Videolaparo-assisted subtotal colectomy with cecorectal anastomosis in the treatment of chronic slow transit constipation.
Conzo G, Stanzione F, Celsi S, Palazzo A, Della Pietra C, Candilio G, Livrea A.
G Chir. 2010 Nov-Dec;31(11/12):487-490.
PMID: 21232189 [PubMed - as supplied by publisher]

Mechanical cecorectal anastomosis after subtotal colectomy, in the treatment of slow transit constipation, probably represents the most attractive surgical alternative to total colectomy and ileorectal anastomosis. In fact the operation allows better results in terms of postoperative diarrhoea, fecal incontinence and postoperative adherential syndrome. Literature data have demonstrated the feasibility of the laparoscopic approach with typically advantages of less invasive surgery respect of parietal integrity, less postoperative pain and ileus, fewer postoperative adhesions, a reduced hospitalization and finally, a better cosmesis. The Authors report a case of mechanical end to end cecorectal anastomosis after laparo-assisted subtotal colectomy (by four trocars) preserving superior rectal and ilecolic vessels, for the treatment of slow transit constipation in a 20 years old male patient .The reported operative approach which links typical laparoscopic advantages to a more "safety" and "accurate" extracorporeal mechanical anastomosis.


Suture-Free Anastomosis of the Colon Experimental Comparison of Two Cyanoacrylate Adhesives.
Paral J, Subrt Z, Lochman P, Klein L, Hadzi-Nikolov D, Turek Z, Vejbera M.
J Gastrointest Surg. 2011 Jan 13. [Epub ahead of print]
PMID: 21229329 [PubMed - as supplied by publisher]

CONCLUSION: The tissue adhesive Glubran 2 appears to be (under experimental conditions) a promising synthetic adhesive for colonic anastomosis construction; conversely, the tissue adhesive Dermabond was unsuitable for suture-free anastomosis construction.


Changing Management and Survival in Patients With Stage IV Colorectal Cancer.
Platell C, Ng S, O'bichere A, Tebbutt N.
Dis Colon Rectum. 2011 Feb;54(2):214-9.
PMID: 21228671 [PubMed - in process]

CONCLUSIONS: : In this analysis of overall survival for patients with stage IV colorectal cancer treated from 1989 through 2009, significant improvements were noted only in the last 7 years. Improvements may be related to more widespread use of palliative chemotherapy, newer chemotherapy agents, surgical excision of the primary tumor, and lower postoperative mortality.


A laparoscopic approach does reduce short-term complications in patients undergoing ileal pouch-anal anastomosis.
Fleming FJ, Francone TD, Kim MJ, Gunzler D, Messing S, Monson JR.
Dis Colon Rectum. 2011 Feb;54(2):176-82.
PMID: 21228665 [PubMed - in process]

CONCLUSIONS: A laparoscopic approach to ileal pouch formation was associated with a significant reduction in both major and minor complications compared with the traditional open approach. Given the high financial costs associated with complications arising from this procedure, this study provides support for the adoption of the laparoscopic approach in the formation of an IPAA.


Does a subcentimeter distal resection margin adversely influence oncologic outcomes in patients with rectal cancer undergoing restorative proctectomy?
Kiran RP, Lian L, Lavery IC.
Dis Colon Rectum. 2011 Feb;54(2):157-63.
PMID: 21228662 [PubMed - in process]

CONCLUSIONS: : A distal resection margin of <1 cm for patients undergoing restorative radical resection for low-lying rectal cancer does not adversely influence oncologic outcomes when other factors are carefully considered and a multimodality approach is used. This factor, when carefully considered, will help avoid a permanent stoma in some circumstances.


[A Surgica(l Pancreatoduodenectomy) Case of Lymph Node Metastatic Recurrence of Colon Cancer after Chemotherapy.]
Yamaoka K, Inatsugi N, Yoshikawa S, Masuda T, Uchida H, Kuge H, Yokotani T, Yamaguchi T, Kawaguchi C, Shimobayashi T, Inagaki M, Matsuoka M, Tatsumi K, Saraya T, Otsuji T, Yamochi Y, Yamanishi K, Enomoto Y, Nonomura A, Sho M, Nakajima Y.
Gan To Kagaku Ryoho. 2010 Nov;37(12):2346-2348. Japanese.
PMID: 21224568 [PubMed - as supplied by publisher]

A woman in her fifties underwent a right hemicolectomy (D3) for cancer of the ascending colon in October 2007, definitively and pathologically diagnosed as papillary adenocarcinoma invading to the subserosa, and no metastasis was detected to lymph node. But 13 months after the surgery, she was found to have a mass near the anastomosis by an abdominal CT scan. Colonoscopy showed an evaluating lesion with ulcer in the anal side of the anastomosis. We tried to resect the metastasis, but it was not resectable because of the invasion to the pancreas. The mFOLFOX regimen was effective. After the chemotherapy (6 courses), we decided to perform a radical resection. We conducted pancreatoduodenectomy in May 2009. She is still alive 12 months after surgery.


Diversion stoma after colorectal surgery: loop colostomy or ileostomy?
Klink CD, Lioupis K, Binnebösel M, Kaemmer D, Kozubek I, Grommes J, Neumann UP, Jansen M, Willis S.
Int J Colorectal Dis. 2011 Jan 11. [Epub ahead of print]
PMID: 21221605 [PubMed - as supplied by publisher]

CONCLUSIONS: Both methods provide a good operative outcome with low complication rates. We do recommend the loop ileostomy in all patients in which dehydration is not to be expected since wound infection rate is lower and hospital stay is shorter during stoma reversal.

 

Updated January 18th, 2011