发布求助
文献互助 智能选刊 最新文献

Seminars in Colon and Rectal Surgery最新文献

筛选
英文 中文
Reimbursement and tips and tricks to make endoluminal surgery profitable 使腔内手术有利可图的报销及技巧和窍门
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101026
Sarah Choi MD, Kyle G. Cologne MD
{"title":"Reimbursement and tips and tricks to make endoluminal surgery profitable","authors":"Sarah Choi MD,&nbsp;Kyle G. Cologne MD","doi":"10.1016/j.scrs.2024.101026","DOIUrl":"10.1016/j.scrs.2024.101026","url":null,"abstract":"<div><p>Advanced endoscopic procedures require a complex skillset to remove larger, benign and early malignant lesions within the colon and rectum. These procedures require large amounts of resources and have costs associated with them. They also are associated with huge benefits to the patient and cost savings when compared to colon resection as an alternative. Maximizing reimbursement and ensuring sustainability of these techniques requires a thoughtful approach to implement into everyday practice. This manuscript explores these issues in greater depth.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101026"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042978","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
Management of complex colorectal lesions from the endoscopic tissue resection specialist perspective 从内窥镜组织切除专家的角度看复杂结肠直肠病变的管理
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101021
Julia L Gauci , Michael J Bourke
{"title":"Management of complex colorectal lesions from the endoscopic tissue resection specialist perspective","authors":"Julia L Gauci ,&nbsp;Michael J Bourke","doi":"10.1016/j.scrs.2024.101021","DOIUrl":"10.1016/j.scrs.2024.101021","url":null,"abstract":"<div><p>Endoscopic resection (ER) is the standard of care for the management of large (≥20 mm) non-pedunculated colorectal polyps (LNPCP). Certain lesion characteristics increase the risk for incomplete ER, recurrence, harbouring submucosal invasive cancer and post ER adverse events. These include lesion location, morphology, difficult endoscopic access and prior attempts at resection. Such LNPCP are termed ‘complex’. Recognition of complexity is a crucial component of technique selection and resource allocation. Until recently, resection of complex lesions was dominated by surgery. Surgical resection of benign lesions is associated with prolonged hospital stay and post-operative recovery, stoma creation, post-operative complications and even death. Advances in ER techniques have enabled huge strides in the management of these lesions and is proven to be safer and more cost-effective than surgery.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101021"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043058","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
Combined Endo-Laparoscopic Surgery (CELS) for the management of complex colorectal lesions 联合内镜-腹腔镜手术（CELS）治疗复杂结肠直肠病变
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101022
Brian Williams MD, Sang W. Lee MD
{"title":"Combined Endo-Laparoscopic Surgery (CELS) for the management of complex colorectal lesions","authors":"Brian Williams MD,&nbsp;Sang W. Lee MD","doi":"10.1016/j.scrs.2024.101022","DOIUrl":"10.1016/j.scrs.2024.101022","url":null,"abstract":"<div><p>Detection of colon polyps is common and is expected in 20–30 % of screening colonoscopies. As the number of colonoscopies performed increases, the detection of advanced and difficult to resect polyps will also rise. These polyps tend to be larger, greater than 2 cm, have flat morphology, and are in difficult anatomic locations behind haustral folds or at sharp flexures of the colon. Advanced endoscopic techniques such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are useful to remove these polyps. However, many polyps remain unresectable with these techniques. Combined endoscopic laparoscopic surgery (CELS) has shown to be an effective technique to facilitate safe removal of complex polyps. CELS encompasses a variety of techniques including laparoscopic assisted ESD/EMR and laparo-endoscopic full thickness excisions (FLEX). Success rate of CELS ranges from 70 to 100 %, with less than 5 % conversion to colectomy. Perioperative outcomes boast shorter hospital length of stay, with low rates of serious post-op complications when compared to colectomy. Malignancy rate after CELS in appropriately selected patients is low, ranging from 1.6 %-10 % of cases. Polyp recurrence rate after CELS is also low, usually less than 10 %. Use of CELS for early-stage cancers remains controversial but maybe adequate in appropriately selected patients. Further evaluation and long-term studies are needed to study its efficacy in cases of known cancer. The purpose of this review is to provide recommendations for use of CELS techniques, appropriate indications, describe technical tips, and review potential future applications.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101022"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027853","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
How to adopt endoluminal surgery in a new colorectal surgery practice and endoluminal management of T1 colon cancers 如何在新的结直肠外科实践中采用腔内手术以及 T1 结肠癌的腔内治疗
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.scrs.2024.101024
Bradford Sklow MD
{"title":"How to adopt endoluminal surgery in a new colorectal surgery practice and endoluminal management of T1 colon cancers","authors":"Bradford Sklow MD","doi":"10.1016/j.scrs.2024.101024","DOIUrl":"10.1016/j.scrs.2024.101024","url":null,"abstract":"<div><p>Endoluminal surgery in colorectal surgery involves the removal of polyps/lesions using advanced colonoscopic techniques such as endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). Prior to the adoption of these techniques in a new colorectal surgery practice, a colorectal surgeon should have some mastery of basic colonoscopy skills along with colonoscopic polypectomy. There are a variety of training options to learn endoluminal surgery including industry and institutional based courses, observation of a master endoscopist, or observational experience in Japan. Adoption of these techniques in a new practice is facilitated by knowledge of what equipment is required and the availability of trained staff. Endoluminal management of T1 colon cancers is an acceptable method of treatment and an alternative to surgical resection provided that the proper parameters are met.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 2","pages":"Article 101024"},"PeriodicalIF":0.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027676","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
Computer-Generated modelling in surgery 外科手术中的计算机生成模型
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101003
Jordan Fletcher, Danilo Miskovic
{"title":"Computer-Generated modelling in surgery","authors":"Jordan Fletcher,&nbsp;Danilo Miskovic","doi":"10.1016/j.scrs.2024.101003","DOIUrl":"10.1016/j.scrs.2024.101003","url":null,"abstract":"<div><p>The applications of computer-generated modelling in surgery are increasing and diverse. Surgeons utilise these models for preoperative planning and intraoperative guidance. In this chapter, techniques for 3D reconstruction, including volume rendering, surface rendering, and voxel-based methods are described. We are discussing advantages and limitations of these techniques, and its impact on surgical and procedure planning. The models may improve surgical accuracy and efficiency, reduce intraoperative risks and ultimately improve patient outcomes. In complex procedures, such as craniofacial surgery or organ transplantation, 3D models provide unprecedented detail, aiding surgeons in navigating critical structures. We will also discuss the role of computer-generated models in surgical simulation and training. These models offer a safe and effective environment for surgeons to hone their skills and practice intricate procedures without risk to patients.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 1","pages":"Article 101003"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139831871","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 evolution of natural orifice transluminal endoscopic surgery (NOTES) in colon & rectal surgery 结肠和直肠外科自然腔道内窥镜手术（NOTES）的发展历程
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101005
Katherine F Donovan MD , Ameer Farooq MD , Patricia Sylla MD
{"title":"The evolution of natural orifice transluminal endoscopic surgery (NOTES) in colon & rectal surgery","authors":"Katherine F Donovan MD ,&nbsp;Ameer Farooq MD ,&nbsp;Patricia Sylla MD","doi":"10.1016/j.scrs.2024.101005","DOIUrl":"10.1016/j.scrs.2024.101005","url":null,"abstract":"<div><p>In colorectal surgery, a promising area for minimally-invasive practice is that of natural orifice transluminal endoscopic surgery (NOTES). In this chapter, we focus on transanal total mesorectal excision (taTME), which represents the most ubiquitous application of NOTES within colorectal surgery currently. We also touch on the resurgence of natural orifice specimen extraction (NOSE) as well as other future applications of NOTES in colorectal surgery.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 1","pages":"Article 101005"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139832907","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
Biofluorescence in surgery: Present and future 外科手术中的生物荧光--现状与未来
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101004
Mr Rory F. Kokelaar MBBS MA (Oxon) MEd FRCS (Eng) PhD (Clinical Associate Professor) , Mr Manish Chand MBBS BSc FRCS (Eng) FASCRS MBA PhD (Associate Professor of Surgery)
{"title":"Biofluorescence in surgery: Present and future","authors":"Mr Rory F. Kokelaar MBBS MA (Oxon) MEd FRCS (Eng) PhD (Clinical Associate Professor) ,&nbsp;Mr Manish Chand MBBS BSc FRCS (Eng) FASCRS MBA PhD (Associate Professor of Surgery)","doi":"10.1016/j.scrs.2024.101004","DOIUrl":"10.1016/j.scrs.2024.101004","url":null,"abstract":"<div><p>Biofluorescence is a physical phenomenon that has gained a multitude of clinical applications since its introduction to medicine in the 1940s. The utilisation of biofluorescence in colorectal surgery has grown from the development of the fluorophore indocyanine green (ICG) and its prior applications in assessing vascular beds in other fields of surgery. However, despite the increasing adoption of ICG in the assessment of colonic conduit perfusion, the evidence base for its utilisation remains controversial, although a range of other uses for this technology are emerging. Advances in semi-quantitative and artificial intelligence augmented platforms are providing greater objectivity in the application of biofluorescent techniques in colorectal surgery, although they are still in a largely developmental phase. Molecular-targeted biofluorescent technologies are also opening up new surgical paradigms for intraoperative real-time assessment of tumours and their locoregional spread and may in time facilitate surgeons to find equipoise in the radicality of oncologic resection.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 1","pages":"Article 101004"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043148924000034/pdfft?md5=67d95fd01beefe671bde19bdd0e26efe&pid=1-s2.0-S1043148924000034-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoluminal and next generation robotics in colorectal surgery 结直肠手术中的腔内和下一代机器人技术
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101006
Barbara Seeliger MD, PhD , Jacques Marescaux MD, PhD
{"title":"Endoluminal and next generation robotics in colorectal surgery","authors":"Barbara Seeliger MD, PhD ,&nbsp;Jacques Marescaux MD, PhD","doi":"10.1016/j.scrs.2024.101006","DOIUrl":"10.1016/j.scrs.2024.101006","url":null,"abstract":"<div><p>Innovative approaches leverage cutting-edge technologies to advance the field of minimally invasive colorectal surgery. The implementation of complex endoluminal and transluminal procedures is challenging and requires extensive training. Recent technological advances not only enable improved detection of colorectal neoplasms with the support of computer science, but also enhanced surgical treatment with robotic instrumentation. Early diagnosis will revolutionize colorectal cancer treatment by avoiding surgery, as has been demonstrated in the treatment of early-stage gastric cancer using third-space endoscopy. Automated colorectal cancer screening with polyp detection and classification can change the therapeutic strategy and orient towards resection during endoscopy, including full-thickness resection, with endoscopic bimanual suturing to close the defect. Several therapeutic flexible endoscopic robotic systems are expected to provide surgery-like dexterity for endo- and transluminal approaches by enabling tissue triangulation while lowering the technical hurdles for endoscopic submucosal dissection and other highly sophisticated procedures such as endoscopic creation or revision of anastomoses. In the curvilinear anatomy of the colon and rectum, navigation assistance for improved spatio-temporal orientation will aid in the detection and documentation of lesions and facilitate their localization for excision and follow-up. Flexible robotic systems encourage surgeons as well as gastroenterologists to perform advanced intra- and transluminal resections.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 1","pages":"Article 101006"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139823455","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
Computer vision in colorectal surgery: Current status and future challenges 结直肠手术中的计算机视觉：现状与未来挑战
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101008
Daichi Kitaguchi, Masaaki Ito
{"title":"Computer vision in colorectal surgery: Current status and future challenges","authors":"Daichi Kitaguchi,&nbsp;Masaaki Ito","doi":"10.1016/j.scrs.2024.101008","DOIUrl":"10.1016/j.scrs.2024.101008","url":null,"abstract":"<div><p>The shift from open to endoscopic surgeries, including laparoscopic and robot-assisted surgeries, has enabled the storage of a large number of high-quality intraoperative videos. Endoscopic surgery is highly compatible with artificial intelligence (AI), especially deep-learning-based computer vision, as it provides easy access to videos that form the basis of image analysis. Following the self-learning process, wherein surgeons gain an understanding of surgery by repeatedly watching intraoperative videos, numerous efforts have been made to build AI models for surgery using AI input and analyzing a vast amount of information from intraoperative videos. However, whether AI's understanding of surgery increases sufficiently and becomes useful in daily surgical practice remains unclear. Therefore, this review aims to discuss the current status and future challenges of using AI in surgery, particularly in laparoscopic colorectal surgery, and to explore aspects such as surgical phase or step recognition, navigation and surgical automation, and surgical skill assessment.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 1","pages":"Article 101008"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888404","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 role of artificial intelligence in colonoscopy 人工智能在结肠镜检查中的作用
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.scrs.2024.101007
Hyun Jae Kim , Nasim Parsa , Michael F. Byrne
{"title":"The role of artificial intelligence in colonoscopy","authors":"Hyun Jae Kim ,&nbsp;Nasim Parsa ,&nbsp;Michael F. Byrne","doi":"10.1016/j.scrs.2024.101007","DOIUrl":"10.1016/j.scrs.2024.101007","url":null,"abstract":"<div><p>Recent advancements in artificial intelligence (AI) have had a profound impact on the field of gastrointestinal endoscopy, particularly in the realm of colonoscopy. Recent studies have shown excellent performance of AI models in both computer-aided detection (CADe) and computer-aided diagnosis (CADx) of polyps. Moreover, AI has shown promising results in other aspects of colonoscopy such as prediction of depth of tumor invasion, colonoscopy quality assurance, and AI applications in inflammatory bowel disease.</p><p>In this review, we summarize the recent literature on the application of AI in colonoscopy, and review the limitations and challenges of existing AI technologies and future directions for this field.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 1","pages":"Article 101007"},"PeriodicalIF":0.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S104314892400006X/pdfft?md5=fbdc44d69ab56b6966c5e654a57f2693&pid=1-s2.0-S104314892400006X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信