construction was performed...
April 2024: Asian Journal of Endoscopic Surgery
https://read.qxmd.com/read/38414122/long-term-clinical-outcomes-after-high-and-low-ligations-with-lymph-node-dissection-around-the-root-of-the-inferior-mesenteric-artery-in-patients-with-rectal-cancer
#9
JOURNAL ARTICLE
Min Wan Lee, Sung Sil Park, Kiho You, Dong Eun Lee, Dong Woon Lee, Sung Chan Park, Kyung Su Han, Dae Kyung Sohn, Chang Won Hong, Bun Kim, Byung Chang Kim, Hee Jin Chang, Dae Yong Kim, Jae Hwan Oh
PURPOSE: This study aimed to evaluate the long-term clinical outcomes based on the ligation level of the inferior mesenteric artery (IMA) in patients with rectal cancer. METHODS: This was a retrospective analysis of a prospectively collected database that included all patients who underwent elective low anterior resection for rectal cancer between January 2013 and December 2019. The clinical outcomes included oncological outcomes, postoperative complications, and functional outcomes...
February 2024: Annals of Coloproctology
https://read.qxmd.com/read/38414121/long-term-bowel-functional-outcomes-following-anal-sphincter-preserving-surgery-for-upper-and-middle-rectal-cancer-a-single-center-longitudinal-study
#10
JOURNAL ARTICLE
Ahmad Sakr, Seung Yoon Yang, Min Soo Cho, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim
PURPOSE: Despite advances in neoadjuvant chemoradiotherapy and anal sphincter-preserving surgery for rectal cancer, bowel dysfunction is still unavoidable and negatively affects patients' quality of life. In this longitudinal study, we aimed to investigate the changes in bowel function with follow-up time and the effect of neoadjuvant chemoradiotherapy on bowel function following low anterior resection for rectal cancer. METHODS: In this study, 171 patients with upper or middle rectal cancer who underwent low anterior resection between 2012 and 2018 were included...
February 2024: Annals of Coloproctology
https://read.qxmd.com/read/38413412/risk-factors-for-anastomotic-leakage-after-low-anterior-resection-for-obese-patients-with-rectal-cancer
#11
JOURNAL ARTICLE
Ai Sadatomo, Hisanaga Horie, Koji Koinuma, Naohiro Sata, Yutaka Kojima, Takatoshi Nakamura, Jun Watanabe, Takaya Kobatake, Tomonori Akagi, Kentaro Nakajima, Masafumi Inomata, Seiichiro Yamamoto, Masahiko Watanabe, Yoshiharu Sakai, Takeshi Naitoh
PURPOSE: We aimed to analyze the risk factors for anastomotic leakage (AL) after low anterior resection (LAR) in obese patients (body mass index [BMI] ≥ 25 kg/m2 ) with rectal cancer. METHODS: Data were collected from four hundred two obese patients who underwent LAR for rectal cancer in 51 institutions. RESULTS: Forty-six (11.4%) patients had clinical AL. The median BMI (27 kg/m2 ) did not differ between the AL and non-AL groups...
February 28, 2024: Surgery Today
https://read.qxmd.com/read/38410614/mitral-valve-repair-using-a-semi-rigid-posterior-band-a-10-year-japanese-single-center-experience-of-244-patients
#12
JOURNAL ARTICLE
Kazuyoshi Takagi, Koichi Arinaga, Tohru Takaseya, Hiroyuki Otsuka, Takahiro Shojima, Takanori Kono, Yasuyuki Zaima, Kosuke Saku, Atsunobu Oryoji, Eiki Tayama
BACKGROUND: Mitral valve repair (MVr) is an established procedure for patients who require surgery for primary mitral regurgitation (PMR). The Colvin-Galloway Future Band (CGFB) is a semi-rigid posterior band expected to improve the clinical outcomes of MVr. However, information on the hemodynamic and functional performance and long-term outcomes of CGFB is limited. We evaluated the quality, durability, and clinical performance after MVr using CGFB for PMR as the cohort study. METHODS: A total of 244 patients who underwent MVr with CGFB were enrolled...
January 30, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38400789/defining-benchmark-outcomes-for-mesial-temporal-lobe-epilepsy-surgery-a-global-multicenter-analysis-of-1119-cases
#13
JOURNAL ARTICLE
Richard Drexler, Franz L Ricklefs, Sharona Ben-Haim, Anna Rada, Friedrich Wörmann, Thomas Cloppenborg, Christian G Bien, Matthias Simon, Thilo Kalbhenn, Albert Colon, Kim Rijkers, Olaf Schijns, Valeri Borger, Rainer Surges, Hartmut Vatter, Michele Rizzi, Marco de Curtis, Giuseppe Didato, Nicoló Castelli, Alexandre Carpentier, Bertrand Mathon, Clarissa Lin Yasuda, Fernando Cendes, Poodipedi Sarat Chandra, Manjari Tripathi, Hans Clusmann, Daniel Delev, Marc Guenot, Claire Haegelen, Hélène Catenoix, Johannes Lang, Hajo Hamer, Sebastian Brandner, Katrin Walther, Jason S Hauptmann, Rosalind L Jeffree, Josua Kegele, Eliane Weinbrenner, Georgios Naros, Julia Velz, Niklaus Krayenbühl, Julia Onken, Ulf C Schneider, Martin Holtkamp, Karl Rössler, Andrea Spyrantis, Adam Strzelczyk, Felix Rosenow, Stefan Stodieck, Mario A Alonso-Vanegas, Jörg Wellmer, Tim Wehner, Lasse Dührsen, Jens Gempt, Thomas Sauvigny
OBJECTIVE: Benchmarking has been proposed to reflect surgical quality and represents the highest standard reference values for desirable results. We sought to determine benchmark outcomes in patients after surgery for drug-resistant mesial temporal lobe epilepsy (MTLE). METHODS: This retrospective multicenter study included patients who underwent MTLE surgery at 19 expert centers on five continents. Benchmarks were defined for 15 endpoints covering surgery and epilepsy outcome at discharge, 1 year after surgery, and the last available follow-up...
February 24, 2024: Epilepsia
https://read.qxmd.com/read/38400678/association-between-personality-types-and-low-anterior-resection-syndrome-in-rectal-cancer-patients-following-surgery
#14
JOURNAL ARTICLE
Ting-Yu Chiang, Yu-Jen Hsu, Yih-Jong Chern, Chun-Kai Liao, Wen-Sy Tsai, Pao-Shiu Hsieh, Hung-Chih Hsu, Yu-Fen Lin, Hsiu-Lan Lee, Jeng-Fu You
PURPOSE: Low anterior resection syndrome (LARS) has had many impacts on the lives of patients and substantial differences in emotional and social functions. The aim of this study was to investigate the correlation analysis of different personality traits in rectal cancer patients with LARS after undergoing curative surgery. METHODS: This study was designed as a prospective cohort study. The inclusion criteria included (1) participants diagnosed with rectal cancer who underwent surgical resection of malignant tumors and (2) ECOG 0-1...
February 2024: Cancer Medicine
https://read.qxmd.com/read/38399617/predicting-the-feasibility-of-curative-resection-in-low-rectal-cancer-insights-from-a-prospective-observational-study-on-preoperative-magnetic-resonance-imaging-accuracy
#15
JOURNAL ARTICLE
Cristian-Constantin Volovat, Dragos-Viorel Scripcariu, Diana Boboc, Simona-Ruxandra Volovat, Ingrid-Andrada Vasilache, Corina Lupascu-Ursulescu, Liliana Gheorghe, Luiza-Maria Baean, Constantin Volovat, Viorel Scripcariu
Background and Objectives : A positive pathological circumferential resection margin is a key prognostic factor in rectal cancer surgery. The point of this prospective study was to see how well different MRI parameters could predict a positive pathological circumferential resection margin (pCRM) in people who had been diagnosed with rectal adenocarcinoma, either on their own or when used together. Materials and Methods : Between November 2019 and February 2023, a total of 112 patients were enrolled in this prospective study and followed up for a 36-month period...
February 15, 2024: Medicina
https://read.qxmd.com/read/38389618/the-original-rutherford-morison-incision-a-case-report
#16
Robyn Cabral, Vijay Naraynsingh
In recent years, the Rutherford Morison incision has become synonymous with renal transplant surgery. However, this incision was originally intended for access to the sigmoid colon and pelvis, particularly in the case of a midline previously scarred from operation. We present a case of a middle-aged female with a caecal tumour, requiring resection. Upon examination, this patient was found to have large concomitant diastasis of the recti. A right-sided Rutherford Morison incision was utilized in performing a right hemicolectomy...
January 2024: Curēus
https://read.qxmd.com/read/38386696/swog-s1820-a-pilot-randomized-trial-of-the-altering-intake-managing-bowel-symptoms-intervention%C3%A2-in-survivors-of-rectal-cancer
#17
JOURNAL ARTICLE
Virginia Sun, Katherine A Guthrie, Tracy E Crane, Kathryn B Arnold, Sarah Colby, Sarah G Freylersythe, Christa Braun-Inglis, Roxanne Topacio, Craig A Messick, Joseph C Carmichael, Andrew A Muskovitz, Mohammed Nashawaty, Madhuri Bajaj, Stacey A Cohen, Devin C Flaherty, Mark A O'Rourke, Lee Jones, Robert S Krouse, Cynthia A Thomson
BACKGROUND: Survivors of rectal cancer experience persistent bowel dysfunction after treatments. Dietary interventions may be an effective approach for symptom management and posttreatment diet quality. SWOG S1820 was a pilot randomized trial of the Altering Intake, Managing Symptoms in Rectal Cancer (AIMS-RC) intervention for bowel dysfunction in survivors of rectal cancer. METHODS: Ninety-three posttreatment survivors were randomized to the AIMS-RC group (N = 47) or the Healthy Living Education attention control group (N = 46) after informed consent and completion of a prerandomization run-in...
February 22, 2024: Cancer
https://read.qxmd.com/read/38382154/bowel-dysfunction-and-lower-urinary-tract-symptoms-on-quality-of-life-after-sphincter-preserving-surgery-for-rectal-cancer-a-cross-sectional-study
#18
JOURNAL ARTICLE
Hyekyung Kim, Hyedan Kim, Ok-Hee Cho
OBJECTIVES: This study aimed to investigate the impact of bowel dysfunction and lower urinary tract symptoms on the quality of patients with rectal cancer who underwent sphincter-preserving surgery. METHODS: This cross-sectional study included patients who were followed up after sphincter-preserving surgery in Korea. Data were collected from May 2022 to February 2023. The participants (n = 110) responded to self-reported questionnaires assessing the Low Anterior Resection Syndrome (LARS) score, International Prostate Symptom Score (IPSS), European Organization for Research and Treatment of Cancer QLQ-C30 and QLQ-C29 questionnaires...
February 9, 2024: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://read.qxmd.com/read/38381031/reconstructive-techniques-following-low-anterior-resection-for-carcinoma-of-the-rectum
#19
JOURNAL ARTICLE
Anuj Goyal, Anvin Mathew, Princy Joseph, Gourav Kaushal, Nirjhar R Rakesh, Puneet Dhar
INTRODUCTION: Multiple reconstructive techniques have been described for reconstruction after a low anterior resection for carcinoma rectum. Colonic J pouch (CJP), Side to end anastomosis (SEA), transverse coloplasty pouch (TCP) and Straight Colo-rectal/anal anastomosis were the most widely studied. EVIDENCE ACQUISITION: PubMed, Embase and Cochrane data base were searched for randomized, non-randomized studies and systematic reviews from inception of the databases till July 31st , 2023...
February 2024: Minerva surgery
https://read.qxmd.com/read/38372282/transumbilical-endoscopic-resection-of-intra-abdominal-mesenchymal-tumor
#20
JOURNAL ARTICLE
Bozhi Wang
Gastrointestinal stromal tumors (GISTs) typically occur in the stomach and proximal small intestine but can also be found in any other part of the digestive tract, including the abdominal cavity, albeit rarely. In the present case, the tumor was resected endoscopically through the anterior gastric wall. Computed tomography (CT) scan and gastroscopy of a 60-year-old woman revealed submucosal lesions in the gastric body. The possibility of a stromal tumor was considered more likely. The endoscopic surgery was performed under endotracheal anesthesia...
February 2, 2024: Journal of Visualized Experiments: JoVE
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