Colorectal Disease最新文献

{"title":"Distinct recurrence patterns according to disease manifestation in pilonidal sinus disease treated with cleft lift surgery at 5 years' follow-up in a large prospective Danish cohort.","authors":"Natashja Pedersen, Ida Kaad Faurschou, Julie Lykke Ankersen, Marlene Julia Sørensen, Mikkel Lønborg Friis, Allan Gorm Pedersen, Dietrich Doll, Susanne Haas","doi":"10.1111/codi.17238","DOIUrl":"10.1111/codi.17238","url":null,"abstract":"<p><strong>Aim: </strong>Pilonidal sinus disease (PSD) is a common condition particularly affecting the young population. The disease is incompletely understood, and optimal treatment is still debated. However, off-midline closure techniques have become the standard of care in more advanced cases. The literature is, however, lacking disease stratification in evaluation of surgical results. The aim of this study was to evaluate the surgical outcomes in a prospective cohort following Bascom's cleft lift (BCL) in primary extensive disease, nonhealing wounds after previous surgery and recurrence on a large Danish cohort from a high-volume centre.</p><p><strong>Method: </strong>The study is based on a prospective database established at Randers Regional Hospital in 2016. All patients undergoing BCL surgery from June 2016 until June 2020 were included in this study.</p><p><strong>Results: </strong>Three hundred and ninety two patients (326 men/66 women) underwent BCL surgery over a 4-year period. Of these, 127 (32.4%) presented with primary extensive PSD, 136 (34.7%) with nonhealing wounds and 129 (33.9%) with recurrent PSD. Overall, 87% healed uneventfully within the first 3 months, and 17% had recurrence at a median follow-up of 60 months (45-73 months). However, the risk of recurrence was higher among patients with nonhealing wounds (20%) and recurrence (17%) compared with primary extensive manifestation (13%).</p><p><strong>Conclusion: </strong>Treatment of advanced PSD remains challenging with a high rate of wound complications and recurrences, stressing the need for dedicated care. Patients with either failed surgery or recurrence need particular attention.</p>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17238"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of the quadruple assessment technique in the prevention of colorectal anastomotic leaks: Highlighting the evidence.","authors":"Sameh Hany Emile, Steven D Wexner","doi":"10.1111/codi.17263","DOIUrl":"10.1111/codi.17263","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17263"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"European multicentre analysis of the implementation of robotic complete mesocolic excision for right-sided colon tumours.","authors":"Ellen Van Eetvelde, Rauand Duhoky, Guglielmo Niccolò Piozzi, Daniel Perez, Daniel Jacobs-Tulleneers-Thevissen, Jim Khan, Paolo Pietro Bianchi, Marcos Gomez Ruiz","doi":"10.1111/codi.17287","DOIUrl":"https://doi.org/10.1111/codi.17287","url":null,"abstract":"<p><strong>Aim: </strong>Complete mesocolic excision (CME) is an oncologically driven technique for treating right colon cancer. While laparoscopic CME is technically demanding and has been associated with more complications, the robotic approach might reduce morbidity. The aim of this study was to assess the safety of stepwise implementation of robotic CME.</p><p><strong>Method: </strong>A multicentre retrospective analysis of prospectively collected data on robotic right colectomy was performed at five European tertiary centres. Patients were classified for type of surgery: R-RHC (standard right colectomy), R-impCME (learning cases towards robotic CME defined as R-RHC with one but not all the hallmarks of CME) or R-CME (robotic CME). Primary outcomes were overall and severe 30-day complication rates before and after propensity score matching (PSM) analysis.</p><p><strong>Results: </strong>Five hundred and fifty-one consecutive patients undergoing robotic surgery for (pre)malignant lesions of the right colon between 2010 and 2020 were included: R-RHC (n = 101), R-impCME (n = 135) and R-CME (n = 315). Baseline characteristics differed for American Society of Anesthesiologists score (p = 0.0012) and preoperative diagnosis of adenocarcinoma (p < 0.001). Procedure time increased by surgical complexity (p < 0.001). Vascular event rates did not differ, with no superior mesenteric vein injuries. Conversion, complication and anastomotic leak rates, time to flatus/soft diet and length of stay (LOS) did not differ. While R-RHC was performed for a lower rate of malignancies (p < 0.001), lymph node yield was significantly higher in R-CME (p < 0.001). After PSM, analyses on 186 patients documented no differences in overall and severe 30-day complication rate, conversion rate, LOS or 30-day mortality.</p><p><strong>Conclusion: </strong>R-CME can be implemented without increasing the overall or 30-day severe complication rate.</p>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 1","pages":"e17287"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Church-style rectal advancement flap and video-assisted anal fistula treatment for high transsphincteric fistula-A video vignette.","authors":"Easan Anand, Theo Pelly, Sanjay Dindyal, Kapil Sahnan, Stephen Preston, Phil Tozer","doi":"10.1111/codi.17243","DOIUrl":"10.1111/codi.17243","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17243"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colorectal surgery for endometriosis: A comprehensive step-by-step approach of the disc excision technique-a video vignette.","authors":"Peter Sandera, Nicolas Samartzis, Dimitrios Rafail Kalaitzopoulos, Laurin Burla, Markus Eberhard, Horace Roman","doi":"10.1111/codi.17218","DOIUrl":"10.1111/codi.17218","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17218"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Routine histopathological examination in patients undergoing sigmoidectomy for diverticular disease: Are we ready to avoid it?","authors":"Francesco Ferrara, Nello Grassi, Giuseppa Graceffa, Ina Macaione, Gianni Pantuso","doi":"10.1111/codi.17264","DOIUrl":"10.1111/codi.17264","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17264"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The application of sandwich theory in robot-assisted right hemicolectomy-A video vignette.","authors":"Xin Zhang, Jiachen Zhang, Xijie Zhang, Yuzhou Zhao","doi":"10.1111/codi.17250","DOIUrl":"10.1111/codi.17250","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17250"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT as a patient education tool in colorectal cancer-An in-depth assessment of efficacy, quality and readability.","authors":"Adrian H Y Siu, Damien P Gibson, Chris Chiu, Allan Kwok, Matt Irwin, Adam Christie, Cherry E Koh, Anil Keshava, Mifanwy Reece, Michael Suen, Matthew J F X Rickard","doi":"10.1111/codi.17267","DOIUrl":"10.1111/codi.17267","url":null,"abstract":"<p><strong>Aim: </strong>Artificial intelligence (AI) chatbots such as Chat Generative Pretrained Transformer-4 (ChatGPT-4) have made significant strides in generating human-like responses. Trained on an extensive corpus of medical literature, ChatGPT-4 has the potential to augment patient education materials. These chatbots may be beneficial to populations considering a diagnosis of colorectal cancer (CRC). However, the accuracy and quality of patient education materials are crucial for informed decision-making. Given workforce demands impacting holistic care, AI chatbots can bridge gaps in CRC information, reaching wider demographics and crossing language barriers. However, rigorous evaluation is essential to ensure accuracy, quality and readability. Therefore, this study aims to evaluate the efficacy, quality and readability of answers generated by ChatGPT-4 on CRC, utilizing patient-style question prompts.</p><p><strong>Method: </strong>To evaluate ChatGPT-4, eight CRC-related questions were derived using peer-reviewed literature and Google Trends. Eight colorectal surgeons evaluated AI responses for accuracy, safety, appropriateness, actionability and effectiveness. Quality was assessed using validated tools: the Patient Education Materials Assessment Tool (PEMAT-AI), modified DISCERN (DISCERN-AI) and Global Quality Score (GQS). A number of readability assessments were measured including Flesch Reading Ease (FRE) and the Gunning Fog Index (GFI).</p><p><strong>Results: </strong>The responses were generally accurate (median 4.00), safe (4.25), appropriate (4.00), actionable (4.00) and effective (4.00). Quality assessments rated PEMAT-AI as 'very good' (71.43), DISCERN-AI as 'fair' (12.00) and GQS as 'high' (4.00). Readability scores indicated difficulty (FRE 47.00, GFI 12.40), suggesting a higher educational level was required.</p><p><strong>Conclusion: </strong>This study concludes that ChatGPT-4 is capable of providing safe but nonspecific medical information, suggesting its potential as a patient education aid. However, enhancements in readability through contextual prompting and fine-tuning techniques are required before considering implementation into clinical practice.</p>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17267"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic ventral mesh placement for external prolabation of ileoanal pouch-A video vignette.","authors":"Quentin Denost, Miriam Karlsen, Vincent Assenat, Marc Olivier Francois","doi":"10.1111/codi.17209","DOIUrl":"10.1111/codi.17209","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17209"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pedicled anterolateral thigh flap decreased the risk of empty pelvis syndrome following total pelvic exenteration.","authors":"Shintaro Hirata, Yukihide Kanemitsu, Konosuke Moritani, Masaki Arikawa, Yozo Kudose, Yasuyuki Takamizawa, Manabu Inoue, Shunsuke Tsukamoto, Hiroyuki Daiko, Satoshi Akazawa","doi":"10.1111/codi.17239","DOIUrl":"10.1111/codi.17239","url":null,"abstract":"<p><strong>Aim: </strong>Total pelvic exenteration (TPE) can be complicated by empty pelvis syndrome (EPS), and none of the currently available procedures completely mitigate this problem. The aim of this study was to evaluate the feasibility and effectiveness of a pedicled anterolateral thigh (p-ALT) flap for preventing EPS.</p><p><strong>Method: </strong>All cases of TPE at the National Cancer Center Hospital in Tokyo between 2008 and 2022 were retrospectively reviewed. The main indication for TPE was colorectal cancer, with some other malignancies. Background factors, surgical outcomes and postoperative complications were compared between patients who underwent primary suture closure (the PC group) and those who underwent p-ALT flap reconstruction (the flap group).</p><p><strong>Results: </strong>A total of 114 patients underwent TPE during the study period. Twenty patients in whom a different procedure was performed or a different flap was used for reconstruction were excluded, leaving 94 for analysis (PC group, n = 54; flap group, n = 40). There was no significant between-group difference in patient characteristics. Severe pelvic abscess developed in 12 patients (22.2%) in the PC group and 2 (5%) in the flap group. Multivariable analysis identified a significantly lower risk of severe pelvic abscess in the p-ALT flap reconstruction (OR 0.07, 95% CI 0.01-0.58, p = 0.01). EPS-related readmissions were more common in the PC group [37.0% (20/54) vs. 25% (10/40)].</p><p><strong>Conclusions: </strong>The risk of severe pelvic abscesses and readmission for EPS was significantly lower after perineal reconstruction with a p-ALT flap. Perineal reconstruction with this flap is a feasible and effective method in TPE.</p>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":"e17239"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}