keyword
https://read.qxmd.com/read/38353092/risk-factors-and-clinical-characteristics-of-rectal-cancer-recurrence-after-radical-surgical-treatment
#21
JOURNAL ARTICLE
Paweł Siwiński, Łukasz Dziki, Michał Mik, Adam Dziki
<b><br>Introduction:</b> Recurrence of rectal cancer affects from 4% to even 50% of patients after surgical treatment. The incidence may be influenced by numerous factors depending on the patient, the characteristics of the tumor and the type and quality of the surgical technique used.</br> <b><br>Aim:</b> The aim of this study was to assess the clinical characteristics of rectal cancer recurrence, identify potential risk factors and role of patient surveillance after primary resection of rectal cancer...
October 12, 2023: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/38336762/a-modified-method-for-precise-anastomosis-during-laparoscopic-low-anterior-resection-for-rectal-cancer-the-first-clinical-experience-and-application
#22
MULTICENTER STUDY
Bobo Zheng, Ben Wang, Zeyu Li, Yaqi Qu, Jian Qiu
BACKGROUND: There is no criterion to guide and evaluate the anastomosis of laparoscopic low anterior resection (LAR). We developed a new technique for precise anastomosis. This study endeavored to evaluate the effectiveness and safety of this new technology. METHODS: Patients with mid-low rectal cancer who underwent laparoscopic LAR in our department were enrolled retrospectively between January 1, 2021 and July 1, 2023. During the LAR, the distance between the sacral promontory and the rectal stump was measured and used to determine the length of the sigmoid colon, which was preserved for anastomose...
February 9, 2024: BMC Surgery
https://read.qxmd.com/read/38335046/ureteral-injury-in-laparoscopic-low-anterior-resection-learning-curve-common-mistakes-and-preventative-strategies
#23
JOURNAL ARTICLE
Javier Chinelli, Gustavo Rodriguez
No abstract text is available yet for this article.
February 9, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38329619/comparative-analysis-of-robotic-and-laparoscopic-surgery-for-mid-and-low-rectal-cancer-in-patients-with-varied-body-mass-indexes-evaluating-of-short-term-outcomes
#24
JOURNAL ARTICLE
Shuai Zhao, Ruiqi Li, Jiajie Zhou, Longhe Sun, Qiannan Sun, Wei Wang, Daorong Wang
The main aim of this study was to evaluate and contrast the efficacy of robotic and laparoscopic surgical procedures in the treatment of low and mid rectal cancer in different BMI (body mass index) groups. The clinical records of patients who had laparoscopic or robotic proctectomy at a single center between December 2019 and August 2023 were analyzed. Then we utilized a classification framework to categorize individuals based on their BMI into three unique groups: non-obese, overweight, and obese. The short-term efficacy was evaluated...
February 8, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38328837/manec-tumor-of-rectum-a-rare-case-series-of-3-patients-and-a-literature-review
#25
JOURNAL ARTICLE
R Govindaraj, Sh Govindaraj, C Prakash, S Govindaraj
The term Mixed Adeno-Neuro-Endocrine Carcinoma (MANEC) was introduced in 2010 by the WHO Classification of Tumors of the Digestive System. It refers to a neoplasm with dual epithelial and neuroendocrine differentiation, each component representing at least 30% of the tumor. It is an uncommon tumor accounting for < 3% of all colon and rectum malignancies. We report three cases of this extremely rare MANEC of the rectum. All three cases presented with hematochezia, variable constipation, and abdominal pain...
February 3, 2024: Experimental Oncology
https://read.qxmd.com/read/38326587/the-effect-of-robotic-surgery-on-low-anterior-resection-syndrome-in-patients-with-lower-rectal-cancer-a-propensity-score-matched-analysis
#26
JOURNAL ARTICLE
Lei Zhang, Chenhao Hu, Jiamian Zhao, Chenxi Wu, Zhe Zhang, Ruizhe Li, Ruihan Liu, Junjun She, Feiyu Shi
BACKGROUND: Many patients experience anorectal dysfunction after rectal surgery, which is known as low anterior resection syndrome (LARS). Robotic systems have many technical advantages that may be suitable for functional preservation after low rectal resection. Thus, the study aimed to explore whether robotic surgery can reduce the incidence and severity of LARS. METHODS: Patients undergoing minimally invasive sphincter-sparing surgery for low rectal cancer were enrolled between January 2015 and December 2020...
February 7, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38323637/prone-jack-knife-transanal-minimally-invasive-surgery-a-safe-and-effective-approach-for-anterior-low-rectal-gastrointestinal-stromal-tumors
#27
JOURNAL ARTICLE
Jothinathan Muniandy, Cheng-Wei Huang, Tao-Wei Ke, William Tzu-Liang Chen
Subepithelial rectal lesions, including gastrointestinal stromal tumours (GIST), leiomyomas, neuroendocrine tumours, lipomas, and schwannomas, are rare surgical conditions. 1 Surgical management in this region often entails radical surgical excisions with stoma creation. Radical surgical excisions with stoma creation are often required for surgical management in this region. In this video, we demonstrate a transanal minimally invasive surgery (TAMIS) approach to anterior low rectal GIST. Patient underwent neoadjuvant Imatinib Mesylate after multidisciplinary team discussion, and were evaluated preoperatively with colonoscopy, pelvis MRI, and endoscopic ultrasound-guided tissue biopsy...
February 6, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38321328/comparison-of-hand-sewn-anterior-repair-resection-and-hand-sewn-anastomosis-resection-and-stapled-anastomosis-techniques-for-the-reversal-of-diverting-loop-ileostomy-after-low-anterior-rectal-resection-a-randomized-clinical-trial
#28
RANDOMIZED CONTROLLED TRIAL
Seyed Mostafa Meshkati Yazd, Reza Shahriarirad, Mohammad Reza Keramati, Mehdi Fallahi, Soheila-Sadat Nourmohammadi, Alireza Kazemeini, Mohammad Sadegh Fazeli, Amir Keshvari
BACKGROUND: Low anterior resection in patients with rectal cancer may require a defunctioning loop ileostomy formation that requires closure after a period of time. There are three common techniques for ileostomy closure: anterior repair (AR or fold-over closure), resection and hand-sewn anastomosis (RHA), and resection and stapled anastomosis (RSA). We aimed to compare them on the basis of operative and postoperative features. METHODS: Patients with rectal cancer who underwent low anterior resection without complications were included in this study and randomly assigned to three parallel groups to undergo loop ileostomy closure via either AR, RHA, or RSA...
February 7, 2024: Techniques in Coloproctology
https://read.qxmd.com/read/38321307/hartmann-s-procedure-in-rectal-cancer-surgery-is-often-an-intraoperative-decision-a%C3%A2-retrospective-multicenter-study
#29
JOURNAL ARTICLE
Elin Mariusdottir, Fredrik Jörgren, Maria Saeed, Jens Wikström, Marie-Louise Lydrup, Pamela Buchwald
PURPOSE: This study aimed to investigate patient-related factors predicting the selection of rectal cancer patients to Hartmann's procedure as well as to investigate how often, and on what grounds, anterior resection is intraoperatively changed to Hartmann's procedure. METHODS: Prospectively collected data from the Swedish Colorectal Cancer Registry regarding patients with rectal cancer operated upon from January 1 2007 to June 30 2017 in the county of Skåne were retrospectively reviewed...
February 7, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38317492/awake-surgery-for-angiocentric-glioma-in-the-eloquent-area-in-an-adolescent-a-case-report
#30
Yuma Yano, Ryosuke Matsuda, Fumi Okada, Maiko Takeda, Ryosuke Maeoka, Ichiro Nakgawa
Angiocentric glioma (AG) is an extremely rare tumor that often develops in adolescents. Awake surgery for AG occurring in the eloquent area has not been reported to date. We report a case involving a right-handed 15-year-old boy with AG. He presented with a first-time generalized tonic-clonic seizure and was rushed to the local hospital. CT of the head indicated a left frontal low-density mass with no calcification. He was subsequently referred to our hospital. Comparison with a CT scan obtained two years prior due to mild head trauma indicated that the lesion showed a trend toward enlargement...
January 2024: Brain Tumor Research and Treatment
https://read.qxmd.com/read/38313319/fecobionics-in-proctology-review-and-perspectives
#31
JOURNAL ARTICLE
H Gregersen, D Sun, F Field, W Combs, P Christensen, H Mousa, F J Moawad, S Eisenstein, G S Kassab
Fecobionics is a novel integrated technology for assessment of anorectal function. It is a defecatory test with simultaneous measurements of pressures, orientation, and device angle (a proxy of the anorectal angle). Furthermore, the latest Fecobionics prototypes measure diameters (shape) using impedance planimetry during evacuation of the device. The simultaneous measurement of multiple variables in the integrated test allows new metrics to be developed including more advanced novel defecation indices, enabling mechanistic insight in the defecation process at an unprecedented level in patients with anorectal disorders including patients suffering from obstructed defecation, fecal incontinence, and low anterior resection syndrome...
December 2023: Surg Open Dig Adv
https://read.qxmd.com/read/38305749/assess-severity-of-low-anterior-resection-syndrome-after-intersphincteric-resection-for-ultralow-rectal-cancer-a-pilot-study-using-an-exploratory-instrument
#32
JOURNAL ARTICLE
Bin Zhang, Guang-Zuan Zhuo, Fei-Fan Liu, Yu-Juan Zhao, Yu Cao, Jian-Bin Xiang, Jian-Hua Ding
BACKGROUND: The Delphi consensus identified eight symptoms and eight consequences as the highest priorities for defining low anterior resection syndrome. OBJECTIVE: To describe an exploratory scoring instrument that correlates the Delphi consensus on low anterior resection syndrome with functional and quality-of-life scores following intersphincteric resection for ultralow rectal cancer. DESIGN: This was a prospective pilot study. In accordance with the Wexner incontinence score, five frequency responses ranging from never (score 0) to always (score 4) were used to measure the severity of symptom- and consequence-specific variables...
February 2, 2024: Diseases of the Colon and Rectum
https://read.qxmd.com/read/38305607/early-predictive-factors-and-risk-assessment-for-anastomotic-leakage-in-patients-undergoing-low-anterior-resection-for-rectal-cancer
#33
JOURNAL ARTICLE
H Ozgul, U Dogan, R C Cakir, Y Uzmay, C O Ensari, O Celik, T T Kaplan, A Aslaner
OBJECTIVE: Anastomotic leakage is a complication that creates significant concern in terms of postoperative morbidity and mortality after colorectal surgery. This study aimed to identify variables for detecting anastomotic leakage in those who had open, laparoscopic, or robotic low anterior resection for cancer and to explore their relationships. PATIENTS AND METHODS: A total of 283 patients who were diagnosed with rectal cancer and underwent low anterior resection were divided into two groups: those with and without anastomotic leakage...
January 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38303370/-a-case-of-clostridium-difficile-enteritis-with-ileostomy-for-rectal-cancer-surgery
#34
JOURNAL ARTICLE
Hidenori Takahashi, Shunsuke Hamasaki, Hideyuki Tanaka, Yasuo Sakamoto, Reina Kawasaki, Norikazu Mitsui, Tatsuma Morikita, Hisanobu Oda
A 74-year-old male presenting with bloody stools was diagnosed with advanced rectal cancer. He underwent robot- assisted low anterior resection and temporary ileostomy. Cefmetazole(CMZ)was administered during surgery and on postoperative day(POD)1. His postoperative course was generally good. On POD8, he developed abdominal fullness, vomiting, renal dysfunction, and hyperkalemia. Plain CT revealed small bowel ileus and outlet obstruction with ileostomy was suspected. A nasogastric tube was placed in the stomach, and a balloon catheter was inserted from the ileostomy to the oral side of the ileum...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303350/-permissibility-of-stoma-closure-surgery-in-patients-with-colorectal-cancer-who-underwent-primary-tumor-resection-including-in-cancer-bearing-conditions
#35
JOURNAL ARTICLE
Shigeru Fujisaki, Motoi Takashina, Ryouichi Tomita, Kenichi Sakurai, Yukiyasu Okamura
From 2006 to 2021, 27 patients who underwent stoma construction during colorectal cancer resection followed by stoma closure were grouped into 2 groups: Group A(7 patients with cancer)and Group B(20 patients without cancer). The male- to-female ratio were 6:1 for Group A and 13:7 for Group B. The average ages were 63.7 and 65.0 years, respectively. The ratios(Group A:Group B)of the causes for stoma construction were 5:13 for bowel obstruction due to colorectal cancer, 2:2 for abdominal wall invasion/dissemination and 0:5 for covering stoma...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303321/-a-resected-case-of-intraperitoneal-foreign-body-granuloma-mimicking-peritoneal-dissemination
#36
JOURNAL ARTICLE
Norio Itoh, Goshi Takayama, Gakushi Kitamura, Yuki Shimauchi, Toru Mizutani, Shoichiro Hikami, Kenichi Aratani, Kazuto Ujiie, Masayuki Yoneda, Yoshitaka Nakamura, Manabu Takemura, Hiroshi Koike, Naoki Kakihara, Osamu Ikawa, Shinji Okano
Foreign body granuloma(FBG)is a granuloma that occurs due to chronic inflammation caused by various residual foreign objects. In the field of gastrointestinal surgery, intraperitoneal foreign body granulomas(IPFBGs)are often caused by sutures materials or residual gauzes, but those caused by food residue are extremely rare. We present an IPFBG case of food residue caused by anastomotic leakage, which was difficult to be distinguished from peritoneal dissemination. The patient is a 74- year-old male. Anastomotic leakage occurred following low anterior resection for rectal cancer, peritoneal drainage and ileostomy were performed...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303320/-a-case-of-sigmoid-rectal-cancer-with-a-vesicoconstrictor-fistula-curatively-resected-after-neoadjuvant-chemotherapy
#37
JOURNAL ARTICLE
Manatsu Mizuno, Hideki Osawa, Ho Min Kim, Shinichi Yoshioka, Minami Maruyama, Yoshitaka Okauchi, Tomonori Nomura, Yoshiki Taniguchi, Kei Asukai, Tomoya Kishimoto, Junji Kawada, Junya Fujita, Shigeyuki Tamura, Yo Sasaki
A 50-year-old man presented with fecaluria and was diagnosed with sigmoid colon cancer with a colovesical fistula. Total bladder resection was determined to be necessary for curative resection at the time of diagnosis. In anticipation of bladder preservation, 6 courses of mFOLFOX6 plus panitumumab were administered after transverse colostomy, resulting in marked tumor regression and a decision to proceed with surgery. The patient underwent robotic-assisted low anterior resection of the rectum and partial cystectomy, which yielded pathological radical treatment...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303318/-synchronous-lung-metastasis-and-hilar-lymph-node-metastasis-from-rectal-cancer-a-case-report
#38
JOURNAL ARTICLE
Daisuke Muroya, Kouji Hayashi, Takamichi Nishida, Hisaaki Shimokobe, Yuichi Nagao, Yoshito Wada, Takayuki Torigoe, Hironobu Sou, Satoshi Taniwaki, Yosuke Morimitsu, Toru Hisaka
A 64-year-old male was referred to our hospital with both advanced rectal cancer and lung tumor with swollen lymph nodes in the lung hilum. The patient underwent laparoscopic low anterior resection followed by systematic lobectomy of the lung 2 months later. Postoperative pathological examination revealed a diagnosis of metastatic lung tumor and metastasis in the lung hilum. However, hilar lymph node metastasis is considered a poor prognostic factor for lung metastasis. Herein, we report a case of synchronous lung metastasis and hilar lymph node metastasis from colorectal cancer that achieved 20 months of recurrence free survival with surgical therapy alone...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303315/-a-case-of-robot-assisted-abdominoperineal-resection-alongside-en-bloc-prostatectomy-and-vesico-urethral-anastomosis-for-local-recurrence
#39
JOURNAL ARTICLE
Iguru Omori, Masatsune Shibutani, Tatsunari Fukuoka, Hiroaki Kasashima, Kishu Kitayama, Yuichiro Miki, Mami Yoshii, Tatsuro Tamura, Takahiro Toyokawa, Hiroaki Tanaka, Shigeru Lee, Minoru Kato, Takeshi Yamazaki, Junji Uchida, Kiyoshi Maeda
A 66-year-old man presenting with cStage Ⅲc rectal cancer underwent laparoscopic low anterior resection(D3 lymph node dissection and R0 resection)following neoadjuvant chemoradiotherapy(capecitabine, 45 Gy/25 Fr)and received adjuvant chemotherapy(CAPOX). A year after surgery, abdominal contrast-enhanced computed tomography revealed recurrence near the rectal anastomosis with prostate invasion. The patient underwent robot-assisted abdominoperineal resection alongside en bloc prostatectomy and vesico-urethral anastomosis after 12 courses of neoadjuvant chemotherapy(FOLFIRI and panitumumab)...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38303270/-a-case-of-jejunal-ectopic-pancreas-incidentally-found-in-laparoscopic-rectal-cancer-surgery
#40
JOURNAL ARTICLE
Masahiro Yan, Shu Inagaki, Yuki Takane, Sayano Nagasawa, Miyuki Takahashi, Mariko Masubuchi, Nobuhisa Teranishi, Kazuhiko Wakabayashi, Hiroyuki Uetake, Yutaka Ito
In laparoscopic surgery, intraabdominal examination is occasionally difficult due to restriction of operative field and palpation. This is a case report of a jejunal ectopic pancreas which was incidentally found during laparoscopic surgery. A 49-year- old male underwent endoscopic mucosal resection for a rectal polyp which pathologically resulted in 5,000 μm invasion in submucosa and lymphatic invasion. Laparoscopic low anterior resection was planned for the patient as an additional treatment. During the surgery, irregular shaped tumor-like lesion was incidentally found in jejunum which was located 30 cm distal side from the ligament of Treitz...
December 2023: Gan to Kagaku Ryoho. Cancer & Chemotherapy
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