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https://www.readbyqxmd.com/read/29771806/supine-bottom-up-extralevator-abdominoperineal-excision-with-primary-perineal-approach
#1
Cécile de Chaisemartin, Diane Mège, Jean Michel Durey, Hélène Meillat, Jean Robert Delpero, Bernard Lelong
To improve poor oncological outcomes of conventional abdominoperineal excision (APE), an extralevator abdominoperineal excision has been developed. This technique is associated with a larger pelvic floor defect and needs position changing and flap reconstruction, which increase operating time and morbidity without proof of best oncological results. Based on the recent development of transanal approaches for retrograde transanal mesorectal excision, we describe a novel approach for APE by a primary perineal dissection...
May 15, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29752529/a-comparison-of-the-long-term-anorectal-function-between-laparoscopic-intersphincteric-resection-and-low-anterior-resection-for-low-rectal-cancer
#2
Kenji Kawada, Koya Hida, Suguru Hasegawa, Yoshiharu Sakai
PURPOSE: To compare the time-course change in the postoperative anorectal function between laparoscopic intersphincteric resection (ISR) and low anterior resection (LAR). METHODS: This is a single-institution observational study. We evaluated the time-course change in the anorectal function using functional questionnaires before and at 6, 12, and 24 months after laparoscopic ISR or LAR. RESULTS: Sixty-two patients answered the functional questionnaires (28 in the ISR group and 34 in the LAR group)...
May 11, 2018: Surgery Today
https://www.readbyqxmd.com/read/29698951/usefulness-of-fecoflowgram-for-assessment-of-defecation-after-intersphincteric-resection
#3
Hidejiro Kawahara, Takashi Mouri, Kota Ishida, Nori Matsumoto, Tadashi Akiba, Katsuhiko Yanaga
AIM: We have developed an imaging functional assessment of defecation after partial intersphincteric resection (ISR) by fecoflowgram obtained by defecography. PATIENTS AND METHODS: Between January 2012 and December 2014, 6 patients with temporary ileostomy who underwent partial ISR for lower rectal cancer at our hospital were enrolled in this study. Defecography was performed 2 weeks after closure of the ileostomy. The defecation of all patients was evaluated by defecography and a fecoflowgram calculated from defecography...
April 26, 2018: Digestion
https://www.readbyqxmd.com/read/29682716/-a-scoring-system-to-predict-the-risk-of-anastomotic-leakage-in-patients-with-patients-with-rectal-cancer-older-than-60-years
#4
Yingjun Liu, Gangcheng Wang, Xiaoyong Liu, Pengbiao Hua, Chongqing Gao, Youcai Wang, Guangsen Han
OBJECTIVE: To establish a scoring system to predict the risk of anastomotic leakage in patients with rectal cancer older than 60 years. METHODS: The study included 995 patients (≥60 years) with rectal cancer locating 3-12 cm from the anal verge who underwent anterior resection or intersphincteric resection at the Department of General Surgery, Henan Cancer Hospital from January 2012 to December 2016. Potential risk factors for leakage were subjected to univariate analysis...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29682704/-anastomotic-leakage-after-rectal-cancer-surgery-classification-and-management
#5
Pan Chi, Shenghui Huang
Many studies have focused on the identification of risk factors and prevention of anastomotic leakage following rectal cancer surgery. However, there is little knowledge regarding classification and management of anastomotic leakage in clinic. Herein, we reviewed and summarized the classification and management of anastomotic leakage after rectal cancer surgery. The relevant treatments of anastomotic leakage should be chosen based on patient's manifestation, including general and local reactions, anatomical location, and nature of the leakage (contained or free, controlled or uncontrolled leakage)...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29663303/abdominoperineal-resection-for-rectal-cancer-in-the-twenty-first-century-indications-techniques-and-outcomes
#6
Alexander T Hawkins, Katherine Albutt, Paul E Wise, Karim Alavi, Ranjan Sudan, Andreas M Kaiser, Liliana Bordeianou
BACKGROUND: Management of low rectal cancer continues to be a challenge, and decision making regarding the need for an abdominoperineal resection (APR) in patients with low-lying tumors is complicated. Furthermore, choices need to be made regarding need for modification of the surgical approach based on tumor anatomy and patient goals. DISCUSSION: In this article, we address patient selection, preoperative planning, and intraoperative technique required to perform the three types of abdominoperineal resections for rectal cancer: extrasphincteric, extralevator, and intersphincteric...
April 16, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29629355/risk-factors-of-stoma-re-creation-after-closure-of-diverting-ileostomy-in-patients-with-rectal-cancer-who-underwent-low-anterior-resection-or-intersphincteric-resection-with-loop-ileostomy
#7
Ook Song, Kyung Hwan Kim, Soo Young Lee, Chang Hyun Kim, Young Jin Kim, Hyeong Rok Kim
Purpose: The aim of this study was to identify the risk factors of stoma re-creation after closure of diverting ileostomy in patients with rectal cancer who underwent low anterior resection (LAR) or intersphincteric resection (ISR) with loop ileostomy. Methods: We retrospectively reviewed 520 consecutive patients with rectal cancer who underwent LAR or ISR with loop ileostomy from January 2005 to December 2014 at Chonnam National University Hwasun Hospital. Risk factors for stoma re-creation after ileostomy closure were evaluated...
April 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29578914/understanding-and-treating-supralevator-fistula-in-ano-mri-analysis-of-51-cases-and-a-review-of-literature
#8
REVIEW
Pankaj Garg
BACKGROUND: Supralevator fistulas are highly complex. The delineation of the supralevator fistula has become accurate because of MRI. OBJECTIVE: The aim of the study was to analyze the pathophysiology and treatment of different types of supralevator fistulas. DESIGN: This was a prospective study. SETTINGS: The study was conducted at a specialized fistula treatment center in North India. PATIENTS: All of the patients with fistula-in-ano who presented in the outpatient department were assessed with a physical examination and MRI scan...
May 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29577210/-transanal-conformal-resection-for-super-low-rectal-cancer
#9
Zheng Lou, Wei Zhang
Intersphincteric resection(ISR) is a valuable anus-preserving operation that avoids the need for permanent stoma in patients with super low rectal cancer. Recently, with the application and promotion of ISR, the rate of anus-preservation has been greatly elevated, however, some patients following ISR had poor anal function. Based on the knowledge of anal canal anatomical features for better anal function, we propose conformal sphincter-preserving operation (CSPO) for super low rectal cancer, which is a new integrated anus-preservation procedure with total mesorectal excision (TME), coloanal anastomosis, pull through resection, anal canal dissection, local resection and natural orifice transluminal endoscopic surgery technology...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29573105/what-to-do-with-the-rectal-stump-during-sphincter-preserving-rectal-cancer-resection-with-end-colostomy-a-collaborative-snapshot-study
#10
E Westerduin, T S Aukema, A A W van Geloven, W A Bemelman, P J Tanis
AIM: Low Hartmann's resection (LHR) and intersphincteric abdominoperineal resection (iAPR) are both feasible options in the treatment of rectal cancer when restoration of bowel continuity is not desired. The aim of this study was to compare the incidence of pelvic abscess and associated need for re-intervention and readmission after LHR and iAPR. METHOD: From a snapshot research project in which all rectal cancer resections from 71 Dutch hospitals in 2011 were evaluated, patients who underwent LHR or iAPR were selected...
March 23, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29556878/effectiveness-of-pelvic-floor-rehabilitation-for-bowel-dysfunction-after-intersphincteric-resection-for-lower-rectal-cancer
#11
Hideaki Nishigori, Masayuki Ishii, Yujiro Kokado, Kouji Fujimoto, Hiroshi Higashiyama
BACKGROUND: The aim of this study was to evaluate the effectiveness of pelvic floor rehabilitation (PFR) for patients with bowel dysfunction after intersphincteric resection (ISR) and to compare the treatment response to that of patients after low anterior resection (LAR). METHODS: Thirty patients with postoperative bowel dysfunction for more than 6 months were enrolled and treated with PFR for 6 months. RESULTS: In the ISR group, significant improvements in the number of bowel movements and the use of antidiarrheal medications were observed, but no significant improvement was observed in the Wexner score (WS) and the fecal incontinence severity index (FISI)...
March 19, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29541896/outcome-of-bowel-function-following-anterior-resection-for-rectal-cancer-an-analysis-using-the-low-anterior-resection-syndrome-lars-score
#12
Juliane Kupsch, Thomas Jackisch, Klaus E Matzel, Joerg Zimmer, Andreas Schreiber, Anja Sims, Helmut Witzigmann, Sigmar Stelzner
PURPOSE: Severity of anorectal dysfunction after low anterior resection is associated with various patient- and treatment-related factors. We aimed to quantify anorectal dysfunction after treatment for rectal cancer using the low anterior resection syndrome (LARS) score. METHODS: We retrieved from a prospective database 331 eligible patients on whom anterior resection for rectal cancer had been performed from 2000 to 2014. All patients were sent a LARS score accompanied by a supplementary questionnaire...
June 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29529537/intersphincteric-proctectomy-for-rectal-mucocele-in-a-crohn-s-patient-with-anal-stenosis-a-case-report-and-review-of-literature
#13
Tyler B Draeger, Usman Aslam, Nassim Mokraoui, Eric Seitelman, Rajiv Datta, Robert C Amajoyi
In patients who have undergone a colonic resection with creation of an end colostomy, drainage of mucus secreted by the mucosa of the rectal stump may not be possible if there is an outlet obstruction. With an outlet obstruction, formation of a rectal mucocele occurs. A rectal mucocele is a rare condition which has only been reported sporadically in case reports. We present here the utility of an intersphincteric proctectomy for treatment of a rectal mucocele in a 47 year old male Crohn's patient resulting in negligible post-operative or long-term morbidities...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29528908/closing-perianal-fistulas-using-a-laser-long-term-results-in-103-patients
#14
Mustafa Cem Terzi, Cihan Agalar, Sari Habip, Aras Emre Canda, Naciye Cigdem Arslan, Funda Obuz
BACKGROUND: Primary closure of the fistula tract using energy emitted by a radial fiber connected to a diode laser is a novel procedure for treating perianal fistulas. OBJECTIVE: The aim of this study was to determine the long-term effectiveness of this new technique. DESIGN: The surgical objective was to seal the fistula tract using laser energy. SETTINGS: The study was conducted at a single day-case surgery center...
May 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29521837/intersphincteric-component-in-a-complex-fistula-in-ano-is-like-an-abscess-and-should-be-treated-like-one
#15
COMMENT
Pankaj Garg
No abstract text is available yet for this article.
April 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29490520/survival-and-functional-and-oncological-outcomes-following-intersphincteric-resection-for-low-rectal-cancer-short-term-results
#16
Călin Molnar, Butiurca Vlad-Olimpiu, Botoncea Marian, Togănel Cornelia, Gurzu Simona
Objective This study was performed to evaluate the 1-year survival rate and functional outcomes of 20 patients who underwent intersphincteric resection (ISR) for low rectal cancer. Methods Twenty patients who underwent ISR for low rectal cancer were followed up for 1 year. Complications, functional outcomes objectified by the Wexner score, and oncological outcomes were assessed. Results The short-term survival rate was 100%. The median Wexner score was ≤10 in all patients at 12 months after surgery. Signs of local recurrence were absent, and antigen levels remained within the reference ranges 1 year postoperatively...
April 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29468811/robotic-rectal-surgery-in-korea-analysis-of-a-nationwide-registry
#17
Se-Jin Baek, Jung-Myun Kwak, Jin Kim, Seon-Hahn Kim, Sungsoo Park
BACKGROUND: The aim of this study is to analyze the progress and the present state of application of robotic rectal surgery in Korea. METHODS: We used data from patients who underwent robotic, laparoscopic or open approaches for four types of operative procedures between 2006 and 2014: (1) anterior resection (AR), (2) low anterior resection (LAR), (3) intersphincteric resection (ISR) and (4) abdominoperineal resection (APR). RESULTS: The number of hospitals performing robotic rectal surgery has increased...
June 2018: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/29450698/validation-of-the-japanese-version-of-the-low-anterior-resection-syndrome-score
#18
Emi Akizuki, Hiroshi Matsuno, Tetsuta Satoyoshi, Masayuki Ishii, Akihiro Usui, Tomomi Ueki, Toshihiko Nishidate, Kenji Okita, Tsunekazu Mizushima, Masaki Mori, Ichiro Takemasa
BACKGROUND: The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major symptoms of LARS. The aim of this study was to translate the English version of the LARS score into Japanese and to investigate the validity and reliability of the LARS score. METHODS: The LARS score was translated in Japanese following current international recommendations...
February 14, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29422976/erratum-safety-and-feasibility-of-laparoscopic-intersphincteric-resection-for-a-lower-rectal-tumor
#19
Nobuhisa Matsuhashi, Takao Takahashi, Toshiyuki Tanahashi, Satoshi Matsui, Hisashi Imai, Yoshihiro Tanaka, Kazuya Yamaguchi, Shinji Osada, Kazuhiro Yoshida
[This corrects the article DOI: 10.3892/ol.2017.6664.].
January 2018: Oncology Letters
https://www.readbyqxmd.com/read/29394845/-treatment-outcome-of-intersphincteric-resection-in-tokyo-medical-university-hospital
#20
Takaaki Matsudo, Kenji Katsumata, Masanobu Enomoto, Kenta Kasahara, Hiroshi Kuwabara, Masatoshi Shigoka, Tetsuo Ishizaki, Masayuki Hisada, Tetsuo Sumi, Akihiko Tsuchida
PURPOSE: This study aimed to consider the oncological validity of intersphincteric resection(hereinafter referred to as ISR) performed at Tokyo Medical University Hospital, as well as associated dysfunction. SUBJECTS: Subjects included 73 cases in which ISR was performed at Tokyo Medical University Hospital between November 2004 and January 2016. RESULTS: The 5- year overall and relapse-free survival rates for cases with Stage 0 to III were 90...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
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