Annals of Coloproctology最新文献_第9页

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":null,"pages":null},"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":null,"pages":null},"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

Endoscopic transstomal stent insertion: a novel approach for a stenosed stoma in a challenging patient. 内镜下经口支架置入:一种新的方法为狭窄的口在一个具有挑战性的病人。

IF 3.1

Annals of Coloproctology Pub Date : 2023-08-01 DOI: 10.3393/ac.2022.00962.0137

Feras Aljarad, Ashutosh Gumber, Anne Marie McLeary, Kawan Shalli

引用次数: 0

Total neoadjuvant therapy for rectal cancer: evidence and challenge. 直肠癌全新辅助治疗:证据与挑战。

IF 3.1

Annals of Coloproctology Pub Date : 2023-08-01 DOI: 10.3393/ac.2023.00269.0038

Suk-Hwan Lee

引用次数: 1

Clinical impact of C-reactive protein to albumin ratio of the 7th postoperative day on prognosis after laparoscopic colorectal cancer surgery. 腹腔镜结直肠癌术后第7天c反应蛋白/白蛋白比值对预后的影响

IF 3.1

Annals of Coloproctology Pub Date : 2023-08-01 DOI: 10.3393/ac.2022.00234.0033

Masahiro Kataoka, Kuniyuki Gomi, Ken Ichioka, Takuya Iguchi, Tomoki Shirota, Arano Makino, Ko Shimada, Kiyotomi Maruyama, Motohiro Mihara, Shoji Kajikawa

{"title":"Clinical impact of C-reactive protein to albumin ratio of the 7th postoperative day on prognosis after laparoscopic colorectal cancer surgery.","authors":"Masahiro Kataoka, Kuniyuki Gomi, Ken Ichioka, Takuya Iguchi, Tomoki Shirota, Arano Makino, Ko Shimada, Kiyotomi Maruyama, Motohiro Mihara, Shoji Kajikawa","doi":"10.3393/ac.2022.00234.0033","DOIUrl":"https://doi.org/10.3393/ac.2022.00234.0033","url":null,"abstract":"Purpose: C-reactive protein to albumin ratio (CAR) has been utilized as a prognostic factor in various carcinomas. We investigated the relationship between preoperative, postoperative day (POD) 1, and POD 7 CARs and the prognosis of patients with colorectal cancer (CRC).Methods: Three hundred twenty patients with CRC who underwent laparoscopic radical resection between May 2011 and December 2016 were enrolled. Patients were selected into 2 groups, high CAR and low CAR (n=72/group), based on preoperative, POD 1, and POD 7 CARs. The relapse-free survival (RFS) and overall survival (OS) were compared between groups using propensity score matching.Results: The high CAR group had a significantly worse RFS (P<0.001) and OS (P=0.002) at POD 7 than those in the low CAR group. However, in preoperative and POD 1 analysis, no differences were observed.Conclusion: In patients with CRC, CAR of POD 7 was a significant prognostic factor.","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/c3/ac-2022-00234-0033.PMC10475807.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10147680","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: 3

Recurrence following transanal total mesorectal excision for rectal cancer: a monocentric retrospective series of technically difficult cases. 直肠癌经肛门全肠系膜切除术后复发:单中心回顾性技术上困难的病例。

IF 3.1

Annals of Coloproctology Pub Date : 2023-08-01 DOI: 10.3393/ac.2022.00178.0025

Jonathan Frigault, Geneviève Morin, Sébastien Drolet, Philippe Bouchard, Alexandre Bouchard, Thanh-Quan Philips Ngo, François Letarte

{"title":"Recurrence following transanal total mesorectal excision for rectal cancer: a monocentric retrospective series of technically difficult cases.","authors":"Jonathan Frigault, Geneviève Morin, Sébastien Drolet, Philippe Bouchard, Alexandre Bouchard, Thanh-Quan Philips Ngo, François Letarte","doi":"10.3393/ac.2022.00178.0025","DOIUrl":"https://doi.org/10.3393/ac.2022.00178.0025","url":null,"abstract":"Purpose: Transanal total mesorectal excision (TaTME) has been proposed to overcome surgical difficulties encountered during rectal resection, especially for patients having high body mass index or low rectal cancer. The aim of this study was to evaluate oncologic outcomes following TaTME.Methods: This retrospective study included all consecutive patients with rectal cancer who had a TaTME from 2013 to 2019. The main outcome was the incidence of locoregional recurrence by the end of the follow-up period.Results: Among a total of 81 patients, 96.3% were male, and their mean age was 63±9 years. The mean body mass index was 30.3±5.7 kg/m2, and the median distance from tumor to anal verge was 5.0 cm (interquartile range [IQR], 4.0-6.0 cm). Most patients had a low anterior resection performed (n=80, 98.8%) with a diverting ileostomy (n=64, 79.0%). Distal and circumferential resection margins were positive in 2.5% and 6.2% of patients, respectively. Total mesorectal excision was complete or near complete in 95.1% of patients. A successful resection was achieved in 72 patients (88.9%). After a median follow-up of 27.5 months (IQR, 16.7-48.1 months), 4 patients (4.9%) experienced locoregional recurrence. Anastomotic leaks were observed in 21 patients (25.9%). At the end of the follow-up, 69 patients (85.2%) were stoma-free.Conclusion: TaTME was associated with acceptable oncological outcomes, including low locoregional recurrence rates in selected patients with low rectal cancer. Although associated with a high incidence of postoperative morbidities, the use of TaTME enabled a high rate of successful sphincter-saving procedures in selected patients who posed a technical challenge.","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/63/ac-2022-00178-0025.PMC10475802.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10147716","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

International Society of University Colon and Rectal Surgeons survey of surgeons' preference on rectal cancer treatment. 国际大学结肠直肠外科学会调查外科医生对直肠癌治疗的偏好。

IF 3.1

Annals of Coloproctology Pub Date : 2023-08-01 DOI: 10.3393/ac.2022.00255.0036

Audrius Dulskas, Philip F Caushaj, Domas Grigoravicius, Liu Zheng, Richard Fortunato, Joseph W Nunoo-Mensah, Narimantas E Samalavicius

{"title":"International Society of University Colon and Rectal Surgeons survey of surgeons' preference on rectal cancer treatment.","authors":"Audrius Dulskas, Philip F Caushaj, Domas Grigoravicius, Liu Zheng, Richard Fortunato, Joseph W Nunoo-Mensah, Narimantas E Samalavicius","doi":"10.3393/ac.2022.00255.0036","DOIUrl":"https://doi.org/10.3393/ac.2022.00255.0036","url":null,"abstract":"Purpose: Rectal cancer treatment has a wide range of possible approaches from radical extirpative surgery to nonoperative watchful waiting following chemoradiotherapy, with or without, additional chemotherapy. Our goal was to assess the personal opinion of active practicing surgeons on rectal cancer treatment if he/she was the patient.Methods: A panel of the International Society of University Colon and Rectal Surgeons (ISUCRS) selected 10 questions that were included in a questionnaire that included other items including demographics. The questionnaire was distributed electronically to ISUCRS fellows and other surgeons included in our database and remained open from April 16 to 28, 2020.Results: One hundred sixty-three specialists completed the survey. The majority of surgeons (n=65, 39.9%) chose the minimally invasive (laparoscopic) surgery for their personal treatment of rectal cancer. For low-lying rectal cancer T1 and T2, the treatment choice was standard chemoradiation+local excision (n=60, 36.8%) followed by local excision±chemoradiotherapy if needed (n=55, 33.7%). In regards to locally advanced low rectal cancer T3 or greater, the preference of the responders was for laparoscopic surgery (n=65, 39.9%). We found a statistically significant relationship between surgeons' age and their preference for minimally invasive techniques demonstrating an age-based bias on senior surgeons' inclination toward open approach.Conclusion: Our survey reveals an age-based preference by surgeons for minimally invasive surgical techniques as well as organ-preserving techniques for personal treatment of treating rectal cancer. Only 1/4 of specialists do adhere to the international guidelines for treating early rectal cancer.","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/ba/ac-2022-00255-0036.PMC10475796.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156093","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

Does transanal endoscopic microsurgery affect rectal function? 经肛门内镜显微手术会影响直肠功能吗?

IF 3.1

Annals of Coloproctology Pub Date : 2023-08-01 DOI: 10.3393/ac.2022.00220.0031

Evgeniy Khomyakov, Stanislav Chernyshov, Oksana Fomenko, Evgeny Rybakov

{"title":"Does transanal endoscopic microsurgery affect rectal function?","authors":"Evgeniy Khomyakov, Stanislav Chernyshov, Oksana Fomenko, Evgeny Rybakov","doi":"10.3393/ac.2022.00220.0031","DOIUrl":"https://doi.org/10.3393/ac.2022.00220.0031","url":null,"abstract":"Purpose: Transanal endoscopic microsurgery (TEM) is the most standardized method for the local excision of rectal neoplasms. Unfortunately, local excisions of rectal lesions by means of TEM are not completely free from undesirable functional sequela. This study was performed to evaluate the risk factors of major loss of function after TEM.Methods: Eighty-nine patients underwent TEM between 2019 and 2020. Anorectal manometry was performed before the surgery and 3, 6, and 12 months after the surgery. The quality of life (QoL) was assessed using the Fecal Incontinence Quality of Life scale.Results: The major decrease in QoL was observed in women in 3 months after the surgery in terms of lifestyle and frustration domains (3.6 and 3.64 points, respectively). In 3 months after the surgery, there was a significant decrease in resting pressure both in male and female patients (P=0.01). This difference remained significant 6 months after the surgery (P=0.01). In 12 months after the surgery, resting pressure returned to the preoperative level in most patients (P=0.50). A significant decrease in manometric parameters appeared when the surgery time is more than 55 minutes (P=0.05), the tumor localization is lower than 3 cm from the anus (P=0.03), and the tumor size is over 3 cm (P=0.001).Conclusion: The most significant risk factors for the development of functional disorders after TEM are surgery time of >55 minutes, tumor localization at <3 cm from the anal verge, and tumor size of >3 cm.","PeriodicalId":8267,"journal":{"name":"Annals of Coloproctology","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/aa/ac-2022-00220-0031.PMC10475803.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10147715","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