Current Topics in Colorectal Surgery [Working Title]最新文献

Current Elective Surgical Treatment of Inflammatory Bowel Disease 当前炎性肠病的选择性手术治疗

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-10-31 DOI: 10.5772/intechopen.100112

Enio Chaves Oliveira, M. Bafutto, Alexandre Augusto Ferreira Bafutto, Salustiano Gabriel Neto, Jarbas Jabur Bittar Neto

{"title":"Current Elective Surgical Treatment of Inflammatory Bowel Disease","authors":"Enio Chaves Oliveira, M. Bafutto, Alexandre Augusto Ferreira Bafutto, Salustiano Gabriel Neto, Jarbas Jabur Bittar Neto","doi":"10.5772/intechopen.100112","DOIUrl":"https://doi.org/10.5772/intechopen.100112","url":null,"abstract":"The incidence of inflammatory bowel disease (IBD) is increasing world-wide and most patient will require some surgical treatment once in life. IBD surgical patients are a challenge to surgeons. Main goals of surgical treatment are (1) to preserve the small bowel integrity because many resections may lead the patient to a small bowel short syndrome and (2) restore normal function as they have absorption disturbances. IBD patients may present mal-nutrition status and/or immunosuppression at the time of surgery. Types of surgery range from a simple plasty in Crohn disease to a total proctocolectomy in Ulcerative Colitis. For Crohn disease most procedures avoid resection and use diseased segments to prevent disabsorption. Herein we describe the most currently used techniques to treat IBD patients, when to indicate surgery and how to prepare them to less outcomes. Patients with Crohn disease with high risk for short bowel syndrome and intestinal failure should be submitted to Strictureplasty otherwise, Bowel Resection is the favored surgical technique for the management of fibrostenotic. Bowel Resection is associated with lower recurrence rate and longer recurrence-free survival.","PeriodicalId":211064,"journal":{"name":"Current Topics in Colorectal Surgery [Working Title]","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116717770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pathophysiology, Natural History and Approaches to Treatment and Prevention of Radiation Proctitis 放射性直肠炎的病理生理学、自然史及治疗和预防方法

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-10-26 DOI: 10.5772/intechopen.99269

Eng (Eric) Kiat Yeoh

{"title":"Pathophysiology, Natural History and Approaches to Treatment and Prevention of Radiation Proctitis","authors":"Eng (Eric) Kiat Yeoh","doi":"10.5772/intechopen.99269","DOIUrl":"https://doi.org/10.5772/intechopen.99269","url":null,"abstract":"Chronic radiation proctitis (CRP), characterized by increased frequency and urgency of defecation, fecal incontinence and rectal bleeding, is an under-estimated cause of morbidity after pelvic irradiation for urological and gynecological malignant diseases. Despite improvements in radiotherapy technology, 90% of patients have persistent long term symptoms and 50% of all patients report impairment of quality of life after pelvic radiotherapy. Research by an Australian group of clinician scientists, including prospective, longitudinal and retrospective studies as well as a randomized trial of two current approaches used for the treatment of haemorrhagic radiation proctitis over a time span exceeding two decades, have provided important insights into the prevalence, pathophysiology natural history and treatment of CRP. The findings have important implications for the management and amelioration if not prevention of CRP. Data from 4 selected studies conducted by the Australian group, each characterizing changes in anorectal function and anal sphincteric morphology, are first presented. This is followed by discussion of how the findings have led to the development of more rational therapeutic interventions for CRP and how novel approaches designed to reduce the prevalence of CRP when combined could lead to its elimination in the foreseeable future.","PeriodicalId":211064,"journal":{"name":"Current Topics in Colorectal Surgery [Working Title]","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115735846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraoperative Ultrasound in Colorectal Surgery 术中超声在结直肠手术中的应用

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-10-15 DOI: 10.5772/intechopen.100411

Sinziana Ionescu

引用次数: 3

The Problem of the Colorectal Anastomosis 结直肠吻合术的问题

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-10-15 DOI: 10.5772/intechopen.100302

Sînziana Ionescu

引用次数: 2

The Use of Indocyanine Green in Colorectal Surgery 吲哚菁绿在结直肠手术中的应用

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-10-15 DOI: 10.5772/intechopen.100301

Sînziana Ionescu

{"title":"The Use of Indocyanine Green in Colorectal Surgery","authors":"Sînziana Ionescu","doi":"10.5772/intechopen.100301","DOIUrl":"https://doi.org/10.5772/intechopen.100301","url":null,"abstract":"This chapter looks at the use of indocyanine green (ICG) in colorectal surgery, by exploring at first the definition of vital dyes generally used in the surgical field, afterward the benefits of fluorescence-guided surgery, and furthermore, it enumerates several uses of ICG in the broad surgical field. The identification of tumor nodules in the peritoneum can help with proper cancer staging, and the same advantage is brought by the accurate detection of the sentinel lymph node, which concerns the use of ICG specifically in colorectal surgery, and this can be summed up through the following assets brought by the technique: (a) intraoperative fluorescence angiography as an adjuvant in the process of anastomosis, (b) fluorescence-guided detection of lymph node metastases in colorectal cancer and the sentinel lymph node technique, which was proved better than formal methods in some studies, (c) the positive fluorescence of a liver nodule as small as “only” 200 tumor cells, (d) the help in diagnosing a fistula, (e) the possibility to be used for tumor tattooing also, and (f) the help in maintaining a clean surgical field and preventing wound infection in abdominoperineal resection.","PeriodicalId":211064,"journal":{"name":"Current Topics in Colorectal Surgery [Working Title]","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125319299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Robotic Approach in Rectal Cancer 直肠癌的机器人方法

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-10-11 DOI: 10.5772/intechopen.100026

C. Duţă, S. Pantea, D. Brebu, A. Dobrescu, C. Lazar, Kitty Botoca, C. Tarta, F. Lazăr

{"title":"The Robotic Approach in Rectal Cancer","authors":"C. Duţă, S. Pantea, D. Brebu, A. Dobrescu, C. Lazar, Kitty Botoca, C. Tarta, F. Lazăr","doi":"10.5772/intechopen.100026","DOIUrl":"https://doi.org/10.5772/intechopen.100026","url":null,"abstract":"Since a robotic surgical system was developed in the early 1990s and the first robotic-assisted radical prostatectomy was reported in 2001, robotic surgery has spread in many surgical specialties, changing surgical management. Currently, compared to other colorectal procedures, robotic surgery appears to offer great benefits for total mesorectal excision for rectal cancer. Abdominal cavity other procedures such as right hemicolectomy and high anterior resection are relatively uncomplicated and can be performed easily by laparoscopic surgery. First reports have focused on the clinical benefits of robotic rectal cancer surgery compared with laparoscopic surgery. The indications for robotic and laparoscopic rectal cancer surgery are not different. The recently published results of the ROLARR trial, comparing robot-assisted TME to laparoscopic TME, show no advantages of robot assistance in terms of intraoperative complications, postoperative complications, plane of surgery, 30-day mortality, bladder dysfunction, and sexual dysfunction. A drawback of the study is the variability in experience of the participating surgeons in robotic surgery. After correction of this confounder, an advantage for robotic assistance was suggested in terms of risk of conversion to open surgery. For robotic rectal cancer surgery to become the preferred minimally invasive option, it must demonstrate that it does not have the technical difficulties and steep learning curve of laparoscopic surgery. Robotic surgery has several technical advantages over open and laparoscopic surgery. The system provides a stable operating platform, three-dimensional imaging, articulating instruments and a stable surgeon controlled camera which is mainly beneficial in areas where space and maneuverability is limited such as the pelvis.","PeriodicalId":211064,"journal":{"name":"Current Topics in Colorectal Surgery [Working Title]","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128314782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding New Ideas in Cryptoglandular Fistula-in-Ano 对隐腺瘘的新认识

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-10-03 DOI: 10.5772/intechopen.100027

Kenneth K.T. Voon

{"title":"Understanding New Ideas in Cryptoglandular Fistula-in-Ano","authors":"Kenneth K.T. Voon","doi":"10.5772/intechopen.100027","DOIUrl":"https://doi.org/10.5772/intechopen.100027","url":null,"abstract":"Outcomes of surgical treatment for anorectal abscesses and chronic fistulas varies widely, as there is lack of unified classification and systematic surgical approach to address a wide range of disease pattern. Acute anorectal abscess and chronic fistula-in-ano should be considered the same disease at both end of a spectrum. This article describes in detail the pathogenesis and relevant anorectal anatomy to aid understanding of a new concept of classifying anorectal abscess and fistula based on natural patterns. A better understanding of patterns allows more accurate surgical treatment. Recent evidence shows that definitive surgical treatment for anal fistula during acute abscess stage is safe and feasible. An optimum surgical treatment should focus on eradication of intersphincteric infection, removal of secondary branches or abscesses, allow healing by secondary intention and preserve continence as best as possible. Common challenges faced by clinicians include confusion in classification, inaccurate delineation of fistula, challenging acute abscesses, unable to locate internal opening and facing complex features such as high fistula or multiple branches. Suggested solutions are discussed and a structured treatment strategy according to types and patterns is proposed. Surgical treatment should follow the principles above and combination of surgical techniques is beneficial compared to individual modality.","PeriodicalId":211064,"journal":{"name":"Current Topics in Colorectal Surgery [Working Title]","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117205063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sphincter Preserving Techniques in Anal Fistula Treatment 保留括约肌技术在肛瘘治疗中的应用

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-09-29 DOI: 10.5772/intechopen.99547

D. Kršul, D. Karlović, Đ. Bačić, M. Zelić

引用次数: 1

Pelvic Anatomy for Distal Rectal Cancer Surgery 远端直肠癌手术的盆腔解剖

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-09-20 DOI: 10.5772/intechopen.99120

Sanghyun An, I. Kim

引用次数: 0

Emergency Treatment of Transverse Colon Cancer 横断面结肠癌的急诊治疗

Current Topics in Colorectal Surgery [Working Title] Pub Date : 2021-08-26 DOI: 10.5772/intechopen.99560

C. Nicolescu, B. Suciu, A. Tudor, C. Russu, M. Gherghinescu, V. Butiurca, M. Botoncea, Cătălin Cosma, C. Molnar

引用次数: 0