Diseases of the Colon & Rectum最新文献

{"title":"Expert Commentary on Tumor Deposits in Colon Cancer.","authors":"Sandy H Fang","doi":"10.1097/DCR.0000000000003865","DOIUrl":"10.1097/DCR.0000000000003865","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1041"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324754","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":"Tumor Deposits in Colon Cancer.","authors":"Richard Sassun, Nicholas P McKenna","doi":"10.1097/DCR.0000000000003864","DOIUrl":"10.1097/DCR.0000000000003864","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1038-1040"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324755","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":"A Commentary on Persistent Sitting and Walking Difficulties After Abdominoperineal Excision and Anterior Resection.","authors":"Chang Mao, Qingming Wang","doi":"10.1097/DCR.0000000000003812","DOIUrl":"10.1097/DCR.0000000000003812","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1788"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982726","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":"The Road Less Traveled.","authors":"Lester Gottesman","doi":"10.1097/DCR.0000000000003748","DOIUrl":"10.1097/DCR.0000000000003748","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1025-1027"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274425","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":"Textbook Outcomes of Minimally Invasive Total Mesorectal Excision: A Composite Tool to Assess and Compare Outcomes for Benchmarking.","authors":"Vipul Gupta, Akash Mor, Rohit O Mundhada, Mufaddal K Kazi, Anjali Jalindar Daphal, Ankit Sharma, Ashwin L Desouza, Avanish P Saklani","doi":"10.1097/DCR.0000000000003837","DOIUrl":"10.1097/DCR.0000000000003837","url":null,"abstract":"<p><strong>Background: </strong>Textbook outcome is an integrated measure including both clinical and oncological outcomes. Within minimally invasive rectal cancer surgery, whether the achievement of textbook outcome translates into improved oncological outcomes is not studied.</p><p><strong>Objective: </strong>To evaluate textbook outcome and its associated factors for patients undergoing minimally invasive total mesorectal excision.</p><p><strong>Design: </strong>Single-center retrospective study.</p><p><strong>Settings: </strong>The study was conducted at a high-volume tertiary referral cancer center in India.</p><p><strong>Patients: </strong>All patients receiving elective laparoscopic or robotic total mesorectal excision from 2013 to 2023 were included.</p><p><strong>Main outcome measures: </strong>The number of patients achieving textbook outcome, institute's time trend, factors affecting textbook outcome, and intermediate oncological outcomes were evaluated.</p><p><strong>Results: </strong>Of the 1394 patients who underwent minimally invasive total mesorectal excision, 831 patients (60%) achieved textbook outcome. The conversion rate to open surgery is 0.2% with Clavien-Dindo grade 3 or higher complications in 1.6% of patients. Twenty-seven percent of patients had a prolonged hospital stay, with a 30-day readmission rate being 3%. Four percent of patients had a poor lymph node yield, the R0 resection rate was 98%, and adjuvant therapy delay was observed in 6% of patients. The achievement of textbook outcome resulted in improved 3-year overall survival (92.1% vs 83.7%, p < 0.001) and disease-free survival (81.5% vs 75.7%, p = 0.007).</p><p><strong>Limitation: </strong>The results of our study cannot be generalized to open total mesorectal excision, beyond total mesorectal excision and extended total mesorectal excision, where benchmark criteria definitions vary.</p><p><strong>Conclusions: </strong>Textbook outcome for minimally invasive total mesorectal excision was achieved in 60% of patients with rectal cancer at a high-volume tertiary cancer institute. It could be used for benchmarking, thus improving the results of minimally invasive total mesorectal excision, and as a quality indicator in nationwide surgical audits. See Video Abstract .</p><p><strong>Resultados tpicos de la escisin mesorrectal total mnimamente invasiva una herramienta compuesta para evaluar y comparar resultados o establecer puntos de referencia: </strong>ANTECEDENTES:El resultado teórico es una medida integrada que incluye tanto los resultados clínicos como los oncológicos. En el ámbito de la cirugía mínimamente invasiva del cáncer rectal, no se ha estudiado si la consecución del resultado teórico se traduce en una mejora de los resultados oncológicos.OBJETIVO:Evaluar el resultado teórico y sus factores asociados en pacientes sometidos a disección mesorrectal total mínimamente invasiva.DISEÑO:Estudio retrospectivo en un único centro.ENTORNO:El estudio se llevó a cabo ","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1042-1051"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283034","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":"September 2025 Translations.","authors":"","doi":"10.1097/DCR.0000000000003910","DOIUrl":"https://doi.org/10.1097/DCR.0000000000003910","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":"68 9","pages":"e1738-e1823"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871964","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":"Managing Reach Issues in Left Colectomy: Retroileal Tunnel With Arc of Riolan Preservation.","authors":"Lucas Faraco Sobrado, Carlos Walter Sobrado, Carlos Frederico Sparapan Marques, Ulysses Ribeiro-Junior","doi":"10.1097/DCR.0000000000003653","DOIUrl":"10.1097/DCR.0000000000003653","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1776"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986585","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":"Redo Robotic Low Anterior Resection by Natural Orifice Intracorporeal Anastomosis With Extraction.","authors":"Chang-Lin Lin, Shih-Wei Chiang, Shih-Feng F Huang, Chun-Yen Hung, Feng-Fan Chiang","doi":"10.1097/DCR.0000000000003646","DOIUrl":"10.1097/DCR.0000000000003646","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"e1777"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994916","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":"The Impact of Cultural and Geographical Factors on the Global Practice of Colorectal Surgery.","authors":"Maher A Abbas","doi":"10.1097/DCR.0000000000003673","DOIUrl":"10.1097/DCR.0000000000003673","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1028-1030"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274424","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":"Venous Thromboembolism Prophylaxis Practice Patterns, Outcomes, and Risk Stratification After Surgery for IBD: A National Surgical Quality Improvement Program IBD Collaborative Study.","authors":"Stefan D Holubar, Samuel Eisenstein, Liliana G Bordeianou, William C Chapman, Kristen T Crowell, Jennifer S Davids, Jennifer E Hrabe, Carla F Justiniano, Muneera R Kapadia, Cindy J Kin, Mukta K Krane, Edward C Lee, Kinga S Olortegui, Vitaliy Poylin, Julia T Saraidaridis, Jeffrey S Scow, Michael C Plietz","doi":"10.1097/DCR.0000000000003833","DOIUrl":"10.1097/DCR.0000000000003833","url":null,"abstract":"<p><strong>Background: </strong>The optimal venous thromboembolism chemoprophylaxis strategy after surgery for IBD is not defined.</p><p><strong>Objective: </strong>To investigate the real-world efficacy of chemoprophylaxis strategies after surgery for IBD in a retrospective cohort.</p><p><strong>Design: </strong>Retrospective analysis of medical records from the National Surgical Quality Improvement Program IBD Collaborative of patients treated between July 2020 to October 2023.</p><p><strong>Setting: </strong>Seventeen medical centers.</p><p><strong>Patients: </strong>Patients with IBD undergoing colectomy and/or proctectomy were included.</p><p><strong>Interventions: </strong>Chemoprophylaxis.</p><p><strong>Main outcome measures: </strong>Thirty-day venous thromboembolism (clot) rates.</p><p><strong>Results: </strong>During 3 years, 1797 patients were eligible for chemoprophylaxis and included in the analysis, of whom 44 (2.4%) developed a clot within 30 days: 50% before and after discharge, respectively. Clots were diagnosed a median of 9 days postoperatively. The most common clots were portomesenteric (39%), pulmonary embolism (27%), and upper extremity (18%). Before discharge, clot rates differed by chemoprophylaxis strategy: enoxaparin (0.57%) versus unfractionated heparin (2.1%, p = 0.006). Any extended chemoprophylaxis was used in 50.5%, and clot rates differed by strategy: no extended chemoprophylaxis (1.4%), enoxaparin (0.63%), and others (3.5%, p = 0.01). Chemoprophylaxis strategies were not associated with bleeding complications. Multivariable analysis revealed that preoperative systemic inflammatory response syndrome ( p = 0.0005) and extended resections ( p < 0.0001) were independent risk factors for postoperative clots. Patients with 0, 1, or 2 risk factors had clot rates of 1.2%, 4.0%, and 13.5%, respectively ( p < 0.0001). Inpatient and extended prophylaxis with enoxaparin were independently associated with a lower risk of clots both before and after discharge ( p = 0.002 and p = 0.02, respectively), with relative risk reductions of 74.8% and 72.6%. For a clot rate of 2.5%, the estimated number needed to treat with enoxaparin in-hospital and postdischarge was 54 and 55 patients, respectively.</p><p><strong>Limitations: </strong>The limitations to this study were generalizability and selection bias.</p><p><strong>Conclusions: </strong>After IBD surgery, venous thromboembolism chemoprophylaxis with enoxaparin was associated with a decreased risk of clot formation before and after discharge. Patients at highest risk may benefit the most from extended chemoprophylaxis. See Video Abstract .</p><p><strong>Patrones de prctica, resultados y estratificacin del riesgo en la profilaxis de la tromboembolia venosa tras ciruga por enfermedad inflamatoria intestinal estudio colaborativo del programa nacional de mejora de la calidad quirrgica sobre eii: </strong>ANTECEDENTES:No se ha definido la estrategia óptima de quimioprofilaxis de la tromb","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"1062-1073"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144282935","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}