Annals of Coloproctology最新文献_第10页

Exfoliate cancer cell analysis in rectal cancer surgery: comparison of laparoscopic and transanal total mesorectal excision, a pilot study. 直肠癌手术中的脱落癌细胞分析：腹腔镜和经肛门全直肠系膜切除术的比较，一项试点研究。

IF 3.1

Annals of Coloproctology Pub Date : 2023-12-01 Epub Date: 2023-12-26 DOI: 10.3393/ac.2023.00479.0068

Kiho You, Jung-Ah Hwang, Dae Kyung Sohn, Dong Woon Lee, Sung Sil Park, Kyung Su Han, Chang Won Hong, Bun Kim, Byung Chang Kim, Sung Chan Park, Jae Hwan Oh

{"title":"Exfoliate cancer cell analysis in rectal cancer surgery: comparison of laparoscopic and transanal total mesorectal excision, a pilot study.","authors":"Kiho You, Jung-Ah Hwang, Dae Kyung Sohn, Dong Woon Lee, Sung Sil Park, Kyung Su Han, Chang Won Hong, Bun Kim, Byung Chang Kim, Sung Chan Park, Jae Hwan Oh","doi":"10.3393/ac.2023.00479.0068","DOIUrl":"10.3393/ac.2023.00479.0068","url":null,"abstract":"Purpose: Minimally invasive surgery (MIS) is currently the standard treatment for rectal cancer. However, its limitations include complications and incomplete total mesorectal resection (TME) due to anatomical features and technical difficulties. Transanal TME (TaTME) has been practiced since 2010 to improve this, but there is a risk of local recurrence and intra-abdominal contamination. We aimed to analyze samples obtained through lavage to compare laparoscopic TME (LapTME) and TaTME.Methods: From June 2020 to January 2021, 20 patients with rectal cancer undergoing MIS were consecutively and prospectively recruited. Samples were collected at the start of surgery, immediately after TME, and after irrigation. The samples were analyzed for carcinoembryonic antigen (CEA) and cytokeratin 20 (CK20) through a quantitative real-time polymerase chain reaction. The primary outcome was to compare the detected amounts of CEA and CK20 immediately after TME between the surgical methods.Results: Among the 20 patients, 13 underwent LapTME and 7 underwent TaTME. Tumor location was lower in TaTME (7.3 cm vs. 4.6 cm, P=0.012), and negative mesorectal fascia (MRF) was more in LapTME (76.9% vs. 28.6%, P=0.044). CEA and CK20 levels were high in 3 patients (42.9%) only in TaTME. There was 1 case of T4 with incomplete purse-string suture and 1 case of positive MRF with dissection failure. All patients were followed up for an average of 32.5 months without local recurrence.Conclusion: CEA and CK20 levels were high only in TaTME and were related to tumor factors or intraoperative events. However, whether the detection amount is clinically related to local recurrence remains unclear.","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":" ","pages":"502-512"},"PeriodicalIF":3.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10781597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139037354","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

Transanal opening of the intersphincteric space (TROPIS): a novel procedure on the horizon to effectively manage high complex anal fistulas 经肛门括约肌间隙开放术(TROPIS):一种有效治疗高度复杂肛瘘的新方法

Annals of Coloproctology Pub Date : 2023-10-24 DOI: 10.3393/ac.2022.01263.0180

Pankaj Garg, Anvesha Mongia

{"title":"Transanal opening of the intersphincteric space (TROPIS): a novel procedure on the horizon to effectively manage high complex anal fistulas","authors":"Pankaj Garg, Anvesha Mongia","doi":"10.3393/ac.2022.01263.0180","DOIUrl":"https://doi.org/10.3393/ac.2022.01263.0180","url":null,"abstract":"Anal fistulas, especially complex and high fistulas, are difficult to manage. The transanal opening of the intersphincteric space (TROPIS) procedure was first described in 2017, and a high success rate of over 90% was reported in high complex fistulas. Since then, more studies and even a meta-analysis have corroborated the high efficacy of this procedure in high fistulas. Conventionally, the main focus was to close the internal (primary) opening for the fistula to heal. However, most complex fistulas have a component of the fistula tract in the intersphincteric plane. This component is like an abscess (sepsis) in a closed space (2 muscle layers). It is a well-known fact that in the presence of sepsis, healing by secondary intention leads to better results than attempting to heal by primary intention. Therefore, TROPIS is the first procedure in which, instead of closing the internal opening, the opening is widened by laying open the fistula tract in the intersphincteric plane so that healing can occur by secondary intention. Although the drainage of high intersphincteric abscesses through the transanal route was described 5 decades ago, the routine utilization of TROPIS for the definitive management of high complex fistulas was first described in 2017. The external anal sphincter (EAS) is completely spared in TROPIS, as the fistula tract on either side of the EAS is managed separatelyâinner (medial) to the EAS by laying open the intersphincteric space and outer (lateral) to the EAS by curettage or excision. Keywords: Rectal fistula; Anal fistula; Fistula in ano; Transanal opening of the intersphincteric space (TROPIS); Ligation of the intersphincteric tract","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":"11 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135219422","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

Immune checkpoint therapy in colorectal cancer: is first better than last? 免疫检查点治疗结直肠癌癌症：首次优于最后一次？

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2023-10-04 DOI: 10.3393/ac.2023.00248.0035

Yui Kaneko, Zainab Naseem, Neil Strugnell, Frances Barnett, Basil D'Souza, Ankur Sidhu, Andrew Bui, Toan Pham

引用次数: 0

The imitation game: a review of the use of artificial intelligence in colonoscopy, and endoscopists' perceptions thereof. 模仿游戏：人工智能在结肠镜检查中的应用综述，以及内镜医生对此的看法。

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2023-03-10 DOI: 10.3393/ac.2022.00878.0125

Sarah Tham, Frederick H Koh, Jasmine Ladlad, Koy-Min Chue, Cui-Li Lin, Eng-Kiong Teo, Fung-Joon Foo

引用次数: 0

Successful detection and removal of predictable juvenile polyp: a case report. 成功检测和切除可预测的青少年息肉：一例报告。

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2021-07-21 DOI: 10.3393/ac.2021.00311.0044

Kwang Yeon Kim, Jin Su Kim

引用次数: 1

Comments on "Laser hemorrhoidoplasty versus conventional hemorrhoidectomy for grade II/III hemorrhoids: a systematic review and meta-analysis". 关于“激光痔疮成形术与传统痔疮切除术治疗Ⅱ/Ⅲ级痔疮：系统综述和荟萃分析”的评论。

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.3393/ac.2023.00206.0029

Mohamed Ali Chaouch, Amine Gouader, Bassem Krimi, Hani Oweira

引用次数: 0

Erratum to "Prognostic factors affecting disease-free survival and overall survival in T4 colon cancer". “影响T4结肠癌患者无病生存率和总生存率的预后因素”勘误表。

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.3393/ac.2020.00759.0108.e1

引用次数: 0

Outcomes of redo for failed colorectal or coloanal anastomoses: a systematic review and meta-analysis. 结肠直肠或结肠直肠吻合失败的重做结果：一项系统综述和荟萃分析。

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2022-12-20 DOI: 10.3393/ac.2022.00605.0086

Ricardo Purchio Galletti, Gabriel Andrade Agareno, Lucas de Abreu Sesconetto, Rafael Benjamim Rosa da Silva, Rafael Vaz Pandini, Lucas Soares Gerbasi, Victor Edmond Seid, Sérgio Eduardo Alonso Araujo, Francisco Tustumi

{"title":"Outcomes of redo for failed colorectal or coloanal anastomoses: a systematic review and meta-analysis.","authors":"Ricardo Purchio Galletti, Gabriel Andrade Agareno, Lucas de Abreu Sesconetto, Rafael Benjamim Rosa da Silva, Rafael Vaz Pandini, Lucas Soares Gerbasi, Victor Edmond Seid, Sérgio Eduardo Alonso Araujo, Francisco Tustumi","doi":"10.3393/ac.2022.00605.0086","DOIUrl":"10.3393/ac.2022.00605.0086","url":null,"abstract":"Purpose: This study aimed to review the outcomes of redo procedures for failed colorectal or coloanal anastomoses.Methods: A systematic review was performed using the PubMed, Embase, Cochrane, and LILACS databases. The inclusion criteria were adult patients undergoing colectomy with primary colorectal or coloanal anastomosis and studies that assessed the postoperative results. The protocol is registered in PROSPERO (No. CRD42021267715).Results: Eleven articles met the eligibility criteria and were selected. The studied population size ranged from 7 to 78 patients. The overall mortality rate was 0% (95% confidence interval [CI], 0%-0.01%). The postoperative complication rate was 40% (95% CI, 40%-50%). The length of hospital stay was 13.68 days (95% CI, 11.3-16.06 days). After redo surgery, 82% of the patients were free of stoma (95% CI, 75%-90%), and 24% of patients (95% CI, 0%-39%) had fecal incontinence. Neoadjuvant chemoradiotherapy (P=0.002) was associated with a lower probability of being free of stoma in meta-regression.Conclusion: Redo colorectal and coloanal anastomoses are strategies to restore colonic continuity. The decision to perform a redo operation should be based on a proper evaluation of the morbidity and mortality risks, the probability of remaining free of stoma, the quality of life, and a functional assessment.","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":" ","pages":"375-384"},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10734232","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: 1

Fournier gangrene with concurrent multifocal necrotizing fasciitis: a systematic review and case report. 富尼耶坏疽并发多灶坏死性筋膜炎:系统回顾和病例报告。

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2022-05-26 DOI: 10.3393/ac.2022.00192.0027

Jessica A Paynter, Kirby R Qin, Dongrong Situ, Chun Hin Angus Lee

{"title":"Fournier gangrene with concurrent multifocal necrotizing fasciitis: a systematic review and case report.","authors":"Jessica A Paynter, Kirby R Qin, Dongrong Situ, Chun Hin Angus Lee","doi":"10.3393/ac.2022.00192.0027","DOIUrl":"10.3393/ac.2022.00192.0027","url":null,"abstract":"Purpose: A patient presented to a regional surgical center with Fournier gangrene (FG) and concurrent multifocal necrotizing fasciitis (NF). Given the rarity, it was decided to undertake a systematic review to investigate the incidence and prevalence of FG with multifocal NF and consequently determine the treatment and approach to management of such presentation.Methods: Firstly, the report of the 56-year-old male patient is discussed regarding his surgical management. Secondly, a systematic review was undertaken according to PRISMA guidelines using MEDLINE, Scopus, and Embase databases. Searches used the following MeSH terms: (\"fournier's gangrene\") AND ((necrotising fasciitis) OR (necrotising soft tissue infection)). Once the search results were obtained, duplicate articles were removed. Titles, abstracts, and articles were reviewed by 2 authors.Results: The search strategy using the 3 databases revealed a total of 402 studies. Fifty-seven studies were removed due to duplication. A total of 345 records were screened via title and abstract, of which 115 were excluded. Two hundred and thirty studies were reviewed for eligibility. A total of all 230 studies were excluded; 169 were excluded as they included the incorrect patient population (patients suffered from FG or NF, but not both collectively), 60 studies were excluded due to incorrect study designs, and 1 report occurred in the wrong setting.Conclusion: This highlights that while being a relatively known, uncommon infection both FG and NF are well documented separately within the literature. However, FG with concurrent multifocal NF has not been documented within the literature.","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":"1 1","pages":"421-426"},"PeriodicalIF":3.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44745290","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

Low anterior resection syndrome: is it predictable? 低位前切除综合征：可预测吗？

IF 3.1

Annals of Coloproctology Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.3393/ac.2023.00647.0092

Dong Hyun Kang

引用次数: 0