Diseases of the Colon & Rectum最新文献

{"title":"Emergency Laparoscopic Right Hemicolectomy With Intracorporeal Anastomosis.","authors":"Chloe McDonald, Zi Qin Ng","doi":"10.1097/DCR.0000000000003650","DOIUrl":"10.1097/DCR.0000000000003650","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1833-e1834"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Standardizing the Definition of Each Colon Cancer Segment: Delphi Consensus on Clinical Decision-Making for Oncologic Outcomes.","authors":"Bingxu Liu, Hui Yang","doi":"10.1097/DCR.0000000000003877","DOIUrl":"10.1097/DCR.0000000000003877","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1840"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Ligation of the Intersphincteric Fistula Tract Useful in Crohn's Disease of the Ileal Pouch Complicated by an Anal Fistula?","authors":"Sy P Schoen, Karen Zaghiyan, Phillip Fleshner","doi":"10.1097/DCR.0000000000003884","DOIUrl":"10.1097/DCR.0000000000003884","url":null,"abstract":"<p><strong>Background: </strong>Pouch-fistulizing disease complicates the management of Crohn's disease after IPAA. Ligation of the intersphincteric fistula tract offers reasonable long-term success in the treatment of non-pouch-fistulizing disease in Crohn's disease.</p><p><strong>Objective: </strong>To evaluate outcomes of ligation of the intersphincteric fistula tract in pouch-fistulizing disease and non-pouch-fistulizing disease in Crohn's disease.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Settings: </strong>Single tertiary-care center.</p><p><strong>Patients: </strong>Patients with Crohn's disease who underwent ligation of the intersphincteric fistula tract were included.</p><p><strong>Main outcome measures: </strong>Fistula healing at last follow-up.</p><p><strong>Results: </strong>The study cohort included 15 patients with pouch-fistulizing disease (22%) and 52 patients with non-pouch-fistulizing disease (78%). Fistulas were classified as transsphincteric (n = 51; 76%) or vaginal (n = 16; 24%). Median (range) age and sex (% men) were similar between the pouch-fistulizing disease (41 [17-65] years; 42%) and non-pouch-fistulizing disease (32 [11-66] years; 33%) patient groups. Patients with pouch-fistulizing disease were less likely (all p = NS) to be smokers (13% vs 27%), more likely to have a lateral fistula (73% vs 50%), and less likely to have multiple fistulas (33% vs 52%). After a median follow-up of 56 (1-146) months, fistula healing was seen in 45 patients (67%). Ligation of the intersphincteric fistula tract healing was observed in 11 patients with pouch-fistulizing disease (73%) compared to 34 patients with non-pouch-fistulizing disease (65%; p = not significant). No clinical factor was associated with healing of the intersphincteric fistula tract in the pouch-fistulizing disease patient group.</p><p><strong>Limitations: </strong>Fistula healing was based on clinical evaluation alone instead of MRI. In addition, these outcomes may not be generalizable as ligation of the intersphincteric fistula tract was performed by colorectal surgeons who predominantly treat Crohn's disease.</p><p><strong>Conclusions: </strong>In Crohn's disease, patients with an ileal pouch fistula undergoing ligation of the intersphincteric fistula tract have a similar incidence of success compared to patients without an ileal pouch. See Video Abstract.</p><p><strong>Es til la ligadura del tracto fistuloso interesfinterico en la enfermedad de crohn con bolsa ileal complicada por una fstula anal: </strong>ANTECEDENTES:La enfermedad con fístulas en la bolsa complica el tratamiento de la enfermedad de Crohn tras una anastomosis ileoanal con bolsa. La ligadura del tracto fistuloso intersfinteriano ofrece un éxito razonable a largo plazo en el tratamiento de la enfermedad con fístulas no en la bolsa en la enfermedad de Crohn.OBJETIVO:Evaluar los resultados de la ligadura del tracto fistuloso intersfinteriano en la enfermedad con fístul","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1191-1196"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply.","authors":"Mehmet Ayhan Kuzu, Cigdem Benlice, Liliana G Bordeianou","doi":"10.1097/DCR.0000000000003876","DOIUrl":"10.1097/DCR.0000000000003876","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1841"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic Single-Port Transstomal Proctectomy and IPAA Construction With Exoscope-Assisted Transanal Transection and Single-Stapled Anastomosis for Ulcerative Colitis.","authors":"Antonino Spinelli, Carlotta La Raja, Matteo Sacchi, Caterina Foppa","doi":"10.1097/DCR.0000000000003874","DOIUrl":"10.1097/DCR.0000000000003874","url":null,"abstract":"<p><strong>Background: </strong>Proctectomy with IPAA is a promising indication for the single-port approach because the procedure can be performed using a single-port platform placed at the stoma site. A single-port robotic platform may address many of the challenges associated with single-incision laparoscopy. However, it lacks compatible stapling devices. Consequently, performing the distal rectal transection with linear laparoscopic staplers is suboptimal, as it often requires significant enlargement of the abdominal defect at the stoma site. The transanal transection and single-stapled anastomosis technique offers a practical solution, compensating for the absence of staplers while potentially providing additional benefits.</p><p><strong>Impact of innovation: </strong>Integrating the single-port robotic platform with the transanal transection and single-stapled anastomosis technique may provide technical advantages for restorative rectal surgery through a minimally invasive, single-incision approach. This strategy eliminates the need for fascial enlargement, additional ports, and staplers, potentially lowering procedural costs. The use of an exoscope enhances the visualization of the transanal phase and improves the potential for learning.</p><p><strong>Technology, materials, and methods: </strong>A fully robotic single-port mesenteric lengthening and proctectomy were performed. The pouch was constructed through the stoma site, and the specimen was retrieved transanally. An exoscope-assisted transanal transection and single-stapled anastomosis IPAA was performed.</p><p><strong>Preliminary results: </strong>The video shows the technique in a 26-year-old male patient with ulcerative colitis. The operation was completed without the need for additional port placement. No intraoperative or postoperative complications occurred. The patient was discharged on postoperative day 4. The ileostomy was reversed after 6 weeks.</p><p><strong>Conclusions and future directions: </strong>The fully robotic single-port technique is feasible and safe in selected cases, particularly in centers with specialized expertise in IPAA surgery and robotic procedures. Its broader implementation will be further supported by the integration of advanced devices into the single-port platform. See New Technology Report Video.</p>","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1835-e1837"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heineke-Mikulicz Strictureplasty of the Pouch Inlet.","authors":"Jeongyoon Moon, Olga Lavryk, Taha Qazi, Stefan D Holubar","doi":"10.1097/DCR.0000000000003764","DOIUrl":"10.1097/DCR.0000000000003764","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1827-e1828"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing the Risk of Readmission and Dehydration of Patients With Ileostomy in Elective Colorectal Surgery: The PREDESTO Study.","authors":"Francesco Ferrara, Andrea Bondurri, Marco Della Sanità, Fabrizio Alessi, Diletta Cassini, Marco Ceresoli, Giacomo Calini, Stefano Cardelli, Dario Parini","doi":"10.1097/DCR.0000000000003904","DOIUrl":"10.1097/DCR.0000000000003904","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1842"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low Anterior Resection With Colostomy.","authors":"Anne C Fabrizio, Donald B Colvin","doi":"10.1097/DCR.0000000000003860","DOIUrl":"10.1097/DCR.0000000000003860","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1148"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Days at Home Up to 30 Days After Robotic Versus Laparoscopic Colorectal Surgery.","authors":"Shehan S Wickramasinghe, Kerenaftali Klein, Panuwat Pornkul, Chrispen D Mushaya, David W Larson, Shinichiro Sakata","doi":"10.1097/DCR.0000000000003861","DOIUrl":"10.1097/DCR.0000000000003861","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;\"Days at home up to 30 days\" is a novel patient-centered outcome metric that measures the number of days patients spend at home 30 days after surgery. It encompasses inpatient stay from index admission, interhospital transfers and step-downs, and readmissions across different hospitals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Comparison of days at home up to 30 days and established outcome metrics after robotic versus 3-dimensional laparoscopic colorectal surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Prospective cohort study of consecutive patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Townsville University Hospital and Mater Private Hospital, Townsville, Queensland, Australia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patients: &lt;/strong&gt;Adult patients undergoing robotic and 3-dimensional laparoscopic colorectal surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome measures: &lt;/strong&gt;Days at home up to 30 days, 30-day readmission rate, index admission length, and 30-day postoperative complication rates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of 82 patients, 32 (39%) underwent robotic and 50 (61%) underwent 3-dimensional laparoscopic colorectal surgery. Robotic ultralow and low anterior resection, as well as abdominoperineal resection, resulted in significantly more days at home (23 vs 15 days at home, p = 0.05) and a shorter length of index admission (7 vs 15 days in hospital, p = 0.0003). However, there was no significant difference in major postoperative complications and 30-day readmission rate. No significant differences were found between robotic and 3-dimensional laparoscopic right hemicolectomy or high anterior resection.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Limitations: &lt;/strong&gt;Unrandomized study. Patient selection for robotic and 3-dimensional laparoscopic surgery was at the surgeons' discretion.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Patients undergoing robotic ultralow and low anterior resection, as well as abdominoperineal resection, spent more days at home 30 days after index surgery due to a reduction in the length of the index hospital admission. Days at home up to 30 days may enhance the informed consent and complement traditional end points in future clinical trials. See Abstract Video .&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Das en casa hasta das despus de la ciruga colorrectal robtica frente a la laparoscpica: &lt;/strong&gt;ANTECEDENTES:«Días en el hogar hasta 30 días» es una nueva métrica de resultados centrada en el paciente que mide el número de días que los pacientes pasan en su hogar 30 días después de la cirugía. Abarca la estancia hospitalaria desde el ingreso inicial, los traslados entre hospitales y los traslados a unidades de cuidados intermedios, así como los reingresos en diferentes hospitales.OBJETIVO:Comparación de los días en casa hasta 30 días y las métricas de resultados establecidas tras la cirugía robótica frente a la cirugía laparoscópica tridimensional.DISEÑO:Estudio prospectivo de cohortes de pacientes consecutivos.ENTORNO:Hospital Universitario de Townsville y Hospital Privado Mater, Townsville, ","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1207-1214"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Being Curious.","authors":"James Church","doi":"10.1097/DCR.0000000000003885","DOIUrl":"10.1097/DCR.0000000000003885","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1132-1134"},"PeriodicalIF":3.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}