Rates and predictors of repeat preoperative endoscopy for elective colorectal resections: how can we avoid repeated procedures?

2021 ◽  
Author(s):  
Olivia Hershorn ◽  
Jason Park ◽  
Harminder Singh ◽  
Kathleen Clouston ◽  
Ashley Vergis ◽  
...  
Keyword(s):  
Colorectal Resections

Simultaneous liver and colorectal resections are safe for synchronous colorectal liver metastasis

2003 ◽  
Vol 197 (2) ◽  
pp. 233-241 ◽  
Author(s):  
Robert Martin ◽  
Philip Paty ◽  
Yuman Fong ◽  
Andrew Grace ◽  
Alfred Cohen ◽  
...  
Keyword(s):  
Liver Metastasis ◽  
Colorectal Liver Metastasis ◽  
Synchronous Colorectal Liver Metastasis ◽  
Colorectal Resections

scholarly journals Overview of colorectal resections in a reference center in Curitiba – Brazil: Experience with open and laparoscopic approach

2018 ◽  
Vol 38 (1) ◽  
pp. 50-55
Author(s):  
Micheli Fortunato Domingos ◽  
Renato Valmassoni Pinho ◽  
Júlio Cezar Uili Coelho ◽  
Guilherme Figueiró Ferronatto ◽  
Mariane Christina Savio ◽  
...  
Keyword(s):  
Laparoscopic Approach ◽  
Reference Center ◽  
Colorectal Resections

The majority of colorectal resections require an open approach, even in units with a special interest in laparoscopic surgery

2011 ◽  
Vol 14 (1) ◽  
pp. 29-34 ◽  
Author(s):  
C. M. Newman ◽  
S. J. Arnold ◽  
D. B. Coull ◽  
T. Y. Linn ◽  
B. J. Moran ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Special Interest ◽  
Open Approach ◽  
Colorectal Resections

scholarly journals 3D pelvimetry and biometric measurements: a surgical perspective for colorectal resections

2020 ◽  
Author(s):  
Laura Lorenzon ◽  
Fabiano Bini ◽  
Federica Landolfi ◽  
Serena Quinzi ◽  
Genoveffa Balducci ◽  
...  
Keyword(s):  
Depth Ratio ◽  
Pelvic Inlet ◽  
Pelvic Shape ◽  
Male Patients ◽  
Biometric Measurements ◽  
Males And Females ◽  
Narrow Pelvis ◽  
Inlet Angle ◽  
3D Software ◽  
Colorectal Resections

Abstract Purpose Male sex, high BMI, narrow pelvis, and bulky mesorectum were acknowledged as clinical variables correlated with a difficult pelvic dissection in colorectal surgery. This paper aimed at comparing pelvic biometric measurements in female and male patients and at providing a perspective on how pelvimetry segmentation may help in visualizing mesorectal distribution. Methods A 3D software was used for segmentation of DICOM data of consecutive patients aged 60 years, who underwent elective abdominal CT scan. The following measurements were estimated: pelvic inlet, outlet, and depth; pubic tubercle height; distances from the promontory to the coccyx and to S3/S4; distance from S3/S4 to coccyx’s tip; ischial spines distance; pelvic tilt; offset angle; pelvic inlet angle; angle between the inlet/sacral promontory/coccyx; angle between the promontory/coccyx/pelvic outlet; S3 angle; and pelvic inlet to pelvic depth ratio. The measurements were compared in males and females using statistical analyses. Results Two-hundred patients (M/F 1:1) were analyzed. Out of 21 pelvimetry measurements, 19 of them documented a significant mean difference between groups. Specifically, female patients had a significantly wider pelvic inlet and outlet but a shorter pelvic depth, and promontory/sacral/coccyx distances, resulting in an augmented inlet/depth ratio when comparing with males (p < 0.0001). The sole exceptions were the straight conjugate (p = 0.06) and S3 angle (p = 0.17). 3D segmentation provided a perspective of the mesorectum distribution according to the pelvic shape. Conclusion Significant differences in the structure of pelvis exist in males and females. Surgeons must be aware of the pelvic shape when approaching the rectum.

scholarly journals Improved perioperative outcomes and reduced inflammatory stress response in malignant robotic-assisted colorectal resections: a retrospective cohort study of 298 patients

2021 ◽  
Author(s):  
Pedja Cuk ◽  
Randi Maria Simonsen ◽  
Mirjana Komljen ◽  
Michael Festersen Nielsen ◽  
Per Helligsø ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Stress Response ◽  
Retrospective Cohort ◽  
Interquartile Range ◽  
Short Term ◽  
Inflammatory Stress ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery ◽  
Colorectal Resections

Abstract Background Robotic-assisted surgery is increasingly implemented for the resection of colorectal cancer, although the scientific evidence for adopting this technique is still limited. This study's main objective was to compare short-term complications, oncological outcomes, and the inflammatory stress response after colorectal resection for cancer performed laparoscopic or robotic-assisted. Methods We conducted a retrospective cohort study comparing the robotic-assisted approach to laparoscopic surgery for elective malignant colorectal neoplasm. Certified colorectal and da Vinci ® robotic surgeons performed resections at a Danish tertiary colorectal high volume centre from May 2017 – March 2019. We analyzed the two surgical groups using uni- and multivariate regression analyses to detect differences in intra- and postoperative clinical outcomes and the inflammatory stress response. Results Two hundred and ninety-eight patients were enrolled in the study. Significant differences favoring robotic-assisted surgery was demonstrated for; length of hospital stay (4 days, interquartile range (4–5) versus 5 days, interquartile range (4–7), p < 0.001) and intraoperative blood loss (50 mL, interquartile range (20–100) versus 100 mL, interquartile range (50–150), p < 0.001) compared to laparoscopic surgery. The inflammatory stress response was significantly higher after laparoscopic compared to robotic-assisted surgery reflected by an increase in C-reactive protein concentration (exponentiated coefficient = 1.20, 95% confidence interval (1.04–1.40), p < 0.001). No differences between the two groups were found concerning mortality, microradical resection rate, conversion to open surgery and surgical or medical short-term complications. Conclusion Robotic-assisted surgery is feasible and can be safely implemented for colorectal resections. The robotic-assisted approach, when compared to laparoscopic surgery, was associated with improved intra- and postoperative outcomes. Extensive prospective studies are needed to determine the short and long-term outcomes of robotic surgery for colorectal cancer.

scholarly journals Second evaluation of the mesenteric tissue after ethanol fixation improved the total and metastatic number of lymph nodes in colorectal resections

2019 ◽  
Vol 62 (1) ◽  
pp. 31
Author(s):  
Asli Cakir ◽  
İlknurCetinaslan Turkmen ◽  
AsliUnlu Akhan ◽  
Merve Akkoc ◽  
Pinar Korkmaz
Keyword(s):  
Lymph Nodes ◽  
Colorectal Resections

scholarly journals Long Term Implications in Surgical Re-assisting (L.I.S.A. study) During Covid-19 Outbreak: A Retrospective Observational Study on a Rural Population.

2021 ◽  
Author(s):  
Nicolò Fabbri ◽  
Antonio Pesce ◽  
Lisa Uccellatori ◽  
Salvatore Greco ◽  
Francesco D'Urbano ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Operative Management ◽  
Surgical Interventions ◽  
Male Sex ◽  
Non Operative Management ◽  
The Impact ◽  
Colorectal Resections ◽  
Surgical Operations ◽  
Over Time

Abstract BackgroundThe spread of the COVID-19 is having a worldwide impact on surgicaltreatment. Our aim was to investigate the impact of the pandemic in a rural hospital in a lowdensely populated area.MethodsWe investigated the volume and type of surgical operations during the pandemic(March 2020 - February 2021) versus pre-pandemic period (March 2019 - February 2020) aswell as during the first and second pandemic waves compared to the pre-pandemic period.We compared the volume and timing of emergency appendectomy and cholecystectomyduring the pandemic versus pre-pandemic period, the volume, timing and stages of electivegastric and colorectal resections for cancer during the pandemic versus the pre-pandemicperiod.ResultsIn the prepandemic versus pandemic period, 42 versus 24 appendectomies and 174versus 126 cholecystectomies (urgent and elective) were performed. Patients operated onbefore as opposed to during the pandemic were older (58 vs. 52 years old, p=0.006),including for cholecystectomy (73 vs. 66 years old, p=0.01) and appendectomy (43 vs. 30years old, p = 0.04).The logistic regression analysis with regard to cholecystectomy and appendectomy performedin emergency showed that male sex and age were both associated to gangrenous typehistology, both in pandemic and prepandemic period. Finally, we found a reduction in cancerstage I and IIA in pandemic versus prepandemic period, with no increase in the moreadvanced stages.Conclusionsthe reduction in services imposed by governments during the first months oftotal lock down did not justify the whole decrease in surgical interventions in the year of thepandemic. Data suggest that greater "non-operative management" for cases of appendicitisand acute cholecystitis does not lead to an increase in cases operated over time, nor to anincrease in the "gangrenous" pattern, which seems to depend on age advanced and malepopulation.

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