27,319 results match your criteria colectomy 12 months


Laparoscopic complete mesocolic excision versus conventional resection for right-sided colon cancer: a propensity score matching analysis of short-term outcomes.

Surg Endosc 2021 Jun 15. Epub 2021 Jun 15.

Division of Minimally-Invasive Surgical Oncology, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore, 3, 20162, Milan, Italy.

Background: Complete mesocolic excision (CME) for right-sided colon cancer (RCC) is a demanding operation, especially when performed laparoscopically. The potential impact of CME in increasing postoperative complications is still unclear. The aim of our study was to evaluate the safety and feasibility of laparoscopic CME compared with laparoscopic non-complete mesocolic excision (NCME) during colectomy for RCC. Read More

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Impact of Frailty on Clinical Outcomes and Hospitalization Costs Following Elective Colectomy.

Am Surg 2021 Jun 14:31348211024233. Epub 2021 Jun 14.

Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Background: Frailty has been increasingly recognized as a risk factor for inferior surgical outcomes and greater resource use. The present study evaluated the impact of a coding-based frailty tool on outcomes of elective colectomy in a national cohort.

Study Design: Adults undergoing elective colectomy were identified in the 2016-17 Nationwide Readmissions Database. Read More

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Experience with the application of trans-anal natural orifice specimen extraction method in different position total laparoscopic segmental colectomy.

Authors:
Wei Wang

ANZ J Surg 2021 Jun;91(6):1316-1317

Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing Hospital, Zhejiang University School of Medicine, Shaoxing, China.

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The oncologic safety of left colectomy with modified complete mesocolic excision for distal transverse colon cancer: Comparison with descending colon cancer.

Eur J Surg Oncol 2021 Jun 6. Epub 2021 Jun 6.

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Background: The optimal surgical approach for distal transverse colon cancer has not been well established. This study aimed to evaluate the oncologic safety of left colectomy with a modified complete mesocolic excision for distal transverse colon cancer as compared with descending colon cancer.

Material And Methods: This study involved 383 patients who underwent left colectomy with modified complete mesocolic excision for non-metastatic distal transverse and splenic flexure colon (transverse group, N = 110) and descending colon cancer (descending group, N = 237) from 3 institutions. Read More

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Impact of laparoscopy on oncological outcomes after colectomy for stage III colon cancer: A post-hoc multivariate analysis from PETACC8 European randomized clinical trial.

Dig Liver Dis 2021 Jun 8. Epub 2021 Jun 8.

Université de Paris, Department of Digestive Oncology, Georges Pompidou European Hospital, AP-HP, Paris, France.

Background: In colon cancer (CC), surgery remains the mainstay of treatment with curative intent. Despite several clinical trials comparing open and laparoscopic approaches, data on long-term outcomes for stage III CC are lacking.

Methods: This post-hoc analysis of the European PETACC8 randomized phase 3 trial included patients from 340 sites between December 2005 and November 2009, with long follow-up (median 7. Read More

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Feasibility and Outcomes of Multivisceral Resection in Locally Advanced Colorectal Cancer: Experience of a Tertiary Cancer Center in North-East India.

Ann Coloproctol 2021 Jun 10. Epub 2021 Jun 10.

Department of Surgical Oncology, Dr. B. Borooah Cancer Institute, Guwahati, India.

Purpose: Locally advanced colorectal cancer may require an en bloc resection of surrounding organs or structures to achieve complete tumor removal. This decision must weigh the risk of complications of multivisceral resection against the potential survival benefit. The purpose of this study is to review a single-center experience of feasibility of en bloc multivisceral resections for locally advanced colorectal carcinoma and to examine the effect of surgical experience on immediate outcome and rate of R0 resections. Read More

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Usefulness of internal organ retractors in making sutureless delta-shaped intracorporeal anastomosis during laparoscopic colectomy.

Tech Coloproctol 2021 Jun 9. Epub 2021 Jun 9.

Department of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

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Benign Colonic Strictures.

Dis Colon Rectum 2021 Jun 8. Epub 2021 Jun 8.

Division of General Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

Case Summary: A 46-year-old male with no significant past medical or surgical history presented to the emergency department with a 1-week history of worsening constipation, abdominal distension, nausea, and non-bloody, non-bilious emesis. Workup included a computed tomography (CT) scan which was notable for a 5.3 x 3. Read More

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Keep Them on the Table: Outcomes are Improved After Minimally Invasive Colectomy Despite Longer Operative Times in High-Risk Colon Cancer Patients.

Dis Colon Rectum 2021 Jun 8. Epub 2021 Jun 8.

Rush University Medical Center, Department of Surgery, Chicago, Illinois Rush Bioinformatics and Biostatistics Core, Chicago, Illinois.

Background: For high-risk patients, traditional surgical dogma advises open operations, with short operative times, in order to "get them off the table" instead of longer minimally invasive surgery approaches.

Objective: The aim of this study was to compare postoperative outcomes in elective high-risk colon cancer patients undergoing longer minimally invasive surgery operations compared to shorter open operations.

Design: Postoperative outcomes of colon cancer patients with American Society of Anesthesiology class of 3-4 undergoing right or sigmoid colectomy were compared on multivariate analysis. Read More

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Malakoplakia mimicking a locally advanced colorectal neoplasm.

J Surg Case Rep 2021 Jun 4;2021(6):rjab225. Epub 2021 Jun 4.

Colorectal Surgery Unit, Surgery Service, Complejo Asistencial Doctor Sótero Del Río, Santiago 8207257, Chile.

Malakoplakia is a rare disease. Clinical presentation is non-specific, making its diagnosis an incidental finding on histopathological analysis. The aim of this case report is to describe a patient diagnosed with colon, renal and soft tissue malacoplakia mimicking a locally advanced colorectal cancer. Read More

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Comforting Data on the Incidence of Rectal Cancer After Subtotal Colectomy in IBD: The Risk Is Low, Yet Surveillance Matters!

J Crohns Colitis 2021 Jun 7. Epub 2021 Jun 7.

Division of Gastroenterology, McGill University Health Centre, Montreal, Canada.

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Association of day of the week with mortality after elective right hemicolectomy for colon cancer: Case analysis from the National Clinical Database.

Ann Gastroenterol Surg 2021 May 15;5(3):331-337. Epub 2021 Jan 15.

Department of Surgery Kochi Medical School Nankoku Japan.

Aim: We aimed to investigate whether later weekdays are related to worse short-term outcomes after elective right hemicolectomy for colon cancer.

Methods: We retrospectively analyzed adult patients who underwent elective right hemicolectomy for colon cancer between 2012 and 2017. Records lacking details about surgical mortality were excluded, and multiple imputation was performed for other missing data (variables). Read More

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Changing Results to Change Results: Nudging Antimicrobial Prescribing for .

Open Forum Infect Dis 2021 Jun 16;8(6):ofaa605. Epub 2020 Dec 16.

University of Toronto, Faculty of Medicine, Toronto, Ontario, Cananda.

Background: Patients who test positive for by polymerase chain reaction (PCR), with a negative toxin enzyme immunoassay (EIA), are commonly colonized and do not require treatment. However, clinicians often treat based on a positive PCR result regardless of the toxin EIA result. We evaluated the clinical impact of a microbiology reporting nudge, changing from a report that included both assay results along with treatment recommendations to one that suggested clinicians consider colonization or early infection. Read More

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Assessment of Risk Factors for the Occurrence of a High-Output Ileostomy.

Front Surg 2021 21;8:642288. Epub 2021 May 21.

Department of General and Visceral Surgery, St. Joseph Hospital, Berlin, Germany.

Ileostomy is often required in patients undergoing bowel resections for inflammatory bowel diseases (IBD), colorectal cancer, and emergencies. Unfortunately, some patients develop a high-output stoma (HOS). This condition affects homeostasis and may be life threatening. Read More

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Emergent Management of Clostridium difficle Infection in a Patient With Chronic Inflammatory Bowel Disease.

Cureus 2021 Apr 29;13(4):e14751. Epub 2021 Apr 29.

General Surgery, MacDill Air Force Base (AFB), Tampa, USA.

Clostridium difficle (C. diff) is a well known cause of infectious diarrhea across hospitals in the developed world. An anaerobic, gram positive rod bacteria, C. Read More

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Tofacitinib Therapy in Children and Young Adults with Pediatric-Onset Medically-Refractory Inflammatory Bowel Disease.

J Pediatr Gastroenterol Nutr 2021 Jun 1. Epub 2021 Jun 1.

Division of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.

Objectives: Tofacitinib, a selective Janus kinase inhibitor, effectively induces and maintains remission in adults with inflammatory bowel disease (IBD), but data are limited in children. This study aimed to evaluate the efficacy and safety of tofacitinib for medically-refractory pediatric-onset IBD.

Methods: This single-center retrospective study included subjects aged 21 years and younger who started tofacitinib for medically-refractory IBD. Read More

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Enhanced Recovery 2.0 - Same Day Discharge With Mobile App Follow-Up After Minimally Invasive Colorectal Surgery.

Ann Surg 2021 Jun 2. Epub 2021 Jun 2.

Department of Surgery, McGill University Health Centre, Montreal, QC, Canada Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada Department of Anaesthesia, McGill University Health Centre, Montreal, QC, Canada.

Summary Background Data: Discharge prior to gastrointestinal recovery and use of mobile health technology for remote follow-up may allow for same-day discharge (SDD) after minimally-invasive colectomy within an Enhanced Recovery Pathway (ERP).

Objective: To investigate the feasibility of SDD protocol with post-discharge follow-up using a mobile phone app in patients undergoing elective minimally-invasive colectomy.

Methods: Adult patients undergoing elective laparoscopic colectomy or loop ileostomy reversal from 02/2020-11/2020 were screened for eligibility. Read More

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A critical view of safety in left colectomy surgery: A case of renal artery injury.

Int J Surg Case Rep 2021 May 27;83:106035. Epub 2021 May 27.

Department of General and Emergency Surgery, Policlinico G. Martino, University of Messina, Italy.

Introduction: The standardization of the laparoscopic approach in left hemicolectomy was facilitated by the vascular anatomy of the left colon, which has few anatomical variants. The current technique for left hemicolectomy consists in approaching the inferior mesenteric artery (IMA), after identification of the inferior mesenteric vein (IMV), from above (craniocaudal) or from below (caudocranial). The type of approach is decided on the basis of the vascular window between the IMV and IMA. Read More

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Complete Mesocolic Excision and D3 Lymphadenectomy versus Conventional Colectomy for Colon Cancer: A Systematic Review and Meta-Analysis.

Ann Surg Oncol 2021 Jun 4. Epub 2021 Jun 4.

Division of General Surgery, Department of Colorectal Surgery, Hospital Universitario Central de Asturias (HUCA), Avenida de Roma s/n, 33011, Oviedo, Spain.

Backgrounds: Previous systematic reviews suggest that the implementation of 'complete mesocolon excision' (CME) for colon tumors entails better specimen quality but with limited long-term outcomes. We performed a meta-analysis to compare the pathological, perioperative, and oncological results of CME with conventional surgery (CS) in primary colon cancer.

Methods: Embase, MEDLINE and CENTRAL databases were searched using Medical Subject Headings for CME and D3 lymphadenectomy. Read More

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[Ascending colon cancer that infiltrates the abdominal wall. Report of a case of unusual presentation].

Rev Gastroenterol Peru 2020 Oct-Dec;40(4):351-354

Servicio de Cirugía de Colon y Recto, Departamento de Cirugía General y Digestiva, Hospital Nacional Edgardo Rebagliati Martins, EsSalud. Lima, Perú.

The case of a patient with ascending colon cancer and infiltration of the abdominal wall with a proliferative tumor on the skin is presented. This is an 83-year-old man who underwent surgery for an intra-abdominal abscess ten months before admission and develops a colocutaneous fistula. The patient presented a 10 cm diameter proliferative, multilobed, non-painful tumor on the flank and right iliac fossa; the biopsy revealed an adenocarcinoma. Read More

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Rare, long-term complication after pancreatoduodenectomy-a case report of cecal volvulus.

J Surg Case Rep 2021 May 28;2021(5):rjab202. Epub 2021 May 28.

Northwell North Shore/Long Island Jewish, Department of Surgery, Queens, NY 11040, USA.

Complications after pancreatoduodenectomy are common, and range widely in timing of presentation, relation to pancreatobiliary pathology, and necessity of operative intervention. We present a case of a 74-year-old male with history of pancreatoduodenectomy for pancreatic adenocarcinoma who presented 11 months after index operation with cecal volvulus and required emergent right hemicolectomy. Prior history of pancreatoduodenectomy with mobilization of the right colon likely predisposed him to development of this surgical emergency. Read More

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Idiopathic Myointimal Hyperplasia of Mesenteric Veins (IMHMV) with two spontaneous bowel perforations: A case report and literature review.

Int J Surg Case Rep 2021 May 26;83:106022. Epub 2021 May 26.

Royal Commission Jubail and Yanbu, Saudi Arabia.

Introduction And Importance: Idiopathic myointimal hyperplasia of the mesenteric veins (IMHMV) is a poorly understood disorder which poses a diagnostic challenge to clinicians and pathologists. Here we have described the case of a male patient with IMHMV along with a presumed history of ulcerative colitis for 1 year.

Case Presentation: A 55-year-old male presented to the OPD with history of chronic abdominal pain. Read More

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Comparison of outcome and costs of robotic and laparoscopic right hemicolectomies.

J Robot Surg 2021 Jun 3. Epub 2021 Jun 3.

Department of Colorectal Surgery, The Tweed Hospital, Powell St, Tweed Heads, NSW, 2485, Australia.

To compare the outcomes of patients undergoing right hemicolectomy using laparoscopic or robotic approaches and perform a cost analysis. Retrospective review of all patients undergoing elective laparoscopic and robotic right hemicolectomies at a public and private hospital in NSW/QLD from January 2015 to June 2018. Cost analysis was calculated using actual and estimated costs by the local health district. Read More

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Robotic versus laparoscopic right colectomy for colon cancer: a nationwide cohort study.

Int J Colorectal Dis 2021 Jun 2. Epub 2021 Jun 2.

Center for Surgical Science, Zealand University Hospital, Lykkebækvej 1, DK-4600, Koege, Denmark.

Purpose: On a national level, the minimally invasive approach is widely adopted in Denmark. The adoption of robotic colorectal surgery is increasing; however, the advantage of a robotic approach in right colectomy is still uncertain. The purpose of this study was to compare robotic right colectomy with laparoscopic right colectomy on a national level. Read More

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The Association between Pathologic Complete Response after Neoadjuvant Chemoradiotherapy and Postoperative Complications.

Dig Surg 2021 Jun 1:1-7. Epub 2021 Jun 1.

Surgical Health Outcomes & Research Enterprise (SHORE), University of Rochester Medical Center, Rochester, New York, USA.

Introduction: With growing interest in the watch-and-wait strategy, the benefits of avoiding surgery and its complications must be weighed against possible recurrence and need for salvage surgery. However, the relationship between pathologic complete response (pCR) and postoperative complications has not been well established.

Methods: This is a retrospective study using the National Surgical Quality Improvement Program Proctectomy and Colectomy Procedure-Targeted databases from 2016 to 2018. Read More

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Blunt Abdominal Trauma Leading to an Incidental Finding of Duplicate Inferior Vena Cava (DIVC): A Case Report and Literature Review.

Am J Case Rep 2021 Jun 1;22:e929198. Epub 2021 Jun 1.

Department of General Surgery, King Fahad Hospital of University, College of Medicine, and Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.

BACKGROUND With a prevalence of about 2% to 3%, duplication is the most common anomaly associated with the inferior vena cava (IVC). In general, systemic venous anomalies are being more frequently diagnosed in asymptomatic patients. We report the case of a young man with an incidental finding of an asymptomatic duplicated IVC, along with a literature review. Read More

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Probiotic-related bacteremia after major hepatectomy for biliary cancer: a report of two cases.

Surg Case Rep 2021 Jun 1;7(1):133. Epub 2021 Jun 1.

Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aobaku, Sendai, 980-8574, Japan.

Background: Probiotics have been reported to be beneficial for the prevention of postoperative complications and are often used during the perioperative period. Among the probiotic-related adverse events, bacteremia is rare. Here, we report two cases of probiotic-related bacteremia after major hepatectomy for biliary cancer. Read More

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Providing Hospitalized Ulcerative Colitis Patients With Practice Guidelines Improves Patient-Reported Outcomes.

J Can Assoc Gastroenterol 2021 Jun 9;4(3):131-136. Epub 2020 Jun 9.

Division of Gastroenterology, Mount Sinai Hospital, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Background And Aims: Variation in care has been demonstrated among hospitalized patients with ulcerative colitis. Guidelines aim to reduce variation; however, it is known that the uptake of guidelines by physicians is variable. Providing patients with guidelines is a strategy that has not been extensively studied in inflammatory bowel disease (IBD). Read More

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Strategy and technique for colostomy reversal by laparoscopy after left colectomy with end colostomy (Hartmann procedure).

J Visc Surg 2021 May 28. Epub 2021 May 28.

Service de chirurgie digestive, centre hospitalier universitaire Amiens-Picardie, avenue René-Laënnec-Salouël, 80054 Amiens cedex 1, France; Université de Picardie-Jules-Verne, Picardie, Amiens, France; Unité de Recherche UPJV 7518 SSPC "Simplification des Soins des Patients Complexes", Université de Picardie-Jules-Verne, Amiens, France. Electronic address:

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A stepwise approach to laparoscopic right hemi colectomy with D2 excision. An illustrated video guide for training colorectal surgeons.

Colorectal Dis 2021 May 31. Epub 2021 May 31.

Northampton General Hospital NHS Trust, Department of Integrated Surgery, Cliftonville, Northampton, NN15BD, United Kingdom.

We present a stepwise approach to performing a laparoscopic right hemi-colectomy along with D2 excision. The video illustrates a modular approach for set up and resection, performed on a 60-year male patient, with a cancer in the ascending colon. The procedure is divided into its key steps, which include patient position, port placement and anatomical exposure, medial to lateral dissection with vessel control, sub-ileal dissection, lateral mobilisation, hepatic flexure mobilisation and extraction with extra-corporal anastomosis. Read More

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